Inspection on 25/04/06 for Caburn House

This inspection was carried out on 25th April 2006.

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.

Other inspections for this house

Caburn House 10/03/10

Caburn House 12/03/09

Caburn House 17/03/08

Caburn House 02/05/07

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Caburn House 15 Caburn Road Hove East Sussex BN3 6EF Lead Inspector Mike Flint Key Unannounced Inspection 25th April 2006 10:00 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 Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 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. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Caburn House Address 15 Caburn Road Hove East Sussex BN3 6EF 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) 01273 771945 01273 738260 Vigcare (Hove) Limited Debbie Golding Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users must be older people aged sixty-five (65) years and over on admission. The maximum number of service users to be accommodated is twenty eight (28) 5 September 2005 Date of last inspection Brief Description of the Service: Caburn House is a detached care home on the border of Brighton and Hove, situated at the end of a cul-de-sac and close to the shopping area known as Seven Dials. It is easily accessed by public transport and is close to the mainline stations of both Brighton and Hove. The home overlooks a busy crossroads, near to a six-form college; residents, who may not wish, or who are not able to go out can easily see the pedestrians and cars passing by the windows. The home is a private residential care home registered to provide personal and social care to a maximum of twenty-eight older people. The private rooms are on three levels; a passenger lift operates between the ground and second floors and is backed by stair lifts on the two stairways. There is a small paved garden courtyard at the rear of the property for use by residents. Caburn House is also close to the Sussex County Cricket Ground. Residents who wish to walk into town may require the use of public transport for the uphill, return journey. There are churches of different denominations in the area for those who wish to attend, although the home does hold a service on Sunday afternoons, officiated by a member of a local church. Parking in the roads close to the home is on a meter system, combined with ‘residents only’ parking bays. There is a designated parking bay directly outside the home and some additional parking beside the home and a bay for disabled parking. The home was recently acquired in March 2006 by the new owners, under the auspices of Vigcare (Hove) Limited, being a well established provider of both residential and nursing care homes in the Hove area. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of the home was carried out over six hours, during a day in April, when there were twenty older people in residence, including one staying for short-term respite care. On duty were the registered manager, who assisted throughout the inspection; the deputy, the full-time cook, a cleaner and two care staff. During the visit the Inspector was pleased also to have the opportunity of meeting with the recently registered new owner. As part of the evidence gathering process for this ‘key’ inspection, assessing the overall performance of the home, the Older Peoples Assessment Team, Brighton and Hove Social Services, were contacted also the Contracts Department of the same Authority. Written comments were received from nineteen (19) residents, assisted by staff, or relatives in response to postal questionnaires. The fees for residential care at Caburn House are currently £391.00 to £500.00 per week, depending on the services and facilities provided; extras such as newspapers, hairdresser, chiropodist, transport, toiletries are additional costs. What the service does well: What has improved since the last inspection? It is clear that the recently registered manager together with her deputy have applied themselves to the task of achieving an acceptable standard in respect of the home’s records, in particular the residents’ care plans; a considerable Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 6 investment by the new owner is evident in the many improvements already made, and continuing, in the quality of the environment i.e. décor and furnishings; the atmosphere within the home provides evidence of good staff morale and comments made by the residents reflected on the good standard of care that is now being provided. The manager and staff said they felt well supported by the new owner. A majority of the substantial number of requirements, made at the time of the last inspection in September 2005, have been met, whilst others are being worked towards. What they could do better: Following the recent change of ownership the home’s Statement of Purpose/ Service Users Guide should be revised to reflect this and other changes in the way the home presents its services. A review and revision, where necessary, of the home’s policies and procedures is also required. In respect of ensuring the health, safety and welfare of the residents and those who work in the building regular health and safety and fire safety checks should be carried out by a suitably qualified/ experienced member of staff and recorded on a monthly basis. At the time of the inspection, the garden courtyard at the rear of the building was not accessible to residents due to a large number of discarded items of furniture, awaiting disposal. The manager said that residents had proposed some ideas for improving this area for their use in the warmer weather. The Inspector thanks the owner, the manager, staff and residents for their participation, co-operation and hospitality shown during the course of the inspection. Thanks also to those others, who have been contacted for their comments, as part of this inspection of Caburn House. 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. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 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 the following standard(s): 1, 2, 3, 4 and 5 Quality in this outcome area is good; the home has procedures in place to ensure that the needs and expectations of those admitted can be met. This judgement has been made using available evidence including a visit to the service. EVIDENCE: All residents receive a copy of the Terms and Conditions of residency; new contracts have been provided in the name of the new owner, Vigcare Limited. The home’s Statement of Purpose and Service Users Guide should now be revised and updated to reflect the recent changes in the home. Documentary evidence showed that satisfactory pre-admission assessments are completed for all those, referred to the home; the manager was able to confirm that any new referrals are registered with a GP, prior to admission to Caburn House. Residents spoken with said that visits to the home had been arranged to assist in their reaching a decision about whether, or not they wish to move in for a trial period; respite care had also been offered to some, in the first instance. The residents said that they felt their needs of were being well met, though one expressed irritation at recent staff changes. Training certificates are on display as evidence to visitors that staff are competent and skilled in the care of the elderly. The home does not admit persons requiring intermediate care. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 9 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 the following standard(s): , 8, 9 and 10 Quality in this outcome area is good; personal support in the home is offered in such a way as to promote and protect the residents’ privacy, dignity and independence. This judgement has been made using available evidence including a visit to the service. EVIDENCE: An improved system of care planning and risk assessment is being introduced; much of this work was seen to have been completed at the time of the inspection. From the care plans inspected it was apparent that a significant proportion of residents had restricted mobility and were at risk from falls; the accident book records showed this to be the case. The manager confirmed that falls prevention was included in the moving and handling training, provided for all care staff. Daily progress notes were seen to be entered in a report book for each resident for reference by duty staff; these notes being referred to at the shift handover meeting, which the Inspector attended. Handover sheets were also completed by the two waking night staff, together with a risk assessment in respect of night-time checks. Separate files are retained for use by District Nurses/ visiting GP’s, concerning individual residents. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 10 Residents spoken with commented favourably about the general quality of care provided by staff at Caburn House; a Care and Assessment officer from the local Social Services Department, who was spoken with by the Inspector, confirmed that this was a view now generally held also. The manager stated that a key worker system was to be introduced shortly as a means of making further improvements in providing care for residents on a more individualised basis. The administration of medicines in the home is satisfactorily managed to promote good health. Only residents who so wish and who have been assessed as competent may manage their own medicines; a lockable facility is provided in such cases. The six staff, designated for dispensing medicines, have received accredited training for this purpose. All interactions between staff and residents, observed during the inspection, were courteous and respectful e.g. when entering residents’ private rooms and during the course of the lunchtime meal. The Inspector was of the view that time was given to residents, when extra attention was needed. Residents, who wish, have a private phone line installed in their rooms, which one resident said was her life-line now that she was unable to get out. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent; the home provides a relaxed and supportive environment that enables residents to pursue their interests and autonomy within a socially orientated setting that is beneficial to their wellbeing. The meals in this home are of good quality, offering both choice and variety, catering for any special dietary needs. These judgements have been made using available evidence including a visit to the service. EVIDENCE: Residents’ views regarding activities varied between those who enjoyed socialising and others who were not so interested. However, overall the Inspector considered that the support and encouragement given to residents, who wished to pursue their own interests, was commendable. The manager confirmed that several relatives involved themselves in assisting with activities on a voluntary basis and that staff encourage activities with residents individually, whilst providing some form of group activity each day e.g. music with movement; others enjoyed going out into the community e.g. shopping, attending Sunday services at the local church, or attending a day centre for the elderly. A regular, weekly church service is held at the home and visiting members of the church help in supporting residents’ spiritual needs. It was also confirmed that four research students from the adjacent sixth-form college have been invited in each week to consult with residents concerning Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 12 their life experience. One of the residents said that she didn’t want to take part in any activities and liked being alone. Whilst staff respect residents’ wishes, the Inspector voiced concern about the possible risk of isolation and depression. It was apparent, during the inspection, that the routines of daily living are flexible to suit the residents’ needs e.g. taking meals in their private rooms, entertaining visitors, or attending events outside the home. Many of the residents have regular contact with family and friends. One resident commented that a holiday with family would be nice. Visitors are welcome to the home at any reasonable time. On entering residents’ rooms it was clear that many bring personal items with them on admission, including their own furniture. The Inspector was shown the menu plan, prepared by the cook, which appeared to provide an appealing, nutritious and well-balanced diet. Daily mealtime choices are discussed with residents and posted up, with records being kept of all meals served. Residents spoken with said that they always enjoyed their meals and much appreciated the recently introduced light evening snack that was now available to them. The cook confirmed that a note was made of those residents who preferred small portions, or alternative meals. The manager explained to the Inspector that the dining room seating arrangements were so arranged as to enhance that environment for the overall enjoyment of mealtimes as a social occasion. Some of this furniture appeared to be heavily worn and in need of replacement. It was noted that staff were on hand and attentive to the needs of residents during the midday meal. The fulltime cook confirmed that a weekend cook was to be recruited and that a complete kitchen re-fit had been ordered. A kitchen assistant is employed. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 16 and 17 Quality in this outcome area is good; any matters of concern are handled appropriately, reassuring those involved that they are being listened to and that action will be taken, as necessary. All staff, currently working at the home have been Police checked, minimising potential risks to residents’ safety and well-being. These judgements have been made using available evidence including a visit to the service. EVIDENCE: There have been no complaints recorded, or received by the CSCI since the last inspection. The home has a written procedure that advises residents, or visitors to the home how to make a complaint. Residents said that the staff and manager were very approachable and responsive, should issues arise that required action. The manager described to the Inspector how a complaint, made last year by staff about a visitor to the home, had been diplomatically resolved, working together with Social Services, who were able to confirm the satisfactory outcome, when questioned by the Inspector. There are policies and procedures in place relating to the protection of vulnerable adults and adult abuse, though not all staff had received training in this area of their work. The manager said that this and other training needs had been sent to the head office of the new owners and were being processed. Police checks are completed for all new staff. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 19, 20, 22, 24 and 26 Quality in this outcome area is adequate; the home provides a pleasant environment that is accessible and satisfactorily maintained, meeting residents’ individual and collective needs in a comfortable and homely style. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The layout and location of the home is suited for its purpose. It is close to shops, community facilities and transport services. In view of the limited communal space within the building, including small, rear garden courtyard, this factor would have an adverse impact on residents’ comfort, should the home become fully occupied. When this was raised, the new owner told the Inspector that it was unlikely the four private rooms, registered as doubles, would be used again for shared occupancy. Of the four private rooms inspected, each appeared to be satisfactorily decorated and furnished; radiator guards and hot water temperature controls are fitted to each wash hand basin. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 15 At the time of the inspection a large number of worn furniture items and floor coverings were in the process of being discarded, with replacements being provided by the new owner. The residents’ courtyard garden contained many such items, awaiting disposal, and the area was unsafe/ unusable by residents. Residents spoken with said that they had made suggestions as to how this area may be improved for their enjoyment. The manager confirmed that raised flower borders and new garden furniture had been discussed; residents were being invited to submit their ideas. Following an assessment of the premises in 2004 by an Occupational Therapist, grab handles and handrails have been fitted; wheelchairs can be provided, where these are needed for residents’ safety, when off the premises and attended by staff. It was noted that a Fire Safety risk assessment was carried out in May 2005 but that this had not been revisited since that time. Fire safety checks are required to be carried out and recorded on a regular basis to ensure compliance with fire safety is maintained. The new homeowner employs a full time maintenance man, who currently records the recommended fire alarm and emergency lighting systems, amongst his other duties. Following recommendations made at the time of the last inspection and since the Environmental Health Officer visited the home in March 2006, a complete re-fit of the kitchen is to be undertaken. The home employs a full-time cleaner and there is a current vacancy for a further domestic worker. The overall standard of cleanliness and hygiene in the communal areas and residents’ private rooms appeared to be satisfactory. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate; the staff appeared to have a good understanding of the residents’ support needs, evident from the positive relationships, which have been formed between staff and residents, observed during the inspection. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The duty rota shows satisfactory care staffing arrangements are in place, with a duty manager, or senior on site, seven days a week. There are two waking duty, night carers. At the time of this inspection there were no care workers undertaking NVQ training; the manager stated that this training is to be introduced for all new staff. Staff informed the Inspector of training sessions that have been arranged e.g. moving and handling, medications, food hygiene and first aid; not all staff have received this training, which is being arranged centrally, through the organisation. An examination of staff files showed that individual training records were kept and that satisfactory recruitment procedures were being followed e.g. taking up employment references and Police checks, prior to appointment. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38 Quality in this outcome area is good; the manager is competent and experience in the day-to-day running of this care home; she has established an open and positive approach, whilst maintaining a sense of leadership, which staff and residents understand and have responded to positively. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Commendable progress has been made in improving the overall standards at the home, since the registration of the present manager earlier in the year and the change of ownership in March 2006; Caburn House having been managed by personnel from the Registered Care Homes Association, in the interim, following action, taken in September 2005 against the previous owner by the Commission for Social Care Inspection (CSCI) for non-compliance with regulations. Both residents, staff and outside professionals spoken with commented very favourably about the changes being made at the home and Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 18 those that have already been achieved. At the time of the inspection the atmosphere in the home was friendly, relaxed, calm and orderly. Improvements in the care planning for residents and the environmental improvements, already mentioned, are in addition to increases in staff training in safe working practices and overall quality assurance measures e.g. staff now receive regular professional supervision from management, for which records are kept; both staff and residents meetings are held on a monthly basis, the minutes of which were examined by the Inspector; satisfaction surveys have been introduced; and, since the last inspection, a deputy manager has been appointed and a senior carer post created. From a hitherto entirely unsatisfactory standard of record keeping commendable improvements have been made in a relatively short space of time. However, there remains a considerable area of the home’s required record keeping that has yet to be brought up to date i.e. many of the home’s records kept in the previous owner/manager’s office have yet to be sorted. Currently there are no health and safety checks being carried out and recorded in the home; it is required that these be introduced to ensure as far as practicable the safety of residents, visitors and those persons working in the home. The manager maintains a suitable record of individual pocket monies with receipts, where small personal items are purchased on behalf of residents. The manager and her deputy confirmed the very positive management and administrative support the home is receiving from the new owner and the Company’s central office. The required monthly visits to monitor the home’s performance have yet to be introduced by the owner. Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 19 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 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 Score 2 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 2 Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 20 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. 01 Standard OP1 Regulation 6 Requirement That the home’s Statement of Purpose and Service Users Guide be reviewed and revised as necessary, under the ownership of Vigcare Limited. That all staff receive training in the protection of vulnerable adults and the procedures relating to adult abuse. That the garden courtyard at the rear of the building be cleared of discarded items and made safe and attractive for access by residents. That a regular inspection of the premises is carried out and recorded in respect of the fire safety risk assessment, which is to be kept updated. That the registered person ensures that all existing and newly recruited staff are issued with a job description. That staff induction and foundation training is introduced, which meets the TOPPS National Training Organisation’s (NTO) specification for care workers. Timescale for action 01/09/06 02 OP18 13(6) 01/09/06 03 OP19 23(2)(o) 01/06/06 04 OP19 23(4) 01/06/06 05 OP29 12(1) 01/06/06 06 OP30 18(1)(c) 01/09/06 Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 21 07 OP33 37 08 OP38 13(4) That NVQ training for care staff at level 2 and 3 be introduced and that the NTO target of 50 trained staff is achieved. That monthly, unannounced visits are carried out and recorded by the new owners, with a copy of the subsequent report, recording the performance of the home, submitted to the home’s manager and to the Commission (CSCI) That a regular inspection is carried out and recorded for all parts of the building to which residents have access, ensuring that any unnecessary risks are identified and so far as possible eliminated. 01/06/06 01/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 01 Refer to Standard OP37 Good Practice Recommendations That all the home’s policies and procedures be routinely reviewed and revised, wherever necessary to ensure that up-to-date and accurate advice is available for the guidance of staff. That further measures are introduced to gain feedback on the home’s performance e.g. relatives/ visitors satisfaction questionnaires. 02 OP33 Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Caburn House DS0000066419.V289588.R01.S.doc Version 5.1 Page 23 - 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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