Inspection on 31/07/07 for Barrington House

This inspection was carried out on 31st July 2007.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Barrington House 23/09/08

Barrington House 18/07/06

Barrington House 08/11/05

Barrington House 28/04/05

Barrington House 21/10/04

Barrington House 26/05/04

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

CARE HOME ADULTS 18-65 Barrington House Rye Road Ore Hastings East Sussex TN35 5DG Lead Inspector Mrs Sally Gill Key Unannounced Inspection 31st July 2007 08:40 Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 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 Barrington House DS0000021040.V345504.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 Adults 18-65. 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. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barrington House Address Rye Road Ore Hastings East Sussex TN35 5DG 01424 422228 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) Barrington House Limited Mrs Delize Pardii Care Home 26 Category(ies) of Learning disability (26) registration, with number of places Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is twentysix (26) 18th July 2006 Date of last inspection Brief Description of the Service: Barrington House is registered to provide accommodation for up to 26 adults with a learning disability and admits people with low to medium dependencies. It is a family owned and managed business. Mrs Delize Pardii the registered manager has day-to-day responsibility for the home. The premise is a large Georgian three-storey house situated on a prominent junction in Ore on the outskirts of Hastings. There are 21 bedrooms including four double rooms situated on the ground and first floor. There is no lift installed although there is wheelchair access to the ground floor via a ramp at the rear of the building. All rooms have a wash hand basin. There are seven bathrooms one of which is assisted. The home has a large lounge/diner with other quieter seating areas. The home is non-smoking. There is a lawn area to the front and side of the home with seating. There is limited parking on site. The home is situated within easy reach of all local amenities and access to public transport services. Although via fairly steep gradients. The staff compliment consists of a registered manager, deputy, carers and ancillary staff. Care staff work a rota that includes two staff on duty at night one of which is sleeping in but can be called if needed. Information provided by the manager in June 2007 indicates that the fees range from £290 to £375 per week. Additional charges are made for hairdressing, telephone, newspapers and chiropody. Previous inspection reports are available from the Provider or can be viewed and downloaded from www.csci.org.uk Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was carried out over a period of time and concluded with an unannounced visit to the home between 8.40am and 2.05pm. The registered manager assisted throughout. Residents and staff were spoken to. Observations included interactions between residents and staff. Twenty-four people were living at the home on the day of the visit. Feedback from residents was all positive as was the feedback received from a visiting district nurse. The care of two residents was tracked to gain evidence. Various records were viewed during the inspection and a tour of parts of the home undertaken including the communal areas, some bedrooms, a bathroom, toilet, laundry and kitchen. There are currently 24 residents living at Barrington House and two vacancies. What the service does well: What has improved since the last inspection? The hallway has been redecorated and a new carpet fitted giving a very pleasant and fresh area. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 6 A resident had a lock fitted to their bedroom door. However in agreement with the resident this has now been removed. All other residents have been asked and agree they do not want locks fitted to their doors either. Medication administration has been reviewed and the second person is now present for the security of the medication only and not involved in the medication administration process. What they could do better: The home did not meet previous requirements in relation to taking appropriate action when having admitted a resident outside of their registration category. They must liaise with the registration team and confirm their registration category based on the primary needs of existing and future residents. After which their statement of purpose and service user guide need to be reviewed and up dated. Care plans should reflect a person centred approach and also evidence resident’s involvement. Recording systems must be individual and protect resident’s confidentiality. Improvements are needed to the logging in of medicines, the temperature of medication storage must be monitored and storage must be reviewed. Liquid soap and individual hand drying facilities must be provided in all shared toilets and bathrooms. All staff employed must have all checks and information in place before they can start working at the home. New staff should undertake an induction to Skills for Care specification. The home must regularly ask residents and other people involved in the home for their views and feedback. Some signage around the home distracts from ensuring residents dignity. The complaints procedure should be reviewed to ensure it is in a suitable format for residents and in a position, which can be easily seen. Barrington House DS0000021040.V345504.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. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home needs to resolve its registration category in relation to the primary needs of the aging residents in order to provide clear information to prospective residents and their representatives. People can be sure their needs will be assessed prior to admission. Residents confirmed that they were able to visit the home prior to admission. EVIDENCE: The manager advised that the statement of purpose and service user guide are currently being reviewed and up dated. The documents are not currently displayed within the home. The manager was reminded where the registration category of the home does not fully reflect the current resident group, this needs to be reflected in the documents. Copies of the new documents should be sent to the commission. A variation for the out of category resident admitted last year over the age of 65 years was not submitted. The manager must contact the registration team to clarify their future age range and whether a change to the homes registration is required based on primary needs of residents and future admissions. The home has become over the years a home for older people Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 10 with learning disabilities (current age range 55years - 92years). Adults under the age of 50 years old would not be suitable candidates, and would not considered by the home. Residents have there needs assessed prior to admission. The home has obtained copies of these assessments, which are held on file. One resident confirmed that they had had an opportunity to visit the home prior to moving in to get a feel of the place. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in planning the care and support they receive although this should be evidenced. Residents could play a more active role in the dayto-day decisions of the home. Recording systems do not safeguard residents confidentiality. EVIDENCE: Each resident has a care plan. The manager advised that care plans are developed with residents. However this at present is not evidenced. Care plans are not person centred but talk about the resident. The home needs to develop a more person centred approach to care. Care plans contain good information and were in the main up to date and had been reviewed within timescales. Care plans could be consolidated to include all information in the documents and not record in more than one place such as goal planning, which would make them easier to keep up to date. Daily notes were recorded in several different places some with very good detail. However the recording systems need review, as the confidentiality of residents cannot be guarantee Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 12 using the current system. Reports made by staff should reflect whether the care needs identify in the care plan are being met. A key worker system is in place and key workers spoke of the active role they take. The manager advised that residents meetings had been stopped, as residents did not want to attend. The last one was held at Easter. Alternatives such as a link resident were discussed. The home should ensure and demonstrate how residents are consulted and are able to make decisions regarding their day-today lives. The manager advised that advocacy information is available. Residents confirmed that they are able to do as they like and are asked about their likes and dislikes of food. Risk taking is supported with written assessments. These are reviewed regularly. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to the local community and opportunities for activities and outings. Residents confirmed that the food is good. EVIDENCE: Resident confirmed that some are able and do go out independently. Two residents use the local library and another attends church. The manager advised that she is negotiating with a local store about work opportunities. Staff advised that one daycentre had closed meaning several residents no longer had this facility and thought resident missed it. The manager said that she was looking into some residents attending another daycentre. Residents have a variety of leisure activities including a drive out at weekends and stopping for a cup of tea, occasional outings to places such as Rye Market and a lady comes regularly to play music. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 14 Some residents were attending a daycentre and other clubs where they are able to keep in contact with friends on the day of the visit. All residents confirmed that they are happy living at Barrington House and there were good interactions between residents observed. It was apparent that staff felt it was very important that residents maintain contact with families and advised that some families visit and are invited to lunch on Sundays as is one of the homes neighbours. A professional visiting confirmed that this is one of the better homes and they are always made welcome. The manager advised that independence is maintained wherever possible. Some residents had a daily routine recorded in their care plan. One resident had their weekly programme displayed in their bedroom so they knew what they activities they were doing each day. Residents were seen to have unrestricted access to the home and garden. The home is a non-smoking home. Residents confirmed that they like and enjoy the meals and are asked about their likes and dislikes. Staff plan the menus weekly and a nice home made cake was baked and iced for tea that day. Fresh fruit and vegetables are delivered from the supermarket weekly and meat comes from a local butcher. Meals cater for the different dietary needs of residents. Breakfast is cereals and toast and sometimes something cooked. Lunch is the main meal with an alternative available if you do not like the dish. Supper is sandwiches or a light snack. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health and personal care needs are met. Minor improvements could ensure resident’s dignity is further promoted. The arrangements for storage of resident’s medication should be reviewed. EVIDENCE: Residents confirmed that they are happy with the support they receive and that staff are kind. Many residents are independent with their personal care. A key worker system is in place. Some signage around the home such as instructions to staff does not enhance resident’s dignity and distracts from a homely environment. A hairdresser and chiropodist visit the home regularly. A professional visiting confirmed that staff follow any advice and guidance through into their care practice and flag up any concerns they have. Care plans evidenced that residents have access to regular health checks. On the day of the visit residents were attending health related appointments. Records showed good details of any health care appointments and treatment. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 16 The administration of medication was observed at lunchtime, which was undertaken appropriately. Staff were reminded not to handle medication unless they wore gloves which they put on immediately. The medication administration record (MAR) charts evidenced correct use of signatures and codes. A specimen signature sheet is not in place. The storage of medication was discussed and must be reviewed. Currently medication is stored in the kitchen, which is not recommended due to heat and moisture. The temperature of medication storage must be monitored. The logging in of medication should be should be improved to provide a better audit trail. Medication returned is recorded. The manager advised that staff that administers medication have received training. This was confirmed by the member staff undertaking the administration. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents don’t have any concerns but felt they would be able to discuss any with staff and that they would be resolved. The complaints procedure could be more accessible to residents. Residents are protected from abuse. EVIDENCE: The complaints log was not on the premises. Although the manager advised that no complaints had been received since the last inspection. The complaints procedure was displayed. This is a small print and in a position where it could not easily be read. The procedure should also be reviewed to ensure it is in a suitable format for the residents and in a position where they can easily see it. The address of the commission also requires up dating. Residents confirmed that they would talk to staff should they have any concerns but were happy living at Barrington House. Staff spoken to confirmed their knowledge of how and where to report any cases of suspected abuse. The manager advised that all staff had received training in adult protection. Although one staff member said they had not had adult protection training for several years. Any residents that may show signs of aggression have clear guidelines for staff in their car plan. Where the home handles resident’s monies good records are maintained. Working to ensure all residents have an individual account for their money was discussed with the manager. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident benefit from an environment, which is well maintained, clean, comfortable and homely. Improvements are needed to ensure infection control is effective. EVIDENCE: The premise from the outside looks very well maintained and has lawn areas with seating for residents and pots of bedding plants. Inside the home is also well maintained and decorated to a good standard providing residents with a nice, comfortable and homely place to live. Since the last inspection areas of the home have been redecorated and there are plans for further redecoration such as the quiet/records lounge. The hallway has been redecorated and has a new carpet, which looks fresh and welcoming. Residents confirmed that they are happy with their bedrooms, which were individualised with personal possessions. Some bedrooms are shared and this is by agreement with residents. The manager advised that after the last Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 19 inspection a bedroom door lock had been fitted to one bedroom. However since then this has been removed as the resident kept losing their key and decided not to have a lock in place. Other residents have chosen not to have locks fitted. There are several seating areas for residents around the home where they can be in the hub of the home or sit quietly. The main room is a large lounge/diner. All areas of the home were clean and tidy. However to ensure infection control liquid soap and individual hand drying facilities must be supplied in all shared toilets and bathrooms. Staff were observed to be handling clinical waste appropriately. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident benefit from an experience, supported and stable staff team. Recruitment processes must be more robust to fully protect residents. EVIDENCE: In addition to the manager there were four care staff on duty 8am – 6pm, three staff 6pm – 10pm and two staff 10pm – 8am one of which is a sleep in. Staff are also on duty during Monday to Friday for domestic, office and maintenance tasks. The manager has developed a new induction programme, which is to Skills for Care specification and this should be implemented. All staff will complete the new programme. Previously staff have undertaken TOPSS induction booklet. The manager advised that seven staff have completed NVQ level 2 or above and another six staff are currently undertaking this. Training statistics were not available in the home on the day of the visit, as the manager had taken them home to work on. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 21 Staff interactions with residents were observed to be caring. Staff demonstrated a commitment and enthusiasm during discussions. Residents confirmed that staff are good and kind. The recruitment files of three staff were examined. Although two files contained relevant checks one did not (only one reference and no POVA or CRB). An immediate requirement was made in relation to appropriate checks that must be made prior to employment. Other information missing from all staff files included a photograph, full employment history and proof of identity. Staff confirmed that they feel well supported within the home. They felt the staff team worked well together. The manager advised that a regular supervision programme is in place with addition staff meetings. Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a well run home. Action must be taken to ensure the registration category is based on primary need. Formal quality assurance systems do not ensure resident’s views regularly unpin the development of the home. Some record keeping does not safeguard resident’s confidentiality. The health and safety of all is promoted and protected. EVIDENCE: Residents confirmed that the manager was ‘alright’. Good interactions were observed between the manager and residents. Staff spoke highly of the manager. Comments included they felt she is always available to go to with any problems and is supportive, she is friendly but you know she is the manager; she gets things done and keeps the staff in order. It was evident Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 23 during the visit that the manager has her finger on the pulse and is aware of what is happening in relation to residents and the home. See previous comments regarding the registration category and admissions. Residents confirm they are happy living at Barrington House but the home must look at considerably strengthening quality assurance within the home. Residents meetings are not currently taking place and files showed that residents have not completed quality assurance questionnaire since 2004/5. The manager advised that she is working on a new questionnaire and then intends to ask for feedback every six months. Relatives and others visiting the home should also be asked for their views on the home. As previous mention recording systems need to be reviewed to ensure confidentiality. Fire safety checks were up to date and a fire risk assessment has been completed. Accidents were appropriately recorded although the storage of records should be improved again in relation to confidentiality. The Environmental Health Officer visited in May 2007 and made no recommendations although is to return to check the staff-training package. The cook needs to up date their food hygiene certificate, which is considerably out of date. Actual training statistics were not available on the day of the visit. Although the manager advised that a part from the cook staff were up to date with their mandatory training. Barrington House DS0000021040.V345504.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 Adults 18-65 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 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 3 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 2 3 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X 2 3 X Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 25 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 YA1 Regulation 4&5 Requirement The home must ensure that the information given to prospective service users reflect the home. This is in connection with the situation at the present time of the home’s category of registration, and thus not truly reflecting the aims, objectives and service offered of an elderly group of people with learning disabilities and not younger adults Previous timescale of 01/01/07 not met Copies of the review documents must be sent to CSCI The home must contact the registration team to clarify their situation and whether a change to the homes registration is required based on the primary needs of residents and future admissions Recording systems must be individual and protect residents confidentiality The home must have a safe DS0000021040.V345504.R01.S.doc Timescale for action 11/09/07 2 YA1 4 & 14 11/09/07 3 4 YA10 YA41 YA20 17 13 (2) 11/09/07 11/09/07 Page 26 Barrington House Version 5.2 system for the receipt, handling and storage of medicines. In particular improve the logging in of medicines, monitor temperatures of storage and review storage of medicines including during the time of administration 16(2) Provide liquid soap and 11/09/07 individual hand drying facilities in all shared toilets and bathrooms 19 Staff must be recruited and 11/09/07 Schedule 2 work in line with Department of Health guidance and timescales in relation to Criminal Records Bureau disclosures and POVA checks. Immediate requirement made 31/07/07 Staff must not be employed before two written references have been obtained (one of which must be from their former employer) Immediate requirement made 31/07/07 The home must ensure that a person is not employed to work at the home unless they have obtained in respect of that person the information and documents specified in Schedule 2. In particular full employment history, proof of identity and recent photograph 7 YA39 YA8 Barrington House 5 YA30 6 YA34 24 The home must have systems in place for regularly reviewing at appropriate intervals and DS0000021040.V345504.R01.S.doc 11/09/07 Version 5.2 Page 27 improving, the quality of care provided at the home. Processes must include a variety of ways to consult and gain the views and feedback from residents and all other stakeholders involved in the home 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 YA6 2 3 4 YA18 YA22 YA35 Refer to Standard Good Practice Recommendations Care plans to reflect a person centred approach and also evidence residents involvement Remove signage from around the home which distracts from ensuring residents dignity Review complaints procedure to ensure it is in a suitable format for residents and in a position which is easily accessible Implement Skills for Care induction programme Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Barrington House DS0000021040.V345504.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!