Inspection on 12/04/07 for Aranlaw House Care Home

This inspection was carried out on 12th April 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 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

Aranlaw House Care Home 05/10/07

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Aranlaw House Care Home 26 Tower Road Branksome Park Poole Dorset BH13 6HZ Lead Inspector Tracey Cockburn Key Unannounced Inspection 12th April 2007 08:50 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 Aranlaw House Care Home DS0000068542.V335578.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. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aranlaw House Care Home Address 26 Tower Road Branksome Park Poole Dorset BH13 6HZ 01202 763367 01202 420050 kate@aranlawhouse.co.uk 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) Gunputh Associates Ltd Mrs Catherine Mary Hickson Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47) of places Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: No conditions Date of last inspection New service registered 1/11/06 Brief Description of the Service: Aranlaw is a purpose built detached house. The home was registered on 1 November 2006. The registered provider is Gunputh Associates Ltd. The registered manager is Mrs C Hickson. It is registered to provide care to 47 people in the category Old People only. All 47 rooms have en-suite wet rooms with shower, toilet and hand basin. The rooms are arranged over 3 floors. A number of bedrooms have access to a balcony. Each floor has a separate lounge. The dining room is on the ground floor by the kitchen. There is a reception area and managers office. The home has 2 passenger lifts. There is car parking to the front of the building. There is garden to the side of the home and a small grass covered patio area leading out from the patio doors in the lounge on the ground floor. The home is in a leafy residential street near the amenities of Westbourne. There is public transport access to Bournemouth and Poole. The weekly fees range from £575 - £700. For further information on fee levels and fair contracts you are advised to refer to the Office of Fair Trading website: www.oft.gov.uk Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection. This is the first inspection since the home registered with the commission in November 2006. The inspection took place in the middle of the week starting first thing in the morning until late afternoon over 7 hours. There were 22 residents living in the home. 8 staff were on duty; 1 manager, 1 cook, 1 cleaner, 4 care staff and 1 receptionist. A tour of the home took place. Fifteen residents were spoken to. Two residents were case tracked. Care files, staff files, policies and procedures were viewed. The homes statement of purpose and service user guide was also looked at. What the service does well: The home provides good information for people who are considering coming to live in the home. This means they are able to make an informed decision. Before anyone moves into the home, the manager or her deputy; visit and complete an assessment, which enables them to decide if the home is able to look after them properly. People who live in the home at the moment say that the staff that support and care for them treat them with respect. One resident said, “ They always knock before they come into my room”. Several people said that the home could never be like their own home. But the staff try to help them settle in and do things for them in the way they like. People living in the home are able to see the family and friends who are important to them. They are able to participate in activities in the local community if they want. The home encourages residents to keep as able as possible; this means they encourage people to manage their own finances and medication with support. Meals are well cooked and nicely presented. There is good choice throughout the week. People who live in the home say there are always fresh vegetables and homemade cakes. People who use the service should be confident that their complaints and concerns will be listened to and acted upon. Care staff receive the training they need to protect people from abuse. The home is modern and comfortable providing the people with a safe and well-maintained place to be. The home has toilets and bathrooms furnished to a high standard. There is equipment such as hoists for those who need them. Rooms are nicely furnished and people can bring their own possessions in with them if they want. The home is clean. There is enough staff on duty to meet the needs of the people who live there. Staff receive the training they need to do their jobs well. The manager has the experience to understand how to run a care home well. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Aranlaw House Care Home DS0000068542.V335578.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 Aranlaw House Care Home DS0000068542.V335578.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): 1 & 3. The home is not registered to provide intermediate care therefore standard 6 is not applicable. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a service user guide, which provides information to enable people to make a choice about where they want to live. There is a system in place to ensure that people who wish to move into the home have their needs assessed. This means they can be assured the home knows how to care for them. EVIDENCE: The service user guide is available in one format but the manager would be willing to adapt depending on people’s needs. The guide details the service provided. There is also information on accommodation, experience of the Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 9 registered provider, manager and care staff. The complaints procedure and the address of the commission. The files of 3 people living in the home were looked at. All 3 contained pre admission assessments. One of the files contained a care management assessment as well as the assessment completed by the homes manager. One of the pre admission assessments was not dated. The 3 samples seen were all completed either by the registered manager or the deputy manager. The assessments covered areas such as personal care, dietary preferences, oral health, and history of falls, mobility and family involvement. The assessments had information such as the individual self medicates but this was not followed through to the care plan and risk assessments. The assessments also contained information on specific health care needs such as diabetes but again this information was not followed through to a specific care plan. All 3 files were titled care plan. However they did not contain a specific care plan outlining each individual’s daily living needs. One file contained a care plan supplied by the care management team funding the person. Aranlaw House Care Home DS0000068542.V335578.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 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. People living in the home have individual plans of care. However they do not contain enough information on individual health, personal and social care needs to evidence that people are getting the care they were assessed as needing. The home has a policy and procedure for dealing with medication. However there is no risk assessment in place for those people who choose to manage their own medication. People who live in the home are treated with respect and staff maintain their right to dignity. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 11 EVIDENCE: Three files were looked at. All 3 contained information on the care to be provided however there was not the level of detail needed to ensure that care staff knew the action to be taken to meet individual needs. In 1 file there was information about the person’s diabetic condition but there was no detail about the action care staff needed to take to ensure that the individual remained well. There was nothing in the care plan about whether this condition was controlled by diet or medication. There was nothing to say whether or not the individual had to have blood sugar levels checked on a daily, weekly or monthly basis. Another person had information in the assessment about a catheter in situ but the care plan had no information about how staff should care for this individual or how often they would receive visits from the district nurse. There was evidence in the file that the district nurse was visiting. The risk assessment made reference to the district nurse checking the catheter regularly but there was no information on why or what they would do to the catheter or what care staff should do if there was a problem with the catheter. There was a diabetes urine analysis form in the file. It had never been filled in. No reference is made in the care plan as to why this form was necessary or what action care staff needed to do. The daily record and assessment made reference to another resident who had a particular infection but no other reference was made as to how this should be treated or what care staff should do. The files looked at made reference to reviews taking place but it was unclear what the outcome was or who had been involved. There was no evidence of user involvement in the signing of care plans. In speaking to the people who live in the home many did not know what a care plan was. Care staff were seen providing support and residents spoken to say that care staff support them well and understand their care needs. This was not reflected in the paperwork seen. During the inspection pressure relieving equipment was seen around the home in people’s bedrooms. Several residents had pressure relieving mattresses and cushions. During the course of the day health care professionals were seen in the home visiting residents in the privacy of their own rooms. Residents said that they see the doctor and district nurses when they need to. In the files viewed there was evidence that visits are taking place. Nutritional screening is not routinely taking place on admission. One file contained information on someone’s weight on admission but no further mention of this. There was no evidence of the person with diabetes having a nutrition assessment on admission. Files contain information on residents accessing hearing and sight tests. There was also written evidence of the chiropodist visiting people in the home. Residents also said that they were seeing the chiropodist and 1 had a patient assessment sheet on their file with regard to their chiropody needs. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 12 All residents have a metal lockable cabinet in their bedrooms, which contains their medication in a monitored dosage system. Several residents were selfmedicating however there was no risk assessment on their personal file. One resident kept their medication in a biscuit tin. The manager was very clear that only care staff trained to dispense medication were able to do so. Throughout the inspection care staff were observed interacting with residents. Aranlaw House Care Home DS0000068542.V335578.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, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home say the experience overall is what they expected. They are able to keep in touch with the people who are important to them in the local community and have control over their lives. People living in the home receive a varied and balanced diet in pleasing surroundings. EVIDENCE: The residents who spoke during the inspection said that they are able to participate in activities if they want to. They are able to make decisions about where they have their lunch and what they eat. Service users have their interests recorded in their assessments. The home has an activity timetable on a poster in the corridor near the dining room. A variety of activities are taking place each week including: Keep fit, news day and memory lane. The manager said that the news day activity is usually well attended. One resident said that there were not enough activities on offer. Another resident said that they Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 14 preferred to spend time in their room. Two residents who were partially sighted said they would like something like talking books as they could not watch the television and liked listening to the radio. During the course of the inspection there were a number of visitors to the home. They were able to see their friends and relatives in the privacy of their own rooms or in quiet areas of the home. All visitors are offered a drink and this is nicely presented. Several residents who had recently moved into the home said they were able to bring their own items with them. Breakfast is served from 6:45 am onwards either in residents own rooms or in the dining room and if a resident is having a cooked breakfast they usually come to the dining room for it. Lunch is served at 12:30 with wine if residents choose. There is a choice of a meat or fish dish, homemade soup is also served every day. The evening meal is at 6pm and a hot dish is on offer as well as sandwiches. There are hot or cold drinks served throughout the day. At night a drink is offered at 9pm with something to eat if they wish. There is no written menu for residents but staff go round all the residents each day to tell them the choices for lunch and ask them what they want. Lunchtime was observed and it was unhurried with residents able to take their time and eat at their own pace. Some residents needed support and staff assisted them with this in a discreet way. The fridges and freezers were well stocked. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident that their complaints and concerns will be listened to and taken seriously. The homes policy on safeguarding adults gives staff the information they need to ensure people are protected from abuse. EVIDENCE: There have been no complaints recorded since the home opened in November 2006. A number of residents were asked whom they would speak to if they had a concern. They all said the manager was approachable. The home has a very robust safeguarding adults policy which details very clearly the action all staff must take if they suspect or are disclosed that abuse is taking place. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 16 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, 20, 21, 25 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is purpose built to a high standard providing a safe and wellmaintained environment for the people living there. There are comfortable indoor communal facilities, sufficient bathrooms and toilets, specialist equipment for those assessed as needing it. People have rooms, which meet their needs, and they are able to have their own possessions if they wish. The home is clean, comfortable and pleasant for those who decide to live there. EVIDENCE: The home has been built on the site of the original Aranlaw care home, which was demolished to make way for the new larger purpose built home. The home complies with the requirements of the local fire service and environmental health. It also complies with building control. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 17 The grounds were tidy and safe. They are accessible to residents. The manager is in the process of buying garden furniture for residents to sit outside. On the day of the inspection a resident and her visitors were sitting outside the home on chairs taken from the reception area. One resident commented that he had spoken to the manager about the need for outdoor seating. The home has 3 lounges 1 on each floor. There is dining space in 2 of the lounges. There is a separate dining room on the ground floor. This is large but would not be able to accommodate 47 residents at 1 sitting. The lounges are smoke free. Lighting throughout the home is domestic in character. The furnishings are of good quality and suitable for a range of activities and interests. There are toilets close to the lounges clearly marked. Each bedroom has en-suite facilities. There are bathrooms with overhead tracking hoists and assisted baths available. There is a sluice on each floor. Some bedrooms have access via patio door to a balcony. There is under floor heating throughout the building. There is emergency lighting throughout the home. The laundry is sited away from food storage and preparation areas. There are hand-washing facilities. The floor is impermeable. The home has a policy and procedure on infection control. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has enough staff to meet the needs of residents. Staff receive the training they need to ensure that the people who live in the home are in safe hands. The homes recruitment practice needs to be better to ensure that the people who live there are fully protected. Staff receive the training they need to do the job well. EVIDENCE: At the time of the inspection there were 22 residents and in the morning 4 care staff on duty as well as 1 domestic, 1 kitchen assistant, 1 receptionist, 1 cook and the manager. A copy of the rota was seen. At the time of the inspection the occupancy level in the home was under half the registered number. Residents spoken to said that care staff had time to provide their care and support them in their daily living activities. The home currently employs 2 senior health care assistants, 7 health care assistants working during the day and evening and 6 night staff. Three ancillary staff are also employed. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 19 All staff are employed either with NVQ level 2 as a minimum qualification or will be working towards achieving the award. The staff files for 2 newly appointed members of staff were sampled. Both had only been confirmed and started in post after CRB and POVA 1st checks had been completed. Each file contained terms and conditions and a contract. Both files contained 2 written references. Both files had 1 written reference from the current manager of the home in which they were working, the manager explained this was because she had employed them before. The manager should have sought an alternative reference. Induction files were seen for 2 members of staff, both contained the skills for care induction standards and there was evidence of considerable work being undertaken by the members of staff. The manager said that they have a good relationship with a local trainer and assessor. The manager said that 4 care staff have undertaken an activities course. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 20 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 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is managed by someone who understands their job well and is able to undertake their responsibilities in full. This means that the people who live in the home can be assured the manager knows what they are doing. The home at present cannot demonstrate they run the service in the best interests of the people who live there. People who live in the home have their financial interests safeguarded. The health, safety and welfare of the people who live in the home are considered. However further action needs to be taken to ensure that they are promoted and protected at all times. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager has a number of year’s experience of owning and managing a care home. During the course of the inspection the manager demonstrated an understanding of the changes taking place within regulation. She is also ensuring that care staff receive the training they need to do the job. The manager is also ensuring that the staff team understand the policies and procedures within the home. This is done by giving them the time to read policies and discuss with her. The home has been open less than 6 months and has not undertaken a quality audit, however the manager said she will be starting the quality assurance process within the next few months and plans to issue questionnaires to residents, relatives and staff to find out their views of how the management team are meeting the aims and objectives of the home. The manager is not responsible for the management of any resident’s finances. Residents have lockable storage in their rooms. All staff have received safe working practice training such as moving and handling, fire safety, infection control. During the inspection care staff were observed supporting residents to stand up and use mobility aids appropriately. Hazardous substances were stored correctly. Safety notices were posted in the kitchen area. The lifts are properly maintained. On the day of the inspection 1 lift was not working and the company arrived in the afternoon to repair it. All electrical systems and servicing of boilers and central heating is maintained and had to be correct at the time of registration in November 2006. The home is secure. During the inspection the kitchen door was noted to be propped open this was brought to the attention of the manager. All accidents and injuries are recorded on the correct paperwork. One resident has a kettle in his room. This has not been PAT tested. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 22 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 2 10 3 11 x 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 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X 3 3 Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 12 (1) (a)(b) Requirement The registered person must set out in detail in the service user’s plan the action which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs are met. Timescale for action 31/08/07 2 OP7 4 (b) The registered person must 31/08/07 include a risk assessment as part of the individual care plan. The registered person must undertake nutritional screening on admission and subsequently on a periodic basis a record maintained of nutrition, including weight gain or loss and appropriate action taken. The registered person must ensure that an assessment ahs been carried out before a service user manages their own medication. The registered person must ensure that two written references are obtained before DS0000068542.V335578.R01.S.doc 3 OP8 12(a) 31/08/07 4 OP9 13 (2) 30/06/07 5 OP29 19(1) (b) 31/08/07 Aranlaw House Care Home Version 5.2 Page 24 appointing a member of staff. Where the current employer has also been the previous employer another reference must be obtained. 6 OP33 24 (1)(a) (b) The registered person must establish and maintain a system for reviewing and improving the quality of care provided at the care home. The registered person must ensure that facilities such as kettles are safe for use by service users. If a service user is going to use a kettle in their own room it must be properly tested before use. 31/08/07 7 OP38 16(2) (h) 31/07/07 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 OP15 Good Practice Recommendations The registered manager should consider a menu is either written or in other formats to suit the capacities of all residents. This should either be given, read or explained to the residents. Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Aranlaw House Care Home DS0000068542.V335578.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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