Inspection on 15/11/05 for Alpine Care Home

This inspection was carried out on 15th November 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Alpine Care Home 09/11/09

Alpine Care Home 17/09/07

Alpine Care Home 22/05/06

Alpine Care Home 28/04/05

Alpine Care Home 23/02/05

Alpine Care Home 19/05/04

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Alpine Rest Home Alpine Rest Home 10 Bradbourne Park Road Sevenoaks Kent TN13 3LH Lead Inspector Helen Martin Announced Inspection 15th November 2005 10:30 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 Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Alpine Rest Home Address Alpine Rest Home 10 Bradbourne Park Road Sevenoaks Kent TN13 3LH 01732 455537 01732 455537 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) Mrs Jane Chandra Mangalem Rajamogan Mr Kanagaratnam Kernal Rajamogan Mrs Susan Mary Barth Care Home 30 Category(ies) of Learning disability over 65 years of age (2), Old registration, with number age, not falling within any other category (28) of places Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Care for 2 older people with a learning disability is restricted to 2 people whose d.o.bs are 02/02/1928 and 12/04/1932. 28th April 2005 Date of last inspection Brief Description of the Service: Alpine Rest Home is a care home providing personal care and accommodation for thirty older people. Mr. and Mrs. Rajamogan own the home, which is situated in a residential area of Sevenoaks. The town centre, with the usual amenities, is a bus ride from the home. There is a main line railway station half a mile away. The house is a large detached property with parking to the front and a garden to the rear. Accommodation for residents is over two floors accessed by a lift. There are eighteen single and six shared rooms. One of the shared rooms has an en-suite bathroom. There are two large lounges, a dining room and a visitors’ room with bathrooms and toilets on the first and second floors. Alpine rest home employs care staff, working a roster, which gives 24hour cover. Ancillary staff include two cooks, a kitchen assistant and a maintenance person. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken on 15th November 2005 between 10.30 and 18.30. The visit included talking with the owning company’s director of care, the manager, staff and residents. Some judgements about the quality of life within the home were taken from observations and conversation. Some records were looked at and a tour of the home and garden was undertaken. In addition numerous comment cards were received as part of the inspection process from residents, their relatives and care managers. Some of these have been included within the main body of the report where appropriate. The home currently has twenty-five residents with four vacancies. One shared room is currently used as a single room. What the service does well: What has improved since the last inspection? Since the last inspection, the garden retaining wall has been checked by a specialist and does not pose a risk to residents. New carpets have been provided in many areas of the home, improving the décor. All residents spoken with stated that they could choose when to get up and when to retire. The privacy and dignity of residents is maintained. Residents said that they enjoyed the food and always got a choice. Menus showed that alternatives are now available on days when roast dinners are cooked. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 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. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 4 Residents and their representatives know the home will meet their needs. EVIDENCE: The manager demonstrated a clear understanding regarding the category and needs of residents that the home could meet. Comment cards received stated that ‘the staff …have helped (my relative) greatly in getting used to (their) new home’, ‘(the) home is always helpful and always demonstrates a good understanding of clients needs’. Currently one resident is receiving specialist input. Discussion took place regarding the particular needs of this individual. It was mentioned that their care, staff training and issues regarding current registration categories were currently under review and dependant on the outcome of recent assessment. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Residents are treated with respect and their health and social care needs are met. They would be better protected by improvements in the storage of medication. EVIDENCE: There are detailed care plans for each resident, which reflect individuals’ personal and health care needs and provide guidance for staff. Documentation includes regular reviews and risk assessments. Residents’ activities are recorded in a designated file. The promotion of residents’ health care is maintained. They have access to all local NHS community services, including GPs and specialist health care professionals. District nurses visit the home on a regular basis; a psychogeriatrician and community psychiatric nurse visited on the day of inspection. One resident currently has a pressure sore and specialist equipment is provided. Residents weight is monitored on a regular basis. Comment cards received stated that ‘I feel the standard of care given to my (relative) is excellent’. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 10 Procedures are in place for the storage and administration of medication within the home. Medication records are completed appropriately together with photographs of residents, a signature list for staff administering medication and up to date reference material. Medication room and fridge temperatures are monitored. Storage is appropriate, although securing the drugs trolley to the wall would better protect residents. One member of staff spoken with demonstrated a good understanding of the administration of medication within the home. Arrangements are in place to maintain residents’ privacy and dignity. Staff were observed to speak with residents in a respectful and appropriate manner at the time of inspection. A payphone is available in the visitors’ room and residents can make calls in private. Comment cards received stated that ‘(my relative) couldn’t be in a nicer place, all the staff are lovely and considerate…’, ‘the staff are helpful and pleasant at all times’, ‘staff are very kind and thoughtful’. The manager demonstrated sensitivity about issues surrounding the aging and death of a resident. It was mentioned relatives could visit and stay as often and for as long as they wished and specialist nurses are accessed if required. The home has a written policy for death, which is available for staff. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Residents are able to exercise choice and benefit from the leisure activities available. Their choice of meals could be better reflected in the written menus. EVIDENCE: The routines of daily living and activities made available aim to be flexible. One resident spoken with said that staff would assist them to go to and from their room whenever they wanted to; others stated that they could choose when to get up and when to retire. The home has an activities co-ordinator who is available once a week. Residents are provided with activities in the afternoons, sometimes by the coordinator and sometimes by other staff. Individuals were seen enjoying making a mosaic and singing at the time of inspection. A photo album maintained by the home showed individuals enjoying other activities. Some residents’ artwork was seen including, knitting, needlework, cushion covers, models, Easter bonnets, bookends and framed drawings displayed within the home. An activities calendar is kept and includes art and craft, quizzes, bingo and birthday celebrations. The activities co-ordinator said that other activities such as ball games, skittles and word games are also offered. It was mentioned that outside entertainment was provided in the home four times per year. It was explained that group outings are organised three times a year, such as a trip Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 12 to see the Russian ballet and a day out in Tenterden. Local trips are also available, such as coffee out and walks to the lakes. One resident spoken to said that they chose not to join in organised activities but preferred to watch television and enjoyed the company of the home’s pet cat. Residents are encouraged to keep contact with their relatives and friends if they wish. Two residents spoken with described how their relatives are able to visit them on a regular basis at the home. A visitors’ room is available, should residents choose not to use their bedrooms or communal areas. A comment card from a relative stated that they are made to feel welcome at all times. One resident spoken with said that they liked the food provided by the home and that they always got a choice. Comment cards received stated that ‘the food is very good’. It was mentioned that staff ask residents in advance for their choice of meal. Their food likes and dislikes are recorded. Written menus offering choice, variety and hot alternatives were seen, although it was evident that residents are offered more options than those recorded. Menus showed that alternatives are now available on days when roast dinners are cooked. Catering staff prepare and cook all meals with the exception of two days per week when tea is prepared by care staff. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Residents’ views are listened to and receive proper consideration; this could be better reflected in records. Procedures are in place, which protect residents from abuse. EVIDENCE: Residents are at ease talking with staff who listen to their views and concerns; any complaints receive proper consideration. It was indicated that, should a complaint be received, this would be suitably handled. Comment cards received stated that ‘(the manager) is…more than happy to solve any small problems that do occur occasionally’. Records of complaints and their investigations were maintained appropriately with the exception of one logged conversation with a resident that was not recorded in detail. All residents spoken with, with the exception of one, said that they were very happy within the home and did not have any complaints. Information about how to contact the CSCI was displayed within the home. All permanent residents are on the electoral role and are able to vote if they wish. The manager demonstrated an understanding of the procedures in place within the home for the protection of residents from potential abuse. Written policies and procedures are available for staff. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Residents benefit from living in a clean and comfortable environment. Their quality of life could be improved by continued refurbishment of the home and a review of bathing facilities. EVIDENCE: The garden to the rear of the home is higher than ground level with a retaining wall. The manager said that the wall has been checked by a specialist and does not pose a risk to residents. This part of the garden would be difficult for residents with mobility problems to access. A patio area is available for all residents. Since the last inspection, new carpet has been provided in many areas of the home. One resident spoken with said that they liked the new carpets very much. There continues to be evidence of damp within one bedroom seen. The manager said that the home was in the process of being refurbished. Adequate lounge and dining facilities are provided. There are two large attractive lounges, a dining room and a visitors’ room. Six toilets are provided Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 15 with a sufficient number within easy reach of communal areas. One double room has an ensuite facility; this is located down two steps from the room and does not have an assisted bath. Currently the room is vacant. The manager assured the inspector that two communal bathrooms are sufficient. The home is registered for thirty residents. Residents’ rooms seen were pleasant and personalised. There are eighteen single and six shared rooms. Two individuals spoken with said that they liked their room and the home’s environment. All residents are provided with a lockable facility. All bedrooms have a lock on the door, with the exception of one. Bedrooms and communal areas are homely and comfortable. Accommodation for residents is over two floors accessed by a lift. One resident spoken with said that staff always helped them to access their room on the first floor and that they could go to and from their room whenever they wanted to. Hot water temperatures are checked regularly and records are kept. One outlet tested at the time of inspection was an appropriate temperature to the touch. The general ventilation and temperature of the home was appropriate on this occasion. The premises are clean, hygienic and free from offensive odours throughout. Arrangements are in place for the maintenance of infection control. The laundry room contained suitable facilities, with the exception of the waste bin, which had no lid. Soiled items and clinical waste are dealt with appropriately. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Residents benefit from the number and skill mix of staff on duty, although records did not fully reflect this. They would be better protected by improvements to the recruitment procedure and a review of NVQ qualifications. EVIDENCE: The manager stated that the home currently has twenty-five residents with four vacancies. One shared room is currently used as a single room. At the time of inspection sufficient staff were available to meet the needs of residents. It was mentioned that, in addition to a senior carer and the manager, three carers are usually on duty in the mornings with two in the afternoons, although this can be flexible dependant on residents’ needs; two waking night staff are provided. The manager works some hours with the direct care of residents and assured the inspector that sufficient hours are available for the management of the home. Ancillary staff include two cooks, a kitchen assistant and a maintenance person. Four residents spoken with said that staff are very kind and that they are assisted when they need help. Comment cards received stated ‘(my relative) is receiving excellent care from the staff at all times’. Staffing rosters are maintained, although these did not show individuals’ full names or record when the manager, activities co-ordinator and maintenance person are on duty. A separate record of hours actually worked is kept. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 17 The recruitment procedure in place within the home aims to ensure that suitable staff are appointed to meet the needs of residents. The director of care and the manager explained the system for pre-employment checks to include an application form, proof of identity, references and criminal records bureau checks. One staff file seen did not contain all of the necessary documentation. It was not known at the time of inspection whether this individual required a work permit for the UK and a most recent employer reference was not available. Whilst it is appreciated that POVA first and full Criminal Records Bureau disclosures can take time to be returned, the necessary pre-employment checks must be undertaken. The home has a training programme, which aims to enable members of staff to update their levels of competence, gain new skills and insights. Documentation and certificates were seen. Training includes manual handling, dementia, health and safety, infection control, fire, abuse, first aid, medication administration, healthy eating and challenging behaviour. Catering staff prepare and cook all meals with the exception of two days per week when tea is prepared by care staff. The manager said that the majority of staff are trained in food hygiene and that only those who have undertaken the course would prepare food. One member of staff spoken with at the time of inspection confirmed this and that they received regular training provided by the home. The home’s pre-inspection questionnaire showed that four staff have obtained an NVQ level 2 or above qualification from a care staff team totalling fourteen. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 36, 37, 38 Residents benefit from a competent manager and appropriately supervised staff within a relaxed and inclusive atmosphere. Their welfare would be better protected by improvements to the systems for fire prevention, record keeping and quality assurance. EVIDENCE: The manager is competent to run the home, has been in place for four years and has had previous experience of residential care. They have obtained an NVQ level 4 in management and care and are a qualified NVQ assessor. The manager works some hours with the direct care of residents and assured the inspector that sufficient hours are available for the management of the home. The home is welcoming and has a relaxed and inclusive atmosphere. Residents are able to approach the staff with ease. Comment cards received stated that ‘(there is) always a happy atmosphere. We are made to feel welcome at all Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 19 times’, ‘the staff are always approachable’, ‘(the manager) is always available…’. The home has a quality assurance system in place and individuals are able to express their views. It was said that questionnaires are sent to residents and their relatives and a corporate annual development plan is undertaken. The director of care explained that the quality assurance system was in the process of expansion to include the views of social and health care professionals. It was mentioned that additional analysis would provide greater links with the home’s development plan. The results of quality assurance questionnaires, together with information about the CSCI were available to residents on the notice board. The home has been awarded Investors in People. Written policies and procedures are available to provide guidance for staff. An up to date insurance certificate is displayed within the home. Business accounts were not inspected on this occasion. The home holds small amounts of cash on behalf of some residents. This is stored individually and securely. Transaction accounts and receipts are maintained. One resident’s cash tallied with the records kept. A staff supervision system is in place. One member of staff spoken with at the time of inspection said that they received regular supervision, which they found supportive and helpful. Arrangements are in place for the specific supervision of new staff who are awaiting the return of a full criminal records bureau check. The home has a system for the maintenance and storage of information pertaining to residents. The majority of records are stored in a manner that preserves confidentiality. Changes to the way care plans are kept would improve residents’ protection. Accidents and incidents are recorded appropriately. Issues regarding the staff roster and recruitment files have been previously mentioned within this report. Certificates seen reflect the regular maintenance and testing of systems and equipment within the home. Arrangements are in place for the maintenance of food hygiene. The kitchen is clean; records are kept for cleaning, fridge, freezer and hot food temperatures. Food is stored appropriately. It was mentioned that cleaning chemicals are locked away. A survey for asbestos has been undertaken with appropriate action taken. The fire logbook is completed appropriately. Some bedroom doors are wedged open; the manager said that wedges would be removed and that they would check this issue with the fire officer due to inspect the home shortly. The programme of staff training includes relevant aspects associated with health and safety and general aspects of care provision. Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 20 Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 3 2 3 2 3 3 2 3 2 STAFFING Standard No Score 27 2 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 3 3 3 2 2 Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 22 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 OP9 Regulation 13(2) Timescale for action The registered person shall make 30/12/05 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the home. In that, the drugs trolley must be secured to the wall when not in use. 2 OP19 23 (2)(b) 31/01/06 The registered person shall having regard to the number and needs of service users ensure that the premises are of sound construction and kept in a good state of repair. In that, there continues to be evidence of damp in one of the bedrooms seen. This issue has been repeated from inspection dated 28th April 2005. 3 OP27OP37 17(2) 4.7 The registered person shall maintain in the home, the records specified in Schedule 4: DS0000023925.V251555.R01.S.doc Requirement 30/12/05 Alpine Rest Home Version 5.0 Page 23 A copy of the duty roster of persons working at the home. In that, the staff roster must include the full names of all staff on duty within the home. 4 OP29OP37 19 2 17(2) 4: 6 The registered person must ensure that records concerning persons working in the care home comply with schedules 2 and 4. In that, whilst it is appreciated that POVA first and full CRB disclosures can take time to be returned, the necessary preemployment checks must be undertaken, including a most recent employer reference and proof of eligibility to work in the UK. 5 OP38 23(4) (a) (c)(i)(v) The registered person shall, after 30/12/05 consultation with the fire authority, take adequate precautions against the risk of fire; make adequate arrangements for containing fires and for reviewing fire precautions at suitable intervals. In that, bedroom doors must not be wedged open. 30/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP15 Good Practice Recommendations It is recommended that written menus reflect the full DS0000023925.V251555.R01.S.doc Version 5.0 Page 24 Alpine Rest Home range of choices available for residents. 2 OP16 It is recommended that all conversations with residents in the course of investigating a complaint should be recorded in detail. It is strongly recommended that a review should be undertaken to ensure that sufficient bathing facilities are available for residents. It is recommended that a review should be undertaken to ensure that one resident has made a positive choice not to have a lock on their bedroom door. It is recommended that a pedal bin with a lid should be provided in the laundry room. It is recommended that a review should be undertaken to ensure that a minimum ratio of 50 of the care staff team will be qualified to NVQ level 2 or above by the end of 2005. It is recommended that the home’s quality assurance system should be expanded to include the views of social and health care professionals. It is strongly recommended that the method of storing residents’ care plans should be reviewed to ensure both the preservation of confidentiality and adequate staff access. 3 OP21 4 OP24 5 6 OP26 OP28 7 OP33 8 OP37 Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Alpine Rest Home DS0000023925.V251555.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!