Inspection on 11/04/08 for Beulah Lodge Rest Home

This inspection was carried out on 11th April 2008.

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

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

Other inspections for this house

Beulah Lodge Rest Home 07/10/08

Beulah Lodge Rest Home 17/11/06

Beulah Lodge Rest Home 01/12/05

Beulah Lodge Rest Home 08/12/04

Beulah Lodge Rest Home 07/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Beulah Lodge Rest Home 1 Beulah Road Tunbridge Wells Kent TN1 2NP Lead Inspector Paul Stibbons Unannounced Inspection 11th April 2008 09:45 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 Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beulah Lodge Rest Home Address 1 Beulah Road Tunbridge Wells Kent TN1 2NP 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) 01892 548447 01892 539040 Beulah Lodge Rest Home Limited Mrs Christina Carol Rusha Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th November 2006 Brief Description of the Service: Beulah Lodge is registered for 21 older people. A small number of residents also have mental health difficulties. Beulah Lodge is a detached property with 19 single bedrooms and 1 bedroom which can be shared on request; all have en-suite facilities with WC. There are telephone points in 7 bedrooms, call points and TV points to all bedrooms. There is a shaft lift to all floors. The home is a listed building in a residential area of Tunbridge Wells, close to Victoria Place shopping centre. There are a number of smaller family run shops close by. The Home is on a local bus route and there is a main line station in the town. There are gardens to the front and rear of the building with a small car park to the rear of the building. There is an outbuilding housing Company offices to the rear of the house. The owner has 30 years experience in running residential homes and the Manager has 19 years experience working with the elderly in a residential setting and holds a Certificate in Supervisory Management. The home provides care staff, working a roster, which gives 24-hour cover. Staff are also employed for catering and domestic duties. Current fees for the home range from £334.49 to £465.00 per week. Additional costs include hairdressing, personal toiletries, chiropody, newspapers, transport and personal telephone. Full information about the fees payable, the service provided and the home’s Statement of Purpose are available from the owners. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. This unannounced key inspection was in response to information received by the Commission and KCC contracts. The inspection was carried out over a period of 6.5 hours by the Regulation Manager, Regulatory Inspector, KCC Contracts Manager and KCC Contracts Officer. Interviews were held with the registered provider, his assistant, registered manager, two senior staff and the cook. A tour of the building was conducted and a variety of records and documentation were examined. Comments made by residents spoken with included: “I like the home very much” “The food is good, I can ask for something different if I want” “The staff are good” “I enjoy the music and movement” “The home’s a blessing, I couldn’t walk when I came here but they have got me walking again” What the service does well: Residents benefit from living in a homely and comfortable home where they have ample personal and communal space to meet their needs. Sufficient information is available to prospective residents on which to make an informed choice as to whether the home will be suitable to meet their expectations. A trial visit is encouraged to assess the facilities the home has to offer. Comprehensive pre-admission assessments are conducted to ensure the home can meet the assessed needs and an individual plan of care is drawn up in consultation with residents and their representatives. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: A total breakdown in communication between the registered provider and the registered manager has resulted in the manager and three staff resigning. A competent manager needs to be appointed as soon as possible to provide leadership to the home and reassure residents. A review of medication procedures needs to take place as current practice potentially places residents at risk. For the protection of people living in the home no person must be employed until the appropriate checks have been satisfactorily carried out. People living in the home would benefit from staff members receiving additional training and refresher courses that will enable them to fulfil their roles safely and competently. Staff members would benefit from regular formal supervision and practice discussion. Regular testing of fire equipment and practice drills must be conducted to safeguard people living and working in the home. A more detailed written report, generated from the registered provider’s monthly inspection to assess the quality of care in the home, would identify any shortfalls and action plan to address them. Beulah Lodge Rest Home DS0000023890.V361949.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. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with sufficient information on which to make an informed decision as to whether the home will meet their needs. Prospective residents benefit from a trial period in the home before deciding on a permanent placement. A full assessment of prospective residents’ needs ensures the home can meet those needs before a permanent placement is offered. People living in the home have the security of a written contract/ statement of terms and conditions with the home. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 10 EVIDENCE: The home provides a statement of purpose that is specific to the individual home and the resident group they care for. It clearly sets out the objectives and philosophy of the service supported by a service user’s guide. The guide details what the prospective residents can expect and gives a clear account of the specialist services provided, quality of the accommodation, qualifications and experience of staff, how to make a complaint. Four care plans viewed evidenced that admissions are not made to the home until a full needs assessment has been undertaken. For people who are selffunding and without a care management assessment, a skilled and experienced member of staff always undertakes an assessment. The assessment is conducted professionally and sensitively and involves the individual and their family or representative, where appropriate. Prospective residents are given the opportunity to spend time in the home. One resident spoken with confirmed a trial period was had to assess the suitability of the home for them. The manager states that an individual member of staff is allocated to new admissions to give them information and to help them understand how the home is organised and run and the facilities and services available. The allocated staff member will give them special attention, help them to feel comfortable in their surroundings, and enable them to ask any questions about life in the home. New residents are provided with a statement of terms and conditions or a contract. This sets out in detail what is included in the fee, the role and responsibility of the provider, and the rights and obligations of the individual. Intermediate care is not provided for; where a room is available respite care may be offered. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. People living in the home have an individual plan of care that sets out how their health, personal and social care needs will be fully met. People living in the home are at risk by the home’s procedures for dealing with medication. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 12 EVIDENCE: Three care plans viewed and daily records evidence that people living in the home have access to health care services both within the home and in the local community. Some residents are able to choose their own GP and attend local dentists, opticians and other community services. People unable to access local services are supported by visits to the home by health care professionals. Medication records are not up to date; there are gaps in recording and information. Medication prescribed “as required” does not give staff specific written information and this was a recommendation at the last inspection. Records viewed show that one resident went without pain relief for three days because stocks of the drug were depleted. This quite clearly is not acceptable and constitutes a form of abuse. A random check of the stock of one drug showed a discrepancy between the balance remaining and those accounted for on the administration records. Drug rounds are being carried out on a kitchen trolley that is not lockable and left unattended when administering to individuals, this is an unsafe practice that must be rectified. Medication is stored in regulation drugs cabinet but there is no thermometer to ensure storage within the recommended temperature. Medication to be returned to the pharmacy is not labelled accordingly and is loose in the bottom of the drugs cabinet. A tube of eye ointment did not have the date of opening on it and on investigation should have been discarded several days before. Entries in the controlled drugs book were not completed correctly for drugs received, the balances however were accurate. The current practice and lack of adequate recording puts people who use the service at risk. It is a requirement that the registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home have the opportunity to participate in a range of activities that meet their social, spiritual and recreational interests and needs. People living in the home are supported in maintaining contact with family, friends and the local community. People living in the home receive a varied diet with alternatives to the main meal when requested. EVIDENCE: Residents spoken with confirm there is a range of activities they can participate in if they wish and gave examples of reading, TV and videos, Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 14 puzzles, games and gentle exercise to music. A music and exercise session was in progress during this visit. Some residents spoke of being taken out by relatives and other trips organised by the home. Several relatives were noted visiting residents during the inspection and two relatives spoken with spoke highly of the care provided by staff. The menu for the day was displayed in the dining room (pork casserole) with an alternative of veggie burgers. Residents spoken with at lunchtime confirmed that alternatives were always available and some were seen to have an alternative meal. The cook confirmed that there are always three or four alternatives that could be provided and that one resident with a special diet was catered for. Residents confirmed they were consulted on their likes and dislikes and as a group agreed that the food was good, that they were given choices, they had plenty to eat and were asked if they wanted more. Dining room tables had bowls of fresh fruit on them. The kitchen was clean and hygienic and records seen evidence that fridge, freezer and probe temperatures are recorded. Opened and stored food in the refrigerator was covered and dated. The cook has NVQ catering and food hygiene certification. During discussions with the cook she expressed her concerns over the quality of food, incomplete delivery orders and lack of variety for residents. Later discussions with the provider confirmed that the cook was responsible for all ordering of provisions but due to a new online ordering system teething problems had occurred. The cook also expressed her concerns about other personnel entering kitchen areas thereby increasing the risk of cross infection. There is also concern that some personnel are preparing meals who may not have food hygiene training as evidence was not available to view during the visit. It is a requirement that the registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home can be confident that their complaints will be taken seriously and acted upon. People living in the home are protected from abuse EVIDENCE: The service has a complaints procedure that is clearly written and easy to understand. It is available on request and also in large print to help anyone living at, or involved with, the service to complain or make suggestions for improvement. Residents spoken with said they were very happy in the home and had no complaints but would have no hesitation in raising issues with staff if required. There have been no complaints received by the home since the last inspection. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 16 Staff training files viewed evidenced that training around safeguarding vulnerable adults had taken place in the past but refresher training is long overdue. The lack of a completed staff training matrix makes it difficult to assess staff training requirements. The manager also states that the registered provider employed an individual and placed them on shift prior to a POVA check being completed. This issue was discussed with the provider who has reassured this will not happen in the future. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a safe, well-maintained environment with adequate personal and communal space to meet their needs. Residents have the specialist equipment they require to maximise their independence. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 18 EVIDENCE: The home provides a physical environment that is appropriate to the specific needs of the people who live there. The well-maintained environment provides specialist aids and equipment to meet their needs. The home is a very pleasant, safe place to live and the bedrooms and communal rooms meet the NMS or are larger. All bedrooms have en-suite facilities. Residents are encouraged to personalise their bedrooms. All the home’s fixtures and fittings meet the needs of individuals and can be changed if their needs change. There is a lift that provides easy access to all the floors of the home. There is a selection of communal areas both inside and outside of the home. This means that people using the service have a choice of place to sit quietly, meet with family and friends or be actively engaged with other people who use the service. There is a fire door on the middle landing that leads out to a steep metal fire escape. It is recommended that a risk assessment is carried out as this door is unlocked to alert staff if a resident opens the door. The care staff team have their own toilet and a sleep in area. There is a separate laundry room with adequate equipment to meet the needs of people living in the home. It is recommended that individual baskets be used to keep residents laundry separate. The home is well lit, clean and tidy and smells fresh. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The skill mix and numbers of staff on duty may compromise residents’ welfare due to a lack of appropriate training. Recruitment practices potentially place residents’ at risk due to inadequate checks prior to employment. EVIDENCE: Staffing rosters were viewed that evidenced there are two care workers on duty during the day and two of a night. It was noted that one carer was rostered on duty for 30 hours in a 36 hour period. The manager states that she has difficulty in covering shifts with appropriately trained staff i.e. medication, First aid and Fire training. There was no evidence presented to show the service supports or encourages the development of a competent staff team. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 20 The requirement and recommendations from the previous inspection to develop a staff training matrix and update the training requirements of staff has not been addressed by the manager. As previously stated in this report staff members confirm no fire drills have been undertaken for some time. It is a requirement that the registered person shall ensure that the persons employed by the registered person to work at the care home receive additional training appropriate to the work they are to perform. Personnel files viewed evidenced that all appropriate recruitment checks had been conducted. The registered provider had also made an offer of employment as senior care officer to an existing carer without consideration to equal opportunities principles. This was acknowledged by the provider who stated that serious staffing issues at the time made this action necessary. It is a requirement that 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; Care Homes Regulations. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Whilst residents have benefited from living in a home that has been managed by an experienced manager and staff who are committed to providing a good quality of life for people living in the home, at the time of the inspection, the manager and other members of the senior staff were due to resign their posts. This means that the overall management of the home might be affected by this situation thereby putting the ongoing care of residents at risk. The home is run in the best interests of residents, however, their health, safety and welfare is compromised through a lack of essential safety checks. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager and a number of senior staff have resigned and the registered provider confirms that there has been a total breakdown in communication between the registered manager and himself. The home is actively seeking to recruit new staff members and a manager. It is a requirement that the CSCI must be kept informed of the arrangements for managing the home in the interim. It is a requirement that the registered provider shall appoint an individual to manage the care home and give notice to the Commission of the name of the person so appointed and the date on which the appointment is to take effect. A recommendation in the previous report to conduct regular formal supervision for staff members has not been implemented. It is a requirement that care staff receive formal supervision at least 6 times a year. The registered manager confirmed that no weekly fire alarm checks or health and safety checks have been conducted since January 2008. It is a requirement that the registered person make adequate arrangements for testing fire equipment at suitable intervals, and to ensure by means of fire drills and practices at suitable intervals, that the persons working at the care home and, so far as practicable, service users, are aware of the procedure to be followed in case of fire. The home is not an appointee for any residents but has the facility to hold small amounts of cash on behalf of some residents, which is stored individually and securely. The registered provider frequently visits the home and has generated written reports but the reports did not contain all of the elements required in Regulation 26. It is a requirement that the registered provider shall visit the home unannounced at regular intervals and interview, with their consent and in private, such of the service users and their representatives and persons working at the care home as appears necessary in order to form an opinion of the standard of care provided in the care home; inspect the premises of the care home, its records of events and records of any complaints; and prepare a written report on the conduct of the care home and a copy supplied to the registered manager. Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 23 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 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 X 3 1 X 2 Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 24 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 OP30 Regulation 18(1)(c) Requirement The registered person shall ensure that at all times suitably qualified, competent and experienced persons are working at the care home. Timescale for action 17/06/08 2. OP9 13(2) 3. OP15 13(3) 4. OP29 19(1)(b) In that, ongoing training for care staff must be reviewed to ensure that courses have been appropriately updated. This requirement has been repeated from the previous inspection dated 17/11/06 The registered person shall make 17/06/08 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. The registered person shall make 17/05/08 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. The registered person shall not 17/04/08 employ a person to work at the care home unless he has obtained in respect of that person the information and DS0000023890.V361949.R01.S.doc Version 5.2 Page 25 Beulah Lodge Rest Home 5. OP31 39(b) 8(2) 6. OP36 18(2) 7. OP33 26(1)(3) (4)(5) 8. OP38 23(4c)(v) 23(d)(e) documents specified in paragraphs 1 – 7 of schedule 2; Care Homes Regulations. The registered provider shall appoint an individual to manage the care home and give notice to the Commission of the name of the person so appointed and the date on which the appointment is to take effect. The registered person shall ensure that persons working at the care home are appropriately supervised. It is a requirement that care staff receive formal supervision at least 6 times a year. The registered provider shall visit the home unannounced at least once a month and interview, with their consent and in private, such of the service users and their representatives and persons working at the care home as appears necessary in order to form an opinion of the standard of care provided in the care home; inspect the premises of the care home, its records of events and records of any complaints; and prepare a written report on the conduct of the care home and a copy supplied to the registered manager. The registered person make adequate arrangements for testing fire equipment at suitable intervals, and to ensure by means of fire drills and practices at suitable intervals, that the persons working at the care home and, so far as practicable, service users, are aware of the procedure to be followed in case of fire. 17/08/08 17/06/08 17/05/08 17/06/08 Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone 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 Beulah Lodge Rest Home DS0000023890.V361949.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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