Inspection on 06/05/05 for Bloomsbury House

This inspection was carried out on 6th May 2005.

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

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

Other inspections for this house

Bloomsbury House 18/11/08

Bloomsbury House 08/08/07

Bloomsbury House 01/08/06

Bloomsbury House 28/11/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Bloomsbury House Anchorage Road Sutton Coldfield West Midlands B74 2JP Lead Inspector Amanda Lyndon Unannounced 6th May 2005 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 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. Bloomsbury House Inspection report OP.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bloomsbury House Address Anchorage Road Sutton Coldfield West Midlands B74 2JP 0121 355 3255 0121 308 8091 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) Senex Limited Ms Vanessa Hammond Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Bloomsbury House Inspection report OP.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 2nd November 2004 Brief Description of the Service: Bloomsbury House is a large three storey Victorian House, providing residential accommodation for 15 older people.The home is situated in Sutton Coldfield, and is close to the town centre, transport links and local amenities. Decoration, furniture and fittings are of a high standard in the home.There is off road car parking to the front and rear of the garden. There is a pleasant garden in which residents can relax in clement weather. Access to the home has been made easier with the provision of a ramped access to the side of the house.All bedrooms are single, and are fitted with an en-suite toilet and wash hand basin. The home has a passenger lift. Communal space is provided in a large lounge to the front of the home, and a dining room.The home’s category of registration is for older people excluding people in need of care for reasons of dementia, learning disability and other categories. Bloomsbury House Inspection report OP.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was undertaken by one Inspector during a morning and lunchtime period, and was assisted throughout by the Registered Manager. There were fifteen residents living at the home on the day of the inspection and the Inspector met with a number of these people. Information was gathered from speaking with the residents, visitors and staff, observing the care staff perform their duties and examining care, medication and staff records. What the service does well: What has improved since the last inspection? Progress has been made regarding the care planning system at the home since the last inspection and this identifies that the residents’ care needs are being met. They are detailed and comprehensive and include evidence that residents are consulted about their care needs. Bloomsbury House Inspection report OP.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 & 5 Prospective residents are invited to spend a day at the home in order to sample what life would be like to live there, enabling them to make a choice about whether or not they may wish to live in the home. Residents are accepted to live at Bloomsbury House following an assessment to ensure that the home can meet their care needs. EVIDENCE: The service user guide had not been further developed since the previous inspection. Pre admission assessments are undertaken for all prospective residents using a comprehensive assessment document, however, not all pre admission assessments had been completed in full. Prospective residents are invited to spend a day at the home and share a meal with other residents and all residents come to live at the home on a 28 day trial period and this time period can be extended if the resident wishes. Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 9 The home could evidence that they could meet the care needs of the residents currently living at Bloomsbury House. Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10 Care planning and delivery are of a good standard to ensure that the residents’ health and welfare care needs are being met, taking into account their preferences. Medication is administered in a safe manner. Residents are supported in a respectful manner by the staff working at the home and this ensures that the residents’ dignity and self esteem are maintained. EVIDENCE: Improvements had been made in the care planning system used at the home since the previous inspection. Each resident had a set of care plans and these described the care to be provided by the care staff in order to meet the person’s individualised care needs. The care plans included detail of the residents’ preferences in respect of their daily lives and care plans for acute care needs were written. Residents and/or their representatives had not been involved in the writing of the care plans, however, there was evidence that residents were involved in the reviewing of their care plans. The home had introduced a comprehensive social history document and this had proved to be invaluable in discovering the history and preferences of residents living at the home. The daily report was recorded in detail and included information about how the resident had spent their day. Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 11 The moving and handling risk assessments did not include detail of the action to be taken should the resident fall. Appropriate pressure relieving equipment was provided by the district nursing team as required. Residents were weighed monthly and a record of this was maintained. Residents can retain their own General Practitioner whilst living at the home (if the GP is in agreement). One resident said “ The staff get the Doctor for me if it is necessary”. Residents had access to a range of other Social and Health Care Professionals, for example, district nurses, social workers, opticians and a chiropodist. All staff responsible for the administration of medication had received formal accredited training in the safe management of medication. The system for the management of medication was generally robust, however, a copy of the prescriptions written for each resident must be kept at the home as part of the auditing process. Refrigerated prescription items were stored securely. No one chose to self administer their own medication and none of the current resident group had been prescribed controlled mediation. Staff were interacting appropriately and respectfully with residents and a number of residents had a private telephone line in their bedrooms. Each resident had a lockable storage facility in their bedroom, however whilst locks were fitted to bedroom doors, these were not appropriate to the needs of the residents living at the home. The Registered Manager must ensure that each resident is consulted individually to determine whether they would like to have the facility to lock their bedroom door and a record of the outcome of this must be included within the residents’ files. Residents were supported to choose clothing to wear appropriate for the time of the year. Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 15 The recreational and leisure needs of residents are not met in the home. An activities programme is to be developed to ensure that activities are on offer that meet the needs and expectations of all residents living at the home dependent on their interests and abilities. Residents living at the home are given choice and freedom to make decisions regarding their daily lives. Residents receive a well balanced diet which meets any special dietary needs. EVIDENCE: An activities record sheet had been developed but was yet to be implemented at the home in order assess the popularity of the limited activities currently on offer and it is recommended that in addition to this, an activities diary is kept to identify which residents participated in each activity offered. One resident said “ we don’t really have any activities here”. The activities programme had not been further developed since the previous inspection and a hairdresser visits on a fortnightly basis. Visitors met during the inspection stated that they were made to feel welcome at the home and were happy with the service provided by Bloomsbury House. Residents’ bedrooms contained personal items to reflect their individual tastes and residents had choices over their daily lives. One resident said “ we can go outside of the home when we want to”. Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 13 A record of food eaten by each resident was maintained and this identified that there was a choice offered to residents at mealtimes. One resident said “ It’s good food here, I wouldn’t complain about it ”. The main meal of the day was nutritious and well presented and fresh fruit was available. Staff were assisting residents as required during the meal and the dining tables were laid attractively. Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 & 18 The home has a satisfactory complaints procedure and this is accessible to the residents and their visitors so they are aware of how to complain should the need arise. Whilst the Registered Manager is aware of the appropriate procedure to follow in the event of possible or actual abuse, the adult protection procedure does not include instructions for the staff to follow and this may pose a risk to residents’ safety. EVIDENCE: Since the previous inspection the complaints procedure on display in the home had been amended and this included all relevant information. The home had not recorded any complaints since the previous inspection. The home had an adult protection policy, however this did not include Birmingham Multi Agency Guidelines and must be amended to incorporate this. Residents have the option to vote in elections either by post or in person and receive support from the home or family. One resident said “ My family took me to vote yesterday” Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 23, 24, 25 & 26 The standard of the environment within the home is good providing residents with an attractive, clean and comfortable place to live. Radiators in the home are not guarded and this poses a risk to residents’ safety. The current showering facility is not suitable for residents to use independently or safely and this limits their choice of bathing facilities and does not promote their independence. EVIDENCE: Decoration, furniture, carpets and fittings were of a high standard in the home and there was a large comfortable lounge and a separate dining room for residents use. There was one assisted bathing facility on the ground floor and a shower cubicle on the first floor. Residents are required to negotiate a step up into the shower and this may not be suitable for all residents living at the home, however full assistance is provided by the care staff. The hot water supplying the shower facility on the first floor was too hot and could still be adjusted Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 16 manually and therefore posed a risk of scalding for the residents. The Registered Manager had updated the risk assessment about this, however, this must be on display as a warning to residents and staff in the interim until a more appropriate method of maintaining the water within safe limits could be sought. Raised toilet seats were available as required and hand rails were near the toilets. The temperature within the home was comfortable on the day of the inspection and the home was found to be clean and fresh. One visitor said “It is always clean here”. Hygienic hand washing facilities were available in the home with the exception of the first floor shower room where disposable paper hand towels were also required. An effective and hygienic laundry service for residents’ clothing and bed linen was in place. Radiator guards had not been fitted to radiators in areas of the home that the residents had access to and the Inspector was informed by the Registered Manager that these were being made and would be fitted in order of priority of risk. Window restrictors were fitted in the home. Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, & 30 The home has an appropriate skill mix and numbers of appropriately trained staff over each twenty four hour period to offer good consistent standards of care to meet the assessed needs of the residents, with the exception of allocating time to supervise residents outside of the home. There is a generally robust system for staff recruitment in place and this protects the residents’ safety and well being. EVIDENCE: The Registered Manager stated that the home had not used temporary or agency staff and the staffing rotas identified that the home were working within minimum approved guidelines. In addition to this a domestic assistant is on duty for the majority of days per week. On call support is provided to the staff team on duty and the person responsible for this must be identified on the staffing rota. One resident said “ I get on well with all of the staff”. Another resident said “ I would like to go outside more but the staff say that they are short staffed”. The Registered Manager stated that a review of the daily work load would be undertaken to allow more time for residents’ outings. One visitor said “ There always appears to be plenty of staff on duty when I visit”. Four members of staff are currently working towards the NVQ Level 2 qualification in care and another staff member is working towards the NVQ Level 3 qualification. A new staff member had commenced employment at the home on the day of the inspection and all of the information in respect of pre recruitment checks Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 18 were available with the exception of written confirmation of a satisfactory criminal records check. The Registered Manager confirmed that a satisfactory POVA check had been obtained for this individual, however this was not available at the home. The new staff member had received a health and safety induction prior to commencing employment at the home, however, a written record of this was not available on the day of the inspection. Staff had undertaken training specific to the role that they performed including report writing and elder abuse. It is recommended that a training analysis be undertaken for each staff member and that the filing system for staff training certificates is revised to promote ease of auditing. Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33 & 38 Residents’ views are sought from time to time but the home does not have a formal system for obtaining these views on a regular basis. Whilst the home offers a generally safe environment in which the residents’ live, staff require further training in a number of health and safety issues in order to update their knowledge of health and safety issues. EVIDENCE: The Registered Manager has had much experience of caring for older people and has achieved a Diploma in the Management of Care Services. She is currently working towards the Registered Manager’s Award. One visitor said, “The managers are very hands on here, we are very happy with everything”. Resident service satisfaction questionnaires are distributed regularly a report of the findings of these must be produced and be accessible to residents. Formal residents’ meetings are not arranged, however, informal discussions are undertaken on a daily basis between the residents and management team Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 20 and a written record of this is to be maintained. In addition, it is recommended that a relatives’ communication record be implemented. The accident book complied with the Data Protection Act 1998 and a system to audit the accidents that occurred at the home was being developed. Staff had received training in safe working practices including infection control, basic food hygiene and emergency first aid however training was required in fire safety and moving and handling. A fire drill had been undertaken recently. Health and safety checks in respect of the fire alarm, fire fighting equipment, nurse call and emergency lighting were maintained as required. The home was in the process of arranging for a legionella risk assessment to be undertaken. An Environmental Health Inspection had been undertaken recently and remedial action had been undertaken to address the two requirements made by the Environmental Health Officer. The fire risk assessments were due to be updated and since the previous inspection a risk assessment had been undertaken in respect of the staircases at the home. Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 2 x 4 3 2 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 2 2 2 x x x x 2 Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 22 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. Standard OP1 Regulation 4(1)(b) 5 Schedule 1 Requirement The statement of purpose requires further development to include all of the information required by Schedule1 Residents’ views must be incorporated in to the service user guide. 2. OP3 14(1)(a) All pre admission asessment 06 June documents must be completed in 2005 full. The Registered Manager must ensure that care plans are written with the involvement of the resident and/or their representative. Moving and handling risk assessments must include detail of the action to be taken should a resident fall. The medication process must be fully auditable. The Registered Manager must ensure that each resident is consulted individually to determine whether they would like to have the facility to lock 12 July 2005 Timescale for action 02 September 2005 3. OP7 15(1)(2)( b) Schedule 3 (1)(b) 13 (5) 4. OP7 06 July 2005 5. 6. OP9 OP10 13(2) 12(4)(a) 30 June 2005 6 August 2005 Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 23 7. OP12 16(2)(m)( n)(3) 8. OP18 13(6) their bedroom door and a record of the outcome of this must be included within the residents’ files. A formal programme of activities must be devised following consultation with the residents. This information must be circulated to all residents in a format suited to their capabilities. The adult protection policy must be further developed to include Birmingham Multi Agency Guidelines. The Registered Provider must provide a shower facility that meets the physical needs of the residents living at the home and the temperature of this must not exceed 43 degrees Centigrade. A risk assessment must be on display as a warning to residents and staff in the interim until a more appropriate method of maintaining the water within safe limits could be sought. The water temperature must be monitored at all times whilst in use. A dated action plan must be submitted to the CSCI. 31 July 2005 06 July 2005 9. OP21 13(4)(a)( b) 23(2)(n) 30 June 2005 10. OP25 13(4)(a) (timescale of 3 November 2004 not met) The Registered Manager must 01 continue to risk assess the September radiators and implement a rolling 2005 programme of providing guards on the radiators on a priority of need basis. (timescale of 11 December 2004 not met) Disposable paper hand towels must be available at all hand washing facilities in the home. 11. OP26 13(3) 01 June 2005 Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 24 12. OP27 18(1)(a) 13. OP29 14. OP30 19(1) Schedule 2 13(6) 18(2) 15. OP32 12(2)(3)( 5)(a)(b) 16. OP33 21(2) 24 17. OP37 17 The staffing rota must include detail of the person designated as on call support to the person in charge of the shift. All information relating to recruitment checks of staff members must be available at the home. Written evidence that all staff members have received an induction must be available at the home. The Registered Manager must ensure that the management approach of the home encourages residents to express their views and wishes and residents meetings and discussions must be documented. An annual report of the findings of the resident service satisfaction questionnaires and other internal auditing systems must be produced and be accessible for residents. The Registered Manager must review the policies and procedures on a regular basis to ensure an appropriate framework of documentation is in place. 14 June 2005 06 May 2005 06 May 2005 30 June 2005 01 Seotember 2005 01 August 2005 18. OP38 19. 20. OP38 OP38 This requirement was not assessed on this occasion and is carried forward 13(4)(b)(c The Registered Manager must ) ensure that auditing of accidents at the home is undertaken regularly. 13(4)(a)(c A legionella water risk ) assessment must be undertaken. 13(4) Health and safety risk assessments in respect of the premises, food handling and staffing require an issue and review date. E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc 30 June 2005 30 June 2005 31 July 2005 Bloomsbury House Version 1.30 Page 25 21. OP38 23(4)(d) All staff must undertake a statutory fire safety training update. 20 May 2005 22. OP38 13(5) 18(1)(c )(i) The Registered Manager received this in the form of an immediate requirement All staff must undertake 6 June statutory moving and handling 2005 training. 23. OP38 The Registered Manager received this in the form of an immediate requirement 13(4)(a)(c The fire risk assessments must 31 July ) be reviewed and updated. 2005 23(4) 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 OP30 Good Practice Recommendations It is recommended that a training analysis be undertaken for each staff member and that the filing system for staff training certificates is revised to promote ease of auditing. Training records should include the content and duration of each training session, together with an indication of when updated training will be necessary. The Registered Manager is to complete the Registered Managers Award by the end of 2005. 2. OP30 Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 1st Floor Ladywood House 45-56 Stephenson Street Birmingham, B2 4UZ 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 Bloomsbury House E54_ S63524_Bloomsbury_V225298 050505 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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