Inspection on 07/12/06 for Banbridge House

This inspection was carried out on 7th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Banbridge House 30/07/08

Banbridge House 13/09/07

Banbridge House 22/02/06

Banbridge House 27/09/05

Banbridge House 18/11/04

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 Banbridge House 3 The Esplanade Minehead Somerset TA24 5QS Lead Inspector Jane Poole Unannounced Inspection 7th December 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Banbridge House DS0000061623.V320872.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. Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Banbridge House Address 3 The Esplanade Minehead Somerset TA24 5QS 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) 01643 702275 01643 708551 Miss Tina Boswell Miss Tina Boswell Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the maximum number of 19 beds registered, up to three services users in the category of DE(E) may be admitted Up to two service users between the ages of 60 - 64 years to reside on a respite care basis. Date of last inspection Brief Description of the Service: Banbridge House is large detached property situated on the seafront at Minehead. There are sea views from communal rooms and some service users bedrooms. All areas of the home have been well maintained and furnished to a high standard. The home is within easy reach of the town centre, where there are all local amenities. The home is also within minutes of the West Somerset Railway. Banbridge House is registered with the Commission for Social Care Inspection to provide accommodation for up to nineteen people over the age of 65 years, who require assistance with personal care. This includes three people who require care due to a dementia. The home is also able to provide respite care to up to 2 people who are 60 or over. The home is not registered to provide nursing care. The registered provider is Tina Boswell, who is also the registered manager. Fees at the home range from £340.00 to £460.00 per week. Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector over a 5.5hour period. The inspector was given unrestricted access to all areas of the home and was able to speak with service users and staff and to observe care practices. All records requested were made available. Prior to the inspection 3 health and social care professionals and 6 service users completed questionnaires and some comments have been incorporated into this report. What the service does well: Banbridge House is located on the sea front in Minehead within easy distance of the towns main facilities. Many service users commented that the location of the home was very important to them. All areas of the home are well decorated and comfortably furnished. Communal rooms are accessible to service users with all levels of mobility. The home is well managed taking account of the views of staff and service users. Everyone spoken to felt that the management team was very approachable. Service users stated that staff always listened to them and acted on what was said to them. The routines in the home are flexible enabling people to choose how they spend their day. All prospective service users have their needs assessed before being offered a place at the home. Once people move to the home they are issued with a contract. Service users were very complimentary about the staff. Staff appeared well motivated and were able to demonstrate an excellent knowledge of the service users. The inspector observed that staff interacted well with service users and requests for assistance were responded to sensitively and promptly. Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 6 Service users asked stated that the best things about the home were; the staff, the food, the location and some of the activities. What has improved since the last inspection? What they could do better: 4 requirements and 2 recommendations have been made at this inspection. The inspector viewed a sample of service users bedrooms and noted bedrails were being used for one service user. The care plan in respect of this service was read and the inspector could find no rationale for the use of this equipment. Neither was there any indication that the use of bedrails had been discussed with, or agreed by, the service user. The home needs to be able to demonstrate a clear need for any specialist equipment used and show evidence that it is in line with the wishes of the service user. The bedrails themselves were poorly fitted posing a potential entrapment risk. There were no records that these rails were being regularly checked. The inspector was concerned that two members of staff were seen taking their break in a room belonging to a service user. No permission for this had been sought or given. This practice showed little respect for service users privacy, or their belongings, and must ceased immediately. To minimise the risks of abuse to service users all new staff need to be checked against the Protection Of Vulnerable Adults register before they commence work at the home. It is also recommended that the home review their bathroom provision to enable service users to bathe or shower close to their personal rooms. Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Banbridge House DS0000061623.V320872.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 Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective service users have their needs assessed before being offered a place at the home. Service users and prospective service users do not routinely receive a copy of the service user guide, although a copy is available in the home. Intermediate care is not available at the home. EVIDENCE: The home has produced a statement of purpose and a service user guide. The service user guide is not routinely given out to service users or their representatives but is available in the entrance hall. The service user guide is clearly written and is reflective of the facilities and services offered. However Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 10 because people did not have personal copies, when questioned at least three people were unsure about what was included in the weekly fee. This was discussed with one of the homes managers who agreed to ensure that all service users were given a personal copy of the guide. All service users have their needs assessed before being offered a place at the home. The manager sees and assesses all prospective service users if location makes it practical to do so. The inspector viewed a sample of personal files and noted that these contained assessments carried out by the homes manager, assessments carried out by professionals outside the home and hospital discharge summaries if relevant. All six service users who completed questionnaires prior to the inspection stated that they had received adequate information about the home before moving in. All said that they had received a contract. The inspector saw copies of contracts. One relative was spoken with during the inspection they stated that they had received a contract and were notified in writing if there was any change in the fees payable. (The terms and conditions clearly state that four weeks notice will be given of any change in fee.) Service users spoken to stated that either they or their representative had been able to visit the home prior to making a decision to make it their permanent residence. The home has produced a useful handout to assist people to make the right choice. This gives guidelines on what to look for in a home and questions that could be asked. The home is also in the process of developing a brochure that can be given to prospective service users. Banbridge House DS0000061623.V320872.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 & 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have access to appropriate healthcare professionals in line with their individual needs. The home follows appropriate procedures in the administration of medication. Some staff were observed to be showing little respect for a service users private area or their views. EVIDENCE: The inspector viewed three care plans in detail. Information given was basic relating mainly to physical needs. There was some documentation in respect of social history but this was not comprehensive. However it was apparent that because of the size and nature of the home of the home, staff were very aware of service users likes, dislikes and social histories. Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 12 Bedrails were being used for one service user, there was no mention or rationale for this in the care plan. The bedrails were poorly fitted. No one was clear why these were being used and as there appeared to be no documentation relating to it, these were removed before the end of the inspection. All service users are registered with local GPs and other healthcare professionals in line with their individual needs. 3 health and social care professionals completed comment cards prior to the inspection. All answered YES to the question “if you give any specialist advice is this incorporated into the care plan?” All stated that they were satisfied with the overall care provided to service users in the home. 5 (83 ) of the 6 service users who completed questionnaires prior to the inspection answered ALWAYS to the question “Do you receive the medical support you need?” There is a good sized treatment room in the home where service users are able to meet with healthcare professionals if they do not wish to see visitors in their room. Service users spoken to during the inspection stated that they were comfortable with the staff who assisted them with personal care and felt that their privacy and dignity was respected. The inspector observed that staff spoke to service users in a kindly respectful manner and were discreet when assisting people. However the inspector also observed two members of staff using a service users room to take their tea break in. When questioned about this practice it was evident that no permission had been sought or given for this. The home uses a Monitored Dosage System for medication. There is appropriate storage facilities and evidence that staff who administer medication have received specific training. The inspector viewed the Medication Administration Records and found them to be reasonably maintained. All medication was correctly signed when entering the home to ensure an audit trail. Some minor errors such as gaps in signing were noted and discussed during the inspection. Banbridge House DS0000061623.V320872.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. Service users are able to choose how they spend their day and there are organised activities for those who wish to join in. The quality of food in the home is good and service users were happy with the portion sizes. Visitors are always made welcome. EVIDENCE: Routines in the home are flexible. There are no set times to get up or go to bed and people are free to choose how they spend their day. There are organised activities in the home that people are able to join in with if they wish to. All service users who completed comment cards prior to the inspection answered ALWAYS or USUALLY to the question “Are there activities that you can take part in?” Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 14 People spoken to during the inspection stated that there is a wide range of activities including quizzes, bingo, arts and crafts and trips out. The manager on duty stated that during the summer the home increases the staffing levels to facilitate extra trips out for service users. One service user stated that they had recently enjoyed making Christmas cards and another said that they had been out into town to shop. Communion is held regularly in the home hosted by the local clergy. Currently no one living at the home attends church but staff gave assurances that this would be arranged if requested by any service user. A hairdresser visits the home regularly which many people stated was very handy. There are various photos in the home of social events that have been hosted and trips that service users have been on. Service users stated that they did not have to join in with activities and some people spoken to during the inspection stated that they preferred to spend time in their rooms. On the day of the inspection one person was enjoying a long lie in, some people were in their rooms occupying themselves whilst others were enjoying company in the communal areas. Visitors are welcome in the home at all reasonable times. One visitor spoken with stated that they were always made welcome. Service users stated that they often enjoyed going out with friends and family and always felt able to invite people to the home. Menus in the home are flexible. The weeks menu is displayed by the dining room and there is always an alternative to the main dish. Service users also stated that they were able to make special requests and these were usually accommodated. The inspector observed people being offered choices about what they wished to eat that day. Everyone asked said that the quality of food was very good and that portions were adequate. The inspector observed the main meal of the day and it appeared nutritious and appetising. The dining room is well decorated and furnished. People were comfortably seated and were able to enjoy their meal in a relaxed manner. Some service users choose to eat in their rooms and trays were taken to these people. Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 15 A sample of personal rooms was viewed and the majority had been personalised with service users own belongings giving them a homely feel. Banbridge House DS0000061623.V320872.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. Service users are able to raise concerns or complaints with staff. The recruitment procedures in the home could be improved to further minimise the risk of abuse to service users. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. The complaints procedure is clearly displayed in the entrance hall and is also outlined in the service user guide. All service users stated that they would be comfortable to approach one of the managers or a member staff if there was anything that they were not happy with. All 6 service users who completed questionnaires prior to the inspection answered YES to the question “do staff listen and act on what you say?” Service users were seen to move freely around the home and had unrestricted access to their personal rooms and all communal areas. Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 17 The whistle blowing policy is given to all staff during their induction period Staff spoken to were aware of the ability to take serious concerns outside the home. Some staff stated that they had received training on issues of abuse as part of their National Vocational Qualification training. Staff recruitment files for the three most recently employed members of staff were seen by the inspector. Criminal Records Bureau checks are applied for when people commence work but in two of the three files it was clear that staff had not been checked against the Protection Of Vulnerable Adults register before starting work. Banbridge House DS0000061623.V320872.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, 20, 21, 22, 24, 25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Banbridge house provides a comfortable, homely environment for service users. The home is ideally located. EVIDENCE: The home is located on the sea front at Minehead. It is close to all local facilities and amenities including the main shopping area of the town. Many service users stated that the location of the home had been a major factor when deciding to move in. Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 19 All areas of the home are fitted with a call bell and fire detection system. Since the last inspection the fire detection system have been reviewed and door closures that react with the system have been fitted to communal rooms. Service user accommodation is set over three floors with a passenger lift giving access to all floors. All communal seating areas are on the ground floor. There is a large lounge and a dining room at the front of the house with views of the sea. At the rear of the property there is a conservatory, which opens onto a pleasant garden. Communal areas are pleasantly furnished and domestic in style. There are three bathrooms and one shower room for communal use. The bathrooms on the ground and first floor are not used as the baths are not appropriate to meet the needs of the service user group. This means that anyone wishing to have a bath needs to go to the second floor and anyone wishing to have a shower can only do so on the first floor. Some rooms have en suite facilities that include a bath or shower but again these have not been adapted to meet the needs of the service users. Service users bedrooms are pleasantly furnished and decorated and all service users stated that they were very happy with their personal rooms. All areas of the home were clean and warm on the day of the inspection. Upstairs windows have been restricted to prevent the risk of falling whilst still allowing natural ventilation. All radiators have been guarded to minimise the risks of scolding. The laundry is located at the rear of the property and is appropriate to the needs of the current service user group. Banbridge House DS0000061623.V320872.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 good. This judgement has been made using available evidence including a visit to this service. Staff are well motivated and competent in their roles. Staff receive the training required to meet the needs of service users. EVIDENCE: The home employs 14 care staff and 4 ancillary staff. 8 members of the care staff team (57 ) have a National Vocational Qualification (NVQ) in care at level 2 or above. (Figures taken from pre Inspection questionnaire.) Staff spoken to stated that they all had opportunities to undertake NVQ training. All were pleased with the training in the home and felt that it enabled them to meet the needs of service users. The home is registered to accommodate up to 3 people who require care due to a dementia. Staff stated that the registered manager is arranging training in the care of people who have a dementia. Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 21 Copies of staff rotas were given to inspector these show that there are usually four carers on duty in the morning and three in the afternoon. The managers’ and all ancillary hours are in addition to this. Overnight there is one waking night staff and one person sleeping in to provide additional support in an emergency. Staff and service users felt that the home was adequately staffed. The inspector observed that staff had time to interact with service users and all requests for assistance, including call bells, were responded to very promptly. The staff team on duty were very confident and happy in their roles. Staff stated that there was good communication in the home, which led to a stable contented team. Service users were very complimentary about the staffing. Words used to describe the staff included “lovely”, “patient” and “kind”. As previously mentioned staff recruitment files for the three most recently employed members of staff were seen by the inspector. Criminal Records Bureau checks are applied for when people commence work but in two of the three files it was clear that staff had not been checked against the Protection Of Vulnerable Adults register before starting work. Banbridge House DS0000061623.V320872.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, 32, 33, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is effectively managed taking into account the views of staff and service users. Appropriate measures are in place to ensure the health and safety of service users. EVIDENCE: The registered manager and provider is Tina Boswell. She is a qualified nurse and has many years experience of working with older people, she is currently studying for the Registered Managers Award (NVQ level 4.) Tina has managed Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 23 Banbridge House for approximately 12 years. She was not at the home at the time of the inspection but was able to speak with the inspector by phone. The deputy manager was available throughout the inspection. All staff described the management team as very open and approachable. The registered manager works alongside care staff offering ongoing guidance and support. There are regular staff meetings and staff felt that there were ample opportunities to express their views and make suggestions. There are also service user meetings and quality assurance questionnaires are sent out regularly to service users and their families. The manager does not act as a financial appointee or power of attorney for anyone living at the home but small amounts of money are kept for some service users. Records are kept of all service users monies. On the day of the inspection monies held correlated with records kept. Reasonable steps have been taken to ensure the health and safety of service users and staff. All areas are well maintained. A 5 year certificate in respect of the electrical hardwiring was issued on the 13/07/04. A landlords’ gas safety certificate was issued on the 17/02/06. All portable electrical appliances have been tested within the last 12 months. All hoists and the assisted bath are serviced every six months. (Last serviced 31/07/06) All accidents are recorded giving details of the accident and the outcome/treatment. A fire log is maintained which shows that the detection system is regularly serviced by outside contractors and tested by the home. Alarms are tested weekly and emergency lighting is tested monthly. There are regular fire drills and all staff received training in fire safety in August of this year, or within a week of commencing work. Up to date certificates of registration and insurance are displayed. Banbridge House DS0000061623.V320872.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 2 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 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 3 3 2 2 x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 x x 3 Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP10 Regulation 12 (4) [a] Requirement The manager must ensure that service users and their belongings are treated with respect at all times. The manager must ensure that care plans are fully reflective of the service users needs, including specialist equipment to be used. All new staff must be checked against the Protection Of Vulnerable Adults (POVA) register BEFORE commencing work at the home. The manager must ensure that bedrails are fitted only with the agreement of the service user and in line with the manufacturers instructions. Once fitted they must be regularly checked to ensure ongoing safety. Timescale for action 07/12/06 2 OP7 15 (1) (2) 28/02/07 3 OP18 OP29 19 (1) [b] [I] 07/12/06 4 OP38 12 (3) 13 (4) 07/12/06 Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 26 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 OP1 OP21 OP22 Good Practice Recommendations All service users should be given a copy of the service user guide. The manager should ensure that all bathrooms in the house are appropriate to meet the needs of service users. Banbridge House DS0000061623.V320872.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Banbridge House DS0000061623.V320872.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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