Inspection on 15/11/05 for Cedardale Residential Home

This inspection was carried out on 15th November 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

Cedardale Residential Home 02/07/08

Cedardale Residential Home 06/12/06

Cedardale Residential Home 19/07/05

Cedardale Residential Home 30/11/04

Cedardale Residential Home 18/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Cedardale Residential Home Queens Road Maidstone Kent ME16 0HX Lead Inspector Mrs Ann Block Unannounced Inspection 11:05 15 November 2005 th 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 Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 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. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cedardale Residential Home Address Queens Road Maidstone Kent ME16 0HX 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) 01622 755338 MGL Healthcare Ltd Mr Michael Joseph Gaetan Lisis Care Home 21 Category(ies) of Dementia - over 65 years of age (21) registration, with number of places Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users between 55 and 65 years of age experiencing difficulties with memory loss or a diagnosis of dementia may be admitted. It has been agreed that rooms 2, 6, 10 and 11 can be shared by married couples, siblings or individuals whose needs can be evidenced as best met in a shared facility. 19th July 2005 Date of last inspection Brief Description of the Service: Cedardale Residential Care Home was first registered to care for older people in 1989. MGL Healthcare Ltd. took over ownership in April 2004 and since June 2005 has been registered to accommodate 21 people aged 55 and above who have a diagnosis of dementia. At present the home is in the transition period. Cedardale is located in a quiet tree lined residential area of Maidstone, close to shops, pubs, churches, public transport and other usual town amenities. Cedardale consists of a two storey building with a newer single storey extension. There are thirteen single and four shared bedrooms. Eight of the single rooms and all of the shared rooms have en suite toilet and washbasin. The first floor is accessed by a stair lift. The home has large landscaped gardens with car parking to the front of the house. The home employs care staff, working a roster, which gives 24 hour cover. The home also employs other staff for catering, domestic and maintenance duties. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on Tuesday 15th November 2005. The commission was represented by Ann Block, regulatory inspector, who was in the home from 11:05 am until 3:10 pm. During that time, residents and staff spoke with the inspector. The owner/manager was on holiday at the time of inspection. Some residents experience levels of confusion which prevent direct questions and answer. The inspector spent the majority of the inspection sitting with residents in the lounge, which gave opportunities to observe interactions during the day. This report includes evidence and judgements made through conversation, observation, records and previous inspection reports. Many standards were not assessed, having been assessed in full at the inspection of 19th July 2005. To gain a more comprehensive view of service provision it is recommended that the reader access the report of that inspection. Throughout the inspection, there was a relaxed atmosphere with residents going about their business supported discreetly and courteously by staff. Whilst there are some areas needing further action in respect of good practice, these are to be set against a service which demonstrated excellent care and consideration for older people and a willingness to explore any opportunities to improve service provision. What the service does well: Standards of care at Cedardale are very good and offer residents, including those with dementia, a friendly and comfortable place to live. Each resident has a plan of care which reflects the high standards of care and attention given to them. Health needs are well managed with support from local health services. Good health is further promoted by good medication practices. Residents feel respected by staff and have their dignity upheld. Individual interests are followed up with new interests encouraged. Residents feel staff treat them as individuals and have time to chat with them. Family and friends can be involved in the life of the home with visits welcomed. Residents enjoy their meals and can have alternatives to the main meal. Residents and relatives can make comment about the service and know action will be taken. Cedardale is homely and residents can enjoy a relaxed, well-maintained and pleasing environment. Laundry facilities are good with residents’ clothes well cared for. The home is well staffed by staff who enjoy their work and provide a good quality of life for residents. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 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 Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 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): Not assessed EVIDENCE: Not assessed in detail. Following the change of registration, residents are admitted who have a diagnosis of dementia. Each will be assessed to ensure the home can meet their needs. Staff have increased confidence in caring for older people with dementia. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 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): 7,8,9 & 10 Residents receive a high standard of personal and health care. EVIDENCE: Each resident has a plan of care. The care planning system is still being developed. Care staff have excellent practical understanding of residents, who are treated as individuals with different personalities and needs. New staff work with more experienced staff and much information about residents is shared in this way. On each shift a brief record is made for each resident about their day. This information is also shared verbally at shift handover. There is some unnecessary duplication between the communication book and care plan. Great emphasis is placed on promoting good mental and physical health. Residents’ weights are monitored using a chair scales. Care is taken to link food intake to dietary need, such as diabetes and, where there is a need, to increase weight. One general practitioner is supportive of older people with dementia, hence some residents have been transferred to his practice. Where necessary specialist health services are accessed. Since the last inspection a Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 10 senior carer has worked hard to ensure medication practices are good and protect residents. References were made to returned medication records, setting up individual records of medication with side effects for each resident, ensuring storage was clean and good practice when receiving medication. Medication administered during the inspection was given at the right time, discreetly and competently using a drug trolley. Most medication is in blister packs, the senior carer has had training from Boots in using the system and has cascaded training to other senior staff. To reduce risks to residents all staff must receive formal safe handling of medication training. Where there are concerns that medication given is not having the desired effect, a review of the medication is requested. Staff on duty showed excellent consideration and respect for each resident. A resident said how much she appreciated staff leaving her in the bath ‘for a nice long soak’, which she loved, but how she felt safe as they would wait just outside in case they were needed. Unlike many homes, there is no obvious toilet routines. Residents are taken when they need or ask, or are reminded gently and discretely before the meal. Staff availability and signs for toilets help the more confused residents. Clothes are very well maintained. A resident said that night staff would show her a selection of clothes from which she chose those for the day. Residents who are less able to make these decisions are prompted to maintain dignity and to dress appropriately. Residents who share a room do so by choice and have screening to promote privacy. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 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 & 15 Residents live in a home where they can be active and have social contacts. EVIDENCE: Care staff offer residents who would benefit from activities a session each afternoon which may include craft work, games or just a chat. Many of the ladies like to have their nails done by the carers, or to have a hand massage. One resident sets great store by receiving her daily paper each morning, others likes listening to music and another retains her interest in dancing. Staff ensure they spend time, not just in providing personal care, but also to talk with residents and showed a genuine interest in how each was feeling. Residents may be taken out into the town or for a short drive if they wish. Residents can choose whether to attend the fortnightly communion service. Attendance at any activity is purely voluntary, staff recognise the short attention span for some residents and are quite happy that they ‘drop in and out’ of activities. The home welcomes visitors and recognises that for many older people continued contact with family is valuable. Whilst there wasn’t the opportunity to talk with visitors on this occasion, at the last inspection visitors said how they were made welcome and were kept informed of issues relating to their Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 12 relative if appropriate. There is a small quiet lounge which can be used for meetings and visitors in greater privacy. Visitors may stay for a meal and will always be offer refreshment. Staff aim to ensure that just because the older person is in a residential home, their right to choice and decision making isn’t taken away. Whilst there are some normal restrictions as part of any group living situation, residents have choice in such areas as times of getting up and going to bed, when to have their bath, where they would like to eat and what they would like to do with their day. Residents are encouraged to bring personal possessions with them and every effort is made so that they are in an environment where they feel content. The long standing cook has been absent for some months, a senior carer was cooking on the day of inspection and had produced home made beef casserole, a selection of vegetables and delectable looking apple pies. Residents said the lunch was lovely and there were requests for second helpings of the apple pie. Some residents chose not to have the main meal and had soup, jacket potatoes or ham for their meal. It has been found that two residents eat better if they are assisted on a one to one basis. The excellent manner in which staff assisted them resulted in a good amount of food being eaten and enjoyed. Drinks are taken round in between meals, a number of residents like to have additional drinks which were willingly made for them. Care is taken to ensure as far as possible each resident drinks plenty of fluid. Advice is sought about dietary needs with some staff having recently attended a course on diabetes which they found most useful. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 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): Not assessed EVIDENCE: At the last inspection residents and relatives were unanimous in saying if they had any concerns they would be listened to and acted on promptly. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 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): 19,20,21,22,23,24,25 & 26 Residents have a homely and well maintained environment in which to live. EVIDENCE: Cedardale started life as a large family home and was later extended to provide more specialist accommodation. The house retains its origins as a homely environment and fits well into the local area. Furnishings are domestic, suitable for the residents accommodated and well maintained. Currently there is no shaft lift, access to the upper floors is by stair lift. MGL, the owners, recognise the changing and increased needs of people moving into care and are have obtained planning permission to further extend and rearrange the home. This would reduce the number of shared rooms, provide a new kitchen and laundry, shaft lift and more en suite rooms. Residents using the upper floors are risk assessed as safe independently or needing staff assistance. Railings are fitted by the front door and to the rear ramped access. There is wheelchair access to the side of the house. The large rear garden is a secure area where residents can wander freely. The lounge leads onto a patio Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 15 area with seating. Indoors there is a good-sized L shaped lounge, a smaller quiet lounge and a dining room. Currently there is no separate office space, with the hallway being used as a semi office facility. The majority of bedrooms have a good outlook and have good natural light. There is a domestic style kitchen which at the time of inspection was clean and well ordered, and a laundry with domestic washer and drier. Both have facilities to reduce the risks of cross infection. Washing needs are reduced as the majority of sheets and pillowcases are sent to a local laundry. There is a clinical waste contact for the safe disposal of contaminated waste. A cleaner is employed. A number of rooms are en suite, in addition there are separate toilets for general use and a staff toilet. There are two bathrooms, a standard bath on the upper floor and a Parker bath on the ground floor. One room has an en suite shower. Residents have use of a staff call system. A mobile hoist has been purchased which is under a maintenance contract. The manager will access specialist advice regarding suitability of the environment before starting the refurbishment. Residents can chose what items they would like in their rooms. Residents can choose whether to hold key to their room. The home felt warm, bright and comfortable. Radiators are fitted with covers to prevent risk of burns. The temperature of hot water accessible to residents is regulated by pre set valves. The fire safety risk assessment was not in the appropriate section in the fire log book. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 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 & 30 Staff are well liked, provide good care and uphold clients rights. Improvements to the roster and recruitment systems would offer residents more confidence in those caring for them. EVIDENCE: Staffing levels have been increased following the change of registration with three staff on duty between 8 am and 8 pm, and two waking night staff. In addition a domestic and cook are employed. The staff roster indicates that at all times one member of staff will be designated senior and hold responsibility for running the shift. The manager sets up the staff roster. The following weeks shifts (Sunday to Saturday) are made available to staff the previous Thursday, hence giving 4 days notice of duties. Residents spoken to like all the staff but clearly have their ‘special’ staff and look forward to them being on duty. The current system of allocating duties has potential to further confuse residents who are already often disorientated to time and place, and is not good staff/management practice. Staff still have not received a statement of terms and conditions. Throughout the inspection there was evidence of very good staff/resident interactions. It was clear that staff listened, got to know individuals and were approachable. Staff balance personal care needs with time for one to one chats, activities and recording daily events. A senior on shift spoke of the number of training courses she had been on since she started at Cedardale a Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 17 year ago. She felt that the courses had helped her work more effectively with older people, as this was her first post in care. She was in the final stages of NVQ 2 in care and was hoping to start NVQ 3 training. There is a proactive approach to NVQ training with an assessor in the home during the afternoon. Whilst there are no concerns as to the skills and integrity of the current staff team, at the last inspection it was found that recruitment did not support good practice to protect residents. As records weren’t accessible, any improvements to practice couldn’t be assessed. A member of staff who started work 5 weeks ago confirmed she had filled out an application form, attended for interview and had worked alongside a more experienced member of staff until she got to know residents. She said she had only started work after a satisfactory criminal records bureau certificate had been obtained. She spoke of being asked to read the policy file but had not had any formal supervision or recorded induction procedure to follow. This was her first job in care and was aware that she was still learning from more experienced staff. She said that until she had been watched and was doing tasks correctly, she would not be allowed to do the work by herself. Staff spoke of enjoying the work and considered the home gave a good quality of life to residents. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 18 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): 34,36,37 & 38 The good care for residents would be verified by improvements to staff supervision and record keeping. EVIDENCE: Recognising that residents need access to cash for items such as hairdressing and shopping, the home will hold money for safekeeping. There is no other involvement in residents’ monies. Money for safekeeping is held individually with an associated record which supports accountability. Expenditure and income are now clearly linked to receipts. The manager currently supervises staff. A full supervision system is being implemented with a senior having had supervision training to share the supervisory role. Currently not all care staff have supervision 6 times a year. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 19 Job descriptions for all levels of staff need to be drafted to use as part of the supervisory process. A senior is making great progress in bringing resident records up to a good standard. The manager holds responsibility for maintaining personnel and service records. As these were locked away and not accessible to senior staff, they are not available for inspection at all times as required by regulation. A fire log file is held with section for fire safety checks, staff training and fire risk assessment. The file recorded regular fire safety checks having been carried out but not that all staff have regular fire drills. The senior cooking lunch had basic food hygiene training from a previous job but was aware it needed updating. Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 20 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 2 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 x 17 x 18 x 1 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x 3 3 2 1 1 Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 21 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 OP1919.5 Regulation 23 (4) (c) Requirement As required by Fire Safety Regulations 1992 (as amended) a fire risk assessment must be carried out and updated as necessary. No member of staff shall be employed to work at the home unless a minimum of two satisfactory written references have been obtained, their employment history, including the reason for leaving any employ with vulnerable people, has been obtained and validated. Part of this requirement is carried forward from a previous inspection. There must be evidence that all staff have the training necessary to carry out the work they are to perform, this will include evidence that all staff have: • • A recorded induction procedure Training in Basic Food hygiene/food hygiene awareness where the Version 5.0 Page 22 Timescale for action 31/12/05 2 OP2929 19 (1) 31/12/05 3 OP3030 18 (1) (c) 31/12/05 Cedardale Residential Home DS0000059264.V252017.R01.S.doc • • • member of staff prepares, handles or stores food. Training which includes caring for older people with dementia Updated moving and handling training Training in the safe handling of medication if they administer medication Part of this requirement has been carried forward from three previous inspections. An action plan has been received 4 OP37OP37 19 (1) There must be a record of the dates staff employment commences and finishes. 31/12/05 5 OP3737.3 17(2) (b) 31/12/05 Records as listed under Schedules 3 & 4 must be available in the home at all times for inspection by any person authorised by the commission to enter and inspect the care home All staff must attend fire drills at 31/12/05 intervals as recommended by the Fire Safety Officer, this will be at not greater than 3 monthly intervals for night staff and not greater than 6 monthly intervals for day staff. There must be recorded evidence that this training has been undertaken. 6 OP3838 23 (4) (d) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 23 1 OP22.2 Consideration should be given to reviewing the contract to include the room to be occupied, more detail of residents’ rights, greater detail of what the fee includes and to adjust the complaint statement – this is repeated from two previous inspections. Work on further developing the care plans should be carried out to ensure consistent specific detail of care and support is available to staff. Risk assessments, or evidence that a risk assessment has been carried out, should be available in response to incidents recorded in the daily record sheets. It is strongly recommended that staff should have a roster which gives suitable notice of shifts to be worked. It is unlikely that the current system where only 4 days notice is given of shifts to be worked gives residents confidence in who will be caring for them. To identify the role of staff on duty, the roster should record job titles. A structured and recorded interview should be carried out where employment history is verified and the applicants skills, knowledge, attitude and training are confirmed – this is repeated from a previous inspection. The reference should ensure full detail of the referee, including the name of the company/organisation providing the reference, is recorded. As planned, all staff should have a statement of terms and conditions of employment – this is repeated from the last inspection. Care staff should receive formal recorded supervision not less than 6 times a year. Job descriptions for all grades of staff should be drafted to use as part of the supervisory process. Systems should be put in place to track patterns of accidents so that risks can be identified and as far as possible removed. 2 OP77.2 3 OP77.2 4 OP2727.1 27.2 5 6 OP2929.1 7 OP2929.2 8 OP2929.5 9 10 11 OP3838.3 OP2727.2 OP3636.2 OP3636.2 Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Cedardale Residential Home DS0000059264.V252017.R01.S.doc Version 5.0 Page 25 - 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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