Inspection on 10/07/08 for Annie Bright

This inspection was carried out on 10th July 2008.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Annie Bright 11/10/06

Annie Bright 16/12/05

Annie Bright 07/07/05

Annie Bright 11/10/04

Annie Bright 06/05/04

Annie Bright 25/11/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Annie Bright 6 Norfolk Road Edgbaston Birmingham West Midlands B15 3QD Lead Inspector Kulwant Ghuman Unannounced Inspection 10th July 2008 3:00 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 Annie Bright DS0000016761.V368215.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. Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Annie Bright Address 6 Norfolk Road Edgbaston Birmingham West Midlands B15 3QD 0121 454 1289 0121 454 1301 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) Sisters of Charity of St Paul Claudine Buchanan Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th October 2006 Brief Description of the Service: Annie Bright Weston is a residential home for fifteen elderly women. It also accommodates some Sisters from the order at Selly Park Convent. The Sisters have their own facilities within the home and assist in the work of the home. Annie Bright Weston is situated in a large house that became dedicated to the care of elderly women via a legacy through the Catholic Church. It stands in a residential area of Edgbaston, set back from Norfolk Road. The home has its own drive with small car parking area. Whilst not a main bus route it is a ten minute walk to Harborne shopping area and in the other direction to the main Hagley Road by both routes one can access Birmingham city centre. The home provides an environment where women in their care can continue with their faith on a daily basis, however it does admit women from other faiths. The home has been converted from a large roomed mansion house and therefore has some small bedrooms. However the home has large living, dining and quiet areas as well as its own chapel. It is set in beautifully maintained gardens. It has a large well-equipped kitchen and has separate laundry facilities. There is an assisted bathroom on the first floor of the home. Access to the first and second floors of the home is via passenger lift. Fees are based on the charges made by Birmingham City Council and a top up charge between £20-£30 can be made. Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that the people who use this service experience adequate outcomes. One inspector carried out this inspection over two days in July 2008. During the course of the inspection a tour of the home was undertaken, we spoke to the manager, a senior carer and the majority of people living in the home. We looked at the care being received by two of the people living in the home and the recruitment files for two staff members. Other documents looked at were in relation to health and safety, staff training and complaints. Prior to the inspection the manager had completed and returned to us the Annual Quality Assurance Assessment (AQAA) which provided us with additional information about the home. Five questionnaires completed by people living in the home and two by staff were returned to the commission. The comments were generally positive about the home. Since the last key inspection in October 2006, an Annual Service Review had been carried out in October 2007. This review was guided by comments made by people using the service, their relatives and the AQAA completed by the home. The review concluded that the service continued to provide a good service. Since the last key inspection one complaint had been lodged with the commission. This was referred back to the home for resolution and it was appropriately managed and was referred to in the Annual Service Review. The commission has received no further complaints and none had been logged at the home. What the service does well: The home continued to provide very good care for women in a well maintained and comfortable home. There was a high importance on pastoral and religious needs but individuals did not have to take part if they did not want to. Documentation in the home was well managed. Good choices were available at meal times and people living in the home were happy with the food they received. Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 6 Staff were well organised and training was available to ensure they had the correct skills and knowledge to perform their roles. There were a variety of activities available to people wanting to take part both within the home and outside. Friends and relatives were welcome in the home. What has improved since the last inspection? What they could do better: Further improvements could be made to the care plans ensuring that full details were in place about individuals’ needs and how staff were to help meet these needs. The administration of medicines needed to be improved to ensure that everyone living in the home received their medicines as prescribed and were not put at risk. Staff needed to ensure that they followed the medication procedures to ensure that errors were not made. The manager needed to ensure that the recommendations made by the fire officer were met and that staff training was organised every six months to ensure people living in the home were safe. Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 7 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. Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 8 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 Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process gathers some good information about the people wanting to live in the home before admission. There is a trial period during which the assessment continues before deciding whether the person stays at the home on a long-term basis. Information is given about the fees at the point of visiting the home. EVIDENCE: The AQAA told us that people thinking about moving into the home were given written information, their needs assessed and visits made to the home before they moved in. During the inspection we looked at the admission process for two people living in the home. This showed that people were able to visit the home before moving in, they were given information about the fees they would be paying Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 10 and that there would be a 4-week trial period during which time the assessment would continue. A contract was included with this information. Where individuals were funding their own placements the home needed to carry out a comprehensive assessment of need. Of five completed surveys returned to the commission two people indicated that they were not asked about moving into the home and one of these said they did not receive enough information. As the individuals did not identify themselves these comments could not be followed up. The manager needed to ensure that everyone was happy with the information they received and it was recorded what information they had received. Examination of the service user guide showed that the fees were not specifically identified but referred to the charges made by Birmingham City Council. We were told that this was because the fees increased on an annual basis and there was a variable top-up of between £20 -£30 charged and so this information was put onto the letter given to people when they visited the home. A CSCI publication entitled ‘A fair contract with older people’ may provide further guidance about good practice and ensuring people have sufficient information about fees and charges. Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans were in place but could include more detail about individuals’ needs and how they were to be met. Health care needs were being met but the administration of medication did not ensure that individuals received their medication as prescribed at all times. Privacy and dignity were respected. EVIDENCE: The files of two people living in the home were looked at. The files showed that both people had a care plan in place and that the care plans had been shared with relatives. The AQAA told us that the care plans were regularly reviewed and that the GP recorded monthly reviews. The files looked at confirmed this. In some sections of the care plans the details given were very good. For example, for one person the care plan documented what medicines had been prescribed, what they were for and what side effects staff needed to look out for. However, for other sections the detail was limited, for example, where Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 12 one person suffered from osteoporosis the care plan stated calcium rich foods were to be given. There were no details of how this was to be achieved, how the people preparing meals would know this and how this would be monitored. For another person the care plan stated that dental care was to be given after meals and before bed but did not detail how this was to be addressed. Issues that were picked up following admission to the home were not always included in the care plan. An example of this was that the communication sheets for one person indicated that they needed to be assisted by one carer due to the fact that the individual needed to hold onto something with one hand when washing. The care plan made no mention of this. There were nutritional and waterlow assessments in place, in addition to falls and moving and handling risk assessments. It was evident that health care needs were being met at the home through attendance at hospital appointments, chiropody, dental, optical and district nursing services. The GP service for the home attended on a monthly basis, in addition to any emergency call outs, and there were evident good relations with the home. The home used the monthly, blister pack system for the administration of medicines in the home. Individuals were able to manage their own medicines and a lockable facility was available to them, however, assessments and compliance checks to monitor their abilities were not in place. During an audit of some of the boxed medicines it was noted that the records were not fully completed. On one occasion the amounts of medicines coming into the home, the strength and dosage to be given were not recorded on the medicine administration records (MAR), there were some gaps on the MAR charts, medicines were not being given as prescribed resulting in one person being given too much medicine for the week before the inspection when the prescribing instructions had changed. The change was clearly documented on the charts but staff had not followed the instruction. The manager did carry out audits and could not understand why the staff had made these errors and appreciated fully the seriousness of them. All the staff giving medication had had the appropriate training. Eye drops were being dated on opening and the fridge temperatures were acceptable but were not being recorded. There were no controlled medicines in the home at the time of the inspection but the appropriate storage and register were in place. There was no evidence to suggest that the privacy and dignity of people living in the home was not being observed. All bedrooms were singly occupied and Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 13 keys were available for bedrooms but no one in the home had decided to have one. Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home were afforded a lifestyle that met their needs, maintained contact with family and friends and provided choices and nutritious food at mealtimes. EVIDENCE: The people living in the home were able to make choices about how they spent their days. Times for getting up and retiring to bed were recorded in care plans, however, people were able to choose to stay in bed for longer if they wanted. They could choose what clothes to wear, when to have a bath, where to sit and what to eat. Surveys were sent to people living in the home to get their views about different aspects of life in the home. The daily routines were dictated to a certain degree by the religious activities in the home but not everyone was compelled to attend. There were other activities in the home including theatre trips, small group trips to the botanical Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 15 gardens, bingo (in-house), music entertainers in the home, exercise classes and a trained physiotherapist visited the home. Daily records for people living in the home showed that there were visitors to the home but one to one time between staff and the people living in the home was not generally recorded. We were able to join the people living in the home for lunch and it was found to be a relaxed and enjoyable time. There were three choices for the main meal and pudding. Diabetic dietary needs were catered for within the home. The food was found to be well presented, cooked and nutritious. One person told the inspector how they were able to make drinks and occasional snacks her own room. Three of the completed surveys returned to the commission indicated that they never made decisions about what they did during the day and one stated that they could not do what they wanted during the day and at weekends. The others said that they could. The individuals were not identified so this could not be followed up but the manager needed to find ways of finding out what people in the home could have meant and how these areas could be addressed. Evidence was seen during the inspection to show that care plans had been shared with relatives and people living in the home. Annie Bright DS0000016761.V368215.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home were safe and protected by the policies and practices in the home. EVIDENCE: People living in the home told us they had a copy of the complaints procedures and could raise things with the manager. The completed surveys told us that two of the people living in the home said they did not know who to turn to if they were unhappy with something at the home. They also said that the staff generally treated them well. No complaints had been received at the home directly. The commission had received one complaint since the last inspection and this was passed to the manager to deal with. The complaint was appropriately managed. No issues of adult protection had arisen at the home. The manager indicated that she had dealt with little issues of dissatisfaction but that these are not recorded as complaints. The manager should record any expressions of dissatisfaction to evidence that peoples views are listened to and acted on. Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was safe, clean and well maintained and provided a comfortable environment in which to live. EVIDENCE: No major changes had been made to the home. The home was clean, fresh and well maintained. There was ample communal space available in the home in the form of two lounges, a dining room and garden area. The furniture in the communal areas was of a good standard. Bedrooms seen were comfortable and personalised and had the appropriate furniture included in them. Some bedrooms were smaller in size and couldn’t accommodate all the furniture in them. As identified at the last inspection one Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 18 of the bedrooms had the wardrobe placed outside the bedroom, as there was not enough room to include it in the room. Bedrooms that used to have star locks on the doors had had them disabled. There was a passenger lift that connected all three floors of the home. There were other adaptations in place including emergency call system and handrails. There was equipment available to help residents maintain their mobility including wheel chairs, Zimmer frames and tripods. There was no hoist available in the home. There were sufficient numbers of toilets throughout the home and there were commodes available in bedrooms where required. There was a sluice machine available in the home. The flooring in the sluice room had been replaced. There were three bathrooms available in the home, however; only one of these was adapted. Mainly the sisters who lived at the home used the domestic type baths. The home was centrally heated with radiators guarded. Annie Bright DS0000016761.V368215.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Adequate numbers of staff are on duty and have the relevant skills and knowledge to care for the people living in the home. EVIDENCE: Surveys returned to us told us that there were generally enough staff to meet the needs of the people living in the home. The staff surveys said that employment checks were made before individuals were able to start their employment at the home and this was confirmed in the documentation seen in the two staff files sampled during the inspection. It was recommended that the manager ensured that at least one reference is from the manager at the last place of employment to ensure that information is gathered about their abilities as a worker. The references should be on headed paper and it would be good practice for the manager to check with the person that a reference had been provided by them. There were induction sheets in place but they did not cover all the areas identified in the Skills for Care foundation pack. The manager needed to ensure that the induction was equivalent to the Skills for Care foundation standards. If the individual had completed the pack elsewhere evidence for Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 20 this should be sought by the manager to satisfy herself that they had the necessary skills and knowledge to carry out the tasks required. There were adequate numbers of staff on duty as evidenced by the staffing rota and they had had the appropriate training. The AQAA told us that ten of the twelve staff had achieved NVQ Level 2 and that the staff had had training in medication, infection control, health and safety, fire safety, communication, literacy, first aid and abuse awareness. It was not possible to determine whether these were all still up to date as the training matrix had not been updated. This was forwarded to us following the inspection. The manager had been organising the fire training annually but she was made aware that this needed to be done on a six monthly basis. There was a stable staff team that was good for the continuity of care of the people living in the home. The home reflected the gender of the people living in the home by employing all female care staff but there was a variety of ages and cultural backgrounds. Annie Bright DS0000016761.V368215.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was being managed in a way that met the needs of the people living there in safe and well-maintained premises by appropriately skilled staff. EVIDENCE: The manager of the home was experienced and committed to the good care of the people living in the home. She had the skills and knowledge to provide good leadership to the staff at the home. The provider’s representative made regular visits to the home and reports of these visits were available for inspection. Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 22 There were regular staff meetings, meetings with the people living in the home and questionnaires were sent out to relatives to get their views on the running of the home. The completed questionnaires indicated that they were happy with the choice of meals and care most of the time. The home was run in the best interests of the people living in the home as evidenced through conversations with the manager and the staff. The manager was undertaking supervision sessions with the staff in addition to appraisals. The supervision records seen were basic and did not evidence that the staff had agreed to the content of the sessions. In addition to these sessions there were records that the manager had meetings where staff were asked about their understanding of particular issues for example adult protection. It was recommended that these be referred to in the supervision records. The manager must ensure that staff receive a minimum of 6 supervision sessions through the year. Health and safety were well managed in the home. The AQAA told us that all the equipment had been recently serviced. The only issue raised during this inspection was the need for fire training for staff to be provided on a six monthly basis. The fire officer had visited and had recommended that intumescent strips be fitted to bedroom doors. This was being planned for. Annie Bright DS0000016761.V368215.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 Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 24 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 2 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X X 3 Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement People managing medicines themselves must be competent to do so and compliance checks carried out and recorded by staff. Medication administration charts must be fully completed to include amounts received, strength and dose to be given. Staff must ensure that people living in the home are given medication as prescribed and ensure that procedures are followed to prevent mistakes occurring. Fridge temperatures must be recorded on a daily basis to ensure medicines are stored safely. This will ensure that people living in the home receive their medication as prescribed. 2. OP38 23(4)(c) (i) The recommendations made by the fire service to fit intumescent strips to bedroom doors must be DS0000016761.V368215.R01.S.doc Timescale for action 14/08/08 01/01/09 Annie Bright Version 5.2 Page 26 met. 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 OP1 Good Practice Recommendations The manager should ensure that individuals are happy with the level of information they have received about the home. The manager should refer to the publication identified in the report to ensure that the information regarding fees is as clear as it can be. This will ensure that people moving into the home can make fully informed decisions. A comprehensive assessment of need should be carried out by the home where such an assessment is not provided by other authorities. This will ensure that staff have full information about the individuals’ needs. Care plans should have full information about the needs of the people living in the home and how staff are to assist them. This will ensure that individuals receive person centred care. Any expressions of dissatisfaction and actions taken should be recorded to show that the views of people living in the home are listened to and acted on. The manager must ensure that at least one reference is from a manager at the last place of employment and on headed paper. This will ensure that the individual is suitable for the post. Induction training must be equivalent to Skills for Care Foundation competencies to ensure that staff have the required skills and knowledge to carry out their roles. It is recommended that supervision of staff occur no less often than six times a year to ensure that their work is up to standard and any issues identified. The manager should ensure that receipts are put with the financial records as expenditures take place to ensure an audit trail for all expenditures. DS0000016761.V368215.R01.S.doc Version 5.2 Page 27 2. OP3 3. OP7 4. 5. OP18 OP29 6. 7. OP30 OP36 8. OP35 Annie Bright Not checked at this inspection. 9. OP38 Fire training for staff must be arranged every six months. This will ensure staff know what to do in an emergency. Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 28 © 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 Annie Bright DS0000016761.V368215.R01.S.doc Version 5.2 Page 29 - 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!