Inspection on 03/05/07 for Chestnuts

This inspection was carried out on 3rd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Chestnuts 02/04/08

Chestnuts 14/06/06

Chestnuts 09/03/06

Chestnuts 16/09/05

Chestnuts 06/01/05

Chestnuts 03/08/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Chestnuts 93b Wyke Road Weymouth Dorset DT4 9QS Lead Inspector Val Hope Key Unannounced Inspection 3rd May 2007 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 DS0000026781.V337981.R02.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. DS0000026781.V337981.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chestnuts Address 93b Wyke Road Weymouth Dorset DT4 9QS 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) 01305 784996 01305 780918 Mr Brian Stewart-Hart Ms Anna Bodzon Ms Anna Bodzon Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places DS0000026781.V337981.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2006 Brief Description of the Service: Chestnuts is a detached property situated in a quiet residential area approximately one mile from Weymouth town centre. The home provides care and accommodation to a maximum of 13 older people with low to moderate care needs. The registered providers are Mr Brian Stewart-Hart and Ms Anna Bodzon; the registered manager is Ms Anna Bodzon. Service users accommodation is on the ground and first floors. A stair lift is fitted to one flight of stairs. All bedrooms are for single occupancy only. The home is not suited to the needs of severely disabled people including wheelchair users. There are parking spaces to the front of the house and an attractive well maintained garden to the rear of the property. The current fee range of the home is £417 to £430 per week. DS0000026781.V337981.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This unannounced inspection was conducted by Val Hope on Thursday 3rd April 2007 commencing at 10 am. The inspection process took a total of 8.5 inspector hours which included a review of the Commissions records, planning the inspection, tour of the premises, examination of a range of the home’s records, talking with residents and staff and reading, collation and analysis of surveys and comment cards. Surveys were returned from 2 General Practitioners, 3 relatives/carers/advocates and 10 residents. Their views are reflected within the content of this report. The Residents at Chestnuts find that the Registered Providers and staff work together to offer many advantages of a small home, with familiarity and security that is very important to them. The Residents are comfortable with the fact that all individual tastes are catered for. Many little extras are provided as a matter of course, including drinks and sweets. The inspector was assisted by the registered persons, Anna Bodzon and Brian Steward-Hart throughout the inspection. On the day of the inspection 12 people were accommodated. What the service does well: Residents said that they were well looked after by the staff who respect their privacy and dignity, they have confidence in the competence of the staff and they are able to come and go as they please. Staff were seen to be quick to respond when their help is needed – residents said that this was always the case. The following comments reflect the positive views expressed by residents and or their relatives/representatives : • • • • • “All the carers are very kind and work very hard to keep us as happy as possible”; “I have no complaints”; “This is a family-style home and I am very happy with this”; “I can do as I please, I do not have to join in anything if I don’t want to and I am very happy with what is provided”; “Because the home is small and the staff are well aware of each residents likes and dislikes they manage extremely well to meet individual needs and people are given choices. There is a very low turnover of staff which creates a feeling of stability and I am satisfied DS0000026781.V337981.R02.S.doc Version 5.2 Page 6 that my [relative] is as comfortable as she could be outside her own home”. Residents were wearing well-laundered clothes and said that laundry services were always highly satisfactory. Bedrooms were very clean and well maintained. Staff were observed going about their duties with a cheerful disposition and approaching residents in a friendly and helpful manner. There is good liaison between the home and the primary health care team. Doctors and community nurses visit, when needed, to assess service users’ health care needs and to provide treatment. Residents clearly retain control over their own lives and they are able to come and go as they please. They may bring in items of furniture, pictures and ornaments in order to “personalise” their bedroom and arrange their room as they wish. 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 DS0000026781.V337981.R02.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000026781.V337981.R02.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 DS0000026781.V337981.R02.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): Standards 1, 3, 4, 5 and 6 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has documents in place to ensure that prospective and current Residents understand what facilities the home is able to offer. All admissions are preceded by a full assessment of care needs. The home encourages the Resident to visit the home for a trial stay after which a contract is issued which specifies the terms and conditions of residency. EVIDENCE: Prospective residents and/or their agent/representative are provided, upon request, with a copy of the home’s service user guide to read and consider prior to visiting the home to assist with selection in the early stages of finding a suitable placement. Prior to admission, the needs of each prospective DS0000026781.V337981.R02.S.doc Version 5.2 Page 10 resident are assessed to ensure the home will be able to properly meet them; the proprietors generally go together to undertake pre admission assessments. The home sends a letter to the prospective Resident to state that Chestnuts can meet the care needs. All Residents are warmly invited to visit the home prior to staying and are offered a trial stay of one month, after which a contract is issued. All this information and more is included in a robust Admissions Procedure policy. Intermediate care is not provided at Chestnuts.. DS0000026781.V337981.R02.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): Standards 7, 8, 9 and 10 were assessed. Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. The care given to the Residents is good with regular reviews but more risk assessments must be carried out to ensure that their safety is maintained at all times. The Registered Manager ensures that other professionals are involved with the care, either within the home or in the community. The medication is handled appropriately but there must be more secure storage to further ensure the safety of Residents. EVIDENCE: The care plans of three Residents were examined and these were found to be satisfactory, covering areas including personal hygiene, elimination, mobility, eating and drinking, sleeping, social care, health and safety and communication. Care plans do not accurately reflect the care actually given. Care plans did not identify the objectives to be achieved in relation to each care need and did not contain specific instruction to staff in how to actually meet some care needs ie oral care, hearing aid use (who manages the equipment by cleaning, changing batteries etc) or the particular DS0000026781.V337981.R02.S.doc Version 5.2 Page 12 hygiene/washing preferences of individual residents. Each resident who takes medication should have a medication care plan. General risk assessments were in place. Manual handling risk assessments were in place. Care plans are reviewed regularly and there was evidence of resident involvement in this process. Where residents do not wish to be involved in their reviews they, or their representative, sign a statement to that effect. The home states clearly that it can only cater for Residents with low to moderate care needs and are prompt to recognise when a Resident needs more care than they can offer, at which point a referral is made to the appropriate care manager prior to a possible transfer. All Residents have a key worker who takes particular responsibility for their care. Daily records are maintained and were found to cross reference accurately with other records of events, such as the Accident record. Visits by professionals are also noted and this together with discussion with the Residents, provided evidence that other professionals are involved in the care, in line with the recommendations of the National Services Framework for Older People. Some appointments are made within the home and on other occasions one of the Registered Providers takes the Resident for an appointment within the town. It was clear that the Residents had a choice of General Practitioner and the Primary Care Trust is actively involved in the home. The respect of Residents is of paramount importance in the home. Residents said that they feel well cared for and that staff are helpful and kind and undertake their duties in a willing and respectful manner. Comments received from residents included: • • • • “All the carers are very kind and work very hard to keep us as happy as possible”; “I have no complaints”; “This is a family-style home and I am very happy with this”; “I can do as I please, I do not have to join in anything if I don’t want to and I am quite happy with what is provided”. The home uses a monitored dosage system. The arrangements for the management of medication is in line with the recommendations of the Royal Pharmaceutical Society; although as yet no suitable storage is in place for controlled drugs. Staff are suitably trained in the handling of medication and were found to be competent in the process. DS0000026781.V337981.R02.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): All the above standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager endeavours to provide a variety of activities to meet the recreational, pastoral and social needs, as identified from the care plans. Visitors are made to feel welcome at any time and contact with the local community is encouraged. The Residents have choices about their lifestyle. The meals provided are ample in quantity and nourishment and served in a pleasing manner at a leisurely pace. EVIDENCE: Discussion with Residents and examination of the Commission for Social Care Inspection survey confirmed that residents are satisfied with the variety of activities on offer and that there are also excursions and outings arranged. The pastoral needs are met by the local churches; residents are free to attend or not according to their wishes. Many of the Residents have regular visitors, visits can be made at any time and can be held in the privacy of the Resident’s own room or in one of the communal areas. Residents said they are encouraged to make their own decisions, where able, about the activities of daily living- such as bed times, what they wear, who DS0000026781.V337981.R02.S.doc Version 5.2 Page 14 they sit next to and what they do during the day. Many have personalised their bedrooms with ornaments and treasures and others have brought in their own furniture. Lunch was nicely presented and nutritious, with a variety of fresh vegetables and a bowl of fresh fruit was on the sideboard. The servings were more than ample and food was cut up where necessary and assistance given in a sensitive manner. Residents said that this was always the case. All cakes and puddings are home baked and snacks are available in between mealtimes. Residents were very complimentary about the food- with comments such as: • • • “The meals are really lovely, and they know what kind of things I like”; “The food is good and there is plenty of it I look forward to mealtimes it is quite a social event”; “I enjoy the meals – and the drinks!”; Residents are encouraged to join the main dining but may take their meals in their room if they wish. DS0000026781.V337981.R02.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): All the above standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system, which is properly managed; residents are confident their concerns are listened to and taken seriously. Policies, procedures and staff training contribute to providing a safe environment for residents. EVIDENCE: All the residents spoken with confirmed that they felt able to bring any matter to the attention of the management and were confident their concerns would be listened to, fairly dealt with and any action to rectify matters implemented. Care workers have received training in adult protection and policies and procedures are in place. The service users legal rights are protected – there was mention in the care plans of appropriate solicitors. The Residents are registered on the electoral role and postal votes organised where necessary. Personal money is kept for three Residents and records kept accordingly. The home holds comprehensive policies in connection with Protection of Vulnerable Adults and the local procedure issued by the Department of Health (No Secrets). There is a gifts policy in place. DS0000026781.V337981.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 22, 25 and 26 were assessed. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home cannot provide evidence that they meet the general disability requirements for their category of registration, although generally meeting individual needs. A very good standard of cleanliness is maintained for the comfort and safety of residents. Shortfalls in fire training for night care workers has the potential to put residents at risk. EVIDENCE: The worn carpet on one stairway and corridor is scheduled for replacement during the week of the inspection; action had been taken to ensure that there was no tripping hazard for residents. When completed, the carpet replacement will provide a more pleasing aesthetic appearance in those areas. DS0000026781.V337981.R02.S.doc Version 5.2 Page 17 The home has not yet had an assessment of the premises by an Occupational Therapist. The Registered Manager explained that the home accesses advice for individual Residents and it was clear from a tour of the premises and general observation that this is indeed so. There was a variety of disability aids in use, including eating utensils, grab rails and walking aids. However the requirement made as a result of the last inspection has still not been met. Further detailed discussion with the proprietors resulted in Mr Stewart-Hart stating that the requirement would be met forthwith to ensure that Chestnuts meets the standard required by the Care Standards Act 2000, prior to the next inspection. The home is very clean and comfortable with adequate domestic lighting and ventilation. Residents rooms were well personalised and a number of residents said they were pleased they had been able to bring treasured pieces with them. Policies and procedures are in place in relation to infection control and the management of laundry. Residents looked very well groomed in wellpresented clothing and commented positively upon laundry services. The upstairs bathroom remains out of commission and in use as a storage area. Mr Stewart-Hart is still in the process of researching the possibility of upgrading this bathroom into an easy access shower room, which would provide sufficient space for care staff to assist residents where necessary. It is recommended that this upgrade is implemented as soon as possible; this would afford residents a good choice of bathing opportunities and ensure that there are sufficient bathrooms for residents’ use and meet National Minimum Standards. Clearly, at this point alternative storage areas will have to be arranged. Fire precautionary measures such as equipment tests and fire drills do take place, however there was no evidence that all members of staff who work any night shifts have received fire training at the required three monthly intervals. DS0000026781.V337981.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): All the above standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a stable team of staff who are well trained and able and willing to meet the care needs of the Residents. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and the good condition of the premises. Procedures for the recruitment of staff are robust and designed to minimise the risk of unsuitable staff being employed. EVIDENCE: There was evidence that a robust recruitment process is utilised with new staff undergoing off the necessary checks prior to commencement of work. The home has a very stable staff structure with a team of dedicated staff members. The staffing numbers are in accordance with previous requirements, with the Registered Providers providing support but not actually on the care rota. The home never has the need to employ agency staff. A cleaner and chef are also employed five days a week. The staff are held in high regard by the Residents and the inspector observed a very good, caring, respectful rapport between residents and the staff who manage to create a warm, happy atmosphere. The staff also feel it is a nice place to work. All are issued with an employment contract and a General Social Care Council Code of Conduct. DS0000026781.V337981.R02.S.doc Version 5.2 Page 19 Seven of the eleven staff employed have achieved National Vocational Qualification Level 2 in care. Induction training is provided to all new staff who are encouraged to progress towards her National Vocational Qualification level 2 training. A range of vocational training has taken place since the last inspection including Infection Control Dementia, Protection of Vulnerable Adults, Drug Administration, Moving and Handling, Deaf Awareness, First Aid and Health and safety. From comments received staff clearly appreciate the support of comprehensive training to enable them to provide a good standard of care to occupants of the home. DS0000026781.V337981.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 35, 36, 37 and 38 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a committed manager who is easy to approach and who promotes equal opportunities for her staff and Residents. The home has returned an Annual Quality Assurance, which should help the management identify any weaknesses in the home’s operation and ensure the home is run in the best interest of residents. Residents are encouraged to control their own money and arrangements. EVIDENCE: Ms Anna Bodzon is the Registered Manager. She has completed her Registered Manager’s Award; it remains necessary for her to provide evidence that this entirely equates to the National Vocational Qualification level 4 in management and care. Ms Bodzon has also achieved assessors award D32/D33 some years DS0000026781.V337981.R02.S.doc Version 5.2 Page 21 ago and has updated this to A1/A2 in 2005. She also keeps abreast of other current care related issues. It was clear from comments from residents, staff and relatives that Ms Bodzon enjoys the confidence of them and is well liked and trusted. Ms Bodzon and Mr Stewart-Hart spend a great deal of time in the home and have an open management style; each have specific tasks, such as Mr Stewart-Hart cooks two days a week, much of their work is carried out together. They both join with the staff for lunch, which gives them the opportunity for constant feedback. This daily close involvement ensures that they all have the opportunity to discuss confidential issues. The Registered Providers both have a commitment to equal opportunities with a robust policy in place, individual to Chestnuts which refers to the use of the telephone in private and private monies amongst other things. The Commission has received a completed Annual Quality Assurance Assessment from the home. Most of the Resident’s entrust their financial affairs to relatives, and the home keeps personal money for just a few Resident’s for whom accounts, with invoices attached, were found to be in order. Records are kept securely and are all in good order. The home has an accident book, which complies with the Data Protection Act 1998, and this is audited on a monthly basis. The inspector looked at the records of the servicing of equipment in use within the home, including the fire equipment and emergency lighting and found them all to be in order. There is a Health and Safety policy in place and an appropriate poster to alert the staff to this issue. The Registered Providers remain confident that the home meets other legislative health and safety requirements. The staff have completed most of their mandatory training, but as previously reported [see also standard 19] the night staff are still not receiving their fire training at recommended intervals of three months, the requirement for this is again repeated. DS0000026781.V337981.R02.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 1 X X 2 X x 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 3 2 DS0000026781.V337981.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Timescale for action 30/07/07 2 OP9 13(2) 3 OP22 23(2) The registered persons must ensure that care plans specify the following for each individual:• Identified need (including medication); • Objective; • How the need is to be met; • By whom; • When; • With what equipment (if any). The registered persons must 30/07/07 ensure that all controlled drugs are stored securely so that it complies with the Misuse of Drugs (Safe Custody) Regulations 1973 for storing Controlled Drugs (CDs). This requirement was not met from inspection dated 14/6/06. 30/07/07 The registered persons must ensure that an assessment of the premises is undertaken by an occupational therapist or professional of similar standing. This requirement was made at three previous inspections 16/09/05, 09/03/06 and DS0000026781.V337981.R02.S.doc Version 5.2 Page 24 4 OP38 23(4) 14/6/06. The registered persons must ensure that all night staff receive fire instruction at at least quarterly intervals. This requirement was not met from previous inspections of 09/03/06 and 14/6/06 20/05/07 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 OP31 Good Practice Recommendations The Registered Manager should provide evidence that her Registered Manager’s award is the equivalent of the National Vocational Qualification level 4 in Management and Care. This is repeated from the inspection of 14/06/06 The second bathroom should be not be used as a storage area and be commissioned back into use. This is repeated from the inspection of 14/06/06 2 OP21 DS0000026781.V337981.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000026781.V337981.R02.S.doc Version 5.2 Page 26 - 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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