Inspection on 04/07/07 for Cheybassa Lodge

This inspection was carried out on 4th July 2007.

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

Cheybassa Lodge 09/12/08

Cheybassa Lodge 21/01/08

Cheybassa Lodge 14/08/06

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Cheybassa Lodge 2 Chichester Avenue Hayling Island Hants PO11 9EZ Lead Inspector Ian Craig Unannounced Inspection 4th July 2007 10:10 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 Cheybassa Lodge DS0000066613.V340963.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. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cheybassa Lodge Address 2 Chichester Avenue Hayling Island Hants PO11 9EZ 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) 023 9246 2515 Mrs Lesley Pamela Quinton Mr Michael Quinton Mrs Lesley Pamela Quinton Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2007 Brief Description of the Service: Cheybassa Lodge is a large detached property located on the seafront on Hayling island, Hampshire. The communal lounge overlooks the seafront and promenade with large windows to provide everyone with wonderful views. The front garden also proves very popular with service users during the summer months when various carnivals, processions and sea events take place. Ample car parking facilities are to the side of the home. All service user accommodation is located on the ground floor, making access easier for service users, whilst the proprietors live upstairs. The home is currently registered to provide care for 18 adults in the older person category and consists of six single bedrooms and six double bedrooms, all with en-suite facilities. The fees for the home range from £335.00 to £440.00 per week per resident. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A random inspection was carried out on 7th. February 2007 to check on the progress in meeting the 12 requirements made at the last key inspection on 14th. August 2006. Only one requirement remained unmet. This inspection consisted of a tour of the premises, examination of records, documents, policies and procedures. Discussions took place with the manager and the owner. One staff member was interviewed and several residents were spoken to either individually in private, or in the lounge. Residents were observed using the home’s facilities. The home did not return the Annual Quality Assurance Assessment despite a reminder letter being sent. The manager stated that she did not receive the reminder letter. The document was returned following the inspection. What the service does well: The home is particularly good at providing a stimulating environment for the residents with a wide range of activities being provided on a daily basis. It is clear that the manager and owner have invested a great deal of time to developing these activities. Residents are involved in gardening, baking, painting, arts and crafts, gentle exercises, various games and trips out. Residents were observed knitting items for the developing nations and making items of craft in their rooms. One of the staff was playing the piano with a resident and regular music sessions take place. Care staff have a designated time of one hour per day purely for spending time interacting with the residents. The environment is clean, well maintained and comfortable with an absence of any unpleasant odours. Residents stated how much they like the views of the beach and promenade from the lounge windows. Two residents also referred to the enclosed garden with seating and flower beds as an area they use in the warmer weather. Several residents have brought their own furniture to the home. Residents confirmed that they like the food and that there is a choice at each mealtime. The cook stated that the home purchases good quality food produce. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 6 A visiting relative spoke highly of Mr and Mrs. Quinton’s caring attitude and commitment to improving the lives of the residents. What has improved since the last inspection? What they could do better: The home needs to improve its administrative and recording systems, which were found to be of a poor standard in the following areas: • Lack of details and assessments for those who have recently been admitted to the home. • Lack of personal details for residents such as next of kin, date of birth, date of admission. • Lack of protection of residents in the home’s staff recruitment procedures. An urgent action letter was issued for this to be addressed immediately. Individual resident’s care plans need to be expanded to ensure that staff have clear guidelines to follow. Contracts need to be provided for those recently admitted to the home. The staff rota needs to record the hours worked by staff. Staff training should be expanded to include those areas related to specific client need such as mental health. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 7 Risk assessments regarding possible burns from radiators still need to be completed. 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. Cheybassa Lodge DS0000066613.V340963.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 Cheybassa Lodge DS0000066613.V340963.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, 3 and 5 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The process of assessing potential residents’ needs is of a poor standard and does not ensure that the home admits those whose needs can be met. EVIDENCE: The home has a Statement of Purpose, which is provided to each resident. This gives information about the home’s facilities. Correspondence on one resident’s file includes a letter from the manager inviting the person to a meal at the home before he moved in. The letter also refers to the enclosed copies of the Service Users’ Guide and Statement of Purpose. A resident commented how Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 10 he/she was able to come to the home to have a look around before deciding whether or not to move in. Procedures for assessing the needs of the most recent residents admitted to the home were looked at. For one person there was evidence in the home’s diary that the person visited the home on three occasions with his/her family to see if he/she liked the home. This included the person having a meal with the other residents. The manager stated that she assessed the person’s needs, but did not make a record of this. The home has not obtained a copy of the referring social services care management assessment. There were no personal details recorded for this person such as the date of birth, next of kin and date of admission. Details of the date the person was admitted were ascertained by the manager looking through a diary. The name of a next of kin was written on a ‘post it.’ A care plan had been recorded but contained very little information. For another person recently admitted, the home has evidence of the person’s needs being assessed in its own assessment. Copies of hospital discharge details and correspondence from medical staff about the person’s suitability to live at the home are held with the person’s records. The home has not obtained a copy of the referring social services care management assessment. A care plan has been completed for this person. One of the assessment document pro formas appeared to be incorrectly structured regarding continence. This was discussed with the manager. Neither of the two above residents had a contract or a social services placement agreement, although another resident has a contract with the home which is signed by the resident and his/her representative. A further person has a social services contract agreement. The home is providing care to residents with a mental disorder indicating that staff will need to receive training in this area of care. Cheybassa Lodge DS0000066613.V340963.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 adequate. This judgement has been made using available evidence including a visit to this service. Care plans do not give sufficient guidance for staff to care for the residents. Residents are treated with dignity and respect. EVIDENCE: Assessments and care plans were examined for 4 residents. There is a wide variation in the amount and quality of information contained in these care plans. For the more recent residents the assessments and care plans are either absent, incomplete, or lacking in detail whereas the more established residents have assessments of need and care plans that have more detail. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 12 A resident admitted to the home 10 days prior to the inspection does not have an assessment of need and an individual Care Plan has very little information. A resident admitted approximately 7 weeks prior to the inspection has an Individual Care Plan and an assessment of need. This has been signed by the resident demonstrating the resident’s involvement in the process. A pro forma entitled, Personal Care and Well Being has not been completed. Information regarding continence was not recorded in sufficient detail and the assessment pro forma appeared to be flawed which was discussed with the manager. Assessments of need and care plans for two other residents are recorded in more detail and show evidence that the resident is involved in the process and agrees to the plan. Personal preferences have also been recorded including wishes for getting up and choice of bedding. The plans need to be expanded to show how staff are to provide care. For instance, for one person the possibility of falls has been identified as a risk but this not been fully assessed in the way the manager described the situation. Although the written care plans need to improved two residents stated that their care needs are met. Staff were described as being kind and helpful. A relative described the staff and management as having respect and a caring attitude for the residents. A resident stated that his/her privacy is respected and that staff always knock on his/her bedroom door and wait for a response before entering. This person also stated that he/she has been offered a key to his/her bedroom door. The home liaises with health professionals such as the continence advisor and residents receive chiropody services. The home’s medication policies and procedures were examined. Staff record a signature each time medication is administered. A list of specimen signatures of those who handle medication is maintained. The medication administration recording sheets and blister packs of medication showed that medication is administered as prescribed. Suitable procedures are followed for medication which must be stored as a controlled drug. Cheybassa Lodge DS0000066613.V340963.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 excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from the numerous activities and stimulation occurring on a daily basis. A nutritious and balanced diet is provided with a choice at each meal. EVIDENCE: A group of residents was observed knitting and chatting in the lounge. Several members of the group stated that they were producing clothes for the developing world. The mood of the residents was upbeat and jovial and they were obviously enjoying themselves. They also commented how much they enjoy the view from the panoramic windows in the lounge to the beach, sea and promenade. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 14 A resident was seen completing arts and crafts in his/her bedroom. He/she also said that he/she grows plants in the garden and greenhouse, and that staff support him/her with this. Items of arts and crafts created by residents were displayed around the home. Staff were observed playing cards with residents and one staff member was playing the piano with a resident. Another resident described how he likes to go out to church and for walks, sometimes accompanied by staff. One resident’s daily records showed that he/she had attended the following recent activities: visits to a church, walks, lunch at a pub, attendance at the Lions Club, coffee with his/her family, making cards and baking. Large print books are available and a sign gave information about the next visit by the mobile library. A resident described how much she benefits from the mobile library. An activities rota showed the following activities for the residents: gardening, bingo, baking, painting, trips to the beach, making paper stencils, making cards, glass painting, word games, floor skittles, making photograph displays, ball exercises, quizzes, making tags, parachute, paper flowers, making invitations for the home’s open day and making items for Africa such as ‘shoe boxes.’ Residents confirmed that the home arranges transport for trips out to Southsea, Gunwharf Quay, museums, garden centres, and Bosham. The manager explained that each staff member has one hour each day to spend time interacting with the residents. A relative expressed the view that the provision of the activities and stimulation for the residents has resulted in his/her mother resuming hobbies which has in turn improved her mood. Each person’s preferences for food are recorded. The midday meal menu was displayed in the dining area and residents are aware of what the forthcoming meal is. Residents stated that they like the food. The midday meal looked appetising. Dining tables looked attractive with tablecloths and napkins. The only suggestion of improvement is that the gravy could be served in a jug or boat so that each person can have the amount they prefer. Records of food provided and the menu plans confirmed a varied and nutritious diet. Cheybassa Lodge DS0000066613.V340963.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 adequate. This judgement has been made using available evidence including a visit to this service. Residents and relatives are confident that their views will be listened to. The home# bd’ views are listened to. The home’s staff recruitment procedures do not protect the residents. EVIDENCE: The home has a complaints procedure, which is contained in the contract. Residents stated that they know what to do if they have a complaint. A relative described the home’s management as approachable. The home has a copy of the local authority adult protection procedure. The lack of checks carried out on a staff member who has recently started work at the home compromises the safety of the residents. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 21, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s environment promotes the dignity of the residents, being both clean and well maintained. The environment allows residents to express themselves. EVIDENCE: Upon arriving at the home it was noted that residents were making use of the lounge where they were knitting and chatting whilst admiring the view of the sea from the large windows. A resident stated, “ We love the views of the sea, Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 17 beach and the Isle of Wight.” Another resident stated, “We have a nice garden at the back of the home where we like to sit.” Since the last inspection the furniture in the lounge has been replaced. Several bedrooms were seen and these are decorated to a good standard. Furniture has been replaced in the bedrooms and six rooms have been redecorated since the last key inspection. A resident described how he has been able to bring his own furniture to the home. Bedrooms contain numerous items of personal possession such as plants, pictures, books and equipment for hobbies. A resident was observed making craft items in his room. Privacy screens are provided in shared bedrooms and residents are able to have a key to their bedroom door. Each bedroom has an en suite toilet with a washbasin. There is a garden to the front of the home, which the owners wish to improve. At the rear of the home is a courtyard garden with a pond, a greenhouse plus vegetable and flowerbeds. A resident described how he grows plants with the support of staff. Tables and chairs are available for residents to use in the garden. The home was found to be clean and there was an absence of any unpleasant odours. Clinical waste is collected on a weekly basis. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home deploys sufficient staff to meet the needs of the residents but the staff rosters are not accurately maintained. Staff have training opportunities but this needs to expanded so specific needs such as mental health are met. The home’s recruitment procedures do not protect residents. EVIDENCE: The home employs 12 staff. There are always at least 2 staff on duty at any given time often with the manager and/or owner as well. Care staff also complete domestic duties such as cleaning and laundry. Two ‘waking’ care staff are on duty at night time who are supported by the owners if needed. Staff rotas are maintained but these do not include the actual hours being worked. It was also noted that one shift for one staff member was not recorded on the rota. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 19 Staff team building sessions have been introduced which was confirmed from notices in the office and by a staff member. This same staff member was unclear when asked about individual supervision sessions but did confirm that there are opportunities to discuss training needs and future plans. The home has a record of group and individual supervision sessions taking place. More than 50 of the staff have attained NVQ level 2 in care and records show that newly appointed staff receive a planned induction. Staff also receive training in infection control, medication, moving and handling and first aid. Four staff will be undertaking NVQ level 3 in the near future. As the home has admitted someone who has a mental health diagnosis the home’s training for staff needs to be extended to include this area of need. The recruitment procedures for four recently appointed staff were examined. These were satisfactory for 3 staff showing that appropriate references and checks had been carried out. For one person, however, there were no details of the identity checks being carried out as specified in the regulations and there was no evidence that the home had checked this person’s status with the criminal records bureau (CRB) or protection of vulnerable adults (POVA) list, including the required POVA (first). The manager explained that this person also works at another home which carried out these checks, but there is no evidence of this being verified as the manager stated the other employer has not been contacted. Two personal references have been obtained, neither of which are from the previous empoyer. An urgent action letter was issued for the home to address this immediately. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. This inspection highlights that the home’s management has concentrated on improving the environment and the activities for the residents but has neglected to complete administrative checks and records, which have placed service users at risk. EVIDENCE: Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 21 The manager has completed NVQ 4 in care and management and plans to complete further training in IT. The home’s management needs to address the following: • Ensuring assessments are carried out and recorded for those being admitted to the home • Completing care plans that give sufficient guidance for staff to follow in providing care • Maintaining records of each resident’s date of birth, next of kin and so on • Ensuring that the staff rota included the actual ours worked by staff • Ensuring that checks are carried out on newly appointed staff • That staff receive training in those areas of specific client need such as mental health • That adequate assessments of the risks of residents receiving burns from radiators are carried out. Staff, residents and visitors described the home’s management as approachable and very caring. The home actively seeks the views of residents and relatives about the way the home is run. There is a suggestions book in the entrance hall. Satisfaction survey forms have been given to residents and relatives, with 6 residents survey forms returned. The home has a 5-year business plan and has already improved the physical environment with further plans to update the interior and exterior. The home does not handle any resident’s money. Staff receive training in moving and handling, food hygiene, infection control and first aid. Service certificates confirmed that the electrical appliances, gas heating and fire safety equipment are regularly serviced. The fire logbook showed that the fire safety equipment is tested. Following the requirements made in the last two inspection reports regarding protecting residents from hot radiators the home has introduced a system of regularly checking whether the electric convector heaters on the walls in bedrooms are too hot. No individual assessments of the risks to service users from each of these appliances has been carried out. Some heated towel rails have been disconnected from the electricity supply in toilets. In en suite facilities in 2 bedroom the towel rails have not been disconnected and the residents have signed an acknowledgement that they accept the risks of burns from these heaters. The inspector queried if this was appropriate in view of the owner’s health and safety obligations. Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 1 1 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 X 3 X X 3 2 3 STAFFING Standard No Score 27 2 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X 3 3 1 2 Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 OP2 2 OP3 14 Standard Regulation 5 Requirement Each resident must have terms and conditions of residence or contract. Each person’s needs must be assessed and recorded before the home agrees that the person’s needs can be admitted. For those residents referred through the social services care management system a copy of the care management assessment and care plan must be obtained prior to the person being admitted. Assessments of need must be completed accurately and care plans devised to meet those needs giving staff guidance on how care is to be provided. This refers to continence, personal care and where care plan pro formas had not been completed. The staff roster must detail the hours worked by staff. The home must have evidence DS0000066613.V340963.R01.S.doc Timescale for action 04/09/07 04/08/07 3 OP7 15 04/08/07 4 5 OP27 OP29 18 Schedule 4 19 04/08/07 05/07/07 Page 24 Cheybassa Lodge Version 5.2 Schedule 2 and 4 that the following checks have been completed before a staff member commences work at the home: • A POVA (first) has been obtained • A CRB has been applied for • Two references, one of which is from the most recent employer • Verification of identity checks as detailed in schedule 2 including the person’s status to work in the UK where they are not a UK resident. This is a partial repeat of a requirment from the report of 14/08/06. 6 OP30 18 Staff must receive training in specific care needs of the residents such as mental health. Resident’s records as specified in the regulations must be maintained such as, date of birth, the name address and telephone number of the next of kin, date of admission, a photograph of the person, the name and address of the placing local authority and so on. A written risk assessment must be completed regarding the risk to residents from possible burns from individual radiators. This is a partial repeat requirement from the reports of 14/08/06 and 07/02/07. 04/10/07 7 OP37 17 Schedule 3 04/08/07 8. OP38 13 04/09/07 Cheybassa Lodge DS0000066613.V340963.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. Refer to Standard Good Practice Recommendations Cheybassa Lodge DS0000066613.V340963.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Cheybassa Lodge DS0000066613.V340963.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. 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