CARE HOMES FOR OLDER PEOPLE
Ashcroft Ashcroft 1 Wiggie Lane Redhill Surrey RH1 2HJ Lead Inspector
Lisa Johnson Unannounced Inspection 27th April 2006 08:45 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 Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 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. Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Ashcroft Address Ashcroft 1 Wiggie Lane Redhill Surrey RH1 2HJ 01737 789656 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Roopesh Ramful Mrs Aruna Devi Ramful Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The total maximum number of persons to be accommodated must not exceed five Persons in the category (LD) Learning Disability must be aged over 40 years 22nd November 2005 Date of last inspection Brief Description of the Service: Ashcroft is a semi-detached house situated in a residential area in Redhill Surrey and is close to local amenities. The service provides accommodation to five adults with learning disabilities. All the service users have single bedrooms, which are arranged over two floors. The home has a communal sitting room, separate dining room and large kitchen with a breakfast bar. There is a small garden to the rear of the house and parking is available at the front. Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first field inspection carried out in 2006/2007. One inspector carried out the unannounced inspection over seven hours. The focus of this inspection was to review requirements made at the last inspection and to look at all the required key standards. Care plans, policies and procedures and other required documents were sampled. The inspector spoke to three service users who live in the home. The inspector also spoke to the registered manager and the responsible individual. The inspector would like to thank the service users and staff for their hospitality and cooperation in carrying out this inspection. What the service does well: What has improved since the last inspection?
At the previous inspection a requirement was made that rubbish stored in the front garden was cleared. This has now been completed. Fire records have been updated. A reference was missing from one member of staffs file. This has now been obtained. The window handle in one bedroom has been repaired. Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 6 What they could do better:
Three immediate requirements were made on the day of the inspection. These related to a fire exit in the dining room that was blocked by a large plant; medication administration records and the reporting of incidents to the Commission. Individual Care plans including risk plans need reviewing and updating and photographs should be supplied with each plan. This is to ensure that each plan reflects the current and changing needs of service users. Further requirements were made in respect of medication and administration. The registered manager must not secondary dispense medication in to medidose boxes and should liaise with the local pharmacist. All staff that administer medication must receive updated training and assessment. This is to ensure that service users are protected by the homes medication and administration procedures. A requirement was made that the registered manager attend the local authority safeguarding of vulnerable adults training and this requirement remained outstanding from the previous inspection. This is to ensure that service users are protected from abuse. Some rubbish including a mattress stored in the back garden should be disposed of and a light shade needs to be replaced in the bathroom. This is to ensure that service users have a pleasant, well-maintained home to live in. The home needs to install call bells in the bedrooms and bathrooms to insure that individuals have the equipment to maximise their independence and to summons help from staff. It is required that the duty rota must accurately reflect the working hours of staff in the home. Staff records were sampled and two staff had recent police checks on file. However the police checks undertaken were for other employers. A requirement was made that these must be updated for the home. This is to ensure that service users are protected by the homes policies and procedures. It was also required that staff need to undertake training in National Vocational Qualifications (level 2). This is to ensure that at least fifty percent of the staff have qualifications to be able to support service users safely. The staff need to complete moving and handling training. The registered manager must complete a management qualification to ensure that the manager has the appropriate skills and knowledge to run the home.
Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 7 Staff appraisals and supervision have been implemented. However these meetings have not been taking place regularly. A requirement was made that all staff receive formal supervision with the registered manager on a more regular basis. This is to ensure that staff have the skills and knowledge to support service users competently The home has a range of policies and procedures, some of which require updating. The home must provide covers to the radiators and the written record for regular monitoring of the water temperatures must be updated. Soap dispensers and towels should be supplied in the communal toilets and bathrooms. This is to ensure that the health, welfare and safety of service users is protected. 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. Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 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 Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 The home needs to provide a copy of the homes statement of purpose to ensure that prospective service users have the information they need to make an informed choice about where to live. The home is able to demonstrate that assessments are completed prior to individuals moving into the home. The home does not admit service users for intermediate care. EVIDENCE: The home has a Statement of Purpose but this document was unavailable on this inspection. A requirement was made that the Statement of Purpose must be made available in the home to ensure that any prospective service users have the information they require about the suitability of the home to meet their needs. Currently there are two vacancies in the home and there have been no new admissions since the previous inspection. However assessments were available on files for existing service users, which had been undertaken through local authority care management. Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9 & 10 Care plans and risk assessments need evaluating and updating. This is to ensure that current and any changing needs identified are being met. The homes administration of medication practice needs to improve to ensure that service users are protected. Service users are treated with respect and their privacy is maintained. EVIDENCE: Three service users care plans were sampled. Individual profiles were completed identifying strengths and needs of service users. However plans including risk assessments had not been reviewed for some time. Photographs were not available for each individual. A requirement was made that care plans be updated. This is to ensure that the plan and risk assessments reflects the current and any identified change in needs that must be addressed. Service users have access to a local GP and have annual checkups. Individuals receive chiropody and access dental services. Although records are maintained of these appointments it was recommended that the health screen checks should be stated in the care plan.
Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 11 Medication and administration systems were examined. There were occasional gaps for signing medication when it is administered. The names of individuals were not recorded on some of the medication administration cards. One service user occasionally has medication secondary dispensed into a medidose container for staff to administer and another service user self administers his medication and obtains his medication independently. However this medication is also then secondary dispensed into a medidose box by staff in the home. The inspector was informed that in the past the pharmacy would not issue a redidose system where by medication is already dispensed. Staff administering medication also need up-to-date training and assessment in medication administration. Immediate requirements were made that staff must sign the medicine card when medication has been administered to individuals. It was also required that the names of service users are recorded on their card. A further requirement was made that the practice of secondary dispensing ceases. The registered manager must liaise with the local chemist to relook at the issue of secondary dispensing. This is to ensure that service users are protected by the homes medication administration policies and procedures. Service users were observed to be treated respectfully by staff and their privacy was maintained. One individual stated “ I have my own key to my room”. Another service user said, “ I can use the phone to speak to my cousin”. Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 The home supports service users to maintain independent living skills. Service users take part in fulfilling activities and participate in the local community. Service users engage in a range of leisure activities and are supported to exercise choice. Service users are offered a well balanced diet EVIDENCE: During the inspection two service users left the home to undertake activities. Two individuals in the home are able to access local community facilities independently. One individual stated “I like to go shopping and we are looking at where we want to go on holiday this year”. Another person said “ I have a part time job in a shop”. One service user attends a day centre and told the inspector what activities he does there. He also said that he goes to church and a friend accompanies him. One individual maintains contact with his relative by phone and letter. The home supports service users to exercise their choice and independence in the home. One individual said, “I like to look after my room myself, but staff help me with my bed”. Another service user said, “I like being able to choose my breakfast and helping myself to drinks in the kitchen”. One person likes to do his own ironing and has his own ironing board in his bedroom.
Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 13 The main meal is served in the evening and not observed during this inspection. However the menu was sampled and meals offered were well balanced and nutritious. All individuals spoken to said the meals are good and one individual stated, “ I can make choices and the staff know what I like”. Service users are able to access snacks and drinks in the kitchen when they choose. Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 14 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home is able to demonstrate that there is a complaints policy in place but this needs to be updated. Policies and procedures are in place for safeguarding adults. However the registered manager needs to attend the local authority training in safeguarding adults. This is to ensure that service users are protected from abuse. EVIDENCE: A complaints procedure is in place, which was also observed on display in service users rooms. The complaints register was sampled with no complaints being received since the previous inspection. However it is required that the registered manager updates the procedure as some of the information was out of date. Service users spoke positively about the care and support they receive in the home. Two service users felt that the registered manager and responsible individual were approachable. Feedback included “ The staff help me if I have problems” “and the staff are nice and helpful”. The local authority procedure for safeguarding adults was in place and a whistle blowing procedure was available. The manager has received training in the safeguarding adults. However at the previous inspection a requirement was made that she attends the local authority training to ensure that all information is acquired. This has not been actioned and further requirement was made this is completed. It is also required that staff working in the home receive up-to-date training in this area. The inspector was informed that the home now has dates for the courses and is booking places for staff to attend the training.
Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 15 Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 &26 Service users live in a homely environment. Minor internal and external issues were identified as requiring action. The home needs to install a call bell system. The home is clean and hygienic ensuring that service users have a pleasant environment to live in. EVIDENCE: The home is close to Redhill Town centre. A full tour of the premises was undertaken. There is a homely atmosphere with the home being maintained in good decorative order and well furnished. However there was some rubbish including a mattress stored at the side of the house and a light shade needs replacing in one bathroom. Requirements were made that these issues are actioned. This is to ensure that service users have a comfortable and pleasant house to live in and use. Grab rails were observed in the bathrooms. However the home does not currently have a call bell system in place. A requirement was made that these
Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 17 are installed in bedrooms and bathrooms particularly in relation to one individual who has mobility difficulties and likes to maintain his independence. The home was cleaned to a good standard and was hygienic. Separate laundry facilities are provided. Staff have received up to date training in infection control, which was confirmed by staff training schedules. Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 There was room for improvement in respect of the staffing arrangements for example; the home needs to maintain an accurate record of all hours worked by staff. The home must ensure that at least fifty percent of staff have completed National Vocational Qualifications. Police checks must be obtained for all staff in their current employment. Staff must receive manual handling and safeguarding adults training. This is to ensure that the health, wellbeing and safety of service users is protected. EVIDENCE: Since the previous inspection one member of staff was recruited but no longer works in the home. The establishment consists of the responsible individual, registered manager and two care staff to support three service users. The rota was sampled which confirmed the names of staff on duty. During the day there is one member of staff on duty due to service users being out at activities. The inspector was informed that the responsible individual supports the home when he is not on duty to assist with driving and escort duties but these hours are not recorded on the rota. A requirement was made that this is recorded on the rota to ensure that an accurate record of staffing is maintained. The inspector was informed that applications have been submitted for two members of staff to complete National Vocational Qualifications. (Level 2). A requirement was made that the registered manager should ensure that at least
Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 19 fifty percent of the staff must complete National Vocational Qualifications. This is to ensure that service users are supported by suitable and qualified staff to promote their health and wellbeing. Two staff personal files were sampled and two references were available. However the police checks for these staff were examined and both members of staff have had recent police checks carried out but these have been undertaken by other employers. A requirement was made that police checks are updated for their current employment. The homes staff-training schedule was examined and it was clear that mandatory training including fire safety, health and safety, food hygiene and infection control has been updated. An internal induction programme is completed and an application is being submitted for two staff members to attend the Skills For Care induction course. However it is required that staff complete moving and handling and safeguarding adults training. This is to protect the heath, welfare and safety of service users. Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 & 38 The registered manager requires additional training to ensure that she has the knowledge and skills to support the needs of service users living in the home. Staff must receive regular formal supervision to ensure they are competent to carry out their role and policies and procedures need updating. (A number of serious health and safety issues need addressing) to ensure that the health, welfare and safety of service users is protected. EVIDENCE: The registered manager has experience of working with people who have learning disabilities. The responsible individual who possesses management qualifications supports the registered manager. The inspector was informed that the manager had completed some of the National Vocational Qualification (Level 4) but had stopped and needs to resume this. A requirement was made that the registered manager completes this course. This is to ensure that a
Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 21 qualified managerwho has the appropriate knowledge and skills who is able to support the service users living in the home. The home has completed quality assurance questionnaires, which are due to be updated this year and holds service users meetings, which was confirmed by individuals living in the home. Staff supervision records were sampled. Staff have received appraisals and there was evidence to suggest that formal supervision has taken place with staff. However supervision meetings were irregular. A requirement was made that all staff receive formal supervision meetings at least six times a year. Two service users are independent in handling their own monies. The responsible individual is appointee for one person. Records were sampled and these were maintained adequately. The appointed person from the local authority carries out regular monitoring of this expenditure. A range of policies and procedures were sampled. However these policies require updating. The responsible individual showed the inspector the new procedures he is going to introduce. A requirement was made that these procedures must be updated. A number of health and safety practices were examined. A first aid box was in place. Fire records were adequately maintained. However a large plant was obstructing the fire exit in the dining room and an immediate requirement was made that this plant be removed to ensure that access to the fire exit is maintained at all times to ensure the health and safety of service users. Accident and incident records were sampled. There have been no accidents recorded since the previous inspection. However the inspector was informed that an incident had occurred in the home while the responsible individual and registered manager was on leave in relation to a member of staff, which has resulted in the dismissal of this member of staff. This incident was not reported immediately to the Commission for Social Care Inspection. An immediate requirement was made that the Commission must be provided with a written report and that the registered manager should ensure that a procedure is implemented to ensure that all staff in the home are aware of their responsibilities in reporting serious incidents and accidents. Records were maintained of gas and electrical testing. A requirement was made that the home maintains a written record of regular hot water testing and that a certificate is obtained in relation to legionella testing. A further requirement was made that covers should be provided for the radiators. Food provisions were stored adequately with regular monitoring of fridge temperatures. Appropriate hand washing facilities were available in the kitchen. Soap and hand towels were not present in the communal bathrooms. And a requirement was made in respect of this Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 22 Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 2 17 X 18 2 2 X X 2 X X X 3 STAFFING Standard No Score 27 2 28 1 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 2 1 Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation (4)(1)(C) Schedule 1 15(2)(b) Requirement The registered persons must ensure that the statement of purpose and service user guide is available in the home. a) The registered persons must ensure that the care plans for individuals including risk assessments are reviewed and updated. b) Photographs of service users must be made available with their care plan. (Previous requirement 22/12/05 not met). Timescale for action 05/05/06 2 OP7 27/05/06 3 OP9 13(2) a) The registered persons must ensure that the names of service users are recorded on each individual’s medication administration record. b) All medication administered to service users must be signed by the person trained to administer medication. 27/04/06 Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 25 4 OP9 13(2) c) The registered person must ensure that the prescription transcribed on the medication and administration record is signed and dated and checked by a second person. a) The registered person must consult with the local pharmacy in respect of one service users medication, which is secondary dispensed in the home. b) All staff who administer medication in the home must receive up-to-date Training and assessment. a) The Registered person must attend the local authority safeguarding adults training. (Previous requirement 22/2/06 not met). b) A local policy for the safeguarding adults must be put in place. a) The rubbish stored in the back garden must be removed. b) A light shade in the bathroom must be replaced. A call bell system must be installed in all bedrooms. The registered person must ensure that an accurate record is maintained of all the hours worked by staff in the home. 18/05/06 5 OP18 13(6) 27/06/06 6 OP19 23(2)(c) (0) 27/05/06 7 8 OP19 OP27 23(2)(n) 17(2) Schedule 4 15/06/06 04/05/06 9 OP28 18(1) 10 OP29 19 (1) Schedule 2 The Registered person must 27/08/06 ensure that fifty percent of the staff team are completing National Vocational Qualifications (Level 2) a) The registered person 27/05/06 must ensure that police checks are obtained for
DS0000013557.V292009.R01.S.doc Version 5.1 Page 26 Ashcroft two members of staff employed by the home. 11 OP37 17(3)(a) 22(7) Shedule4 37 The written policies and procedures in the home must be updated including the complaints procedure. a) The registered persons must ensure that all serious accidents incidents are reported to the Commission for Social Care inspection without delay and that all staff working in the home must be made aware of the procedure. The registered persons must ensure that the large plant blocking the exit to the fire door in the dining room must be removed and to ensure that a clear access is maintained at all times. The registered person must ensure that covers are provided to all radiators in the home. a) The registered person must update the written records for regular monitoring of the hot water temperatures. b) The registered person must ensure that the hot water is checked regarding legionella. 16 OP38 10 (3) c) The registered person must complete the management National Vocational Qualification (Level 4). Individually dispensed soap and towels must be provided in the communal bathrooms for hand washing.
DS0000013557.V292009.R01.S.doc 27/05/06 12 OP38 24/04/06 13 OP38 23 (4)(b) 24/04/06 14 OP38 13(4)(a) 18/06/06 15 OP38 13(3)(4) (c) 04/05/06 27/07/06 17 OP38 13(4)(c) 04/05/06 Ashcroft Version 5.1 Page 27 18 OP38 18(1)(c) All staff must receive moving and handling training. 27/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP8 Good Practice Recommendations The registered person should incorporate the health screen records of individuals as part of the individual care plan Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ashcroft DS0000013557.V292009.R01.S.doc Version 5.1 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!
