Inspection on 12/05/05 for Baytrees Nursing Home

This inspection was carried out on 12th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 15 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Baytrees Nursing Home 25/03/10

Baytrees Nursing Home 05/01/10

Baytrees Nursing Home 07/07/09

Baytrees Nursing Home 15/07/08

Baytrees Nursing Home 21/01/08

Baytrees Nursing Home 02/05/06

Baytrees Nursing Home 06/10/05

Baytrees Nursing Home 11/01/05

Baytrees Nursing Home 24/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Baytrees Nursing Home 1 Highfield Road Worthing West Sussex BN13 1PX Lead Inspector Ann Peace Unannounced Thursday 12 May 2005, 8:15am th 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 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 Stationary 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. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bay Trees Nursing Home Address 1 Highfield Road, Worthing, West Sussex, BN13 1PX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01903 693833 Bay Trees Homes Limited Post Vacant Care Home 30 Category(ies) of Care Home with Nursing 30 registration, with number of places 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Only service users in the category Physical Disability (PD) 18-65 years may be admitted. Rooms 21 and 27 can only be used for service users who are not independently mobile through the use of a wheelchair. Date of last inspection 11 January 2005 Brief Description of the Service: Baytrees is a care home proving nursing care and accommodation for 30 younger adults with physical disabilities. Baytrees Homes Limited owns the service and the Responsible Individual on behalf of the company is Mr T Francis. The home is located in Worthing and is close to shops, pubs and other amenities. The main house consists of a three-storey building which has been extended and adapted. In 2004 a new extension for 10 service users was added to the premises this increased the registration to 30 service users. All rooms in the new extension and a small number of rooms in the main house have en-suite facilities. All rooms are accessible by a passenger lift. Service users have level access to two lounges/dining rooms, a conservatory, a smoking room and a large decked area to the rear of the property. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken in 12 hours over 4 days, at different times over the 24-hour period. A pharmacy inspection was also carried out. Prior to the inspection the Inspector looked at previous reports and reviewed letters, complaints and reports held on file. During the visits to find out how it was to live, work and visit the home, staff on duty on the different shifts were spoken with, as were the majority of the residents. Relatives and representatives will be contacted by letter. A general tour of the home was undertaken and all residents’ rooms visited. Case tracking from records to care given was carried out for a number of residents. Staff records and relevant records relating to the management of the home were examined Resident’s comments were positive about the home and the staff although they did say that staff were always very busy especially at night and early in the morning. One resident said, “she could not be looked after any better” and another said, “the staff were always caring and patient”. It was clear from their comments that residents are encouraged to make choices about their daily lifestyles and be involved in the running of the home where able. Mrs Mc Wilton has recently taken over as manager of the home and shared her plans for clinical improvements in the home with the Inspector. Since the previous inspection two complaints have been received by CSCI. Records indicated that these were dealt with appropriately and in line with the home’s complaint procedure. There were a large number of concerns that were identified during the inspection and 3 of these required immediate action. One of the requirements related to insufficient bathing facilities. This had already started to be addressed before the Inspector made the last visit to the home, but had not been completed. The other two immediate requirements related to the lack of fire safety procedures being in place. 12 further requirements and 4 recommendations have also been made. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 6 The Inspector discussed the findings of the inspection with the provider’s representatives Mrs Chappell and The Manager Mrs D Mc Wilton. Due to the concerns identified a letter expressing the serious concerns of CSCI was sent to the providers following the inspection. What the service does well: What has improved since the last inspection? What they could do better: Recruitment and training records are not robust and do not protect residents. The health and safety needs of the residents are not being met due to fire safety equipment not being checked and fire safety training not being given. The home is still without a registered manager although Mrs Mc Wilton stated that she would be applying. Mrs Mc Wilton is unable to fulfil the manager’s role adequately due to the inability to have protected management time. The skill mix of staff in the morning should be reviewed to allow Mrs Mc Wilton to have trained nurse support. Due to the high dependency of residents, staffing levels throughout the afternoon, evening and night shifts should be reviewed in order to safeguard residents. Bathing and shower facilities are not sufficient to meet needs of the residents. The privacy and dignity of two residents in the new building cannot be respected due to the lack of adequate screening. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 7 The lack of enough appropriate equipment in the home is not meeting residents. The original part of the home is looking neglected and refurbishment is needed. The home’s policies and procedures need to be updated especially related to administration, recording and storage of medicine. The telephone system should be reviewed to make it more accessible to staff throughout the home. None of the people spoken to either in the home had seen a copy of the latest inspection report. This should be made available to residents, staff and all interested parties. 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. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4. The last inspection report has not been made available to all interested parties. Residents have the opportunity of visiting the home to ensure that the lifestyle is compatible to meet their needs. EVIDENCE: The registered provider was reminded following the last inspection to ensure a copy of the latest inspection report was available in the home. None of the people spoken had seen a copy of this although Mrs Chappell told the Inspector that it had been in the foyer. Assessments and related care records were examined in detail and tracked through to the care given to ensure resident’s aspirations and needs are met. Records indicated that residents have an opportunity to visit the home to see if it will meet their needs. Requirements have been made. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8. The resident’s needs are reflected in the care plans. Residents are able with assistance to make choices about their lives and they are involved in the running of the home. EVIDENCE: Staff spoken with were well aware of the individual needs of the residents and how they were to meet them. The care plans document their care needs and are in the process of being updated and changed to a more efficient system. Residents said that they are encouraged by staff to make decisions about their lives. Residents did tell the inspector that they do know whats going on in the home. A quality assurance system is in operation in the home, the last consultation with residents was before the last inspection. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13,14,15,16. Residents enjoy a flexible routine within the home, appropriate activities are provided. Residents do go out into the local community either independently or with staff. It could be concluded that resident’s rights are respected and that they are encouraged to take responsibility where possible in their daily lives. EVIDENCE: The home owns minibuses, which are available for residents to go out on organised trips, or for private appointments. Trips that are being arranged are usually displayed on the notice board in the hallway of the home, however none were on the board during this inspection, although residents told the inspector that they did know what was available. It could be confirmed that residents are encouraged to go out on their own and risk assessments are carried out. Residents were able to tell the Inspector that they can make choices about personal, family and sexual relationships and that they are supported by staff. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20. Care staff provide residents with good nursing care and do meet their emotional needs. Not all residents receive personal support in the way they prefer and receive. Due to a lack of appropriate equipment the home is not able to meet residents needs. Improvements need to be made to the home’s medication policies and procedures to ensure that the health care needs of residents are identified and met. Requirements have been made. EVIDENCE: All residents had care records which included the majority of assessments needed and risk assessments. A proposed change, which was needed for the care documentation to be improved, has not been achieved due to the lack of administrative time allocated. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 13 Medicine storage was tidy, with good stock rotation. Medicines storage temperatures were not monitored. The supply of one medicine had run out the previous day and was on order. Receipt of medicines was not recorded. The supplying pharmacy can no longer remove unwanted medicines. The nurse giving the medicines in the morning was interrupted to deal with other matters as she was also the nurse in charge and the only qualified nurse on duty. One medicine was recorded as ‘client has her own’ otherwise residents do not take responsibility for their medicines. A blood test, for monitoring the action of a medicine, due on 07 April 05 had not been done. Residents’ consent to medication was not recorded. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23. Complaints are handled in accordance with the home’s procedure. Residents have stated that their views are listened to and acted on. The protection for the residents is poor due to the in relation to the recruitment procedure not being robust. These shortfalls have a potential to place residents at risk. Requirements have been made. EVIDENCE: The Commission has received two complaints; both were investigated by the home according to their procedure and did not require further investigation by the Commission. One complaint was about poor staffing levels and lack of training for staff. This complaint was found to be partially substantiated; action was taken by the home to minimize the risks identified. A second complaint was about alleged poor care standards and the alleged poor attitude of a member of staff. This complaint was found to be to be partially substantiated and action was taken. Part of the complaint could not be substantiated and so remains unresolved. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,29,30. There is homely environment and the resident’s accommodation and communal areas are clean. However the home does not provided all residents living in the home with safe, private and comfortable surroundings. There is a risk of cross infection from insufficient specialised equipment and bathing facilities. Safety checks are not being made and health and safety training for staff not being undertaken. Requirements have been made. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 16 EVIDENCE: The home was warm, homely and comfortable. Areas used by residents were clean. During a tour of the home, bedrooms and communal areas were visited. The majority of the bedrooms meet resident’s needs. Residents are encouraged to furnish their rooms with personal possessions. Residents have access to two large lounge/dining rooms, both have televisions and one has a large screen television. A conservatory with a decking area is available and also a smoking room. There are two passenger lifts available, one in each house, both were in working order. It is recommended that an audit being undertaken on furniture, domestic linen and pillows etc. This would identify if conditions could be improved and be made more comfortable for residents. Two bedrooms had the doors to their en-suite accommodation removed and no adequate screening had been put in place therefore their privacy could not be respected. Old seated weighing scales, which had not been calibrated or serviced by a qualified contractor, are being used. These scales are not suitable for all of the residents living in the home so a number cannot have accurate nutritional assessments. Three residents did not have access to call bells and there was no call bell in the conservatory. Mrs Chappell said they had been taken away to be repaired and not been returned. Mrs Chappell was told that this was not satisfactory. One resident was in need of a specialist mattress related to the change in her condition. There are only 10 commodes available for 30 residents and due to increasing needs this is not enough. One parker bath was not connected; another shower was not working during the inspection and had been out of order for a month. The hygiene needs of the residents could not be met. There was only 1 shower for 15 residents. There is a risk of cross infection to residents due to lack of equipment and too many residents using equipment and bathing facilities, which would not be able to be cleaned properly between use. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 17 All areas used by residents were clean, however the laundry was cluttered, untidy and dirty, which could constitute an infection control hazard. Out of hours it was also being used as a storeroom for building equipment. There are no risk assessments available to indicate that staff have been protected. A new laundry is at present being built and is due to be completed in the next few weeks. The risk to the health and safety of staff should be monitored. The general environment is not safe for residents due to the lack of appropriate checks being made to the fire safety equipment and the lack of fire safety training given to staff. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35. The procedures for the recruitment and training of staff are not robust and do not offer protection to people living in the home. There is insufficient experienced staff on duty in the morning. The number of staff over night and early morning is not sufficient to meet the needs of the residents. EVIDENCE: The staff files of three members of staff recently employed indicated that the home had not undertaken all the necessary recruitment checks to ensure the protection of residents. Neither a criminal records bureau check nor references had been obtained for one member of staff although they had worked shifts at the home. On the second visit of the inspection although more care staff had been allocated following a requirement from the last inspection, the manager Mrs Mc Wilton was the only qualified nurse on duty. Mrs Mc Willton was still trying to do the morning drug round at 11am as well as supervising staff and managing the home. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 19 Mrs Mc Wilton did say that there were plans to increase qualified nurses on the day shift and action had already been taken. A new training plan had been implemented for carers and qualified staff. This was shown to the inspector and recorded that appropriate training is planned for care staff related to general and residents conditions. The home’s recruitment procedures, staff records and follow on training records are not compiled according to legislation and could not confirm that the home is taking adequate procedures for the protection of the residents. The induction, training and associated records for ancillary staff are not satisfactory. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,40,41,42. Resident’s best interests are not safeguarded by the home’s policies and procedures they do not benefit from the present managerial arrangements within the home. Resident’s health, safety and welfare are not promoted and protected. EVIDENCE: The home has sent regular reports on the conduct of the care home to The Commission, however certain issues identified at inspection were not recorded. There is no registered manager at present although Mrs Mc Wilton told the Inspector that she would be applying. Mrs Mc Wilton has recently achieved NVQ 4 in management and is awaiting confirmation of the successful completion of the Registered Managers Award. The present workload for Mrs Mc Wilton is unmanageable. Much work needed to bring the home up to standard and due to the inability for Mrs Mc Wilton to have protected management time this work is not being done. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 21 This has been an ongoing concern over the last few years and improvements need to be made. The home is very busy, the administration and nursing are separated. However Mrs Mc Wilton does need to be involved more in future planning for the home and be aware of the administration arrangements related to residents. During the inspection the phone in the nursing office was constantly ringing. The staff only have access to one phone in the nursing office. If the phone rings, care staff have to leave whatever they are doing and may have to come down three floors to answer it. Care staff said that often they do not get to the phone in time and so the call goes unanswered. Mr R Francis and Mrs Chappell work on the administrative side of the business. Some practices especially in relation to recruitment, health and safety training and safety checks are not robust and do not protect residents. Residents and staff spoken with had not seen the last inspection report. Mrs Chappell said that it had been available in the foyer but no one could remember seeing it. Mrs Chappell was reminded to ensure that it is always available to residents, staff and all other interested parties. 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 2 x 1 2 Standard No 11 12 13 14 15 16 17 x x 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 2 2 2 1 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Score 2 2 2 x Standard No 37 38 39 40 41 42 43 Score 2 2 x 1 1 1 x H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 23 YES 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. 2. 3. 4. Standard YA20 YA20 YA20 YA23 Regulation 12(1)a 13(2) 17(1)a 13 Requirement Test to monitor the action of all medicines must be carried out according to clinical need. Medicines must be stored within the temperature range stated by the manufacture A complete records must be kept of all medicines received into the home. The registered providers to ensure that residents are protected from abuse by the homes recruitment policies and procedures and staff training plan. CSCI to be informed in writing of action taken The registered providers shall make adequate arrangements for the maintenance of fire safety equipment. The staff should receive suitable training in fire prevention and attend fire drills at suitable intervals. The registered provider shall provide adequate washing and bathing facilities fitted with a hot and cold water supply.CSCI to be informed in writing that action has been taken. The registered providers to Timescale for action 12/6/05 12/6/05 12/6/05 30/6/05 5. YA24 23 immediate 6. YA27 23 Immediate 7. 1 YA29 23 30/6/05 Page 24 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 8. YA30 13 9. YA33 18 10. YA34 19 11. YA37 8 12. YA40 12 13. YA41 17 provide such support, equipement and facilities for residents who are disabled. CSCI to be informed in writing of action taken by The registered person shall make suitable arrangements to prevent infection, toxic conditions and spread of infection at the care home. CSCI to be informed in writing of action taken by The registered provider ensures that the home is staffed with an effective team, with sufficient numbers and complementary skills to support residents assessed needs at all times. CSCI to be informed in writing of action taken by The registered person shall not employ a person to work at the care home unless he has obtained in respect of that person the information and documents specified in paragraphs 1-7 of Schedule 2 of The Care Home Regulations 2001. The registered providers to inform CSCI in writing of the action taken by The registered providers shall appoint a registered manager to manage the care home. CSCI to be informed in writing of action taken by The registered providers to ensure that the homes policies and procedures comply with current legislation and recognised professional standards, covering topics set out in Appendix 2. CSCI to be informed in writing of action taken by The registered providers shall ensure that records required by regulation for the protection of H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc 30/6/05 30/6/05 30/6/05 30/6/05 30/6/05 30/6/05 1 Version 1.30 Page 25 14. YA42 23 15. YA42 23 residents and for the effective and efficient running of the business are maintained, up to date and accurate. CSCI to be informed in writing of action taken by All staff to be trained in fire 26/5/05 safety at the intervals advised by the Fire Service. CSCI to be informed in writing that all staff have received training by The registered provides shall Immediate make adequate arrangements for reviewing fire precations,and testing fire equipement, at suitable intervals. CSCI to be informed in writing that action has been taken. 16. 17. 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 YA1 Good Practice Recommendations A copy of the latest statement of purpose/service users guide including a copy of the latest inspection report should be made available and accessible to all interested parties. The residents consent to medication should be obtained and recorded in the care plan. The home should have a planned maintenance and renewal programme for the fabric and decoration of the premises with records kept. Staff should be provided with the means to communicate via the telephone with relatives and other callers effectively and efficiently. 2. 3. 4. YA20 YA24 YA24 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 1 H60-H11 S24113 Bay Trees Nursing Home V226130 120505 Stage 4.doc Version 1.30 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. 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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