Inspection on 01/10/07 for Amberley House

This inspection was carried out on 1st October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Amberley House 09/03/09

Amberley House 17/04/08

Amberley House 17/07/06

Amberley House 28/11/05

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Amberley House 44-48 Amberley Road London N13 4BJ Lead Inspector Jackie Izzard Key Unannounced Inspection 1 October 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 Amberley House DS0000065136.V337773.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. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amberley House Address 44-48 Amberley Road London N13 4BJ 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) 020 8886 0611 020 8886 1436 dhunnoo@tiscali.co.uk Waterfall House Residential Home Patricia Susan Tatham Care Home 16 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (16) of places Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th July 2006 Brief Description of the Service: Amberley House is a privately owned care home for older people who are over the age of sixty five. The home is registered to accommodate sixteen older people, who may also have a diagnosis of dementia. There are fourteen single bedrooms and one shared room. There is a shaft lift and a chair lift. The dining room and lounge are situated on the ground floor overlooking an attractive garden. The home is situated in Palmers Green, with good bus and train links. All the amenities of Palmers Green are within a short distance, including restaurants, shops, churches and Broomfield Park. Inspection reports produced by the Commission of Social Care Inspection (CSCI) are available upon request from the registered manager/provider. The current scales of charges are from: - £500 to £1738.00 Additional charges are made for hairdressing, chiropody, private TV and newspapers. At the time of this inspection there were fourteen people living at Amberley House. Seven people were funded by local authorities and seven were privately funded. Currently there are ten women and three men in residence. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection lasted one day. The manager was off sick at the time of the inspection and the inspector was assisted by the deputy manager. The registered provider, Mr Dhunnoo of Waterfall House, was also present for part of the inspection. The inspector met all the residents and spent time observing their daily life in the home and the way staff interacted with them. The inspector also spoke individually with four residents. The inspector was able to meet three staff members and to look around the whole home. In addition, three residents’ files and three staff files were inspected for evidence that the home was complying with the required standards for care planning, assessment, health care, staff recruitment, training and supervision. A sample of other records and policies were inspected and discussed and the requirements made at the previous inspection were discussed with the deputy manager and owner of the home. What the service does well: What has improved since the last inspection? At the previous inspection nineteen requirements were made. These were areas which the registered provider and manager needed to improve in order to comply with the Care Homes Regulations 2001, the national minimum standards for care homes and to improve the care given to the residents of the home. This is a high number of requirements and reflects concerns by the Commission for Social care Inspection that the home was not meeting national minimum standards. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 6 At this inspection, the inspector found that fifteen of the nineteen requirements had been met or were no longer applicable. The improvements were in the areas of assessment, training for the manager, improving the health and safety, ensuring new staff have Criminal Records Bureau checks, recording residents’ preferences for female or male carers, updating records, improving clinical waste storage and improving fire safety. 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. Amberley House DS0000065136.V337773.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 Amberley House DS0000065136.V337773.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, 6 People using the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed before moving into the home so they know the home can meet their needs. EVIDENCE: In order to assess these standards the inspector examined the assessments carried out on three residents and discussed with the deputy manager and/or owner. Each of the three residents had an assessment carried out by the placing authority and by a representative of the home before they moved in. The Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 9 assessments were of an adequate standard. There was one assessment which indicated that the home may have difficulty in caring for this person who has more complex needs. It was evident from discussion that the home were finding it difficult to care for this person but they were discussing the situation with the family and placing authority to decide the best course of action. The home does not provide intermediate care, but does offer respite care at times. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 People using the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ needs are set out in a care plan and they are treated with respect by staff. They cannot be assured that their health needs are fully met as record keeping in this area needs to be improved. EVIDENCE: The inspector looked at three residents’ care plans in detail. These reflected their needs and there was evidence that they had been regularly reviewed to see if any changes were necessary. A requirement was made at the last inspection that care planning work was delegated as the manager was undertaking all care plans and care plan reviews. The requirement to train care staff to undertake this work has not been met. The deputy manager said that he is now responsible for care planning and that training is planned for care staff but hasn’t yet taken place. The is requirement is therefore restated. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 11 The manager informed the inspector in a pre inspection questionnaire that she plans to introduce key working responsibilities for care staff in the near future. Daily records are made on residents’ wellbeing/progress. Health care records were not satisfactory for all residents. Some residents had a record sheet in which their appointments with their GP, dentist, optician, chiropodist, consultant etc were recorded along with the reason and treatment given. Others had no record sheet. One person had his medication increased by the home’s GP three days after he was admitted to the home and the home had not made a proper record of this in the resident’s file along with the reason for this. Another example of unsatisfactory health care records was one resident who had obvious dental problems. Examination of her health records indicated that the had not seen a dentist for a few years since her admission to the home until 2007. During this time her teeth had deteriorated. Records were made of an appointment in May 2007 and another in September 2007 but no record made as to whether she was to receive any treatment from the dentist. Neither the resident nor staff knew the outcome of this dental visit. The home is awaiting a report from the dentist. A requirement is made to improve health care records so that residents can feel assured that staff will know and support their health needs and keep records of their treatment on their behalf as they are no longer able to do so. A requirement is made to assess whether residents need support with dental care and if so to include this in their care plan and ensure the assistance is given. Those residents who have dementia and those with visual impairment may appreciate some help in this area. A sample of three residents’ risk assessments were seen and found to be satisfactory. Since the last inspection, residents have been asked regarding their preferences for a male or female carer and this had been clearly recorded so that staff can respect residents’ wishes at all times which is positive. The inspector asked three residents whether they received good support with their personal care and they said they did. One said that all the staff were kind and helpful, “they are so kind to me and help me to wash and wash my hair you know.” The inspector spent time in the lounge with residents chatting and observing the interactions between staff and residents. Staff appeared to get on well with the residents and treat them with dignity. During lunch, the inspector observed staff paying close attention to individual needs and treating them with respect. Likewise, when residents needed assistance with the toilet this was provided in a discreet respectful way. Medication is given and recorded safely and staff who give it have been trained to do so. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 12 Amberley House DS0000065136.V337773.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 People using the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are able to maintain their relationships with their families and enjoy the food provided for them. They would benefit from more activities being on offer and from opportunities to go out from the home. EVIDENCE: Three residents’ care plans, daily records and activity records were inspected. The home’s menu was also examined. In addition the inspector discussed activities and meals with three residents, one staff, the deputy and the home owner and observed a mealtime and a period of the afternoon in the lounge. The menu showed a balanced and varied diet was served to residents. They said they enjoyed the food though one said she would prefer tablecloths to be Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 14 used. The inspector joined residents for lunch and saw that everyone was enjoying their meal. There was a choice of dessert , fruit or crackers and cheese. Nobody was reported to be on a special diet though two residents had different food on some days in line with their cultural preferences. There was a stock of frozen curries in the freezer for these residents too. Staff prompted residents who needed encouragement to eat and were available to support people, offer more food and serve drinks. Although the home’s statement of purpose indicates that activities and outings are on offer to residents, in practice theses opportunities are limited. The manager and owner sent an Annual Quality Assurance Assessment (known as an AQAA) to the inspector which identified organising more day trips and outings as one of the things they could do better. Residents said that they had be never been on a trip since the owner purchased this home. A requirement is made to consult residents and to organise a programme of activities and outings. The inspector gave the owner some advice on the type of outings arranged by other similar homes. Two residents told the inspector they had nothing to do and were bored and a third talked about her previous hobby and how much she missed it. A requirement made at the previous inspection regarding a resident who said she would like to go swimming stated that the home must support her to meet her needs, for example going to watch a local swimming event. This requirement has not been acted on. The owner said that consent from the family was not given for the resident to go swimming for safety reasons but it was not clear why she had not been offered an opportunity to go and watch a swimming event. There is an entertainer who visits fortnightly for music and poetry. On the day of the inspection no activities were taking place during the period of time the inspector was observing. Some people were reading a newspaper but those who were not able or interested in doing this had nothing to do and an inappropriate television programme was on during the afternoon. There had been written activity programmes on a weekly basis but the manager was away and this had not been done in her absence. None of the activity records for the last few months showed anyone being supported to go out. One particular resident has been recorded as trying to leave the home and opportunities to go out into the community might be of benefit to this person whose behaviour may indicate feeling confused and trapped. The inspector did note that staff chatted to residents and one staff was sitting down with them which was positive. There was a friendly atmosphere. The AQAA stated that they were planning to introduce cultural days based on residents’ ethnicity but these have yet to take place. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 15 Residents’ religious needs were addressed and one resident received holy communion from a visiting nun in the day of the inspection. She said this took place on regular basis. Residents said they received regular visits from their family where they had relatives and that staff were friendly towards their visitors. A number of residents go out with their families. Amberley House DS0000065136.V337773.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 People using the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents feel they are listened to and staff know how to respond to any complaints. The home takes complaints seriously. The manager has the training to ensure adult protection procedures are followed for the benefit of residents. EVIDENCE: There has been one complaint in the last year which was upheld. Another complaint is ongoing. Staff have read and signed the complaints procedure to show they understand it. Residents said that staff listen to them and that they knew who to go to if they wanted to complain. There residents were asked if they would change something about the home and if they had any complaints . One said she would like something more to occupy herself, which is addressed in another section of this report, otherwise they had no complaints or concerns and said they were happy with the owner, manager and staff. The manager had attended further training on safeguarding adults procedures and the inspector saw the certificates as evidence of this training. This topic could not be discussed with the manager on this occasion as she was off sick but the owner and deputy conformed that the manager was knowledgeable about correct procedures to follow and had ensured that staff knew what to do of they had any suspicion of abuse. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 17 Amberley House DS0000065136.V337773.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents have been provided with a safe and comfortable homely environment to live in which they are satisfied with. EVIDENCE: A tour of the home was conducted along with the grounds. The décor and furnishings were seen to be of satisfactory quality and the garden was well maintained and attractive. Residents had used the garden in the summer and on occasions had their meal outside. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 19 The home was comfortable and homely. Four residents were asked for their views on the physical environment. One said, “it’s quiet and very nice here, I don’t mind it” another said she liked to sit in the hall but could choose to sit in the lounge with the others if she wanted and was satisfied with the facilities in the home. The third said that “it’s quite a nice place, I am fairly comfortable. I like looking out on the garden and they keep it so nice. I’m quite satisfied really.” There are suitable laundry and clinical waste facilities in place to meet the needs of people who have continence difficulties. The general standard of hygiene in the home was satisfactory. Health and safety aspects of the home are addressed in the conduct and management section of this report. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 20 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, 30 People using the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a stable staff team and are in safe hands. Staff are vetted to protect residents and are benefiting from training. Further specific training for staff on people’s needs will help them to meet the more complex needs of those with dementia. EVIDENCE: The staff rota for three weeks was inspected at the inspection. A further four weeks rotas from earlier in the year were compared. The staffing levels are adequate to meet the need of current residents. Extra staff may need to be on duty once a programme of outings is implemented but staffing levels are currently satisfactory. There is a mix of male and female staff and records are made of each resident’s preference in this respect so that their wishes are respected. The staff team is stable and there had been only one new staff member employed during the last year. A requirement was made at the last inspection to ensure that staff who work in two roles (ie cook and carer) have their hours in each role clearly recorded in Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 21 the rota. The inspector saw that this was taking place so it was clear exactly how many staff were on duty and in what role. The rota on the day of the inspection matched the staff who were found to be on duty. Two residents were asked if they felt there were enough staff on duty to meet their needs and both said they thought so. Three staff files were inspected for evidence of a thorough vetting process and recruitment procedure. It was evident that CRB checks and references had been received before staff started work and the deputy and owner said they understood that new CRBs have to be undertaken for all new staff. A staff member who did not have a CRB at the last inspection now has one. A recommendation was made at the last inspection that staff are provided with training to better meet the needs of residents who have dementia. This had not yet been provided. This is now a requirement as it was evident that staff who do not have specialist knowledge about dementia are struggling to meet the needs of a particular resident and do not feel confident about working with this person. The home’s AQAA stated that this was a need too. The owner of the home said that both dementia and mental health awareness training is planned in the near future. Staff are undertaking NVQ training as required which is positive. Some have completed NVQ level 2 and have moved on to level 3.Two staff said that the owner is committed to training staff . After discussing staff training with him the inspector was also of this view. All staff are undertaking health and safety training and six have completed infection control training recently. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 22 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, 36, 37, 38 People using the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of residents but greater attention is needed in supervising staff to ensure residents are receiving the best possible care from them. Some minor improvements to health and safety will also promote the safety of residents. EVIDENCE: The manager has worked at the home for a number of years as senior carer prior to becoming the manager. She has been registered by the Commission for Social Care Inspection since the last inspection and is currently completing the registered manager’s award training. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 23 The home is run in the best interests of residents and staff have formed very good relationships with them , understanding their individual needs well. A quality assurance audit for this year has not yet been completed and the deputy manager said he would send the inspector a copy when this is available. The owner attends the home every day to monitor that the home is running smoothly and the residents who know him have formed a good relationship with him. Residents’ financial interests are safeguarded by their relatives being asked to take responsibility for the finances where residents are unable to do this for themselves. Records are kept of expenditures made with residents’ money. A requirement to update equal opportunities policies is restated in this report as although these policies have been updated, the legislation is not current. Staff supervision is not happening on a regular basis and a requirement to ensure staff receive supervision at least six times a year is restated. It is important to supervise staff to make sure they are carrying out their duties in the way the home would expect and to provide any training or guidance needed and also to give staff opportunity to discuss any queries or areas of concern in private on an individual basis. Clinical waste is sited appropriately and the home has appropriate contracts in place to collect it as well as for the collection of refuse. There is also a pest control contract following sightings of rats in the garden. The inspector advised the owner to cease leaving the kitchen door open to minimise the risk of a rat entering the kitchen. There were no songs of rodents within the home. The other kitchen door is a fire door and was wedged open which contravenes fire regulations. A requirement is made to keep the kitchen doors closed. The home has insurance and health and safety checks were up to date. However the fire logbook need to be updated and the fire call points to be tested weekly instead of the current practice of monthly checks. The home had a recent inspection from the fire brigade and the maintenance person told the inspector that this had been pointed out at that inspection and weekly fire alarm checks were due to start this week. The hygiene precautions in the kitchen could be improved by paper towels being made available for staff preparing food to wash their hands. At present, fabric towels are in use which is less hygienic. A requirement is made regarding this. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 24 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 3 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 1 2 2 Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation Requirement Timescale for action 30/11/07 18(1)(a)(c The registered person must )(i) ensure that the work of care planning is delegated to other staff. The registered person must ensure that the care staff are appropriately trained to undertake the task of completing care plans or any other written work relating to their role. This requirement is restated. Previous timescale of 30/08/06 not fully met. 2. OP8 17 schedule 3(m) The registered persons must ensure that a record is made of all residents’ health appointments with doctors, nurses, dentists, etc and the outcome/treatment recorded. This is evidence that their health needs are known by the home and addressed. 30/11/07 Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 26 3. OP8 12(1)(a) (b) The registered persons must assess what support, if any, residents need with their dental care and ensure any required assistance with cleaning is recorded in the care plan and carried out. The registered person must ensure that the specific service user, who requested to participate in swimming, is supported appropriately to meet their individual needs. For example going to watch a local swimming event. This requirement is restated. Previous timescale of 30/08/06 not met. 30/11/07 4. OP12 12(3) 30/11/07 5. OP12 16(2)(m) (n) 6. OP30 18(1)(c) 7. OP37 OP36 18 (2) The registered persons must 30/11/07 after consultation with residents, devise an activity programme which includes regular opportunities to go out into the community and implement this programme. A copy of the programme must be sent to the CSCI. The registered persons must 31/01/08 provide staff with training in dementia and in mental health awareness. The registered person must 31/12/07 ensure that supervision is completed at least six times a years for all staff and evidence of this is kept on file. This requirement is restated. Previous timescale of 30/08/06 not met. Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 27 8. OP37 17 The registered person must review and amend the home’s equal opportunities policies and procedures in line with current legislation changes. This requirement is restated. Previous timescale of 30/09/06 not met. The registered persons must ensure that kitchen doors are kept closed for fire safety and pest control purposes. The registered persons must provide suitable nailbrush and paper towels for the wash hand basin in the kitchen. The registered persons must ensure the fire alarm is tested on a weekly basis and records kept of the tests. The fire logbook must also be kept up to date. 31/12/07 9. OP38 13(4)(c) 18/10/07 10. OP38 16(2)(j) 30/11/07 11. OP38 23(4)(v) 31/10/07 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 OP7 Good Practice Recommendations It is recommended that the home should adopt key working roles & responsibilities should be in place. This recommendation is restated. It is good practice to have on each shift at least one staff member who is a qualified first aider. This recommendation is restated. 2. OP38 Amberley House DS0000065136.V337773.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Harrow Area Office 4th Floor, Aspect Gate 166 College Road Harrow London HA1 1BH 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. 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