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Inspection on 27/09/05 for College View Care Home

Also see our care home review for College View Care Home for more information

This inspection was carried out on 27th September 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home was clean and tidy and all areas both communal and private were comfortable and welcoming, the atmosphere was friendly and relaxed. The care support was seen to be of good standard, with service users looking well cared for. All the residents spoken to during the visit said how satisfied they were with the staff and the care provided. There was always enough staff in the home; many of them have worked there for a long time and have built up good relations with the residents and their families. Meals are varied, well balanced and nicely presented offering choice and variety. Residents really liked the food and described the meals as excellent.

What has improved since the last inspection?

The home had made sure that the water systems were safe. Staff had accessed more training in moving and handling residents to ensure their practices were safe. The manager had completed her registration process with the Commission. The staff now have regular individual meetings with the manager which is important for them to talk about their work and the training they need.

What the care home could do better:

The management have not fully put in place a quality assurance system which would provide a better picture of all the checks and questionnaires that are carried out. The manager must make sure that she has all the correct documents in place before new staff start working in the home to ensure the safety of all the residents. The staff did not always write down how care must be given to make sure that all the staff knew what to do. As a result staff can end up offering care in different ways and this means things can get missed or not done properly, which prevents residents receiving continuous care of a high standard and this could affect their health. Medication recording needs to be improved to ensure all signatures are in place for medications administered by the staff, so that there is no mishandling of medication and the residents health is looked after.

CARE HOMES FOR OLDER PEOPLE College View Care Home 71 Bargate Grimsby North East Lincs DN34 5BD Lead Inspector Mrs Jane Lyons Unannounced Inspection 27th September 2005 09:30 27/09/05 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 College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service College View Care Home Address 71 Bargate Grimsby North East Lincs DN34 5BD 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) 01472 879337 Mrs Katrina Peerbux Position Vacant Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2004 Brief Description of the Service: College View is a long established home situated in a pleasant central location of Grimsby, it is close to the local amenities of Scartho Village and local public transport. The building is Victorian in style maintaining much of the character and original features providing care for up to 12 service users. The home consists of two storeys serviced by stairs and a passenger lift. There are six single rooms, none of which are en-suite and three shared rooms, one of which is en-suite. All rooms apart from one are spacious. On the ground floor there is one unassisted bathroom containing a WC and on the first floor there is an assisted bathroom without a W.C. On each floor there are two W.C.’s for service users use. There are two lounges and one dining room, all of which are located on the ground floor. The home is surrounded by pleasant mature gardens including a paved area at the rear of the property. There is car parking space at the front of the property. The home is owned and managed by Mrs K Peerbux. There is a well established staff team who have considerable experience working with this service user group. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day in September 2005. During the visit the inspector spoke to four staff, eight residents and two visitors to find out how the home was run and if the people who lived there were satisfied with the care and facilities provided. The inspector looked at most of the bedrooms, bathrooms and communal rooms such as the dining room and lounge areas during the visit. Paper work relating to staff recruitment, staff training, activities, accidents, care plans and health / safety checks were looked at to make sure it was all in place and up to date. What the service does well: The home was clean and tidy and all areas both communal and private were comfortable and welcoming, the atmosphere was friendly and relaxed. The care support was seen to be of good standard, with service users looking well cared for. All the residents spoken to during the visit said how satisfied they were with the staff and the care provided. There was always enough staff in the home; many of them have worked there for a long time and have built up good relations with the residents and their families. Meals are varied, well balanced and nicely presented offering choice and variety. Residents really liked the food and described the meals as excellent. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The management have not fully put in place a quality assurance system which would provide a better picture of all the checks and questionnaires that are carried out. The manager must make sure that she has all the correct documents in place before new staff start working in the home to ensure the safety of all the residents. The staff did not always write down how care must be given to make sure that all the staff knew what to do. As a result staff can end up offering care in different ways and this means things can get missed or not done properly, which prevents residents receiving continuous care of a high standard and this could affect their health. Medication recording needs to be improved to ensure all signatures are in place for medications administered by the staff, so that there is no mishandling of medication and the residents health is looked after. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 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. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 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 College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 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): 1, 3 and 5 Staff were informed of the care needs of residents prior to admission; the admission process was thorough with staff ensuring that new residents felt welcome and secure. A good range of information about the home was available to service users prior to admission. EVIDENCE: The statement of purpose had been updated to include information on emergency admissions it was now scheduled for annual review; service users recently admitted to the home confirmed that the statement of purpose and service user guides had been provided to them. Due to the major works programme which is scheduled to commence in the next few months the home is only admitting new service users for respite provision: this extra capacity should ensure less disruption to service users when internal works begin. Detailed assessments were completed by the manager prior to admission and these were seen by the inspector. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 10 Staff at interview confirmed the admission process; there was clear evidence that they were well informed of service users needs on admission and all specialist equipment was in place if required. One service user described how she had visited a number of homes prior to choosing and moving into College View; she said “It felt like home as soon as I moved in, I’m so thankful I chose this home, I couldn’t be happier.” College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 In general there was a clear and consistent care planning system in place that provided staff with the information they needed to satisfactorily meet the service users needs. Service user’s health needs were generally monitored and reviewed appropriately. Staff were knowledgeable about the needs of the service users and provided support in a manner which respected their privacy and dignity. EVIDENCE: The service users spoken to said that their care needs were well met and described how care was provided in a way that respected their privacy and dignity. Two of the residents stated that they were aware that records were kept; the staff had read the care plan out to one service user and another had her own copy in her room. Case tracking of three service users was completed, which included examination of care records and discussions with service users and staff. The care plans were generally very well developed; the documentation system was well thought out and very user- friendly. Two care plans examined were for College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 12 existing service users and one for a service user admitted for respite care provision the previous week. The care plans relating to the two existing service users were well developed, well organised and consistently maintained. All problems had been identified from assessment, they cross-referenced well with evidence that the problems had been updated to reflect current care needs; they had been evaluated regularly. There was appropriate use of risk assessments; assessments for moving/ handling, falls, tissue viability, nutrition and general issues were in place and reviewed regularly. Advice was to develop plans of care to support the identified high risk tissue viability needs, from discussions with staff it was evident that the service users did not currently require any specific pressure relieving equipment however this should be documented as such, along with the current monitoring of care needs. The care plan for the newly admitted service user had been developed and was found to be very detailed in the main. One of the main problems since admission had been a very poor sleep pattern; although there was lots of evidence in the daily records to support action being taken to improve matters such as consultation with the GP and prescribing, monitoring and changing of night sedation, there was no care plan in place. There was also very clear evidence that the home had consulted well with the stoma therapist and district nurses; although the care staff had received specific training to support specific care interventions regarding the service user’s stoma, and the stoma therapist had provided a care plan this was held separately and the information had not been transferred on to the service users plan of care. Positive comment cards were returned by a G.P. and district nurse; the district nurse had written “Always feel welcome when I visit and the environment is welcoming, clean and friendly.” The medication policy remained unchanged and was schedule for review in October. A number of gaps were identified in the Medication Administration Records; one service user’s Warfarin medication had not been signed for two days. Temazepam medication was found to be stored in the medication trolley and must be stored in the controlled medication cupboard. One of the service users night sedation prescription had been changed the previous day and not amended on the MAR sheet. All the senior care staff have accessed the safe handling of medicines course. The temperature of the medication storage area should be monitored regularly to ensure it does not exceed the manufacturers recommendations. All service users doors were closed during the inspection, staff were observed to knock on doors before entering. Service users were able to have visits from friends and family in private in their rooms and when health/ social care professionals visited they saw them in private. Service users stated that their care needs were well met and described how care was provided in a way that respected their privacy and dignity. They College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 13 described the staff as excellent and that they were always very patient and kind. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 14 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 and 15 The service users were seen to experience a full life with opportunities to take part in varied activities. The meals in this home offered both choice and variety. EVIDENCE: Service users described a variety of activities that they participated in such as bingo, dominoes, music, painting and crafts. There was a weekly activity and entertainment programme in place and staff maintained detailed records of individual service users participation in the sessions provided. The manager confirmed that in recent times both the service users and staff had needed some motivation to ensure that the activity programme was running well; she felt that it was now back on track, which was evident at the visit. A number of the service users commented that they enjoyed sitting outside during the good weather and that they also enjoyed the regular trips out to local restaurants for lunch. Staff at interview commented that popular activities were painting, singalongs and manicures and that many of the residents were now reluctant to leave the home for walks and trips out etc. There were numerous visitors to the home and evidence that a number of service users regularly visited their families/ friends. All the visitors spoken to were very complimentary about the home, commenting that their friends/ College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 15 family were very settled and that the staff were very kind and welcoming. One visitor told the inspector how impressed she was at the patience and courtesy the staff always showed to all the residents and that she had only positive things to say about the home. There was a three week menu in place, the menu for the week was posted on the notice board in the dining room. Each service user was offered three full meals a day, the food was hot and attractively presented with time given between courses to ensure everyone was able to eat at their own pace. The service users in describing the meals said that they were excellent, there was lots of variety and good portions. The majority of service users take their meals in the main dining room; staff were observed assisting service users sensitively and on a one to one basis. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 16 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 and 18 The home provides an atmosphere whereby people feel able to make complaints. Although the home has provided adult protection training for staff, its recruitment practices place service users at risk. EVIDENCE: The homes complaint procedure was clear and displayed in the entrance area. It had appropriate timescales for resolution and included contact details of other agencies. The home had not received any complaints since the previous inspection. The service users spoken to felt able to make any complaints they may have either to the manager or staff members. The majority of staff had received training in the protection of vulnerable adults from abuse via the local authority and a number of staff were currently completing a distance learning course on adult protection issues. Those spoken to were able to demonstrate a clear understanding of the types of abuse and what to do if they witnessed or suspected abuse had occurred. Four staff files were examined and it was noted that the home had employed two members of staff since the previous inspection prior to obtaining criminal record bureau checks, which could put service users at risk. The home had acquired POVA First checks some months after employment and the CRB checks had only recently been provided. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 17 College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21 and 26 Residents are provided with a safe, warm and comfortable environment that is homely and welcoming. EVIDENCE: The majority of areas were seen during this inspection and the home was found to be clean, safe and generally well maintained. The registered providers have recently submitted plans to support major alterations to the home to provide a first floor extension with two single en- suite rooms, alterations to shared rooms to provide single, en- suite accommodation, new bathing facilities and an extension to the lounge. Along with this work the electrical and plumbing systems will be upgraded. The service users have been made aware of these planned works and consulted where possible. None of the service users spoken to were worried about the building works impacting unduly on College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 19 their daily routines and considered the changes would be very positive. The manager hopes that the works should commence by December. The garden areas are pleasant and well established. The manager told the inspector that an area in the front garden was going to be developed as a rose garden as one of the service users had an established rose garden at her home and they will be moved so she can once again enjoy them. All areas of the home were very clean and tidy. All the bedrooms seen had been personalised to the extent chosen by the service user. The communal areas including the entrance hall were seen to be well utilised. The bath on the first floor needs to be replaced or re-enamelled. The sink in the kitchen is scheduled for replacement, which has delayed the works identified in the EHO report of March to repair the grouting and sealant to the tiled area behind the sink. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 20 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 The deployment and number of staff is sufficient to meet the needs of the current service users. Staff are generally well trained and competent to do their jobs. The procedures for obtaining CRB checks on staff prior to employment have not been fully implemented potentially leaving service users at risk EVIDENCE: There were 10 residents currently residing at the home. Examination of rotas and staff interviews confirmed that the staffing levels in the home were consistently maintained. The current staffing notice allows a complement of ancillary hours to be combined with the care hours: the home maintains at least 2/3 care staff during the day hours and also employs a cook and cleaner from Monday- Friday. The home employs one waking and one sleeping member of care staff on night duty; staff at interview confirmed that this deployment met the current service users care needs. The manager was informed that following the intended variation of the homes registration the home must utilise The Residential Forum, a dependency based staffing tool devised by the Department of Health. The majority of the staff have been employed in the home for some time which has ensured continuity of care for service users and promoted a good team ethic which staff reported was very good. Service user comments about the College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 21 staff included: “they are excellent, they will do anything for you” and “the staff are so kind and helpful” There was a well developed staff training programme in place; the manager has devised a staff training matrix which identified all mandatory, general and service specific courses the staff had accessed since January and further courses arranged for the remainder of the year. Staff were up to date with fire safety, moving/ handling and food hygiene courses; the majority of staff had now completed the appointed persons first aid training. There was a good range of general and service specific training provided for staff. On examination of the individual staff training records these were found not to be up to date; the manager confirmed that as she had now completed her trainers for training qualification, more in house sessions were now provided although she had not yet produced the in- house training certificates to support theses sessions. Training records for the two most recently employed care staff evidenced that the induction records were not in place. The management and staff remain committed to NVQ training and the home meets the target of 50 of the care staff having attained level 2 or above; four of the senior care staff have now commenced their NVQ level 3 courses. The inspector examined four staff files. Two of the files of more recently recruited care staff evidenced that the home had not obtained the CRB check or POVA First check prior to employment. One of the files did not contain a photograph of the staff member however all other information and documentation required was in place for all staff files examined. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 22 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): 31,33,36 and 38 The manager is supported by a dedicated, well-supervised team who are protected by the homes policies and efficient record keeping. The health, safety and welfare of service users and staff are generally well promoted and protected. EVIDENCE: The manager has now completed the registration process with the Commission. Service users and staff were very complimentary about the management and how the home was run; one resident said that ‘if she is not happy with anything she will see the manager who is very nice and she sorts out any problems for me’. The manager was very knowledgeable about the residents at the home and continually looks at ways of ensuring that the home is run in the best interests of the residents. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 23 The manager has worked hard in recent weeks to develop and implement a formal quality assurance programme; standards have been identified from the NMS with audit tools and surveys developed to monitor the quality of service provision in a number of key areas. She is currently working to produce an annual development plan. Policies and procedures are updated annually. The staff supervision programme was very well implemented with all staff receiving at least six sessions per year. A number of records were examined which evidenced that the sessions were thorough; covering all aspects of the staff members performance and practice; there was clear evidence that individual training needs were identified which linked to the training and development programmes. Safety checks had been carried out on gas appliances, lift, hoists, fire safety equipment and the nurse call system. The electrical systems have been checked; however as significant re-wiring will take place as part of the works programme the electrical certificate will be issued on completion. All hot water outlets accessible to service users now have thermostatic valves fitted; records and random checks during the visit evidenced that this system was now well managed. Staff access fire drills through the training courses provided; this was provided in April, July and scheduled again for October 2005.A current fire risk assessment was in place and the manager had implemented new documentation to support weekly audits of fire safety equipment. Temperature records for fridge and freezers in the kitchen were not adequately maintained in line with HACCP management; this had been identified in the EHO report of April 2005. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 24 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 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 2 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X 4 X 2 College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 25 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 OP33 Regulation 24 Requirement The registered person must establish and maintain an effective quality assurance system Previous timescale of 30/04/05 Unmet The registered person must ensure that care plans are updated to reflect all current care needs. Previous timescale of 31/01/05 Unmet The registered person must ensure that there is a five-year electrical certificate in place. On completion of the works programme The registered person must ensure that medication is given as prescribed and stored appropriately. The registered person must ensure that CRB checks and pova list checks are carried out and in place at the home prior to employment commencing. The registered person must ensure that all requirements identified by the EHO are DS0000002851.V254714.R01.S.doc Timescale for action 31/12/05 2 OP7 15 31/10/05 3 OP38 23(2)b and 4(a) 31/03/06 4 OP9 13 and 18 27/09/05 5 OP29OP18 19 and 13 27/09/05 6 OP38 16(2)j 30/11/05 College View Care Home Version 5.0 Page 26 7 OP30 18(1)c 8 OP21 23(2)b actioned for HACCP records and repairs to the kitchen tiling. The registered person must 30/11/05 ensure that newly employed care staff complete an induction programme which is linked to NTO workforce standards. The registered person must 31/01/06 ensure that the first floor bath is fit for purpose. 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 2 Refer to Standard OP9 OP30 Good Practice Recommendations The registered person should monitor the room temperature where medications are stored to ensure it does not exceed the manufacturers guidance. The registered person should ensure that individual staff training records are up to date. College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 College View Care Home DS0000002851.V254714.R01.S.doc Version 5.0 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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