Inspection on 12/09/06 for Amadeus

This inspection was carried out on 12th September 2006.

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

Amadeus 24/09/07

Amadeus 21/03/06

Amadeus 25/10/05

Amadeus 18/03/05

Amadeus 21/09/04

Amadeus 11/12/03

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 Amadeus Hampden Grove Patricroft Eccles Gtr Manchester M30 0QU Lead Inspector Judith Morton Key Unannounced Inspection 09:30 12 September 2006 th 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 Amadeus DS0000041691.V305968.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. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amadeus Address Hampden Grove Patricroft Eccles Gtr Manchester M30 0QU 0161 787 8638 0161 707 1014 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 Bradley Scott Jones Mr Russell Scott Jones Mrs Kathryn Trenor Hewitt Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (1) of places Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That the home only operates within its registered category and numbers. That care staffing levels do not fall below the minimum staffing levels specified in the Residential Forum Guidance for Staffing in Care Homes for Older People. That dependency levels of service users are assessed on a continuous basis and staffing levels adjusted where appropriate to ensure continued compliance with the Residential Forum Guidance for staffing in Care Homes for Older People. That a maximum of 21 older people be accommodated in 15 single rooms and 3 double bedrooms. One named service user is accommodated who is below 65 years of age. If this person no longer requires the service, the category will revert back to older people (OP). 21st March 2006 4. 5. Date of last inspection Brief Description of the Service: Amadeus is a private residential care home providing accommodation for 21 older people, requiring personal care only. The home is registered in the name of Mr Bradley Jones and Mr Russell Jones. The home is a detached property set out on one level, located on a quiet grove, close to Eccles shopping centre and market and accessible to bus routes located on Liverpool Road. There are 15 single bedrooms and 3 double bedrooms. Communal space comprises of a large lounge and dining room in the centre of the building. There is a smaller conservatory style seating area to the front entrance. On 12th September 2006 the manager said that the charges for a week at Amadeus are £310.17 for residents and £355.52 for those residents who have greater needs, for example, those who develop dementia. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit, part of the key inspection for Amadeus, took place over six and a half hours on 12th September 2006. The registered manager for the home was on duty and assisted the inspector with the visit and had provided a completed pre-inspection questionnaire. Three residents’ care files were checked and two staff files. Three visitors to the home, four staff members and three residents were spoken with. A tour of the premises, including the kitchen took place during the visit. What the service does well: What has improved since the last inspection? What they could do better: Creative ways of meeting the communication needs and offering choice for those residents who have limited or no verbal communication skills should be explored. A checklist, to ensure all recruitment checks and documentation has been received, should be produced so that the manager can be assured of the residents’ safety. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 6 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. Amadeus DS0000041691.V305968.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 Amadeus DS0000041691.V305968.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, & 5 The quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The information available for residents and their relatives, together with the assessment and pre accommodation visit, would all lead the resident and the manager to know whether Amadeus can meet their needs. EVIDENCE: There was a Statement of Purpose and Service User Guide on display in the foyer of the home. It contained all the information needed for people to know what services are offered by Amadeus and whether the home could meet their needs. The manager said that the Service User Guide would be given to those residents who could understand it otherwise it would be given to their relatives. They would also be given a copy of the statement of purpose and the last report from the Commission for Social care Inspection if they requested it. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 9 The documents were also held on computer and could be produced in a larger, bolder, font if needed by people who have a visual impairment. The residents had a written contract on their file, which they had signed. There were initial assessments of each resident’s needs on the three files checked. The single assessment process was being used and had been completed by the Social Worker of the placing authority. Risk assessments were also carried out to prevent a variety of risks to residents, including, falls, moving and handling and pressure area care. The manager had also assessed the needs of the resident and from this produced a plan of care. The assessments were comprehensive, very clear, detailed and covered almost all of the residents’ needs. However, the manager said that the night staff check on the residents on an hourly basis during the night. There was no assessment on each file to show that this frequency was necessary and had been agreed by the resident and/or their relative. Nor was anything about the frequency of checks recorded on the care plan. The manager said that any prospective residents are encouraged to visit and stay for a meal before making a decision as to whether they feel the home could meet their needs. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 The quality in this outcome area is adequate. This judgement has been made using available evidence and a visit to the service. The detail contained in the new care plans ensures that all of the residents’ needs, including physical, personal, medical and social needs, are planned for and that staff will know how these should be met. EVIDENCE: Three care files were checked. The care plans had been redesigned and covered all of the needs identified at assessment. The care plans clearly identified the needs of each resident and described clearly how the staff should meet each of the needs. On occasion a little more detail was required to show exactly how a specific need was to be met. For example, one resident’s religion was written as, ‘Church of England, practicing’. When asked on the form, ‘what action do we need to take’, the staff member had written, ‘prompt (name) to visit church’. There was nothing to describe how the resident was to get to church; or whether or not the resident needs a member of staff available. The manager explained during feedback that this would have meant to attend the mass in the home. This needs to be clearly written so that all staff know this. Although the night staff make an entry in the residents’ notes each morning, there was nothing recorded to evidence that these checks were being carried Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 11 out, how well residents were sleeping and what, if any, help or care support had been needed by residents. This information might be useful to medical professionals when reviewing medication or for staff to evidence how long a resident has been lying on a floor if they are found to have fallen. The manager should consider devising a form of recording so that night staff can evidence their checks and any help or support they have had to give residents each night. There was an accountability sheet on each of the care needs identified. This showed that the care pathway had been reviewed and identified if, and where, any changes had been necessary. There was improvement in the content of the daily recordings, some staff being more consistent than others. The recordings in one file consistently said, all care given. This would not help the manager if an investigation into the residents care was needed. For example, if the resident had significant weight loss, the records would not show whether the resident had taken any meals or fluids, however, if the records described what meals the resident had taken and had still lost weight the information might assist the medical staff to form a diagnosis. In order to gain consistency the manager should review the daily recordings periodically and discuss any problems that some of the staff may be having with recording, during their supervision. It would be good practice for staff, whenever possible, to seek the views of those residents able to express them and to record these in the daily recordings. A social history on each file would help staff to get to know the resident, their hobbies and interests, their family, their work and in some cases their temperament, if this has changed due to degenerative illness. It would also assist staff in promoting conversation. In some instances this may have to be done by, or with, the resident’s family. There was good evidence that the resident’s health needs were being met. It was recorded on each file when a health care professional had visited, such as optician, GP, chiropodist and district nurse. In addition to this, on one new resident’s file it was also recorded that a wheelchair assessment and audiologist appointment had been made. This was good practice. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 12 The medication storage, administration and recording were checked. The medication administration sheets (MAR) were being completed appropriately with the correct use of coding when necessary. The controlled medication was also checked and was being stored and recorded appropriately. The medication cabinet was clean and well organised. During the inspection the staff were seen to interact with, and address each resident with respect. The residents spoken with said that the staff were kind and helpful. The wishes of all of the residents in the event of their death were now recorded as part of the new care pathway. The question is asked routinely of any new residents. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 13 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 The quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The provision of daily activities will add to the residents’ stimulation and lead to greater physical, emotional and social health. This will contribute to the benefits already received from visits from family and a social occasion at meal times. EVIDENCE: There are a number of activities that take place within Amadeus, although two visitors spoken with were not aware of many of the activities and felt that there was not enough for residents to do. One resident spoken with also confirmed this. The manager said that the activities co-ordinator was not working this week. There is a very large cinema style TV in the lounge and DVDs and videos are available for residents. Occasionally staff will put music tapes on for the residents in the lounge. The activities co-ordinator conducts a session, called ‘Healthy Hearts and Hips’, once a week for residents. The manager was able to show some of the equipment that was available for activities, such as beanbags and darts. She Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 14 said that singers visit the home twice a month, there are befriending events and some of the residents occasionally go out to a tea dance. The manager also said that they occasionally use a ring and ride mini bus service so that a number of staff and residents can go on trips out. They recently went out for a meal to a local pub restaurant. One of the visitors spoken with confirmed that his father had joined them on this trip and had really enjoyed it. The activities co-ordinator was recording the activity and whether the resident has participated or refused to join in so that the individual likes and dislikes of all residents could be established over time. The recordings also confirmed that more frequent activities were taking place when the activities co-ordinator was working. A greater variety of activities might be made available once the resident’s profile is completed. The co-ordinator may also consider producing the activities timetable with photographs supporting the typed word. Photographing the equipment, games, singer and outings etc would enable an activities directory to be formed. The activity of the day could be displayed in a prominent area of the home, frequented by the residents and be a visual prompt for those residents whose reading skills, vision or memory have deteriorated. The manager said that visitors are welcome into the home at any reasonable time. Those visitors spoken with confirmed that this was the case and the visitors’ book showed that visitors called daily. The residents were seen to walk freely around the home and choose where they wished to spend their time. The residents were able to choose, to varying degrees depending on their ability, what clothes they wishes to wear each day. Some residents chose to remain in their room all day, taking their meals in there, while others would return to their room for the afternoon. The residents’ preferences for getting up and going to bed were also recorded on their file. There is currently no choice of hot meal offered at lunchtime, although the manager said that if a resident does not like what is provided an alternative is given. However, an alternative meal must be offered so that residents can choose what they feel like eating and not always whether they like particular food. This need not be a complete change of meal, for example, if fish chips and Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 15 peas was on the menu and alternative such as chicken or sausage could be offered. The cook was spoken with about this and agreed that it would not be difficult to do. In a similar way the cook might consider producing a photographic menu displaying both choices of meal. Those residents, who are no longer able to read or communicate verbally, can point to the meal that they would prefer. The photographic menu of the day can also be displayed in the dining area and serve as a reminder for those residents whose memory is deteriorating. This was also discussed with the cook who was positive about the suggestion. The residents spoken with said that they enjoyed the food at Amadeus and had no complaints. Although they said this there was a lot of waste food returned to the kitchen. The registered providers should question whether this would be lessened by more choice being offered. The inspector observed the meal at lunchtime and the food looked very good, well cooked and nicely presented. The staff were sitting with those residents who needed assistance. This was given in an unhurried manner. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 16 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The home’s policies and procedures in relation to complaints and protection, together with the evidence that these are being used correctly will further protect the residents. EVIDENCE: Amadeus’ complaints procedure sets out the method to have concerns, or a complaint about the service, dealt with. There is a complaints book where any complaints are recorded and describes how they were investigated. However, the manager should devise a complaints system whereby the complaints can be tracked from when they are made through to completion. This should include the outcome and how/when the complainant was informed of that outcome. This will also enable the manager to see whether there is any pattern to the complaint or if the complaints are directed towards a specific person. There is a policy on the protection of vulnerable adults. Staff are directed to any new policies that are introduced or changes to existing policies and are asked to sign to say they have been read. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 17 The manager said that staff have now attended awareness training on protection from abuse so that the residents can be protected from abuse, harm and poor practice. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 18 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. Amadeus provides the residents with a homely, comfortable and clean environment in which to live. EVIDENCE: Amadeus is a single story building, therefore residents are able to walk around the building and return to their room if they wish without the use of stairs, which makes it accessible to residents who have mobility difficulties or who use a wheelchair. The side door to the building was only being opened when staff were having their break, ensuring the warmth of the home was maintained. The residents have access to a large communal lounge with the dining area off. Additionally there is a small conservatory to the front of the building. Amadeus was warm, clean and free from offensive odours on the day of inspection. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. Staffing levels that were sufficient to meet the needs of the residents, together with the training given to staff would give the residents further protection but slight improvements in the recruitment procedures being followed would ensure they were fully protected. EVIDENCE: The manager acknowledged that staffing levels had been a problem but that this had been addressed and a number of new staff had been employed. There were adequate numbers of staff available to meet the needs of the residents on the day of the site visit. The rotas also showed that numbers of staff would be consistently adequate unless staff were absent for illness or holidays, in which case the manager would look to other staff to cover their shift. The manager said that Amadeus does not use agency staff. One member of staff has a State Enrolled Nurse qualification, another staff member holds NVQ level 3 and a further three staff have NVQ level 2. One member of staff has NVQ level 1 in housekeeping. Additionally six staff have been enrolled onto NVQ level 2 training. Three of the newest staff member files were checked. All except one contained all of the recruitment information required to evidence that appropriate checks had taken place to fully protect the residents in Amadeus. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 20 There was only one reference held on one of the files. The recruitment procedure must be followed in respect of each new member of staff before they are able to commence employment at Amadeus. The manager should consider having a checklist of all of the documentation required on the front of each file so that it can easily be seen on what date evidence was requested and whether/when it had been received. Equality and diversity and adult abuse awareness training has been provided to staff. In addition to this safe handling of medication, fire safety; first aid, food preparation and basic food hygiene training had all been completed. The new members of staff had also participated in many of these training courses and evidence that they had received induction training was held on their file. Positive dementia care training is to be provided on 26th and 28th September. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 21 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, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. Regular, recorded supervision sessions ensure that all staff are practicing to a high standard. This, together with the regular health and safety checks and involvement in residents and relatives in the running of the home, will promote the welfare of the residents. EVIDENCE: The manager is registered with the Commission for Social Care Inspection. The manager is qualified to NVQ level 4, and has maintained her skills through further training, such as, equality and diversity, dementia care and adult abuse awareness. Russley Homes has a comment leaflet, which Amadeus intend to send out to all relatives, visitors and professionals who visit the service as part of their quality monitoring exercise. The manager should ensure that the name of Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 22 another of the Russley Homes’ residences is removed and replaced by Amadeus before they are sent out. The manager will produce an annual report from the findings of the questionnaires. The manager said that the home does not hold large amounts of money for the residents. One resident is subject to Court of Protection and their money is obtained through Client Affairs. Receipts and invoices are provided. Community and Social Services in Salford manage the finances of 7 residents and the manager requests spending money directly from them on behalf of the residents. Again invoices and receipts are provided. The families of the other residents manage their finances on their behalf. Regular, recorded staff supervision was taking place at Amadeus, ensuring good staff practice. Staff had received training in health and safety, food hygiene and fire safety. Regular fire drills were carried out and the response time of the staff was recorded, together with the names of the staff who had participated. A different area was chosen to represent where there was a fire on each occasion. However, the area that had been identified was not recorded in the fire drill book. The manager should add this information so that consistent poor responses when the fire is in a specific area can be highlighted and advice and training given to increase the response time. The kitchen was also checked and the cook was recording the temperatures of all hot food being produced for the residents. The fridge and freezer temperatures, together with the cleaning schedule for appliances were also recorded. Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 23 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 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 3 3 3 3 X 3 Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 24 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 OP15 Regulation 12 Requirement An alternative choice of meal should be offered at the main meal of the day. Previous timescale of 01/10/06 has been extended. The recruitment procedures should be followed fully before new staff are employed at Amadeus. Timescale for action 01/12/06 2 OP29 19 01/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP3 OP7 Good Practice Recommendations The frequency of night checks required for each resident should be assessed, recorded and agreement signed by the resident or relative. 1) Specific details of how the staff should meet the care needs of the residents should always be given. 2) The details that are recorded in the daily records of Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 25 how assessed needs were met should be consistent from all staff. 3) Wherever possible staff should seek the views of those residents who are able to contribute them and include their responses in the daily records. 4) A social history should be obtained from the resident and/or their family and recorded on each file. 5) Night staff should evidence the night checks made and the intervention/care given to the residents at each check. 3 OP12 The activities co-ordinator should consider making a photographic file of activities available to residents living at Amadeus and displaying the daily activity in photographic form as well as in print. A photographic menu should be produced, the daily choice offered and then the pictures displayed. The complaints book should be developed to show how a complaint has been investigated through to the outcome and informing the complainant of the result. The manager should consider devising a checklist for recruitment documentation. The name of another home owned by Russley Homes should be removed and replaced with Amadeus before the questionnaires are sent out. The manager should add the zone that had been identified as having a fire on the same sheet as the fire drill sheet. 4. 5 OP15 OP16 6 7 OP29 OP33 8 OP38 Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Amadeus DS0000041691.V305968.R01.S.doc Version 5.2 Page 27 - 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!