Inspection on 29/04/08 for Bank Close House

This inspection was carried out on 29th April 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bank Close House 15/05/07

Bank Close House 13/11/06

Bank Close House 06/10/05

Bank Close House 04/05/05

Bank Close House 02/12/04

Bank Close House 28/07/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Bank Close House Hasland Road Hasland Chesterfield Derbyshire S41 0RZ Lead Inspector Brian Marks Unannounced Inspection 29th April 2008 09:00 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 Bank Close House DS0000019932.V363474.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. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bank Close House Address Hasland Road Hasland Chesterfield Derbyshire S41 0RZ 01246 208833 01246 208833 pat@bankclosehouse.totalserve.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Vital Balance Ltd Vacant Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th May 2007 Brief Description of the Service: Bank Close House is a large converted Georgian building situated close to the town centre of Chesterfield. The home is registered to provide personal care for up to twenty seven residents in accommodation spread over two floors and includes three double rooms. The care home is a listed building with many of the original features retained and is set in extensive grounds, with a walled garden area accessible to residents. Several communal lounge areas are located on the ground floor and these include a conservatory. There are bathroom and toilet facilities on both floors with a stair lift and passenger lift allowing easy access between floors, and a resident call system throughout the building. Information about the service is provided in the Statement of Purpose and Service User Guide; the former is available upon request and people are given a copy of the latter when they move into the home. The fees for the home range from £336.00 to £507.00 as provided on the day of the inspection. Bank Close House DS0000019932.V363474.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. This was a Key unannounced inspection that took place at the home for eight hours in one day. Additionally, time was spent in preparation for the visit, looking at key documents such as previous inspection reports, records held by us and the written annual quality assurance assessment document (AQAA), which was returned before the inspection. This allowed for the preparation of a structured plan for the inspection. At the home, apart from examining documents, care files and records, time was spent with the acting manager of the home, who was in charge during the visit, and talking with the area manager for company that owns the home and the home’s proprietor. Additionally all of the staff working on the day shifts were spoken to individually. The care records of three people who live at the home were examined in detail but they could not be interviewed directly. However a relative of one of these was able to speak on her behalf along with a good number of the others. A number of survey forms were sent out to the home’s staff, its’ residents and their families before the inspection but none of these were returned before the inspection. No other inspection visits have been made to the home since the last Key unannounced inspection 15 May 2007. What the service does well: Bank Close House provides a comfortable, relaxed environment for the people who live there, and people are encouraged to personalise their rooms with their own possessions and furniture. Residents’ social and recreational needs are addressed by staff, and people living at the home are encouraged to join in; the importance of maintaining links with family, friends and the community is also recognised and supported. Residents are positive about the meals provided at the home, and they stated that they were provided with choice and variety. Similarly all of the residents spoken to were positive about the standards of cleanliness and hygiene around the home and about the care given by staff. The staff group has good morale and are committed to giving a good standard of care. Comments made by residents during the visit included: “It’s a home from home”. “I brought my own furniture into my room and I’ve even got my cat with me”. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 6 “If there are any problems the staff get them sorted”. “They made arrangements for me to bring my piano with me and I play it whenever I can; the others join in with a sing-song in the afternoons”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Not everybody coming to live at the home has their care needs identified, and little information is obtained about their social world; this would help the home’s staff to support and view them more as individuals. EVIDENCE: From discussion with the people living at the home, they said that were given enough information about the home to help them decide about its suitability and the AQAA indicated that the Statement of Purpose and Service Users Guide had been updated since the last inspection. Some people had visited with their relatives and others had lived locally and knew about it by reputation. Others had used periods of respite stay to help them overcome their anxieties about a permanent move and said that they ‘had settled well’ or ‘had been helped by staff to adapt to a new life’ Although the Service Users Guide describes how assessments are made of the help needed by people coming to live at the home, only two of the files looked at contained any material of this kind. They were linked to the planned actions Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 9 that staff need to take to support people with a range of needs and also to specific areas of risk that had been identified (see next section). There was little information on the records looked at that described people’s past history, and little that described their strengths or achievements. The area manager showed us examples of the new care records that had been planned for introduction for some time but constraints on management time had got in the way of its implementation. The home does not offer an intermediate care service so Standard 6 does not apply. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care arrangements are planned and generally delivered safely and consistently, but not always in ways that respect each resident’s individuality. EVIDENCE: All residents have their own file containing care records and three of these were looked at in detail during this inspection. The care plans in place focus on the specific areas where each individual needs help, and for most of the people living at the home these describe how they need help with personal care. Some people need limited help with healthcare needs and these are also described. However one of the care files looked at contained no information about how care is to be provided, and there was no evidence to indicate that any of them had been subject to regular evaluation or review, updated and where necessary and involving the resident or any of their representatives. There was some evidence that areas of hazard and risk had been assessed such as with mobility difficulties or falls, but this had not been carried out in a systematic or routine way and where assessments had been made they also had not been subject to regular evaluation or review. Whilst the AQAA and training records indicate that staff had been suitably trained in safe handling Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 11 techniques, from the observation of work taking place staff in the communal areas unsafe practice with people who have mobility problems occurred and the use of equipment to help was limited. Visits by General Practitioners, chiropodists. opticians and other healthcare professionals are recorded and people spoken to confirmed that they see them as they require, and are helped with appointments at clinics and hospital. Because little information is gathered that relates to people’s abilities and their social world the style of the care plans looked at was ‘problem based’ and not ‘person centred’ or individualised. However all of the people spoken to were satisfied with the standard of care provided by staff and were keen to praise the work of the care team. ‘They treat me like a human being’ and they ‘make it feel like a home from home’. A relative spoken to described how her mother had become more settled emotionally since coming to the home and how staff had worked hard to overcome her communication and memory difficulties. Staff were observed throughout the inspection dealing with the residents in warm and friendly ways and generally helped the people with higher dependency with patience and respect for privacy and dignity. Residents do not look after their own medication so the administration record (MAR) charts for three residents were examined. The systems for storage, recording and administration of medicines on their behalf were satisfactory at the time of this visit. Additionally it was noted that handwritten sheets were properly signed and dated, there were no controlled drugs being used at the home but the storage arrangements are satisfactory and medicines with short life spans such as eye drops were labelled with date of opening and stored appropriately. The acting manager has also carried out a programme of assessing the competence of the staff approved for administering medicines. These were issues raised at the last inspection. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Opportunities for people living at the home to engage in leisure and social activities are organised, and they enjoy a life that suits them. EVIDENCE: The discussions held with people living at the home indicated that they enjoyed their lives there and that there were activities organised for them that kept them active and involved. There is a monthly programme on display and people described regular visitors who provided exercise groups, craft and art, music and Ti-chi as well some professional entertainers. The home’s staff help with the regular bingo session and the acting manager is a qualified hairdresser. Outings were arranged throughout last year and a number talked about going out to social clubs, a day centre and with their relatives to visit families. The annual Summer Fair was described as ‘a very lively day’ and one person told how arrangements had been made to bring her piano into the home, and how she and another resident play for the others in the afternoons. We listened to this during the afternoon of the visit. One resident talked about working in the garden and how they helped with looking after the flowers. They also talked about visits by people from their local church to give communion. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 13 A brief visit to the kitchen indicated that purchasing, storage, stock managing and cooking arrangements in the kitchen are satisfactory, and a 4-week menu is in place, with the daily options on display in the dining room. The people spoken to were very positive about the variety and quality of the food at the home: ‘The meals are just how I like them’ ‘The food is very nice and I everything that is put in front of me. There’s always a choice’ A hot option is available for breakfast and afternoon tea and a suppertime snack is provided for those that want it. The serving of the midday meal was observed and those residents’ requiring help with eating were assisted by staff in a sensitive manner and the people needing special diets are catered for. Information provided in the AQAA indicated that changes had been made to the food served at the home after consulting with the people living there. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home responds to complaints according to a written procedure, and aims to safeguard from harm the vulnerable people in their care, but the knowledge of staff regarding the latter may not be up to date and they may not act in everybody’s best interests. EVIDENCE: Feedback from people living at the home confirmed that they knew who to contact if they had any problems and that they were confident that they would be listened to and that ‘things would be sorted out’. A copy of the complaint procedure was on display in the foyer and included in all of the required information. The information in the AQAA received before the inspection from the proprietor indicated that the policies and procedures had been updated since the last inspection and that four complaints had been received and dealt with during the past year. However, there was nothing to indicate this, recorded in the complaints book. We received one expression of concern before the inspection about the quality of decoration in communal and private areas – see next section for recent improvements made in this area. Staff had access to safeguarding procedures, which links in with the Local Multi-agency Statutory Procedure. All of the staff who were interviewed were aware of the response they should make if they suspected abuse and one, who had been involved in such a situation took the view that ‘ if you don’t report things then you’re as bad as them’. The acting manager said that staff would be exposed to training as part of the National Vocational Qualification (NVQ) Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 15 but the home had not followed this up as a refresher or for staff not involved with this. There had not been any safeguarding incidents since the last inspection visit. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable environment that has continued to be improved and standards of cleanliness and hygiene are satisfactory. EVIDENCE: A tour of the building was undertaken with the proprietor and we identified improvements that had been made since the last inspection, which had also been identified in the AQAA received before the inspection: New carpets had been fitted in the dining room, conservatory and one of the lounges. New furniture had been provided in the dining room, the ‘left’ lounge and some of the bedrooms. A number of bedrooms had been redecorated. All bedroom doors had been fitted with locks. All pipe work had been boxed in. A stair lift had been fitted to stairs used by residents not accessible by the main lift. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 17 A new shower room had been created in the stable block. The ‘right’ lounge was being redecorated during the inspection. A number of ongoing shortfalls were also identified during this tour, including decoration deficiencies in two bedrooms and the carpets in the hallway and stairs, which were identified for urgent attention. The proprietor described a planned programme of investment in the fabric of the home and his intention to refurbish every bedroom to the some standard. A timescale for this programme has not been given to the Commission. A recent visit by the Fire Officer had identified everything related to fire safety to be satisfactory and there has been no further visit by the Environmental Health Officer since the last inspection. Residents and relatives spoken to expressed high levels of satisfaction with their rooms and the standards of cleanliness of the home generally, and a number described how arrangements had been made to bring their own furniture when they came to live at the home. The laundry area continues to be under review as it is located in a small area that is not suitable for this facility. The proprietor stated that he is still in the process of drawing up plans and considering varying options for its relocation. On the day of the inspection the home was clean, tidy and free from odours and all residents observed in the home wore clean and well-presented clothing. The garden areas are well maintained and established providing a large area for the residents to access. Garden furniture and gazebos are available. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides an adequate level of staffing which generally supports a safe environment in which people live, and the home’s recruitment practices ensure residents’ welfare is safeguarded. EVIDENCE: The area manager identified how staffing numbers had improved since the last inspection and that two care staff had recently been appointed to complete these; one of these had subsequently failed to turn up. Agency staff have rarely been used in recent months. Examination of staff recruitment files indicated that this was carried out properly with the right checks being made before staff start work. The newly appointed member of staff reported that she is working in the kitchen under supervision until all her checks are completed. The staffing roster for the current week indicated staffing levels in line with minimum standards and most residents spoken to felt that most of the time there were sufficient staff available to meet their care needs: ‘Staff are generally available, there is always someone when you want them’. ‘All the things I need help with I get; staff respond well’. However, a relative spoken to was less positive about staff support stating that ‘there are times when there are not enough and that affects everything, particularly the regularity of bathing’. Additionally two residents who have mobility problems said that if they wanted to go to their rooms from the lounge Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 19 areas and staff were too busy then they would have to ‘stay put’. The care staff spoken to also said that there were regular times when they were very busy but that ‘everything works well when everybody is on duty, we’re well organised and know how to get the work done’. They reported that morale at the home is good and described a high level of commitment ‘to doing the best job we can to ensure that the people living here are properly cared for’. Good achievements have been made in helping staff gain a care qualification and most have competed, or are completing, the National Vocational Qualification (NVQ) level 2, and others have progressed to level 3. This is well in excess of the national target and is to be commended. The AQAA indicated that whilst progress with NVQ has been a training priority at the home, other key health and safety subjects have also been covered with the help of line managers and outside providers, and records indicated satisfactory achievement in this area as well as some staff being provided with awareness training in the care of people with dementia. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although people at the home expressed general satisfaction with there lives there, it is still without a Registered Manager and there have been failures in meeting the overall quality standards that people can expect to be provided. EVIDENCE: Arrangements for the management of the home have not changed since the last inspection and the current manager’s acting position remains. No indication has been received from the company’s management how they are actively planning to recruit and support an application to register a new manager. Management support has been available from the area manager and the proprietor is regularly at the home. He was there on the day of the inspection and, with the rearrangements of the company’s holdings, is now based there. The acting manager described herself as very ‘hands-on’ – she was substitute for the absent cook on the day of the inspection – and she has Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 21 little additional (supernumerary) time to carry out administrative and managerial duties. One of the areas that was agreed had been allowed to slip since the last inspection is the formal supervision of and 1-to-1 meetings with staff, which have been irregular; records indicated that all staff had this up to November 2007 but only a small minority have had any since. Although one of the proprietors is regularly present in the home, there was no evidence that checks had been made to examine the standards of the home’s services through routine sampling of the opinions of residents, relatives and staff. The AQAA indicated that this is planned for the next twelve months. Written reports of regular visits required by law were present for 2007 but not for recent months and an action plan for the continued development of the home has not been prepared. The systems for the safe keeping of residents’ personal spending money have been in place for some time and these remain unchanged from the last inspection. Information received before the inspection indicated that servicing of equipment and maintenance of safety standards at the home were satisfactory and an examination of records and observations around the building further supported this. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 2 Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15 (1) Requirement Timescale for action 30/10/08 2. OP16 22 3. OP18 13(6) All people living at the home must have a plan of care available for staff to use that identifies how they are to support people to live their lives to their full potential in safe and consistent ways. These must be developed with the resident or their representative and evaluated regularly so that staff are working with up-to-date information. The transfer of all care planning information to the new format/files will make the delivery of planned care a more effective and person centred activity. (Previous timescale of 01/09/07 not met) All complaints must be 31/07/08 responded to in accordance with the complaints procedure, and records completed detailing the investigation undertaken and the outcome of this complaint. (Previous timescale of 01/08/07 not met) All staff working at the home 31/08/08 must receive training /instruction in their responsibilities for DS0000019932.V363474.R01.S.doc Version 5.2 Bank Close House Page 24 4. OP31 8, 9 5. OP33 24 (1)(2) 26 (1-5) safeguarding the vulnerable in their car, so that they are able to respond to suspicions in a professional and effective way. The people responsible for the 31/08/08 running of the home must appoint a permanent manager and that person must apply to register with the CSCI in order to comply with the law and to demonstrate professional leadership. (Previous timescale of 01/09/07 not met) The people responsible for the 31/10/08 running of the home must be routinely responsible for making sure that the views of people living and working there are given voice, so that their opinions can properly influence how it runs. This is to ensure that the home is run in the residents’ best interests and is focussed on their strengths and needs. Additionally the named person responsible for the home must carry out their legal responsibilities to visit, inspect and report on the home’s operation and must do this every month. 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 OP10 Good Practice Recommendations Discussions should be held with the individuals who share a room, to ascertain if they would a like a curtain to be installed so that they have privacy when undertaking DS0000019932.V363474.R01.S.doc Version 5.2 Page 25 Bank Close House 2. 3. 4. OP27 OP30 OP36 personal care tasks. The staffing levels should be reviewed based on the current dependency of the residents. All staff should access training in Dementia care to assist them in their role. Staff supervision should take place every two months and include career development needs, and philosophy of care in the home. Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Bank Close House DS0000019932.V363474.R01.S.doc Version 5.2 Page 27 - 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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