Inspection on 27/06/08 for Ashleigh Court

This inspection was carried out on 27th June 2008.

CSCI found this care home to be providing an Adequate service.

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

Ashleigh Court 18/07/07

Ashleigh Court 12/09/06

Ashleigh Court 15/11/05

Ashleigh Court 17/06/05

Ashleigh Court 04/01/05

Ashleigh Court 03/08/04

Ashleigh Court 12/02/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Ashleigh Court 20 Fountain Road Edgbaston Birmingham B17 8LN Lead Inspector Susan Scully Unannounced Inspection 27th June 2008 10:00 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 Ashleigh Court DS0000051010.V366593.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. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashleigh Court Address 20 Fountain Road Edgbaston Birmingham B17 8LN 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) 0121 420 1118 0121 420 1118 Mrs Shanti Odedra Mr Sunil Odedra Mrs Carol Ward Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 18th July 2007 Brief Description of the Service: Ashleigh Court is a care home providing care and accommodation for 17 older people. The home is located in a residential street that leads onto the Hagley Road at the point that borders on the edges of the Edgbaston and Ladywood areas of Birmingham. Hagley Road is an arterial road into Birmingham and to Stourbridge and Kidderminster in the opposite direction. It is therefore well served by a bus service on this road. The home is sited in a large Victorian building. There is limited parking space at the front of the property but the road is reasonably quiet and some on the road parking is available. There is no front garden but there is a small garden at the rear of the property. The home has both single and shared rooms over the three floors most of which have en suite facilities. There is a passenger lift that gives access to these floors. Most of the en-suites would have difficulty accommodating the needs of a wheelchair user, the front of the house has steps and so does the rear garden. The home has two sitting areas, one that looks over the rear gardens. There are assisted bathing or showering facilities on each floor. The home charges between £314.00 and £370.00 per week. If residents need chiropody this is charged at £9.00 per visit, hairdressing costs vary. Ashleigh Court DS0000051010.V366593.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 the people who use this service experience adequate quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for the people who use the service and their views of the service provided, meaning they tell us if the home is meeting their needs, if the home is flexible and suits their life style, and if the home enables them to maintain their independence, preferences and choice of how they want to be supported and the homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development The inspection was completed over one day by one inspector. The home did not know that an inspection of the service was taking place. As part of the inspection process three people were case tracked this involves establishing individuals experiences of the service provided or observing practises of individual staff and how they have been trained to deliver a service that promotes the persons well being and choices. We also discuss people’s care and look at care files focusing on outcomes for people. Case tracking can help us understand the experiences of people who use the service. In addition to this, information is looked at during the inspection such as policy’s and procedures, and the general operation of the home in relation to meeting people’s needs. We also contact other professionals involved with the home such as contract monitoring officers for their views of the service provided. The home is also required to complete an annual quality assurance assessment (AQAA). The Commission sends this document to the provider before the inspection. The AQAA shows what the home is doing well and if and what the home could do better. The completion of the AQAA is a legal requirement that the provider must complete as part of the inspection process. This had been completed and some of the information has been included in the report. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The manager and staff must ensure records are up to date with accurate information. The recruitment records require attention to ensure people are cared for safely this involves ensuring up to date information is available and staff are supervised regular. Repairs to the environment must be carried out to a satisfactory standard that improves the environment further. Training must be competed in adult protection for all staff and regular updates completed through supervision. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 7 The home needs to develop a quality assurance that shows the views of people living in the home and other professional had been sought. This will enable the home to improve further. 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. Ashleigh Court DS0000051010.V366593.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 Ashleigh Court DS0000051010.V366593.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): 2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre-admission process provides staff with the information needed to meet the health and social care needs of residents. EVIDENCE: We looked at the process for when a person moves into the home and the information given to people and how the home ensures they can meet the person’s needs. This is called a pre assessment. A representative from the home either visit the persons in their own home, hospital or other environment to see what their needs are, or the person can visit the home and stay for a meal , look at their room , meet other people and see for themselves what the home is like. Since the last inspection there had been three admissions to the home, so we looked at the pre assessments the home had completed for these three people. There was good information in all of the three pre assessments the information included, a brief summary of the person past history , such as what occupation they use to do, history of their life such as did they have any family Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 10 friend, children and who would be involved in their support. The pre assessments contained information about their hobbies, what they enjoyed such as activities, their medical details and the reason for moving into the home. It gave information about their health, what aids they would need to maintain their independence, and any specialist care that they may need. If the person chose to visit the home a summary of the day was recorded. A decision was then made if the person wanted to move into the home and if the home felt they could meet the person’s needs. Both parties would then draw up a care plan. Care plans are documents where information is recorded to ensure the care provided by the home meets the persons needs as they choose, such as assistants with washing dressing, likes dislikes and preference of who they what to support them such as female or male care staff. Ashleigh Court DS0000051010.V366593.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home works closely with the residents and other health care professionals to ensure their needs are met. EVIDENCE: We looked at the care plans for three people to see how the home ensured their health care needs, their physical needs and their general wellbeing was being met on a daily basis, this included the daily records, care plans risk assessments, activity records, and how the staff maintain choice and preferences. The care plans we looked at told us who had referred the residents to the home, when the pre assessments were completed and why the person required support in a residential setting. Information included a history of the person’s well being such as their medical condition, what other health care professionals were involved in the persons care and the discussion of who was to provide their care, such as female or male staff. When speaking to the male carer he was able to identify which resident he did not support with personal care. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 12 The care plans set out the aims of how to support the residents to ensure their needs were met and how to care for them safely, by giving guidance to staff such as how to minimise any risks that may present to the individual. When residents are admitted to the home further assessments are completed such as tissue viability, this is where the home assesses the risks to the resident who may be prone to pressure sores. Other assessments include manual handling, to ensure the staff assists the residents safely when using aids or adaptations. Their physical well being, their mental health needs, and nutritional assessments to ensure people maintain a balanced diet. All records are evaluated, which means the staff, monitor the resident’s needs and change the care plan as required. As part of the inspection we sent surveys to other health care professionals who attend the home and their comments include: “The staff always ensure when they call us they have the information ready, . The staff have an excellent awareness of peoples needs’’. “People are always assessed in private’’. “Staff always enables people to retain some independence’’ “The manager is excellent, most care is good but with turn over of staff more skills needs to be taught’’. “Good communication resident are very well looked after’’. “There is no concerns with the care given at the home and there is always a welcoming atmosphere’’. The information in the three care plans we sampled showed us that residents are registered with a general practitioner, have regular visits from other health care professionals, such as dentist, chiropodist, and practise nurses when required. Overall the care plans we looked at told us that the residents needs were being met the care plan was reviewed and the contents gave information to staff to care for people safely. We looked at the medication records for the residents living in the home and checked the contents of boxed medication against the medication administration records. This involves counting medication that were in boxes to see if they corresponded to the administration records, for example, one person had 112 paracetamol delivered to the home there were 36 tablets that had been administered, and 78 in a box giving a total of 114 tablets, there was no explanation of where the 2 other tablets had come from. When we looked at other people’s medication records they were found to be correct. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 13 The staff must make sure that when they write entries on medication administration records two signatures are recorded this will ensure no errors are made. Ashleigh Court DS0000051010.V366593.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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle experience in terms of meals and social/leisure activities meets the expectations of most residents. The service ensures that visitors are made welcome and the residents’ benefit from visits from family and friends. Residents were happy that they still had some control over their lives and the choices that they make which improves their sense of wellbeing. Residents receive suitable meals in pleasant surroundings which promotes social interaction and wellbeing. EVIDENCE: Details regarding likes and dislikes and social/ leisure activities, hobbies and interests that residents like to do before moving into the home are recorded in care files. The Commission for Social Care Inspection forwarded a number of questionnaires to the residents of Ashleigh court before this inspection took place. Nine residents responded. The results of the questionnaires relating to activities are detailed below: Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 15 Always Usually Sometimes Never are there activities arranged by the home that you take part in 7 1 1 Comments We have a laughs when we have a singsong, we play dominoes, have a game of skittles. I can not be bothered at my age. Yes most days the staff does something with us even if it’s just a chat. We looked at the activity records for the residents living in the home and most days there is something to do. One resident said I just like a chat and a laugh the staff are very good when we do things, but it’s just not my cup of tea to do activities but I like to watch. Another resident said, “There is always a little activity taking place every day – its all good”. Family and friends are welcome at any time, one relative said “there is always a nice atmosphere here’’. One visiting professional said “it’s a good home’’. One resident said the “meals are really nice, good food and plenty of it’’. The menus showed us there is a choice of meals available to ensure people tastes are catered for. Diabetic meals are planned in consultation with the residents. Recorded in daily records are the food people have eaten and their choices. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Complaints and concerns are recorded and investigated so residents can be sure their views are listened to and action taken if required. Residents may be placed at risk if staff have not completed training in adult protection, and the lack of knowledge may result in staff not identifying potential abuse. EVIDENCE: We looked at the documentation about complaints and concerns. A number of concerns have been raised with the commission resulting in an adult protection referral being made to the social work team. The manager has worked with the commission and social services to ensure the residents in the home were safe. The out come of the investigation resulted in one member of staff being dismissed and another member of staff resigning. The manager refers concerns or complaints to the appropriate people if an allegation of abuse is made. The complaints folder recorded details of the complaints received, the investigation and the action taken. All relevant paperwork is kept in the complaints file. We spoke with staff during the visit to seek their knowledge about protecting people from abuse. While they were able to identify different types of abuse, they were not able to identify the correct procedure to follow in the event of an allegation being made. All three staff spoken to said they would speak with the Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 17 person who was the alleged abuser, they also said they would report it to the manager. One member of staff did not know what abuse was and replied that don’t happen here. When speaking with the manager she said that the training for staff in the protection of vulnerable people had taken place and staff knew what to do. It is recommended that when the manager completes supervision with staff the areas such as what to do in the event of an allegation of abuse being made and who they would report this to be addressed. It is important information is regularly updated focusing on the resident’s safety. This will ensure the staff is fully up to date with the procedures to follow. Accident records are maintained and regulations 37 are sent to the commission informing us of any incident that may affect the welfare of the residents. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Remedial action is needed in the environment to ensure the health and wellbeing of residents. EVIDENCE: The home was clean and fresh on the day of the visit; we looked at the requirements from the last inspection about the environment. There had been a water leak that had resulted in damage to the plaster in peoples bedrooms. One bedroom had been decorated, and the other bedroom the water had dried out. The manager said the water came from a leak in the roof. Although the water had dried out, the wall paper was seen to be coming away from the wall where the water had been and this needs to be replaced. In one of the bathrooms the sink was cracked and this needs to be replaced, the manager said that this was a new sink and something had dropped into the sink resulting in the crack this had been reported. The manager informed us that on the morning of the visit some wardrobe doors and draws had been Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 19 broken and this had been reported. Some of the bedrooms seen the wall paper was coming away from the wall. The manager said that there is a decorations plan in progress and these rooms had been noted. In three bedrooms the door handles were coming off although the doors were still able to be accessed in the event of an emergency. In general the home was clean and fresh residents were happy with their bedrooms and the home had encouraged residents to bring personal belongings to make their bedrooms more personal to them. The home needs to continue with the decoration programme and not just make do as in the one resident’s bedrooms where they had painted over the damp wall paper. The manager said that when they start taking wallpaper down then sometimes the plaster comes away with the wall paper. The commission appreciates this may be a problem; this does not mean the residents living in the home have to remain in a bedroom where provisions have not been met to a good standard. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The records kept in the home do not demonstrate a robust recruitment procedure is followed. This may mean residents could be placed at risk. EVIDENCE: We looked at the rotas for four weeks; these showed us that all shifts were covered with adequate staffing levels. The training matrix was not available to see if all staff have had training in mandatory areas, such s first aid, fire, adult protection, manual handling, health and safety and was NVQ qualified. The manager said she would forward this information to the commission as she had deleted this information from the computer where it was held. There must be a back up copy on the premises to ensure the evidence can be produced in the event of an investigation. We looked at the recruitment records for staff, there are areas that need improvement, the files we looked at did not show us that staff completed induction as in line with skills for care. One staff commenced employment and although the manager said that the person was mentored, there were no records to show this. The manager was advised to keep all records about supervision up to date. The recruitment records showed us that an application form is completed, references are received, and POVA (Protection of Vulnerable Adult checks) and CRB (Criminal Records Checks) are completed. There are Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 21 gaps, in the recording of information that do not enable easy reading, to check if all the information required is available , such as induction records, gaps in employment history and staff having only one reference on file. There must be clear recruitment records to ensure people are protected against potential abuse. It is recommended the manager re looks at recruitment to ensure the files contain all the records required to ensure people are cared for safely. It is recommended when staff commences employment they have regular supervision until such time their probation period has been completed. At the time of writing the report the manager forwarded the training matrix to the commission and information about the person supervision that was not available during the visit. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst the home is ensuring that residents and relatives are happy with the service the delay in responding to some requirements and gaps in staff recruitment and training mean that resident’s welfare could be at risk. EVIDENCE: The manager and staff team have continued to improve the service the home provides there are some areas that need re addressing such as records being up to date with current information such as recruitment records, training records and supervision records. A Discussion with the manager and comments made from residents and staff showed us she is creating an open, positive atmosphere in the home and listens to the views of residents. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 23 Residents felt that their views were sought and they were being listened to. However there is no formal quality assurance process that includes information about seeking the views of residents, relatives and other professionals involved in the service provision. Care planning is now ensuring that the manager and staff can demonstrate continuing and ongoing development for each resident through reviews and an evaluation process. Health and safety management is satisfactory and there are systems in place for routinely checking maintenance of equipment and fire safety. This includes daily monitoring of fridge and freezer temperatures, monitoring hot water outlets and management of the risk of Legionella. All records seen relating to health and safety management and fire safety were up-to-date and in good order. All incidents and accidents that occur in the home are recorded and reported. The quality and content of reports includes actions that have taken place immediately after incidents to support people involved and information of who will be involved in reviewing care plans and there are strategies in place to manage risks. The home keeps a float of residents’ money on request to help with the payment of such items as hairdressing and chiropody. Two of the residents’ financial records and money held by the home were checked. The money counted matched the records that the home keeps. There is a record of outgoing and income with receipts obtained when the residents spend any of their personal money. Residents seen during the visit were well presented and the interaction with the manager and staff team was good. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 x 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 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 2 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 2 2 3 Ashleigh Court DS0000051010.V366593.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 OP18 Standard Regulation 18(1)(a) 13(4)(c ) Requirement Timescale for action 01/09/08 2 OP19 23(2)(b) 3 OP28 OP30 18(1) (c )(i) 4 OP29 19(4)(b) schedule 2 All staff must receive training in the protection of vulnerable adults. This will ensure the procedure s to follow in the event of an allegation being made ensures the person safety. The home must ensure repairs 01/09/08 are completed to an acceptable standard. This will mean people live in a comfortable environment at all times The manager must ensure there 01/09/08 is evidence that all staff are suitably qualified and receive training to the work they are to perform. This will ensure person is in safe and at all times. Recruitment records must demonstrate that the procedures 01/09/08 have been followed to ensure people safety, such as supervision, induction, and monitoring when staff commence with out a clear criminal record check. The supervision must show who will be supervising the person on a daily basis Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 26 5 OP36 18(2) 6 OP37 17(3)(a) All staff must be supervised regular to ensure their personal development and ensure their working practices are in accordance to policy’s and procedures. All records about the peoples living in the home, staff files and recruitment records must be kept up to date. This will ensure accurate information is available at all times. 01/09/08 01/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP19 OP3 Good Practice Recommendations It is strongly recommended that a ramp be installed in the garden area. The registered manager must ensure that prospective residents or their representatives receive written confirmation that the home can meet their needs. Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 27 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 © 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 Ashleigh Court DS0000051010.V366593.R01.S.doc Version 5.2 Page 28 - 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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