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Inspection on 02/10/07 for Bosworth

Also see our care home review for Bosworth for more information

This inspection was carried out on 2nd October 2007.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents spoken with were happy living at Bosworth and were full of praise for the staff. They said that staff were kind and thoughtful and nothing was too much trouble.Each resident has a plan of care detailing for staff how to meet care needs. Residents confirmed that they were involved in their care needs and how care was given. Health needs are identified and met by staff liaising with visiting health care professionals. Residents are encouraged to maintain their links with friends and family and all visitors are made very welcome. They are helped to exercise choice and control over their lives as far as possible. The complaints procedure can reassure residents that their views are important to the home and that any complaints they raise will be properly investigated. The home protects those living there from abuse by ensuring the robust policies and procedures are in place and staff are aware of them. A robust recruitment process is in place, which helps to protect residents from the risk of unsuitable staff working at the home. Financial procedures within the home also ensure that residents` interests are protected.

What has improved since the last inspection?

Since the last inspection a number of improvements have taken place. Prior to admission, each resident now receives written confirmation from the Registered Manager that his or her needs will be met by the home. The home has a programme of activities and residents are free to join in if they so wish. They are based on the residents` assessed needs and preferences and records are kept of activities that take place. Recently residents have been asked about the menus and food choices. The menu has been reviewed and all those spoken to during the inspection were happy with the catering. The menu offered choice and residents were free to decide where they took their meals. The quality assurance system has improved and residents confirmed that they are consulted about the running of the home and are happy with the services it provides.

What the care home could do better:

As a result of this inspection six requirements and two recommendations of good practice have been made. The care needs of residents are not routinely reassessed and documented on a regular basis. The reassessment process would highlight any changes in the resident`s needs and plans of care can then be changed accordingly so that residents receive the appropriate care. To ensure that medicines are dealt with safely at all times staff administering them need to receive training. To ensure the health and safety of residents the programme for fitting radiators with low temperature guards needs to be completed. The home also needs to improve the access in and out of the home for wheelchair users. At the time of inspection care staff were having to undertake domestic duties, which took them away from spending time with the residents. The Registered Manager confirmed that he had been advertising for a cleaner for the home but as yet had been unsuccessful in appointing anyone to the post. Generally the training for staff was good. However the induction needed to be more thorough and in line with the Skills for Care Common Induction Standards. New staff need to be given training before undertaking an moving and handling procedures to ensure the safety of the residents and member of staff. Since the last inspection the Registered Manager has achieved the NVQ level 4 Managers Award. He still needs to undertake the NVQ level 4 in care and increase his care experience. This would enable him monitor the standards of care to ensure that care given is of a high standard. The Registered Provider has written to confirm that these requirements and recommendations are being addressed in a timely fashion.

CARE HOMES FOR OLDER PEOPLE Bosworth 6 Southdown Avenue Preston Weymouth Dorset DT3 6HR Lead Inspector Amanda Porter Key Unannounced Inspection 2nd October 2007 9:30 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 Bosworth DS0000026769.V352000.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. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bosworth Address 6 Southdown Avenue Preston Weymouth Dorset DT3 6HR 01305 833100 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) Mrs Christine Wells Mr Derek Edwin Luckhurst, Mrs Meryl Susan Hodder Mr Peter Geoffrey White Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user (as known to the CSCI) within the category of LD(E) may be accommodated to receive care. 12th February 2007 Date of last inspection Brief Description of the Service: Bosworth Residential Care Home is located in a quiet residential area of Preston, about 2 miles from the centre of Weymouth. The home looks out over a wildlife reserve and has fine views of the sea and Portland. The home is registered to accommodate a maximum of 22 older persons over the age of 65 years, and also currently accommodates one person who has a learning disability, by arrangement with CSCI. Bosworth offers 18 single and two double sized bedrooms, spread over two floors; as the house is set on a hill, a number of 1st floor bedrooms have direct access to the garden. The home has a passenger lift which gives level access to the main area of the 1st floor; six bedrooms on this floor have access via 3 steps on the landing. On the ground floor there are communal lounges and a dining area, together with a bathroom and WC. The registered manager advises that the weekly fee range within the home is: £311-£460. Additional charges are made for hairdressing and chiropody. See the following website for further guidance on fees and contracts www.oft.gov.uk (Value for Money and Fair Terms in Contracts). Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 2nd October 2007 over a period of approximately five hours. The purpose of the inspection was to review the requirements and recommendations made at the last inspection and assess all of the key standards. The Registered Manager, Mr Peter White, and the Head of Care were on hand to aid the inspection process. Information gathered for this report came from several sources including: • Reports made to the Commission for Social Care Inspection by the home. • The annual quality assurance assessment completed by the home. • 6 completed surveys from residents, 6 from relatives and friends, 1 from a GP and 2 from health professionals. • Review of a variety of documentation including care records, staff records, maintenance records, policies and procedures. • Discussion with residents and staff. During the course of the inspection four residents and four members of staff were spoken with and asked their views on the service provided at the home. Comments received in surveys and through discussion included: The home is open and honest and liaises well with other services. It manages individuals’ changing healthcare needs by liaising with appropriate agencies.” “The staff try to treat the residents with the respect they deserve and to make the home a comfortable and pleasant as possible.” The staff at Bosworth are kind, gentle, hardworking and humorous.” “The care home offers all round quality care. The staff are extremely friendly and helpful.” “The home has a nice atmosphere and is much better than my previous home.” Everyone at the home was most welcoming and helpful. What the service does well: The residents spoken with were happy living at Bosworth and were full of praise for the staff. They said that staff were kind and thoughtful and nothing was too much trouble. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 6 Each resident has a plan of care detailing for staff how to meet care needs. Residents confirmed that they were involved in their care needs and how care was given. Health needs are identified and met by staff liaising with visiting health care professionals. Residents are encouraged to maintain their links with friends and family and all visitors are made very welcome. They are helped to exercise choice and control over their lives as far as possible. The complaints procedure can reassure residents that their views are important to the home and that any complaints they raise will be properly investigated. The home protects those living there from abuse by ensuring the robust policies and procedures are in place and staff are aware of them. A robust recruitment process is in place, which helps to protect residents from the risk of unsuitable staff working at the home. Financial procedures within the home also ensure that residents’ interests are protected. What has improved since the last inspection? Since the last inspection a number of improvements have taken place. Prior to admission, each resident now receives written confirmation from the Registered Manager that his or her needs will be met by the home. The home has a programme of activities and residents are free to join in if they so wish. They are based on the residents’ assessed needs and preferences and records are kept of activities that take place. Recently residents have been asked about the menus and food choices. The menu has been reviewed and all those spoken to during the inspection were happy with the catering. The menu offered choice and residents were free to decide where they took their meals. The quality assurance system has improved and residents confirmed that they are consulted about the running of the home and are happy with the services it provides. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Bosworth DS0000026769.V352000.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 Bosworth DS0000026769.V352000.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): 3. Standard 6 is not applicable to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A good admissions procedure enables prospective residents, and/or those acting on their behalf, to make informed decisions about admission to the home and ensures that only residents whose needs can be met by the home are offered places there. EVIDENCE: The files for two residents who had recently moved into the home were reviewed. These showed that the home has a good procedure in place. Prior to anyone moving to the home a full assessment of needs is undertaken, which involved a visit to the prospective resident’s home and them also visiting Bosworth. Sufficient information was obtained so that a care plan could be drawn up and made available to staff. The home confirmed in writing to the resident and/or chosen representative that their needs could be met. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 10 Replies in the surveys received from residents and visitors indicated that they had sufficient information about the home so that they could make an informed choice about admission. Bosworth DS0000026769.V352000.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 good. This judgement has been made using available evidence including a visit to this service. The standard of care was seen to be good although the care documentation does not always support this. The principles of respect, dignity and privacy were put into practise. Medicines prescribed by doctors are safely stored and correctly administered. However staff need to be appropriately trained to ensure that they adhere to best practice at all times therefore maintaining the safety of residents. EVIDENCE: Three care files were reviewed. Care plans gave clear instruction of how the individual resident’s needs were to be met. The initial assessment of needs was very thorough however there was no documentary evidence that these needs were reassessed by the home on a regular basis even though residents spoken with gave assurances that they were very well cared for. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 12 It was clear from discussions with staff and residents that they have access to the health services they need. There was evidence to show that residents get support from General Practitioners, the district nurse, chiropodists, opticians and dentists. Residents confirmed that they were able to continue to see the GP of their choice. Medication records and procedures were reviewed and appeared to be well managed. Residents spoken with said they were able to administer their own medication if they so wished and were provided with safe storage within their bedroom. There was no documentary evidence that all staff who are responsible for the administration of medication had been suitably trained. Some staff were able to administer insulin and said that they had been shown how by a district nurse. Again there was no documentary evidence of when this training took place or who attended. To ensure best practice this training should be given and clearly documented. (See Professional Advice: The administration of medicines in care homes available on the Commission for Social Care Inspection website www.csci.org.uk Comments received from residents and their relatives/visitors confirmed that staff treated them with respect and were supportive and kind. “Staff always do what they say they will and are very accommodating.” “Staff are wonderful and very caring – nothing is too much trouble.” “We are very pleased with the continued high standard of care and attention given to my Mother by pleasant, well motivated staff.” Bosworth DS0000026769.V352000.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 good. This judgement has been made using available evidence including a visit to this service. People who use this service are supported to maintain their life skills and are encouraged to make choices as far as possible. Social, cultural and recreational activities meet individuals’ needs and appear to be very much enjoyed. EVIDENCE: Residents spoken with said that they were “free to make decisions about how they spent their days” and they were happy with the lifestyle that living at the home afforded them. Some chose to spend time on their own, pursuing individual hobbies and interests, but knew they could join in with any organised activities if they so wished. Comments included: “Should I desire them, activities are available.” “I greatly appreciate the holy communion service we have once a month here at Bosworth.” “Residents and staff enjoy the activities.” Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 14 Activities included: • • • • • • • • Theatre outings Manicures Extend gentle exercise classes Musical entertainers Theatre trips Games Reminiscence Visits from local clergy, including Holy Communion. Residents confirmed that their visitors were always made welcome at the home and they could have visits in private. Since the last inspection the home has undertaken a food survey with the residents and the menu has altered accordingly. A choice of food was available. All residents spoken with were happy with the food. One resident said “We have just had a very good lunch. We are always well catered for.” Bosworth DS0000026769.V352000.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 good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure. Protection from abuse is promoted. EVIDENCE: The home has a clear complaints procedure available to everyone. Residents spoken with during the inspection said that if they had any concerns they would feel confident about talking to the management team, knowing that they would listen to them. Since the last inspection the home has reviewed its policy and procedure to respond to suspicion or evidence of abuse or neglect to ensure it is in line with local guidance. Staff confirmed that they receive training on the protection of vulnerable adults. Through discussion it was apparent that they had a clear understanding of local procedures. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Bosworth is generally comfortable. However the installation of radiator covers and the improvement of wheelchair access in and out of the building would ensure that it was safe for everyone using it. EVIDENCE: The home has an ongoing maintenance programme. At the time of inspection one of the bathrooms was being refurbished. A further four radiators in the dining room have been fitted with covers to prevent scalding. However there are still a number of radiators without covers, which is a hazard to some residents. Some areas of the home have been redecorated. Some new equipment has been purchased for the kitchen and laundry. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 17 There did not appear to be any easy access for wheelchair users in and out of the home. The Registered Manager confirmed that this would be taken into consideration in plans for future maintenance. The floor in the laundry room has been replaced with an impervious membrane. This room was very hot and staff confirmed that it was only possible to work in the room with having the door open. An effective extractor fan may alleviate this problem. The laundry was well managed and adequate supplies of clean linen were seen to be available. Residents confirmed that their personal items were well laundered and returned promptly. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient staff are employed to meet care needs. However some of their time is used to complete laundry and cleaning tasks rather than spending time with the residents. Robust recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home. Staff are generally given the training and support so that they can give a good standard of care to the residents. EVIDENCE: At the time of inspection staff rosters demonstrated that there are sufficient care staff on duty at that time. During the inspection staff were on hand to meet the needs of the residents. However, they had many other tasks to perform including, cleaning, laundry duties and the organisation of activities with residents. The Registered Manager had made attempts at recruiting a cleaner but at the time of inspection had been unsuccessful. The home has an ongoing training programme, which includes NVQ level 2 in care. The Registered Manager confirmed that at the time of inspection approximately 75 of care staff held this award. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 19 Four staff recruitment files were reviewed and they contained: • Completed application forms • Two written references • Enhanced criminal record bureau (CRB) and POVA first checks • Terms and conditions of employments • Documentary evidence of any relevant qualifications • Proof of identity, including a photograph. Training files demonstrated that staff were receiving some induction training. However this did not appear to meet the performance criteria for the Skills for Care Common Induction Standards. One new member of staff had not had any manual handling training, which could compromise the safety of residents and the staff member concerned. Staff spoken with confirmed that they were encouraged to attend training. Training included: • Protection of Vulnerable Adults. • Diabetes. • Dementia Care. • Fire safety. Further information on available training can be accessed through the following websites: www.picbdp.co.uk www.skillsforcare.org.uk Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well organised and the daily management and running of the home centres round the care of residents. EVIDENCE: Since the last inspection the Registered Manager has achieved the level 4 NVQ Registered Manager award. Mr White’s experience in care is limited and he has yet to undertake the NVQ level 4 in care. However residents and staff and residents spoken with said that he was supportive and approachable. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 21 The home has a quality assurance monitoring system. Feedback is sought from residents and relatives. The Registered Manager confirmed that action is taken as a result of their findings and feedback is given to residents. Residents confirmed they were able to deal with their own finances if they so wish. The home does hold some “pocket money” for any residents who request this. Clear records are kept of any monies held and how this is spent on behalf of the resident concerned. The Commission for Social Care Inspection receive a monthly report from the Registered Provider of their monitoring visits to Bosworth. Generally the standard of record keeping within the home was seen to be good. The home complies with the guidance and recommendations of the Dorset Fire and Rescue service. Records showed that all staff had received recent training in fire safety. Substances hazardous to health were seen to be stored securely. Records showed that equipment had been serviced regularly. Accidents were recorded and appropriate action was taken as necessary. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X 2 3 STAFFING Standard No Score 27 2 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X X 3 3 Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 14(2) Requirement Timescale for action 02/01/08 2. OP9 13(2) The Registered Person must ensure that the assessment of the service user’s needs is (a) kept under review; and (b) revised at any time when it is necessary to do so having regard to any change of circumstances. The registered person must 02/01/08 make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. (Staff responsible for the administration of medication must be suitably trained.) The registered person must ensure that at all time suitably competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. (This must include sufficient domestic staff to undertake cleaning duties.) The Registered Person must ensure that the persons employed by the Registered DS0000026769.V352000.R01.S.doc 3. OP27 18(1)(a) 02/01/08 4. OP30 18(1)(c) (i) 02/01/08 Bosworth Version 5.2 Page 24 5. OP25 13(4)(c) 6. OP31 9(2)(b)(ii) Person to work at the care home receive training appropriate to the work they are to perform including structured induction training. (The induction training must include the Skills for Care Common Induction Standards. Training must be given before a new member of staff undertakes moving and handling procedures with any resident.) The Registered Person must 02/01/08 ensure that unnecessary risks to health or safety of service users are identified and so far as possible eliminated (Where radiators do not have low temperature surfaces steps must be taken to ensure that each are guarded. This is necessary to ensure that risks to residents are eliminated.) This requirement is made for the second time. However the home has already started on a programme to cover radiators and it is anticipated it will be completed by 02/01/08. The Registered Manager must 02/10/08 have the qualifications, skills and experience necessary for managing the care home (He must achieve NVQ level 4 in care). This requirement is made for the second time. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP9 OP19 Good Practice Recommendations Staff who administer insulin should only do so once they have received training form a healthcare professional and any training should be clearly documented. The Registered Person should improve the access for wheelchair users in and out of the home. Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Bosworth DS0000026769.V352000.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!