CARE HOMES FOR OLDER PEOPLE
Danson House Glynde Road Bexleyheath Kent DA7 4EU Lead Inspector
Maria Kinson Unannounced 21 July 2005 10:30 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. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Danson House Address Glynde Road Bexleyheath Kent DA7 4EU 020 8304 3762 020 8301 2646 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) Kent Community Housing Trust Mrs Nicole Sandra Shilling Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 5 January 2005 Brief Description of the Service: Danson House is owned and managed by Kent Community Housing Trust which is a charitable not for profit trust. The home was purpose built and provides accommodation on two floors. It is located in a residential road within walking distance of shops, a mainline railway station and bus routes. The home is registered to provide personal care and accommodation for 46 older people. The building is divided into five separate units, Silver (10 beds), Katie (9 beds), Family (10 beds), Royal Blue (9 beds) and Rehab (8 beds). Each unit has a lounge/dining area, kitchenette, toilet/bathroom facilities and bedrooms. One of the units in the home provides short-term care for eight service users who require rehabilitation. Specialist advice, assessment and equipment are provided for the service users on this unit. There is parking to the side of the property with garden and patio areas at the rear. The home also provides day care for three older people. This part of the service is not regulated and is not assessed by the Commission for Social Care Inspection during statutory inspections. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place on 21.07.05 between 10.30am and 17.50pm and on 25.07.05 between 11.15am and 12.15am. A partial tour of the home was undertaken including communal areas and kitchens on all of the units, some bathrooms, two bedrooms and the hairdressing room. The inspector spoke with eleven residents, one visitor and four members of staff. Care, recruitment and personal money records were examined. Comment cards were sent to a sample of relatives, residents and health and social care professionals that were in regular contact with the home. Eleven comment cards were returned to the commission. What the service does well:
This home provides a good service for older people who require some support with personal care. The home is managed by an experienced and competent manager who works hard to support staff and provide a good quality of life for residents. Staff carried out a thorough assessment of residents needs prior to admission and encouraged prospective residents to visit the home prior to making a decision to move in. Staff encouraged residents to maintain their independence and make decisions for themselves where possible. Staff addressed residents in a respectful manner and took action to maintain resident’s privacy and dignity. Feedback from residents and relatives was mostly good. Relatives were satisfied with the visiting arrangements and said that staff kept them informed about significant issues. Comments made by relatives included “I find all the staff at Danson House very helpful, kind and friendly” and “Staff could not be more helpful”. Staff had established good working relationships with other health and social care professionals. Some of the professionals that visited the home or were in contact with staff said “The home is very well managed” and “I feel the carers and management do a good job and that residents are well cared for”.
Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 6 The food provided in the home was varied and well balanced. Action was taken to meet resident’s personal tastes and preferences. Domestic staff worked hard to keep the home clean, tidy and odour free. Protective equipment was provided where necessary and residents confirmed that staff followed procedures to minimise the risk of cross infection. Staff had access to induction, foundation and vocational training. The home has a comprehensive complaints procedure. Complaints and concerns were investigated thoroughly and responded to promptly. There were good systems in place for safeguarding resident’s money and valuables. Some of the bedrooms had been personalised with resident’s own possessions, which made the rooms feel homely and welcoming. The garden was well maintained and had many features to promote relaxation and interest. What has improved since the last inspection? What they could do better: Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 7 The home provides comprehensive information about the service for prospective residents but did not provide adequate information for residents who were moving into the rehabilitation unit. Care records were mostly satisfactory but some plans did not fully reflect resident’s current needs. The building and some of the furniture and fittings were beginning to show signs of wear and tear. The Registered Person must continue to ensure that the building remains fit for purpose and a comfortable and attractive place for residents to live. Action must be taken to ensure that basic equipment is repaired or replaced quickly and that adequate screening is provided in the shared room. Checks to ensure that food was stored and served at suitable temperatures were not carried out regularly. Staff did not act when temperatures were too high or too low. All parts of the home except for the hairdressing room were clean and tidy. The manager should ensure that this room is included on the cleaning schedule and is maintained to the same standard as other parts of the home. The homes recruitment procedure was mostly satisfactory but some information was not obtained prior to staff commencing work. Failure to obtain adequate documentation could place residents at risk of harm. The staff training programme included induction, foundation and vocational training but health and safety updates were sometimes difficult to access. 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. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 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 standard(s) 1, 3, 5 and 6. The home did not provide adequate written information about the rehabilitation service for prospective residents. The arrangements for obtaining information about residents health and welfare needs were satisfactory and helped staff to meet resident’s needs on admission to the home. EVIDENCE: The Statement of Purpose for the home was updated in October 2005. A copy of the revised Statement of Purpose was supplied to the commission and was assessed in the period following this inspection. The Statement of Purpose includes most of the information listed in the Care Homes Regulations but does not include adequate information about the rehabilitation unit. The previous recommendation to include additional information about bathing facilities and accessibility for people in wheelchairs had been forwarded to head office for consideration. The Statement of Purpose indicates that the home can provide care for a range of needs including specialist dementia care. This home is not registered to care for people with dementia. This statement could mislead
Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 10 prospective residents and their relatives. See requirement 1. A copy of the Service Users Guide was provided in each bedroom. The records sampled by the inspector showed that pre-admission assessments had been undertaken. Information had been gathered from a number of sources including written reports from health and social care professionals and discussions with prospective resident’s, their relatives and carers. Once the assessment was complete the manager wrote to prospective residents to confirm that the home was able to meet their needs. Prospective residents were encouraged to spend a day in the home to view the facilities and meet other residents and staff. The rehabilitation unit provides eight short stay beds for people who have been unwell or who are recovering from an operation but are not sufficiently independent to return to their own homes. The length of stay varies according to individual needs but is usually up to four weeks. The unit has a designated team of care staff during the daytime and has regular input from a Physiotherapist, Occupational Therapist and part time Rehabilitation Assistant. The Activities Coordinator spends twelve hours a week on the unit. Residents were encouraged to contribute to the running of the unit by laying the tables and helping with small household chores where possible. The unit includes a small kitchen where service users can practice cooking and tea making skills and assessments can be undertaken. Specialist equipment was provided and home visits were undertaken to prepare residents for discharge. The inspector received positive feedback from the residents staying on this unit. Residents told the inspector that staff were helpful and answered call bells promptly. Some concerns were expressed by one health care professional about the amount of medical information that was provided by the referring authority. The manager should ensure that the referral form includes a brief medical history and specific information about how more detailed information can be obtained if required. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 10. Some of the care records did not provide adequate evidence that resident’s health care needs were being monitored and met. Access to community health care services was satisfactory and there was evidence of good multi- disciplinary working. Personal support was provided in a way that promoted and protected resident’s privacy and dignity. EVIDENCE: Two sets of records were examined. Both files included a profile, social history, preferred daily routine, various assessments, risk assessments and a care plan. Care plans were reviewed regularly, were agreed and signed by the resident or their representative and in most instances reflected residents needs. One resident told the inspector about the treatment that they were receiving to relieve back pain. Although there was evidence that staff had taken appropriate action to obtain medical advice and were administering the prescribed medication the care plan did not indicate that staff should monitor the effectiveness of this treatment or what other action they could take to make the resident comfortable. See recommendation 1.
Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 12 Seven comment cards that were sent to health and social care professionals who were in regular contact with the home were returned to the commission. All of the people that responded were satisfied with the overall standard of care provided in the home and said that staff worked in partnership and kept them informed about significant events. A number commented that “the standard of care was usually high” and that “staff had the best interests of residents at heart”. Some concerns were expressed about the frequent use of bank and agency staff, (see standard 27) said that some staff appeared “disinterested” and said that quality issues such as “individual attention” and trips outside the home were infrequent. Records indicated that some residents had been assessed or received treatment from a Dentist, District Nurse, General Practitioner, Occupational Therapist and Physiotherapist. The previous requirement to provide curtains that close fully around the beds in the double room had not been addressed. The manager said that this room was mostly used as a single room. Discussions were taking place about the future use of the room. See requirement 2. Interactions between staff and residents were courteous and polite. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14 and 15. The residents in this home receive a good variety and choice of food and were supported to maintain their preferred lifestyle where possible. Relatives were able to play a supportive role in their family member’s care. EVIDENCE: Written and verbal feedback was obtained from five visitors during and following the inspection. All of the respondents said they felt comfortable in the home, could visit their relative in private and were kept informed about important matters. Four out of five relatives were satisfied with the overall standard of care provided in home. One relative commented, “Staff at Danson House are always there for my mum and family”. Relatives did not know how to obtain a copy of the most recent inspection report. The manager should display or provide information about access to reports. Relatives were invited to attend care plan review meetings and to provide feedback about the service. Lunch was in progress on two of the units visited during the early part of the inspection. It was evident that residents were offered a good choice of food and that alternative dishes were provided upon request. Some of the residents were eating jacket potatoes with cheese, Turkey steak, vegetables and creamed potatoes, chicken curry and ham salad. Two desserts choices were provided and lighter alternatives such as ice cream were offered. Tables were
Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 14 laid out with cold drinks, condiments and napkins and residents were given adequate time to eat and enjoy their meal. Feedback about the food was mixed with some residents saying the food provided in the home was “excellent”, “it is all home cooked” and ” there is always plenty of choice and plenty to eat” and others saying that portion sizes were too small and they would prefer different meals. Since the last inspection moulds had been purchased to make pureed food look more appetising for residents requiring soft food. Information about residents preferred routines and individual preferences was obtained on admission to the home. Staff encouraged residents to maintain their independence and make decisions for themselves where possible. Some residents told the inspector that they laundered and ironed their own clothing, tidied their rooms and visited the local shops or library. Some residents spent the majority of their time alone in their rooms whilst others preferred to socialise in the communal areas and liked to take part in group activities. One resident said that staff had arranged for her to move rooms because she found her previous room noisy. Residents were invited to attend meetings to provide feedback and offer suggestions for improving the service. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home has a simple and accessible complaints procedure. Complaints were addressed promptly. EVIDENCE: The complaints procedure was displayed in the reception area and information about making a complaint was included in the Service User Guide and Statement of Purpose. The procedure included contact details for the commission. The complaints file included information about complaints received in the home, details of the investigation and copies of response letters. Two complaints had been received since the last inspection about a missing bouquet of flowers and the hot water supply. The manager had carried out a thorough investigation and had apologised or offered an explanation where appropriate. The commission had not received any complaints about this service. The home had received several thank you letters and cards from relatives. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 16 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26. This home provides a clean and comfortable environment for residents but further work is required to update some of the furniture and fittings, to ensure that essential equipment is repaired or replaced promptly and to implement adequate food safety checks. EVIDENCE: Since the last inspection the carpet in the corridor on Katie’s unit had been replaced and the bathroom on this unit had been redecorated. This work made the unit appear more welcoming and the bathroom less clinical looking. New bed linen, garden furniture and commodes had been purchased and dishwashers had been installed in each of the units. All of the bedrooms were assessed as they became vacant and were redecorated where necessary. Radiator covers had been checked and loose covers were secured to the wall where necessary. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 17 The home has a full time maintenance person who was responsible for undertaking minor repairs and maintenance, some redecoration work, health and safety checks and gardening. The building was maintained to a satisfactory standard but some issues that could not be dealt with by the maintenance person took a long time to address or replace. This included one of the driers, which had been out of order for four months and a carpet cleaner which had been out of order for six weeks. The home had borrowed a cleaner from another home and some of the laundry was dried in the open air whilst the weather was good. Some of the paint and woodwork was chipped in parts and some of the furniture and fittings looked worn. The bath panel in room 229 was damaged and the carpet on Silver unit was stained. See requirement 3. The hot water temperature was tested on two of the units and was found to be satisfactory. Hazardous substances were stored securely and staff had access to COSHH assessments. Refrigerator and hot food temperatures were monitored but the records indicated that this task was not carried out consistently. Some temperatures were above or below the levels recommended. See recommendation 2. The home was clean, tidy and odour free. The only exception to this was the hairdressing room, which was dusty under the washbasins and at the floor wall junctions. See recommendation 3. Good infection control measures were in place to prevent cross infection and appropriate equipment and hand cleansing solutions were provided for staff. Residents were permitted to smoke in the ground floor lounge/dining area. Plans were being made to move the smoking area to a separate room away from the area where food was served. Residents had access to a pleasant garden area with seating, bird feeders and hanging baskets. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, 29 and 30. The arrangements for staffing the home were satisfactory but temporary staff were used regularly. This could result in poor continuity of care for residents. Action was being taken to fill vacant posts and resolve this issue. The arrangements for recruiting new staff were mostly satisfactory but some staff were appointed prior to receiving adequate documentation. This could place residents at risk of harm. The home provides a structured training programme for new staff. This training assists staff to meet resident’s health and welfare needs. EVIDENCE: The off duty roster for the period 4th – 24th July was examined. All shifts include a team leader and five to six care staff during the day and a team leader and two care staff of a night. The management team work office hours and provide some on call cover. The roster indicated that a number of planned duties were not worked, this along with staff vacancies and sickness contributed to the regular use of temporary staff. There was little evidence to suggest that this issue was affecting continuity of care. The manager said that new staff had been appointed to fill all of the remaining vacant posts. Two staff recruitment files were examined. Recruitment practices were mostly good but there was no evidence that a criminal record disclosure or POVA check had been obtained and it was not clear why the staff member had left their previous job working with vulnerable adults. See requirement 4.
Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 19 The home had a structured training programme for new staff that included induction, foundation and vocational training to national training organisation specification. Access to training was mostly good but staff had experienced some delay gaining access to moving and handling training and other health and safety courses. See standard 38. Ongoing training was provided in the home and included medication and infection control and regular policy and procedure updates. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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, 35 and 38. This home is managed by a competent and experienced manager who works hard to support staff and ensure a good quality of life for residents. Access to health and safety training was slow. This could compromise staff and residents safety. EVIDENCE: The management arrangements in the home were stable. The manager’s application for registration was assessed and agreed by the commission in August 2004. Staff were satisfied with the level of support that they received in the home and indicated that all of the management team were approachable and helpful. Good records were maintained of accidents that occurred in the home and the commission were notified about significant events.
Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 21 Good systems were in place to safeguard resident’s personal money. Accurate records were maintained of all money deposited for safekeeping and withdrawn from resident’s accounts. Numbered receipts were kept for all money paid to other individuals for items such as newspapers, hairdressing, spectacles and toiletries. Two staff members witnessed all transactions. Residents were encouraged to handle their own finances where possible. The ongoing programme to replace all of the medication trolleys was continuing. Training records indicated that some members of staff had not received moving and handling training for two years. Nominations to attend this training were forwarded to the training department in January 2005. See recommendation 4. Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x
COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x x x 3 x x 2 Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 23 Are there any outstanding requirements from the last inspection? 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 4 Requirement Timescale for action 01/03/06 2. 10 12(4)(a) 3. 19 23 4. 29 19 The Registered Person must update the Statement of Purpose to include additional information about the criteria for admission to the rehabilitation unit, the range of needs that the staff on rehabilitation unit can meet, details of any therapies used on this unit and the maximum period that residents can spend on the unit. The Registered Person must ensure that the Statement of Purpose includes accurate information about the range of needs the care home is intended to meet. The Registered Person must 01/02/06 replace the curtains in the double room so that they fully extend around each bed. (Previous timescales of 01.11.04 and 21.02.05 were not met) The Registered Person must 01/04/06 ensure that essential equipment is repaired or replaced promptly and that the carpet on Silver unit and the bath panel in room 229 are replaced. The Registered Person must not 01/01/06 allow a person to work in the care home unless he/she has
Version 1.40 Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Page 24 obtained a enhanced CRB disclosure or POVA first check and written verification of the reason why the prospective staff member ceased to work with vulnerable adults or children. 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 7 26 Good Practice Recommendations The Registered Person should ensure that care plans reflect residents needs. The Registered Person should ensure that staff take appropriate action when the temperature in the refrigerator or of hot food is outside the recommended range. The Registered Person should ensure that the hairdressing room is kept clean. The Registered Person should ensure that all care staff attend a moving and handling training update each year. 3. 4. 26 38 Danson House G51 G01 S6792 Danson House V215662 21.07.05 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection River House 1 Maidstone Road Sidcup Kent DA14 5RH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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