Inspection on 31/07/06 for Cobgates

This inspection was carried out on 31st July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Cobgates 06/12/05

Cobgates 28/07/05

Cobgates 04/01/05

Cobgates 10/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Cobgates Falkner Road Farnham Surrey GU9 7UG Lead Inspector Helen Dickens KU Unannounced Inspection 31st July 2006 09:45a 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 Cobgates DS0000033558.V306235.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. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cobgates Address Falkner Road Farnham Surrey GU9 7UG 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) 01252 714834 01252 734256 South West Surrey Adults & Community Care Services Mrs Gaye Munton Care Home 50 Category(ies) of Dementia - over 65 years of age (8), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (50), Physical disability over 65 years of age (50), Sensory Impairment over 65 years of age (50) Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Accommodation and Services may be provided to named persons aged 60 - 65 years with the prior written agreement of the CSCI. Respite Care may be provided to a maximum of 5 persons at any one time. Accomodation and services may be provided for a named service user with mental disorder with the prior written agreement of the CSCI. That the residents with dementia are all accommodated on the new unit. The activities organizer should receive specialist training in the provision of activities for clients with dementia. 6th December 2005 Date of last inspection Brief Description of the Service: Cobgates is a two-storey residential care home designed to accommodate older people. It is owned by Surrey County Council. The home is very near Farnham town centre and has easy access to all facilities. The home is in its own grounds with garden areas and ample parking. The home is very well presented and offers a good standard of accommodation for up to 50 residents over the age of 65. All bedrooms are single occupancy. The home has seven separate units, each with its own sitting/dining area and kitchenette. All parts of the home are accessible to residents. Currently the fee is £539 per week. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over seven and a half hours and was the first key inspection to be undertaken in the Commission for Social Care Inspection year April 2006 to June 2007. The inspection was carried out by Helen Dickens, Lead Inspector for the Service. Murial Glitheroe and Tricia Holt, Deputy Managers, represented the establishment. A partial tour of the premises took place. Eight residents and three staff were spoken to in some depth, and an additional number briefly conversed with during the inspection. In addition, a number of files and documents were examined as part of the inspection process. This report covers all the key National Minimum Standards for older people. The inspector would like to thank the residents and staff for their time, assistance and hospitality. What the service does well: What has improved since the last inspection? Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 6 All the Requirements made at the last inspection have been met including new and up-dated care plans for all residents, and medication and protection of vulnerable adults training for all staff. Some new initiatives have begun including ‘gap monitoring’ on resident’s medication records; this enables action to be taken in a timely fashion if there are unexplained ‘gaps’ in medication recording. The new activities organiser continues to be popular with more choice of activities for residents since she has settled into her role. She has attended a training course for physical activities for older people and residents commented positively on the range of activities now available. The home has also introduced the common induction standards for new staff ahead of the mandatory start date in September. Improvements outside the home include a disabled ramp to Buttercup wing and the back garden has had a lot of work done including new pot plants in time for the garden party. Cobgates has restarted the internal quality monitoring with Pinehurst care home, and has instituted ‘Wing’ meetings where issues specific to each wing, including health and safety, are dealt with. A recruitment checklist has also been introduced to ensure all the relevant paperwork has been returned for each new member of staff. The home has now adopted a second cat - 16 year old Zimba who has moved in with her owner - staff assist residents to look after the cats and residents help with feeding etc – Tabitha, the cat on Aster wing, even has her own care plan. What they could do better: The home should consider replacing the carpet on one unit which, though clean, has become patterned with light and dark patches through cleaning and wear. Some minor decorative repairs are needed in toilet/bathroom areas including peeling paint on the window frames. The front garden now needs some attention to bring it to the same standard as the back garden. The home must review recruitment files and records as outlined in the report. The arrangements for locking the sluice on Aster, and tying up emergency pull cords should also be reviewed. Not all the opened food items stored in the fridge on one unit had been dated and labelled. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 7 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. Cobgates DS0000033558.V306235.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 Cobgates DS0000033558.V306235.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Residents only move into this home following thorough assessments and an assurance that their needs can be met. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Prospective residents have thorough assessments before being admitted to this home. Six residents files were sampled. Care managers carry out a full community care assessment on residents before admission. The home uses these assessments in compiling their own slimmer version, which is then used in drawing up the care plan and risk assessments for each resident. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Resident’s care plans set out their personal, health and social care needs. Medication administration is well organised, and the privacy and dignity of residents respected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents now have the new-style care plan format which includes a photograph, personal details, a record of reviews, and day and night time care plans. Those sampled were fully completed with appropriate risk assessments and had been reviewed in the previous month. Lifestyles and interests had been covered and each signed by the resident themselves. Health needs are well recognised and documented on the above care plans including continence needs and sensory impairment. Good records of doctor’s and district nurse’s visits and the involvement of any other specialists including psychiatric input was noted. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 11 Medication training has now been completed by all staff. One medication administration session on Aster unit was observed and good practices with regard to safety and security were observed. Medication records for all residents on this unit were sampled – one record had 2 unexplained gaps and this was discussed with the deputy manager. She said that weekly auditing of medication records allows gaps to be picked up and more training given to staff were appropriate. This is an improvement since the last inspection and demonstrates the importance the home places on the safe administration of medicines. Staff were observed to treat residents respectfully and knocked before entering bedrooms. Care was taken to ensure resident’s own clothing was returned to them after laundering. There are no shared rooms at Cobgates. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Cobgates offers a good range of social and recreational activities and encourages contact with families and the local community. Residents are helped to exercise choice and control and meals at this home attracted many favourable comments from residents. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the morning of the inspection some residents were enjoying music to movement which is every Monday. The activities organiser arranges the activities and works 20 to 25 hours per week. Thursday evening skittles and darts when the bar is open, were particularly popular and the following day, residents were going to the seaside for a day trip. This level of activity is an improvement as the postholder was new at the last inspection and hadn’t got many new activities off the ground. Residents commented favourably on the activities and what they enjoyed - no-one said there were not enough activities at Cobgates. Visitors were observed to be made welcome at Cobgates and staff were knowledgeable on the needs of families. One had sent a note of appreciation; ‘Thank you so much for such a lovely welcoming family day on Saturday.’ Other ‘thank you’ letters from families were in the commendations folder and Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 13 comments such as ‘We appreciated the effort and commitment…and you do your utmost for the residents’ and ‘…my mum always says how lucky she is to be with you’ were typical. This home has been involved with the local Alzheimer’s support group who now hold monthly meetings at Cobgates and have assisted staff with some work on communication with residents who have dementia. Residents were given choices on a number of matters in their day to day lives for example regarding meals and what and where they wished to eat. Two residents upstairs had decided to have lunch together in their lounge as one had a sore shoulder and didn’t want to go downstairs. There was a choice of three main courses and two different puddings on the day of the inspection. Residents also have choices about who they associate with, and there are many small communal ‘hubs’ where residents gathered, in addition to the unit lounges. Resident’s involvement in the decision making at Cobgates is recorded in the notes of residents meetings. All residents spoken to had brought personal possessions with them, some had also brought furniture. A rocking chair arrived on the day of the inspection from one family, and staff were drawing up a risk assessment regarding its safe use. Menus at Cobgates are currently displayed on the blackboard and wing notice boards, and staff remind residents each morning what is on the menu. They are now also introducing menus on the tables at lunchtime as in a restaurant. Residents have input into food choices and menus via residents meetings – but also there are ad hoc changes, for example during the hot weather. On the day of the inspection there were pork chops, or baked fish with homemade parsley sauce, or salad. Frozen cauliflower and broccoli, and fresh potatoes were all steamed to maintain the vitamins though a few residents commented that the vegetables were not cooked enough. This may have been that the cook was trying to preserve vitamins by not overcooking the broccoli and cauliflower. Residents gave very positive feedback regarding salads which had been served during the hot weather. Cobgates also have theme evenings –fish and chips in paper and quiz night for example. Barbecues in the hot weather had also been popular. Menus are about to be revamped from 3 week to 4 week menus, and changes will be made to the teas – residents would be involved in this. The deputies said they didn’t get complaints on food and all residents spoken to were complimentary about the food in general. One lady with a temporary problem with her teeth said she couldn’t manage the pork chop and this was passed to staff who said they would deal with this. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and18 Complaints are taken seriously at Cobgates and residents are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Cobgates has a complaints procedure and a complaints book to keep a central record of any complaints coming in. One complaint had been received since the last inspection and this was dealt with according to the home’s policy and resolved. Residents were well able to advocate for themselves and several issues that had been previously highlighted by them had been satisfactorily resolved. Staff have now all received protection of vulnerable adults training and the latest Surrey multi-agency procedures was in the office. One issue had been raised since the last inspection and dealt with correctly according to the procedures. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Residents live in a safe and well maintained environment and the home is clean, pleasant and hygienic throughout. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A partial tour of the premises took place. The communal areas on the upper and ground floors were visited, including the dining room and laundry; Forget Me Not and Aster units were also visited. The areas inspected were all clean and tidy, the home smells fresh, and the toilets were nicely decorated and clean. The sitting areas are particularly homely and stylish in their furnishings and fittings. The sofa on main landing looked inviting and this, together with the seating area near the reception desk downstairs proved very popular and attracted groups of residents who were chatting together. Some minor repairs needed attention for example painting to metal window frames in the upstairs toilets which were peeling, and the wall behind the cistern where the paint has worn off. The carpet on the long corridor in Forget Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 16 Me Not wing is clean but has dark and light patches and looks well worn – the manager should think about replacing this in the coming year. One bathroom inspected was clean and tidy but being used to store laundry baskets and a wheelchair. Outside, the back garden has improved since the last inspection and more pot plants etc have been arranged which staff said looked nice for the garden party. Also, a disabled ramp has been fitted to the rear of Buttercup wing to enable safer access to the garden. The front garden is awaiting shrubs – and they are also waiting for the summerhouse to be updated. The standard of cleanliness and hygiene at Cobgates is good. The laundry was inspected and the staff member looking after the operation was interviewed. The area was very tidy and clean with an impermeable floor surface. Pigeon holes are used to separate individual’s clean clothes. Residents who were asked about laundry facilities were pleased with the service provided. This member of staff said she also does some mending and sewing for residents if they need it. She works every weekday until 1 or 2pm and at the weekend care staff can access the laundry. One small and one large tumble dryer are provided, and three washing machines, one of which has a sluicing programme. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Resident’s needs are met by the numbers and skill mix of staff and they are in safe hands. Recruitment practices are generally good but more work needs to be done to meet this standard in full – staff are trained and competent to do their jobs. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the inspection the Residential Forum Matrix to calculate staff to resident ratios was not available. However, the deputy managers said that Cobgates had sufficient staff to meet the needs of residents, and all those residents interviewed confirmed that their needs were being met. There are 8 care staff in the morning plus a senior care worker; this provides one member of staff per unit and two on the dementia unit. 86 of staff at Cobgates have NVQ 2 or above which exceeds the target of 50 with NVQ 2 or above by December 2005 set down in the National Minimum Standards. Recruitment practices at this home are generally good . Applicants are given an application form and a separate equal opportunities monitoring form. They currently employ disabled people, older workers, and workers from ethnic minority backgrounds at Cobgates. CRB and pova list checks are carried out Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 18 on all staff, and two written references taken up. The home were asked to review their staff records (especially with regard to a full employment history) to ensure they comply with all aspects of Standard 29 and the Care Homes Regulations 2001 (as amended). A bulletin published by CSCI on this subject was given to the deputy manager. The home should also review their arrangements for storing CRB records and they were advised to consult the CRB website for more information. Cobgates own induction pack is given to new staff plus the common induction standards (CIS) pack which is now in use. The CIS will be compulsory for all care staff from September 2006 but Cobgates have already started using this new system. The deputy managers confirmed that staff had all had the Cobgates induction, and induction packs were viewed at the last inspection and found to be thorough. However, the inspector could not access the old induction records for long standing staff as they have been recalled to County Hall. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 A well managed home which is run in the best interests of service users. The health and safety of service users is promoted. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager has been in post for some time and is supported by a committed team of staff. She has many years experience working with older people. There are clear lines of accountability within the home and the recent reorganisation has meant that two deputy posts have replaced the previous deputy who has retired after many years. Cobgates has restarted the internal SCC quality monitoring with Pinehurst (their sister home) and a quality monitoring scale is used to judge how the home is performing. Areas looked at and assessed include choice, Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 20 confidentiality, privacy and dignity, independence and fulfilment, rights, risks, and community links. Core staff in the quality assessment team are made up of staff from each home, including a care worker and senior care worker. The results and recommendations are discussed at ‘seniors’ meetings e.g. this time it was found that the admission pack needs revamping. The home also has Wing meetings, resident’s meetings and carries out surveys; currently two staff are devising a new questionnaire. Residents also have Client Reviews with their care managers, annually or more often if their needs change. Cobgates also has a suggestion box in front hall. Views of other stakeholders are gained through questionnaires. One unit already has a comments book and the deputy managers said they may consider extending this to the whole home. Residents finances were not checked but the home uses the SCC system which is in place across all their homes and was found to be satisfactory at the last inspection in December 05. Residents who so wish have an ‘account’ with SCC and can deposit and withdraw money within the home for their expenses. Good records of these transactions had been kept. Care staff are not involved and each home has a bursar to administer this system. Cobgates shows a good regard for health and safety and appropriate risk assessments are in place. One family had just delivered a rocking chair and the home were doing a risk assessment regarding its safe use. Water temperatures tested were around 43C as per the NMS and there were no obvious hazards in the home. The wing meetings ensured that health and safety issues were raised and dealt with in a timely fashion. A number of health and safety certificates were sampled including servicing for parker baths; service inspection of the automatic door; the lightning conductors check; and the report of the EHO inspection in January 06. The hazardous substances cupboard in the home was locked securely though staff were asked to review the lock on the sluice in the dementia unit. There had been no instances of residents unlocking the door so far but the small bolt would have been accessible and looked easy to undo. Alternatively they should review what liquids are being kept in this room e.g. the descaler. Food which has been opened and placed in fridges should be labelled and dated. The home should review how they are tying up the emergency pull cords (presumably to avoid the tripping hazard if they are trailing on the ground) to ensure they would be available and within reach if someone were to fall on the ground. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 X 18 3 3 X X X X X x 4 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 22 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 OP9 Regulation 13(2) Requirement The registered manager must ensure that all medication records are correctly completed with no unexplained gaps. The registered manager must arrange for the minor decorative works in one toilet area to be remedied as discussed with the deputy manger and highlighted in the report. The registered manager must ensure that all the information required in Schedule 2 of the Care Homes Regulations 2001 (as amended) is obtained for each employee in particular with regard to a full employment history and exploration of any gaps. Timescale for action 07/08/06 2. OP19 23(2)(b) 14/09/06 3. OP29 19(4)(b) (i) 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Cobgates Refer to Good Practice Recommendations DS0000033558.V306235.R01.S.doc Version 5.2 Page 23 1. 2. 3. 4. 5. 6. Standard OP19 OP27 OP29 OP38 OP38 OP38 The registered manager should review the situation with the carpet on one unit as discussed with staff and outlined in the report. The registered manager should use the residential forum matrix, as recommended by the department of health, to calculate staff to resident ratios. The registered manager should consult the CRB website with regard to the correct arrangements for storing and destroying CRB certificates. The manager should keep under review the arrangements for locking the sluice on Aster wing as discussed in the report. The manager should review the length of the emergency pull cord as discussed in the report. The manager should ensure that food which has been opened and stored in the fridge is dated and labelled. Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cobgates DS0000033558.V306235.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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