Inspection on 10/04/07 for Chestnut Court

This inspection was carried out on 10th April 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Chestnut Court 13/12/05

Chestnut Court 05/07/05

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Woolstrop House St James Quedgeley Glos GL2 4WD Lead Inspector Mrs Eleanor Fox Key Unannounced Inspection 10th April 2007 09:30 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 Woolstrop House DS0000064586.V332172.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. Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woolstrop House Address St James Quedgeley Glos GL2 4WD 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) 01452 720049 manager.woolstrop@osjctglos.co.uk The Orders of St John Care Trust To be appointed Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13th December 2005 Brief Description of the Service: Woolstrop House is a purpose built care home, situated within easy reach of a large retail area, approximately 5 miles from the centre of Gloucester. The home provides nursing and personal care to 40 elderly people. The home is made up of 5 independent units connected by link corridors. Each unit provides single accommodation for 8 residents plus a small kitchen, dining room and lounge area. All are attractively decorated and comfortably furnished, ensuring a friendly homely atmosphere. The home also has a large main kitchen where most of the catering is undertaken and a day centre for the local elderly community. The attractive landscaped garden is easily accessible and enjoyed by the residents during the summer months. The provider supplies information about the home to current and prospective residents on request; a copy of the most recent CSCI inspection report is placed in the front hall of the home. The fees range from £337.15 to £637. Hairdressing, chiropody and any personal items are charged extra. The costs of these services are readily available in the home, as required. Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the home and takes into account the views and experiences of people using the service. One inspector undertook this unannounced inspection of Woolstrop House over two days in April 2007. During the visit, she chose the care of four of the residents for particular scrutiny. She spoke to each of these people, read all their relevant care records and observed their interaction with members of staff. The inspector also read selected personnel and recruitment records and examined the training and complaints files. She walked around the property, and observed the service of a mid day meal during her visit. She also observed the residents’ participation in activities during the course of the two days. She examined the opportunities for residents to exercise choice and to maintain social contacts. She also spoke with some of the staff who were on duty on these days, checking their understanding of some of the home’s policies and procedures and discussing their experiences within the establishment. Finally, she had the opportunity to talk to the acting manager, her deputy, and to the two administrators, particularly in relation to general management issues. All were open and most cooperative in providing information as requested. Prior to the inspection, CSCI surveys were distributed to residents and relatives of those living in the home. Twenty-eight were returned from residents although in the majority of cases, a relative or named member of staff completed the form for them; twenty-seven responses were sent in from relatives and advocates. Many of their opinions are reflected in the content of this report. What the service does well: Each prospective resident is fully assessed before admission to Woolstrop House, ensuring that the home is able to meet all his or her care needs. Well-considered care documentation is prepared for each person; the thorough content gives clear details to the carers of the particular needs of each resident. Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 6 Medication administration is also managed well. Residents living at the home are treated with courtesy and friendly respect. Many of those people who responded to the questionnaires made positive comments about the staff with one person saying, “The staff are always cheerful, helpful and considerate. Nothing is too much trouble”. Another wrote, “I find the staff helpful and caring. Top class” Respect for residents’ personal choices and preferences was evident throughout. People living in the home are given the opportunity to take part in a variety of activities; these have been designed to address their various interests and social needs. A good standard and variety of food is served in this home. The management of any complaints and the management residents’ protection are both addressed well. Employees have the opportunity to attend training appropriate to their work; this includes a good focus on the national vocational training and protection of vulnerable adults. There are robust management policies and procedures in place to ensure that the residents’ rights are safeguarded. There is also a good focus on monitoring and improving the services offered to the residents in this home. What has improved since the last inspection? What they could do better: Although the Statement of Purpose and Service User Guide have been reviewed and upgraded to reflect all the changes to the service in the last two years, these are still only in draft form. The documents must be finalised and circulated to residents and prospective residents as a matter of priority. Although plans to provide a completely new development on the current site are now well advanced, in the short term alternative arrangements are needed to provide adequate storage for equipment and furniture, which is not being utilised. Many of the carpets in the main thoroughfare of the home also require cleaning or replacement. Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 7 Recruitment procedures must be followed carefully when dealing with every application for employment at the home. In the main, these were conducted correctly with only a few shortfalls identified on this occasion. Records must be maintained of each person’s status in relation to ‘Power of Attorney’ processes. 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. Woolstrop House DS0000064586.V332172.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 Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A thorough assessment process plus the provision of literature about the home, although still requiring some additional details, enables prospective residents to make an informed decision regarding their admission and gives them assurance that their needs will be met. EVIDENCE: A selection of information about the home is provided to each person interested in being admitted to Woolstrop House. However, the updated statement of purpose and service user guide is still only in draft form following the change of ownership in early 2005. The inspector was assured that the required information would be available in the very near future; this will then be circulated to the residents. A contract outlining the terms and conditions for admission to the home, had been provided to each of the residents who were selected as part of a case Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 10 tracking exercise during the inspection of the home. Signed copies of the completed documentation were seen in their personal files. Residents and/or their advocates are now provided with clear details about any additional financial contributions to which the resident may be entitled. Full assessments are undertaken of each prospective resident; completed records relating to these visits were seen in the care records. It was evident that a very comprehensive assessment is undertaken to ensure that the home is able to meet the prospective resident’s needs. In some cases these were supported by information provided by other health and social care professionals previously involved in the care of the individual. All were used for reference during the admission processes. Intermediate care is not provided at this home. Woolstrop House DS0000064586.V332172.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning systems in place provide the staff with the information they require to care for all the residents’ needs. Medication systems are also managed well, ensuring that residents should not be put at any risk of potential errors. Residents are treated with courtesy and respect. EVIDENCE: Clearly written care plans are developed for each resident; those relating to the four people chosen as part of a case tracking exercise were read in detail on this visit. In each case a comprehensive assessment had been undertaken followed by the preparation of specific care plans. In the majority of cases, these provided all the information required to guide the staff who were giving care. A minor detail identified during the inspection was rectified immediately. Each document had been reviewed appropriately and appeared to reflect the resident’s current condition. It was observed that either the resident or a Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 12 member of their family had been involved in the preparation of most of these plans, signing the documentation to signify agreement with the content. There were records to indicate that care from other healthcare professionals is sourced when required. The tissue viability nurse had provided advice in the care of one person; another resident had received recent treatment from a General Practitioner. An optician visited the home to examine residents during the inspection. The medication administration systems relating to the four selected residents were inspected on this occasion. Storage, medication policies and the management of homely remedies were also observed. Medications, including controlled drugs, are stored, administered and recorded correctly. Medication policies are readily available and a recent copy of a medication reference book is provided for staff information. Homely remedies are managed correctly. Photographs are provided of each resident to assist in identification. Throughout both days of the inspection, members of staff were observed and overheard addressing the residents in a respectful but friendly and encouraging fashion. All personal care appeared to be given behind closed doors. Carers were also observed knocking on doors prior to entering bedrooms. One relative wrote, “The home treats my Mother as a person, not a patient”. “ “We are very happy with the care” and a resident commented that, “The staff are always kind and gentle to me”. Woolstrop House DS0000064586.V332172.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Opportunities are provided for varied and stimulating activities to occupy the residents and thus improve their quality of life. Residents are facilitated to maintain any links they wish with family, friends and the local community, thus adding interest to their lives through social contact. They are also enabled to exercise choice in their daily lives. The meals are nutritious and balanced, offering a reasonable choice and variety to the people living at Woolstrop House. EVIDENCE: The home employs an activities coordinator who arranges a variety of activities to suit individual tastes and preferences. Photographs of these events are displayed throughout the property. Three people were observed preparing and Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 14 cooking biscuits; another lady enjoyed the company of her two budgerigars. One person has a keen interest in gardening and enjoys working with her plants. A member of staff described the enjoyment that one very frail resident gets from the weekly ‘pat a dog’ visits. Records are maintained of residents’ particular interests and preferences, and residents’ participation in any form of activity is also recorded. Family and friends are welcome to visit whenever the resident wishes. Families are invited to attend special events when they are arranged at the home. The majority of relatives who spoke to the inspector and who responded to the questionnaires were extremely supportive of the home and the staff working there, one person writing, “My Mother classes the care home as a ‘home from home’.” And another saying, “It gives me peace of mind to know my Mother is so well cared for”. Discussion with some of the residents and observation during the inspection showed that residents were free to get up and retire when they liked, and to spend their days how and where they wished within their own capabilities. They were also able to exercise choice in what they ate and in the arrangement of their bedrooms; many of which had been personalised with photographs and other treasured possessions. The service of the main mid day meal was observed during the visit. The majority of the residents ate their meals in one of the small intimate dining rooms; some preferred to remain in their bedrooms. A reasonable standard of food was offered and most people appeared to enjoy what they were eating. Those residents that required assistance were helped in a quiet and sensitive manner. White boards in each dining area are provided to indicate the meal of the day. However in three areas, these had not been recorded correctly. One advertised the Easter Sunday choices (two days previously); another advertised a completely different menu and a third had nothing recorded at all. Some of the residents who were questioned commented that, “ We just wait and see what comes”. However, residents were observed being asked about their food choices; the responses were recorded in readiness for the serving of the meal. Although one person commented that the food was sometimes “bland” and another did not feel there was enough choice for diabetics, in the main, all those who responded to the surveys or spoke to the inspector were very positive in their comments. One person said, “The meals are great. I really enjoy my food”. The kitchen was clean, tidy and well organised. Woolstrop House DS0000064586.V332172.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints system enables residents and their families to feel assured that their views would be listened to and acted upon. Residents are offered a good level of protection against abuse. EVIDENCE: The complaints procedures are well advertised in the home, providing residents and their families with clear guidance on the processes to follow if they wish to raise a concern. There have been two formal complaints about the home during the last year; observation of the records showed that these had been addressed promptly and fully investigated. Where appropriate, remedial action had been taken to address the issues raised. Woolstrop House provides a fully documented policy to address all forms of abuse. The policies are kept in the nurses’ room and are readily available for staff to read. These matters are addressed during induction and during national vocational training; the majority of staff employed at Woolstrop House have also attended recent formal training on this important subject. Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 16 POVA (Protection of Vulnerable Adults) legislation is correctly followed at this home. Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents are provided with a reasonable standard of clean homely accommodation; some further decorative and maintenance improvements are required to create a comfortable environment. EVIDENCE: Plans for a major development of the home are progressing well and it is anticipated that building work will commence towards the end of the summer. During a walk around the building it was observed that the whole home was warm, well ventilated, clean and reasonably fresh. However, the property did appear ‘tired’ and a little shabby in places. The garden was fairly well maintained although the grass did require cutting. Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 18 Furniture has been provided throughout the property to suit the needs of the residents living at Woolstrop House; some of this is very worn now. It was observed that there was no seat cushion on one of the five chairs in Perry Way sitting room. In addition, furniture and equipment was being stored in the corridor in Perry Way, creating a potential health and safety hazard in this restricted area. There was also a dressing table stored behind the armchairs in the sitting room in Cress Green. The corridor carpet in Perry Way was heavily stained, as were the corridor carpets in some of the other main thoroughfares of the home. Efforts are being made to address this problem. However, there has been a recent redecoration programme undertaken in the home, corridor areas in the Mill End unit were being repaired and decorated at this time. There were also fresh flowers and plants throughout the home, which helped to promote a homely atmosphere in the property. The laundry was tidy and organised with washing segregated appropriately. A dedicated member of staff takes responsibility for undertaking these duties. Each resident was wearing fresh and well-presented clothing. Clothes are discreetly marked so that, once laundered, they may be returned to their correct owners. Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in this home receive care from a stable workforce but improved recruitment practice would help to ensure residents are fully protected. EVIDENCE: During the inspection the acting manager and her deputy plus seven carers were on duty to look after the thirty-seven residents living in the home. In addition, the administrator, cook and kitchen assistant, four domestic assistants and two handymen were working in Woolstrop House. A nurse and five carers were due to be on duty in the evening and a nurse and two carers overnight. The majority of people who responded to the questionnaires felt that there was normally an adequate number of staff on duty to care for the residents although there were a few isolated comments that the home is sometimes short of staff. The home is progressing well towards ensuring that at least 50 care staff should be trained to National Vocational Qualification, Level 2 in Care or equivalent; 35 of the staff have already achieved a qualification and additional carers intend to commence the training shortly. Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 20 On this occasion the personnel files relating to the members of staff who had been recruited since the last inspection were read in detail. In most instances, the prospective employee had completed an application form providing details of his or her employment history although there were occasions when this was not supplied; medical information had also been provided. Correct POVA (Protection of Vulnerable Adults) and CRB (Criminal Record Bureau) screening had been completed for each person. Two written references had been provided for each of the applicants although in some instances colleagues of the applicant rather than the named employer had completed these documents, raising some doubts about their authenticity. New staff receive structured induction training in line with the Common Induction Standards, and work under supervision during this period. Staff at this home are provided with the opportunity to attend a commendable amount of appropriate training to assist them to undertake their duties effectively. The staff attend mandatory and other courses as required. Records are maintained of attendance Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust management systems ensure that the financial interests, and the health, safety and welfare of people using the service are safeguarded. There is also evident commitment in the Home to improve the services for the benefit of the residents living there. EVIDENCE: The acting manager, previously the deputy manager, is a trained nurse and has good experience in the care of elderly people; her application to become registered manager of the home is currently being processed by the Commission for Social Care Inspection. Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 22 There are a number of quality improvement measures undertaken at this home. A residents/relatives satisfaction survey was circulated in the summer 2006; the results of this survey have been collated corporately and the acting manager has prepared an action plan to address the issues identified. Some have already been fully addressed. Medication administration; complaints and concerns; accidents and care planning are all monitored on a monthly basis. A senior manager from The Orders of St John Care Trust also audits the home’s performance on a monthly basis. The Company has been successfully audited for the ISO 9001 quality award. The home takes responsibility for the personal monies for the majority of the residents; the records relating to the four residents selected for case tracking were checked on this occasion. It was observed that meticulous records are maintained and that individual secure storage is provided. Residents’ status in relation to ‘Power of Attorney’ is also maintained on file for some people. However this is not recorded in every case. This issue is now being addressed. Records were provided to show that statutory maintenance/inspection of equipment and services is arranged in a timely fashion. Where faults are identified, they are rectified as necessary. Water temperatures are checked at outlets on a monthly basis; in recent months these have remained within safe levels. Fire prevention management is handled correctly. Records showed that staff have received training on health and safety matters; those who are now overdue for manual handling training will be addressed shortly. An Environmental Health inspection took place in 2006; the one issue highlighted for improvement have now been corrected. The building was safe and secure throughout Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 x x N/A 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 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 4 x 2 x x 3 Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 6(a & b) Requirement The Statement of Purpose and Service User Guide must be reviewed and updated to reflect the changes in the home. A copy must be provided to the Commission. Appropriate arrangements must be made to store furniture and equipment, which is not being utilised. Stained carpets must be thoroughly cleaned or replaced. Each prospective employee must provide a full employment history, together with a satisfactory written explanation of any gaps in employment. The home must be satisfied on reasonable grounds as to the authenticity of the references of supplied for each candidate. The status of each resident’s status in relation to ‘Power of Attorney’ must be recorded. Timescale for action 31/05/07 2 OP19 23(2l) 30/04/07 3 4 OP19 OP29 23 (2d) Schedule 2.6 31/05/07 30/04/07 5 OP29 19(1c) 30/04/07 6 OP35 Schedule 3.3(b) 31/05/07 Woolstrop House DS0000064586.V332172.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 Refer to Standard OP15 Good Practice Recommendations Consideration should be given to ensuring that the meals for the current day are advertised on the white boards in the dining areas to correctly inform the residents about what will they will be offered to eat. Consideration should be given to ensuring that at least 50 of care staff be trained to NVQ in care, level 2 or equivalent. Consideration should be given to ensuring that references are obtained from named employers, not colleagues working alongside applicants. 2 OP28 3 OP29 Woolstrop House DS0000064586.V332172.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Woolstrop House DS0000064586.V332172.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!