Inspection on 24/05/05 for Cumberland Court

This inspection was carried out on 24th May 2005.

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

Cumberland Court 15/08/06

Cumberland Court 18/01/06

Cumberland Court 19/10/04

Cumberland Court 20/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Cumberland Court 6 Cumberland Gardens St Leonards-on-sea East Sussex TN38 0QL Lead Inspector Jason Denny Unannounced 24 May 2005 11:30 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 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. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Cumberland Court Address 6 Cumberland Gardens St Leonards-on-sea East Sussex TN38 0QL 01424 432949 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) PJP Care Ltd Mary Elhefnawy Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (OP) 20 of places Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is twenty (20) 2. Residents must be aged sixty-five [65] years or over on admission Date of last inspection 19 October 2004 Brief Description of the Service: Cumberland Court is situated in a residential area of St Leonards-on-Sea in East Sussex. The premises which are of the Victorian era are situated a short walk from a pleasant park, local shops, a mainline railway station and approximately 1km from the promenade and beach of St Leonards and the English Channel. The home is situated on a quiet road. Cumberland Court benefits from a homely feel throughout and is well decorated. The home benefits from a long, well maintained, and decorative garden. This garden is generally inaccessible to Resdients especially those with mobility needs. The home are exploring plans for a decking area. At the time of the inspection the home was providing services for 14 people, including one person in hospital. The home is registered to provide services for up to 20 persons. A number of bedrooms, along with communal space, is below the National Minimum Standard. The home is except from these standards due to being a pre-existing home before their implementation in April 2002. The owners of Cumberland Cort, PJP Care Ltd have since the last inspection purchased a home in Eastbourne. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced routine inspection [first of two planned before April1st 2006], which took place between 11.30am and 4.40pm. The Inspection found that of the 18 National Minimum Standards inspected, that 10 of these standards had been met. The overall focus of the inspection was on residents’ involvement in the home and staffing levels. The inspector started the inspection by speaking with residents [8 in total] and visitors [2] and touring communal areas and visiting some residents in their rooms. A discussion with the manager took place around progress since the last inspection. The kitchen was inspected. Care and staff records, along with safety documentation were inspected. The inspector observed a quiz taking place for residents after lunch. The inspector has made one monitoring visit to the home since the last inspection [14/01/05] following a continued concern regarding night time staffing levels. Night time staffing levels were by the week before the Inspection appropriate to meet existing resident’s needs. What the service does well: What has improved since the last inspection? The home’s judgement has improved in terms of ensuring that the home only provides care for people whose needs it can meet. It was evident that the home had sufficient staff to meet the needs of those residents placed in the home. The homes assessment information was full with the initial assessmenttaking place before accommodation was provided. The administration of residents care records has improved with evidence of more regular review. Safety valves have been fitted to hot water outlets to Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 6 protect residents from the risk of scalding. The induction of new staff has improved, as has other training such as National Vocational Qualifications. A number of staff are now receiving regular written supervision. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 7 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 Standards Statutory Requirements Identified During the Inspection Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 8 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 standard(s) 1,2,3 & 5 The inspector found that with one exception, the home provides both prospective and existing residents, with a good level of information. The way in which the home currently assesses prospective or existing residents ensures, that it currently meets needs. Despite the improvements in the home assessment process it had since the last inspection provided services to a Resident whose needs it could not fully met. To promote clarity the home needs to confirm in writing, that it can meet needs before someone moves in to the home. Contracts were found to meet the standard but will benefit from clearer explanation, to avoid disputes, as to the variation in fees charged. The home encourages prospective new residents and their families to visit the home before deciding to move in. EVIDENCE: A copy of the home’s resident’s [service user] guide including a complaints procedure is on display in the reception areas although this did not have the most recent Inspection report of 19/11/04. The report enclosed was of an inspection of 20/04/04. This report had also been reproduced without the Commission’s permission in small print making it more difficult to read Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 9 especially to those with visual impairment. The guide has a report on resident’s views although this was from before May 04 when the guide was last updated. Residents and visitors were found to be knowledgeable about their rights. The Inspector found that the home’s assessment information was full on newly admitted Residents such as one admitted on 16/02/05, and tallied up with his observations and discussions with individual residents. However, no evidence was found that the home had written to the resident to confirm that they could meet assessed needs prior to admittance. Staff were observed to be particularly mindful of the mobility needs of residents. The inspector found that all newly admitted residents had been assessed before moving in and that the home had shown recent signs of moving people on when they could not meet all their needs. One resident’s move into nursing care had been delayed by over 6 months despite the Inspector and the manager agreeing that her night-time needs could not be met by existing night time staffing ratios. The manager stated that she was unable to influence the Organisation in respect of this concern. There were other examples of how night time staffing levels had affected outcomes for residents. Although by the time of the inspection ratios of staff were sufficient to meet needs. The resident was found to have moved into a nursing home a week before the Inspection. The organisation have previously written to the Commission to confirm that the manager has full power to make decisions in relation to assessment, moving on residents, and increasing staffing levels. Residents and visitors confirmed that they were able to visit the home before deciding to move in. Contracts were found to meet the standard detailing full terms and conditions including the right to increase fees, and were signed by all parties. The Inspector noted that one resident was being charged the standard fee of £282 whilst another was being charged £324. The higher fee was due to being offered a larger room according to the manager. This explanation was not on the contract, which also does not show the room to be occupied. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 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 standard(s) 7 The home was found to be meeting resident’s health and other care needs and was fully aware of what additional support it required. The review and detail in care records was found to have improved with staff playing a fuller monitoring role. Risk assessments were clear, full, and reviewed. The inspector judged that resident’s rights were upheld. EVIDENCE: Four Individual plans of care were inspected and were found to be sufficiently detailed, up to date, and contained clear information to support staff to meet the needs of residents. The plans were found to be user-friendly and covered the full range of health needs, which the inspector observed during the inspection. Since the last inspection the home has improved its frequency of review. The review of a new resident was carried out a month after admission on 25.03.05. A review of another resident had taken place on 02.05.05 three weeks before the inspection. This review took in to account increased difficulty with food intake a point confirmed by the resident her daughter and staff. Another care record showed what skills a resident had and such as being able to wash themselves, so maintaining some independence. This person had been reviewed on 07/04/05 with their risk assessment which covered the risk of falls carried out on 18/05/04. All residents interviewed indicated the way in Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 11 which their health needs were being met by the home. One resident was particularly impressed with how quickly staff responded to a rash they found when a resident declined a bath due to feeling unwell. The GP visited the home that day and a highly serious infection was treated with the resident showing some recovery. The home was found to be mindful of how to prevent the risk of falls. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 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 standard(s) 12. The home was found to provide a good range of activities based on resident preferences. Routines were found to be flexible for residents who are treated as individuals and fully involved in the home. EVIDENCE: The Manager and staff stated that they have a flexible approach to care with Residents treated as individuals. This was confirmed by discussions with visitors, residents, and looking at records. The Inspector observed how Residents are given the support they require in such a way as to ensure their comfort and independence. Residents have previously mentioned how the home’s owners regularly support those interested, to go on a variety of outings especially in the Simmer and other seasonal events such as the Pantomime season. During the afternoon a number of Residents were observed playing a quiz with staff. Residents informed the Inspector that they enjoyed the visits from the Methodist church and the Salvation Army on a monthly basis. A music entertainer visits fortnightly an activity attended by most residents. One resident informed the Inspector that she particularly enjoyed the bingo, which occurs twice e a week. Residents were observed to exercise a number of freedoms such as the right to go out for a walk independently subject to an agreed risk assessment. A newer staff member stated that she enjoyed having the time to speak with residents due to the way things were better organised in this home, compared to others she had worked in. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 13 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 standard(s) 16 & 18 The home operates in an open manner and has not had a formal complaint for several years. Staff continue to demonstrate a sound understanding on how to prevent and report abuse. Residents continue to be registered to vote and have all their rights upheld. All residents and visitors are made fully aware of how to complain or raise concerns. A staffing concern since the last inspection was thoroughly investigated by the home’s owner. EVIDENCE: The manager has received formal training in adult protection and prevention of abuse and has delivered this training to all staff. Evidence was seen of video training followed by marked exams. Staff who spoke with the inspector again demonstrated a full and understanding of all the issues involved, including whistle blowing and who to report concerns too. All residents spoken too confirmed the sensitive care they receive from a long established staff team who were observed by the inspector to operate in an appropriately caring and patient manner. The home has a comprehensive complaint policy and form for reporting concerns. This procedure and forms are in the reception area to the home. There was no record of any complaint made to the home over the last year. Staff have been in contact the Commission since the last inspection in relation to a concern about the level of night staff cover and their job role. This concern was subsequently investigated by the Organisation with an action plan implemented. This concern was found at this inspection to be resolved with some improvements made. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 14 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 standard(s) 19,25 & 26 The home was found to be clean, warm, and homely. The home is wellmaintained and will fully meet the standard when all communal area such as the Garden are accessible. Residents are protected from unnecessary risks such as from scolding with the recent installation of Hot water safety valves. EVIDENCE: The large garden at the rear of the house is not accessible. They are excellent to view and well maintained but because of a steep drop from the house level the main garden is inaccessible to all but the very agile. Access to the outside patio area which borders the garden is through the kitchen or via the front of the house, both routes are unsafe for anyone with mobility needs. In the last three inspection reports, mention was made of the current owner planning to extend the street level patio with an area of decking to be reached via patio doors from the dining room. The manager was unable to confirm when this work will take place. A tour of all communal areas took place along with the kitchen the outside patio area and 2 bedrooms due to speaking with residents who were in ground floor rooms during the inspection. The location of the home is suitable for its stated purpose. The premises were found to be well maintained, comfortable Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 15 and in general met Resident’s individual and collective needs. The home was found to be bright and free from hazards. The home was found to be clean throughout the tour including the kitchen and bathrooms. Hot water safety valves were found to have been fitted to all hot water outlets since the last inspection. Water temperatures were found to be tested on a monthly basis with the last test on 05/05/05. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 28 There was sufficient numbers of suitable staff on duty by the day of the inspection to meet needs of resident’s along with the cleaning and cooking tasks. Most staff are experienced and have worked in the home for a long time. Staff training has improved in relation to inductions for new staff and National recognised qualifications. All residents and visitors praised the quality and stability of the staff team. The home needs to ensure that all times between inspections that staffing numbers is sufficient to meet assessed and changing needs. That the rota is clear and, that staff left in charge of the home are not under the legal age. EVIDENCE: Staffing levels included 2 per day shift plus the hands on manager and 2 additional staff, cleaner and cook, for the 14 residents at the time of the inspection [one residents in hospital]. The home has 1 waking night person and was found to use a sleep-in person on a weekly or fortnightly basis judging on the rotas available. The manager stated that a sleep in person is not a permanent arrangement but is used when things get too much or if the waking night person is inexperienced. The sleep-in role had no job description so it was not possible to judge what the expectations of the role involved. On the night before the inspection the sleep in person arrived at 8pm and from 4 8am worked on shift with the waking night person although this is not a typical or agreed practice. The waking night person was 18 working her first night. The manager agreed that in future the waking night person in charge of the home will be 21 or over in keeping with legal requirements. Since the last Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 17 inspection the home has organised for the cook to arrive earlier to prepare breakfasts to take the pressure off the solitary night person. The rota/roster showed staff that had worked the previous day’s shift but not future ones, or in what role they were working apart from sleep-ins. On an additional visit to the home on 14/01/05 a resident previously identified as needing 2 staff at all times to assist her health needs, was found not to be receiving this support at night. This situation was allowed to continue until she moved into a nursing home a week before the inspection. The manager stated that she would often be found to be wet in the morning with no clear idea of how long she had been left like this. Another resident had to remain on the floor for 30 minutes around midnight on 04/05/05 whilst a second staff person was called out to the home to help lift her on to her bed. The resident was also bleeding from an injury. By the day of the inspection there was sufficient staff to meet needs with no one according to the manager needing 2:1 staffing support. The manager stated that most staff had recently completed at least a National Vocational Qualification level 2. Other interested staff as confirmed in discussions, were on this course. A new member of staff confirmed that she had completed the National Approved Induction TOPSS in 6 weeks and that another new person was starting this. Staff interviewed explained the benefits of this induction. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36 & 38 The home has benefited from a competent manager but who is now working a notice period. The turnover of managers is concerning and represents another recent change for staff and residents. Registered Managers are not given the full control to manage and use their expertise by the Organisation who owns the home. The home was found to be conducted in an open and friendly manner. Although there has been an improvement not all staff are supported to carry out their roles with written regular supervision. The overall management of the home needs to more regularly recording the views of residents and staff, to ensure that quality is maintained and improved upon. Although overall training has improved important safety training such as First Aid is essential to protect and care for Residents. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 19 EVIDENCE: The manager has dropped out of her management course [NVQ 4] due to her recent resignation from the home a period, which expires in June. The manager was registered by the Commission in January 2005 and resigned her post in April 2005. A condition of registering the manager was that she had a suitable role, such as control over budgets and freedom to make decisions such as with staffing ratios. From discussions and looking at records it was evident that the Organisation had not given her this control. Management decision making in the home was again found to be confused resulting in difficulties for team working. One example stated was around decisions related to pay and training which was described as causing conflict with the manager having to deal with decisions made by the organisation. The manager stated that she did not receive supervision from her employees. The manager stated that written supervisions were now occurring for many staff [75 ] but not all, such as night staff. A day staff person indicated that she received now this support quarterly as opposed to the standard requirement of at least every 2 months. She stated that she found this useful as a regular way of her giving her feedback on her performance, setting goals, and discussing any needs she had. All staff indicated that they had open access to the manager. All people spoken to confirmed that they found the manager helpful and most were positive about the homes owners/organisation. Some Residents have previously used quality assurance satisfaction questionnaires as evidenced in the most recent home guide of May 2004. The home were advised to conduct more regular surveys. The manager stated that all necessary window restrictors had now been fitted. The certificate of liability insurance on display in the home was found to have expired on 24/04/05. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 2 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 x x x x x 3 3 STAFFING Standard No Score 27 2 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 3 2 x x 2 x 2 Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 21 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 1 Regulation 5 & 6[a] Requirement That the Homes Service user [Residents] guide must be complete and updated and include the most recent Inspection report and updated residents views on the home. That the Inspection report is kept in its original form to aid reading. That the Registered Person must confirm in writing that having regard to the assessment that the home can meet the needs of the prospective service user [Resident] prior to offering accommodation That the Registered Person must ensure that staff left in charge of the home are at least 21 years of age. That all staff must receive formal written supervision to occur at least 6 times yearly. That all supervisions are scheduled to occur at the required frequency within the timescale indicated. [Requirement of the last 2 Inspections]. Requirement first made 19/10/04. That the Registered Person must Timescale for action 24/08/05 2. 3 14[d] 24/08/05 3. 27.6 18[1][a] Immediate 4. 36 18[2] Timescale Extension 24/08/05 5. 38 18[c][1] 24/08/05 Page 22 Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 make arrangements to ensure that sufficient staff have First Aid training to ensure that at all times there is a qualified First Aider on duty in the home. 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. 3. 4. 5. 6. Refer to Standard 2 19 27 27 33 38 Good Practice Recommendations That variations from the standard fee charged are accounted for on the contract with reference to the room to be occupied. That the Garden is made accesible to Residents with the provision of disabled access. That the homes Rota/Roster shows who is due to work and in what capacity. That a job description for the Sleep-in-person is introduced That the views of Service users [Residents] and their representatives are sought and published on a regular basis. That the home displays a current certificate of liability insurance. Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Cumberland Court H59-H10 S42898 Cumberland Court V217217 240505 Stage 4.doc Version 1.20 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!