Inspection on 05/10/05 for Barnfield Manor Care Home

This inspection was carried out on 5th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Barnfield Manor Care Home 28/07/09

Barnfield Manor Care Home 07/05/09

Barnfield Manor Care Home 03/06/08

Barnfield Manor Care Home 14/11/07

Barnfield Manor Care Home 09/01/07

Barnfield Manor Care Home 06/09/06

Barnfield Manor Care Home 09/05/06

Barnfield Manor Care Home 22/02/06

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

CARE HOMES FOR OLDER PEOPLE Manor (DE), The Barnfield Close / Off Heath Road Holmewood Chesterfield Derbyshire S42 5RH Lead Inspector Sue Richards Unannounced Inspection 5th October 2005 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 Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 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. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Manor (DE), The Address Barnfield Close / Off Heath Road Holmewood Chesterfield Derbyshire S42 5RH 01246 855899 01246 852953 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) Hallmark Healthcare (Holmewood) Ltd Mrs Anne Marie Gaunt Care Home 39 Category(ies) of Dementia (39) registration, with number of places Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registration is to be phased – Units 1 and 2 (up to 26 service users) is currently agreed. Accommodation of service users in Unit 3 (14 service users) must be formerly agreed by the Commission prior to use subject to achievement of identified works/upgrading to that area of the building. Achievement of an identified and agreed schedule of upgrading, repair and renewal to the building, including fire officers requirements (within given timescale). Timescale: 6 months. Care staff must undertake recognized dementia care training within agreed timescale: 3 months. 23rd February 2005 2. 3. Date of last inspection Brief Description of the Service: The Manor (DE) provides personal care and support for up to 40 older persons with dementia. It is located on the site of The Manor Care Complex, having a sister home with a separate registration on the same site (providing personal care only for older persons). Since the previous inspection of this service there has been a change of ownership to Hallmark Healthcare Limited (Holmewood), whose registration was approved by the Commission in May 2005. Since approval there has been a further change of responsible individual for the company from Mr Leslie Chaplin to Mr Ram Goyal. The home comprises three separate areas of accommodation for service users, each having its own dedicated facilities, including lounge/dining rooms, bathrooms and toilets. Adequate car parking is provided, together with accessible and secure dedicated garden areas. There is a separate single storey building located within the grounds, which provides a central laundry and staff facilities. The home is located in the village of Holmewood, close to shops, a post office and local amenities. It is on a direct bus route to Chesterfield and within a short distance of Junction 29 of the M1 motorway. The home requires a significant level of upgrading, repair and renewal, including adaptations to the environment to ensure it is sympathetic to the needs of persons with dementia. There is a passenger lift and emergency call system provided, together with handrails to corridors and grab rails to toilets. Bedrooms provide a majority of single room accommodation, many having en suite facility. There is an agreed programme of works, compliance with which is a condition of the home’s registration. Care staffing is organised by way of dedicated teams to each area of the home. There is a Registered Manager and hotel services are centralised. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 5 This inspection is the first inspection for the current provider. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Although the home has been registered for a number of years, there has been a change of registered provider since the previous inspection. This is therefore the first inspection of the service as registered to Hallmark Healthcare Limited. What the service does well: What has improved since the last inspection? What they could do better: Staff should receive proper training in relation to the introduction of the revised care needs assessment and care planning documentation to ensure the efficacy of this. The environment of the home is tired and worn and considerable upgrading and renewal is required by way of an extensive programme. The completion of this within 6 months of registration (by November 2005) is a condition of the home’s registration. There has been no progress in this area at all. It is essential that effective management systems, are operated to ensure that staff receive the necessary training and support they require on a consistent basis to enable them to fully meet the needs of service users accommodated. The organisation of and access to appropriate activities for service users, accounting for their dementia care needs requires considerable development. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 7 The variety of food provided for service users could be improved. A more consistent management approach is need in relation to records and record keeping (organisation and standards of). 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. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 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 Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 & 5 The revised needs assessment format, being introduced for each service user is comprehensive and based on a recognised care model and practises, which are appropriate to the client group accommodated. However, without proper staff training and instruction its efficacy will be compromised. EVIDENCE: The Inspector was unable to engage in meaningful discussions with service users as to the care and services they receive due to the given mental capacities. There were no visitors present at the time of the inspection. The Inspector examined the care records of two service users, spoke with the manager and staff about the care of those and other service users and inspected their private and communal environment. A revised standardised format for service users records was in the process of being introduced. This included a comprehensive approach to the documentation of individual needs assessment information, based on a recognised care model and within a framework of risk assessment. Copies of the single assessment and care plan were provided by way of care Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 10 management arrangements for both service users who were funded via local authority arrangements. Individual daily living plans were also included in the revised format, together with records relating to consultation and consent to care plans, individual capacities to do so and the involvement and interests of families/representatives. The Manager had recently begun to transfer service users needs assessment information onto the new format systematically for each service user. For one of the service users case tracked this had been completed and for the other, this was partly completed. The Manager advised of the intention for key care staff to be responsible for service users records. The Inspector discussed the implications for staff training in respect of this with the Manager, who also had not undertaken any related training. One of the service users accommodated was of German origin. Although this person spoke English, the debilitating nature of their dementia had resulted in them referring back to speaking German more frequently as opposed to English. This in turn caused some communication difficulties. There was no reference to this problem within the individual’s needs assessment information or care plan (see also Section 2 of this report – Health and Personal Care in relation to medicines). Further reference is made here to Section 3 - Daily Life and Social Activities, Section 5 – Environment and Section 6 – Staffing sections of this report in respect of the home’s ability to meet service users needs. There was an admissions policy in place for the home, including that relating to emergency admission and individual terms and conditions were provided between the home and those service users who were case tracked. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. The introduction of the revised format for the recording of individual care plans will support the delivery of care to service users, which is based in accordance with recognised guidance for those service users with dementia. However, in practise, the efficacy of this may be undermined if it is introduced without proper instruction and training for care staff in relation to the identified assessment and care planning process and the theories underpinning these. The upgrading of the care planning system should be carried out in a timely manner to avoid omissions of review. A number of deficits were found regarding staffs’ practises in relation to the management and administration of medicines. EVIDENCE: The comments made under Section 1 in relation the introduction of a new format for the purposes of individual needs assessment and care planning documentation apply here, in respect of the need for staff training. The Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 12 revised format includes a comprehensive approach to care planning, within a recognised framework of risk assessment and management, covering all aspects of personal and health care. However, given the enormity of the task for the manager to transfer all service users care information onto this format, there were consistent areas of omission noted in relation to the review and updating of service users care plans in accordance with changes in their assessed needs. The format includes a record of the capacity and involvement of service users in their care plans or their representative. However, these had not been completed at this early stage of transfer. Details of inputs from outside health care professionals were recorded, including that relating to GP visits and also for the purposes of routine health care screening and treatment. The arrangements for the administration of medicines for the service users case tracked were examined. There were no photographs of the service users for the purposes of their identification (see also Management Section 7 of this report). Occasional gaps in recording were found on the medicines administration record (MAR) sheets. One of the service users was prescribed medication to be administered ‘as required.’ However, there were no care planning instructions detailing as to what point this should be administered or why. Another service user had two medicines to be routinely administered at night. Their medicines administration record (MAR) sheets consistently recorded that these were not administered for a considerable time. However the reason for this was not recorded in the service users daily evaluation of care record. The manager advised that the reason for this was that the individual was having difficulty in swallowing the prescribed medication, which was provided in tablet form (although can be obtained on prescription from the GP in syrup form). Their individual care needs assessment information in relation to their medicines had not been reviewed in relation to this and also in relation to other changes in medicines prescribed. There was no record of any consultation with the service users GP in respect of this. Details of staff training in relation to medicines management and administration were provided. The revised needs assessment and care planning format included a standardised record as to service users preferred lifestyle preferences and likes and dislikes. Information provided here was variable. The manager advised that the collation of this information was largely based on contacts with families and significant others/representatives of the service user. The Inspector discussed with the manager potential care methods used in terms of interacting and communicating with service users as linked to the assessment of their needs in relation to ascertaining lifestyle preferences and likes and dislikes and sensory care associated with dementia. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Steps had been taken to ensure that dedicated staff time is to be provided for the organisation and delivery of activities for service users. However, methods for the determination of individual activities and key provisions were not clarified. Service users were properly supported and assisted during lunch, which was well presented. Menus however, are repetitive, lack variety and do not include any fresh fruit. EVIDENCE: The care records of service uses were examined in relation to their social needs, their capacities and choices and meal and mealtimes. Discussions were also held with the manager and staff in relation to these areas. The Inspector visited the kitchen, when lunch was being prepared, examined menus and food supplies and observed lunches being served to service users. This was carried out in a calm and unhurried manner and service users were given the supported they needed. However, the food served was not as detailed on the menu provided. The Inspector was unable to discuss these issues with service users due to their mental capacities. There was little recorded in service users care records in relation to activities and occupation, with the exception of the regular provision of chair based Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 14 activities from an outside organisation and also an entertainer/singer on a monthly basis. Discussions with the manager and staff confirmed that the development of meaningful activities for each service user, (occupational, recreational and therapeutic) was a key area of identified need, particularly in terms clear determination of individual needs and regular access to outside and the local community. The manager advised that the employment of an activities person had been recently secured, to provide a total of 10 hours per week (2 hrs per afternoon Monday to Friday). It was not clear as to the intended provision and organisation of activities, or as to how these would be determined for each service user. The Manager advised that there were no service users accommodated who had the capacity to handle their own finances. The arrangements for advocacy and representation in respect of this were examined, including related policies and procedure for the home, which were satisfactory. Comments made under Section 2 – Health and personal care – regarding choice also apply here. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 There were proper arrangements in place to enable complaints about the service to be made and investigated and to ensure that service users were protected from abuse. However, the home’s procedures in relation to the protection of vulnerable adults, was inaccurate in terms of the required notification of other agencies/authorities. EVIDENCE: There is a complaints procedure for the home, which was openly displayed and contained all required information. There is also a recognised system in place for the reporting and recording of complaints, including action taken and outcomes. There have been no complaints recorded since the registration of the current provider. The policy guidance kept in the home in relation to the protection of vulnerable adults and abuse was examined, together with the arrangements for staff training in respect of this. Discussions were held with the manager and staff in respect of responding to any allegation or suspicion of the abuse of any service user. The home’s internal policy was inaccurate in terms of relevant parties/authorities to be informed in the event of any allegation of abuse. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26. There has been no work undertaken in respect of the programme of upgrading, repair and renewal of the home in accordance with the stated Condition 2 of registration. EVIDENCE: It is a condition of the home’s registration for Hallmark Healthcare Limited to comply with the achievement of an identified and agreed schedule works for the upgrading, repair and renewal of the home to be completed within 6 months of registration – by November 2005. (This includes the fire officers requirements as made and set out in the letter of his visit to the premises under the previous owners carried out in March 2005 – a copy of which has been previously provided for and agreed in writing by Hallmark Healthcare Limited). A full tour of the building was undertaken during this inspection, with all service users communal areas inspected and service areas and individual bedrooms sampled. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 17 There has been no progress with the agreed programme of upgrading, repair and renewal and full compliance with the Fire Officer’s recommendations have not been achieved. Serious concerns have been raised separately in writing with the responsible individual in respect to the non-compliance with the Fire Officers recommendations, detailing action required. There was a strong odour of stale urine in many areas of the home, carpets are worn and sticky underfoot, redecoration and refurbishment has not been carried out in accordance with that stated in the site visit letter and report dated 21.03.05, which details the provisions of Condition 2 as stated on page 5 of this report and also on the certificate of registration for the home. The kitchen is in need of refurbishment. The Manager advised that this was currently under discussion. Crockery utensils also were in need of review and replacement. (A care staff member had been accommodated in the home since August 2005 – see Staffing section of this report). This is not in accordance with the home’s registration under the Care Standards Act 2000. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The training matrix/plan established did not account for all areas of core training and there was no clear separate central record kept of training undertaken Good progress had been made in respect of NVQ training for staff. EVIDENCE: Details of staff employed, and the arrangements for their recruitment, training and induction were discussed with the manager and staff. Related records were also examined and staff duty rotas were provided. A training needs analysis had been undertaken and there was a training plan in place for staff, which included all aspects of core health and safety training and also NVQs. Relatively good progress had been made in terms of achieving this, although there were areas outstanding, which included infection control and food hygiene and handling. A kitchen assistant had recently been appointed who had not undertaken the latter. The arrangements for dementia care training were also discussed with the manager and staff, although records of this were not provided. It is a condition of the home’s registration for all care staff to have undertaken training in this area within a given timescale. Staff spoken with said they had received some training in this area, although not for some time. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 19 Details of staff turnover were also discussed with the manager and the personal records of two care staff were examined. These did not contain all information as is required to be kept under Regulation 17, Schedule 4 of the Care Homes Regulations 2001. A recently appointed carer was accommodated in the home for the purposes of daily living, which is contrary to the provisions of the Care Standards Act and not in accordance with the home’s registration. Serious concerns have been raised separately in writing with the registered provider in respect of this outlining action to be taken. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 38 A more consistent management approach is needed in relation to records and record keeping. EVIDENCE: Comments made under the Staffing section of this report – apply here in relation to records kept regarding staff employed and the arrangements for their training. During the inspection a number of records were examined, which are required by legislation to be kept in the home. These included: Service users records Staff records Accounts of monies held on behalf of service users Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 21 Report of monthly visits to the home by the registered provider Duty rotas Complaints records Food records/menus Visitors record Some areas of deficit were identified in relation to care records, medicines records, food records and staff personal and training records. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 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 3 3 1 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 2 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 2 3 1 3 2 X 1 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X 2 2 Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? 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 OP3 Regulation 18 Requirement Care staff must undertake training in respect of the revised format and approaches to individual needs assessment and care planning for service users and the theories, which underpin these. The registered person must ensure that the care needs of each service user are fully documented and reviewed and revised at any such time as necessary. In this instance the communication needs of the identified service user who speaks German. Service users care plans must be kept under review and where necessary, revised. Gaps must not be left in medicines administration record (MAR) sheets. When a medication is not administered as prescribed to any service user, the coded reason for its non-administration must be recorded on the MAR sheet and DS0000064197.V257253.R01.S.doc Timescale for action 30/11/05 2 OP3 14 30/11/05 3 4 OP7 OP9 15 13, 17 30/11/05 30/11/05 Manor (DE), The Version 5.0 Page 24 5 OP9 13 6 OP12 16 7 OP15 16 8 OP18 13 9 OP19 23 the reason clearly recorded in the service users daily evaluation record sheet. The registered persons must ensure that arrangements are made for any service users who require, to receive where necessary, treatment and advice from any health care professional. (In this instance in respect of refusal of routinely prescribed medicines – GP referral for medicines review). The registered persons must ensure that the organisation of activities for service users is considerably developed and that service users are able to engage in meaningful activities, both within and outside the home in accordance with their abilities. The registered person must ensure that food is varied and that menus are revised accordingly. The home’s procedural guidance in respect of any allegation of abuse must be amended to ensure accuracy in terms of the required notification of other agencies/authorities. The requirements of the Fire Officer must be complied with. NB Raised separately in writing as a serious concern, by way of immediate requirement. Compliance must be achieved with the programme of upgrading, repair and renewal of the building in accordance with that stated – Condition 2 of the home’s registration. The responsible individual must provide details in writing as to the action to be taken to ensure this is achieved as stated, 05/11/05 31/01/06 30/11/05 30/11/05 30/11/05 10 OP19 23 05/11/05 Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 25 11 OP30 13, 18 12 13 OP30 OP30 18 18 14 *RQN CSA 2000 15 OP37 17 together with proposed timescale(s). The core training plan for staff must be fully completed and include infection control and food hygiene and handling and medicines training for those staff responsible who require this. The kitchen assistant must commence food hygiene and handling training by 01.11.05 A central record must be kept of all training undertaken by staff. The registered person must provide the Commission with written details of dementia care training provided for care including training provider, dates of training and staff details. Staff must not be accommodated in the home for daily living purposes. NB Immediate requirement made separate in writing to registered provider to take immediate action in respect of this and provide written response detailing action – by return. In respect of each staff member employed, records must be kept in accordance with items detailed under the Schedule. 31/03/06 30/11/05 30/11/05 17/10/05 31/12/05 Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 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 OP7 OP18 Good Practice Recommendations The registered persons should consider staff training in relation to recognised practices for sensory care associated with dementia. For example snoezelen. The registered manager should access Derbyshire County Council’s training in relation Derbyshire’s joint agency adult protection procedures. Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Manor (DE), The DS0000064197.V257253.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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