Inspection on 05/12/06 for Dawn Residential Home

This inspection was carried out on 5th December 2006.

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

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

Other inspections for this house

Dawn Residential Home 20/01/09

Dawn Residential Home 11/10/05

Dawn Residential Home 02/03/05

Dawn Residential Home 28/09/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Dawn Residential Home Cott Lane Dartington Totnes Devon TQ9 6HE Lead Inspector Wendy Baines Unannounced Inspection 10:00 5 December 2006 th 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 Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dawn Residential Home Address Cott Lane Dartington Totnes Devon TQ9 6HE 01803 862964 01803 840979 dawnresthome@hotmail.com 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) Mr Kenneth Ian Barker Mrs Gillian Moira Barker Mrs Gillian Moira Barker Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd February 2006 Brief Description of the Service: Dawn is a detached converted residential property set in an acre of grounds with scenic rural views. It provides care for up to 14 service users who are over the age of 65 years in the category of old age only. Service user accommodation is provided on three floors. There are two lounges and a dining room. There is parking for visitors, and attractive gardens with seating areas and a raised decking area with seating. The home is situated in the small village of Cott, near Totnes. There is an accessible local bus service and a local shop and pub. The first phase of a two phase extension has recently been completed, which has provided five new ground floor en suite rooms, and a bath / shower room, staff sleeping accommodation and laundry facilities. The next phase will include a shaft lift to the first and second floors and a new kitchen. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is a summary of a cycle of Inspection activity at Dawn Residential home since the last inspection visit. To help CSCI make decisions about the home the Provider gave us information in writing about how the home is run; any documents submitted since the last inspection were examined along with the records of what was found at the last visit; two site visits totaling 10 hours were carried out with no prior notice being given to the home as to the date and timing; discussions were held with the Registered manager and staff on duty; various records were sampled, such as care plans and risk assessments; questionnaires were sent to a sample of staff ; and a tour was made of the home ; time was spent with the residents and the inspector was able to talk with, and observe the staff on duty. In addition a sample group of residents were selected and their experience of care was tracked through records and discussions with staff and management from the early days of their admission to the current date, looking at how well the home understands their needs, and the opportunities and lifestyles they experience. Where possible time was then spent with these residents, and questionnaires were sent to Social Services, GPs and other specialist services. As part of this unannounced inspection the quality of information given to people about the care home was also looked at. Residents were asked if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. This inspection approach hopes to gather as much information about what the experience of living at the home is really like, and to make sure that service users views of the home forms the basis of this report. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The Registered Provider has continued with the programme to cover all radiators in the home and following risk assessments a further two have been covered since the last in section. Two senior members of staff have attended training relating to the Department of Health new food hygiene standards “ Better Food, Better Business” and have incorporated this new guidance into the homes current procedures to further improve their practice. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 7 What they could do better: 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. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Sufficient information is given to prospective residents about the home and the services provided to enable them to make an informed decision about where they live. Prospective residents can be confident that the home will complete an assessment to determine whether or not needs can be met. EVIDENCE: Residents and their relatives described their experience of the homes admissions procedure. Residents said they were warmly welcomed and made to feel at home. Three residents spoken to had received a service user guide, contract and terms and conditions of occupancy. A copy of this information was also available in the residents file. Letters had been sent to residents, relatives and social services advising them of any changes to the agreed fee levels. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 10 A pre-admission assessment to see if the home is able to meet needs is carried out by the manager and recorded in the file. A letter is then sent to the prospective resident and their family confirming whether or not the home can offer a suitable placement. A copy of this information was available within all the files inspected. Dawn care home does not provide intermediate rehabilitative care although they will provide respite for agreed periods of time when they have a room available. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The home has a clear and consistent care planning process, which ensures that resident’s personal, social and healthcare needs are met. Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: There is a clear care planning system in place, which covers each resident’s health, personal and social care needs. Samples of these plans were seen and records confirmed that they are reviewed on a monthly basis. In addition to the main care plan a cardex system is used so that staff are able to easily access the information required to meet needs on a daily basis. Residents’ health needs are closely monitored and care plans include appointments for the coming month and guidelines for staff to complete any Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 12 regular health charts such as weight and food/fluid intake. Staff were observed supporting residents to follow some gentle exercise routines that had been suggested by the Physiotherapist. Nutritional screening assessments had been completed for each resident and were also part of the homes admission process. Residents healthcare concerns are referred to their GP who either visit the home or an appointment is made at the local surgery. Feedback to the home from a local GP has included, “ always delighted by the care at Dawn. Very supportive homely atmosphere, and good continuity” The manager said that the home has a good relationship with the local surgery and the district nurses visit regularly. Recent feedback had been received as part of the homes on-going quality assurance procedure and included; “ Care provided is of a high standard” (District Nurse- August 06) Risk assessments are completed to determine whether or not residents are able to manage their own medication. Where this is possible residents are provided with a secure place for storage and are supported by staff to check and record the medication kept in the home. The medication administration system was inspected and staff were knowledgeable and competent. Since the last inspection a wall mounted medication cabinet has been purchased, which also has a facility to store controlled drugs. The manager said that when Phase two of the building work has been completed which would include a lift they also intend to purchase a medication trolley. Records inspected were accurate and complete. All the residents spoken to said that they were treated with the utmost dignity and that their privacy was always respected when they were receiving personal care. The home has a written policy and procedure relating to death and dying and staff have also received input from the district nursing services regarding increasing infirmity, terminal illness and death. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the home. Residents can be confident that the lifestyle in the home will be relaxed, interesting, and will promote independence and choice. EVIDENCE: Throughout the inspection the home had a warm and welcoming atmosphere. Residents wandered in and out of the communal areas and did as they pleased. Some residents stayed in their rooms and received visitors whilst others prepared for planned activities or trips out with staff or relatives. Old time music was being played in the main sitting room and staff were observed supporting residents to follow a gentle exercise programme. A number of relatives and friends visited the home during the day and those spoken said they were always made to feel welcome and could visit at any time. Tea and coffee was served throughout the day and residents said that staff would also offer their visitors drinks and home- made cakes. Residents care plans include information about any particular interests and hobbies and the manager said that the home attempts to encourage these Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 14 where possible. One resident has a passion for painting and some of his work is displayed in the home. Residents also enjoy crosswords, art and craft and trips out to local shops and cafes. The home has a mini-bus and increases the staffing levels on days when residents have chosen to go out. There was plenty of preparation in the home for the Christmas festivities and the residents had enjoyed making a gift for the local Brownies who were due to visit. The homes notice board had information about events in the local community and dates for visitors to the home including the Vicar, hairdresser and Chiropodist. All residents had a television in their room and were able to choose whether or not they had their own personal telephone line. A communal telephone was available in one of the small sitting rooms. Residents said that there were no rules as such; they could get up when they wanted and go to bed when they liked. Everyone said how much they enjoyed the food served and praised the cook for the quality of meals and the standard of cooking. The inspector was invited to have lunch with the residents and noted that the meal was eaten in pleasant surroundings, tables were nicely laid with tablecloths and china. Service was prompt and unhurried. Residents had been asked what they would like for lunch during the morning and were offered an alternative if they didn’t want what was on offer. The chef said that residents are regularly asked their opinion regarding the food and twice a year are asked to complete a questionnaire regarding meals and meal times. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Residents and their relatives can be confident that their views will be listened to and any complaints will be taken seriously. EVIDENCE: Most of the residents spoken to said that they have never had to make a complaint and all of them said that if they had a concern they would speak to the manager or any of the staff and know it would be dealt with. The complaints procedure was posted on the notice board and included in the homes Statement of Purpose and Service user guide. The Proprietor and manager of the home make themselves available on a daily basis and will make a point of knocking on resident’s bedrooms to ask if everything is ok. Information is available in the home regarding advocacy services and residents are supported to access solicitors and other independent advice. All residents would be entered on the electoral register and supported to vote locally or by post. The latest Alerter’s guide and prevention of abuse procedures were available to staff. Some of the NVQ training undertaken by staff also includes elements of protection of vulnerable adults. Staff and management had not received any recent training specifically relating to Adult abuse. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 16 Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 17 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): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The standard of the environment within this home is good providing residents with an attractive and homely place to live. EVIDENCE: The premises are furnished and decorated to a good standard. There are comfortable and attractive communal areas and large gardens with a raised seating area. During the last 18 months the home has been extended to include a further five ground floor single bedrooms with en-suite facility, a large communal bath/shower room, staff sleeping-in room, laundry and other storage areas. The extension has been completed to a high standard with under floor heating and modern fixtures and fittings. The manager and owner of the home advised that plans are still underway to further extend the facilities to include a shaft lift to the first and second floors of the original building and a new fitted kitchen/diner. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 18 A tour of the premises took place and the home was found to be clean and hygienic throughout. Each bedroom has a call bell system and a range of grab rails and specialist equipment to assist residents around the home. Residents’ bedrooms were clean and bright and contained sufficient furnishings and plenty of personal belongings. Residents said that they had been able to bring some of their own personal possessions with them when they moved into the home and an inventory of these items was available in the residents file. Water temperature valves have been fitted to all hot water outlets. Risk assessments had been completed and some radiators had been covered where a risk of burns/scalds had been identified. The manager said that a programme is in place to cover all radiators in the home. All residents have been asked if they require a lock on their bedroom door and these have been fitted if requested. However, this facility is not available on all bedroom doors in the home. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: The duty rota showed that two care staff are on duty at all times together with Mr and Mrs Barker who live within the grounds of the property and work alongside staff overseeing the running of the home. There is also a deputy manager who has responsibility for care planning and medication, and a cook who manages resident’s nutrition and some of the homes administration. Arrangements are in place to increase staffing levels on days when residents go out on organised trips. There is currently two sleeping night staff and the manager said that she is in the process of reviewing these arrangements due to the increased number of residents living in the home. The Commission for Social Care Inspection would welcome this review of the current night staff arrangements, and due to the number of residents living in the home would consider the recruitment of a waking night staff to be appropriate. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 20 The home has a call- bell system in each bedroom and staff were observed responding promptly to this throughout the inspection. There is a consistent and experienced staff team most of whom have worked in the home for several years. Staff had a good understanding of residents needs and new staff said they felt well supported by the team and management during their first few weeks working in the home. Currently 25 of the care staff have an NVQ level 2 qualification and a system is in place to register all new staff on this training. Individual training records were available, which confirmed that all new staff complete a full induction programme, and mandatory training including; Fire safety, Food Hygiene, Manual handling, Infection control and first aid. Staff spoken to had a positive attitude to training and said that the manager supports any training opportunities. A sample of staff records were inspected and several staff members were asked to complete a questionnaire, which asked questions about the homes recruitment procedures. All records were found to be in good order with all paperwork as required in the standards. Prospective members of staff are asked to complete a full application form, which includes dates and employment history. They are then invited to attend an interview and if successful provide two written references, a criminal records check and proof of identification. One file did not have a reference from the previous place the applicant had worked as a care worker. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 21 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): 31,32,33,35,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: Mrs Barker is the Registered person and lives within the grounds of the care home. ‘ Dawn’ has been a family business for several years, and Mr and Mrs Barker have invested much time in creating a good quality service with a homely and welcoming atmosphere. During the last 18 months the home has been extended and renovated to a high standard. Further plans are in place to update the original part of the Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 22 house, and this will include a lift to first and second floor bedrooms and a new kitchen. Prior to the inspection questionnaires were sent to staff and residents and all feedback said that Mr and Mrs Barker are very supportive and spend time in the home talking with residents and working alongside the staff team. This involvement was considered important and valued by everyone living and working in the home. Mrs Barker holds an NVQ4 in care but does not as yet hold the Registered managers award. Quality assurance questionnaire are distributed annually to residents, families and other agencies including GPs and District nurses. This information is collated and an action plan completed to address any issues raised. Examples were given of changes that had taken place as a result of the information passed to the home. Individual laundry baskets had been purchased to ensure that residents receive all the correct items of clothing after they have been washed. The home also looked at options for entertainment as some of the feedback had included this request. The results of these surveys are not currently made available to CSCI or other interested parties. The manager said that most residents are able to manage their own finances or have support from family. Where this is not possible the home will assist and offer advice and guidance. The type of support provided should be agreed and documented as part of the residents care plan. Facilities were not sufficient for the safe storage of money held by the home. Staff receive regular 1:1 supervision and all staff spoken to said they felt well supported by their colleagues and management. Records confirmed that staff undertake training in safe work practices and this training is regularly updated. Two members of staff had completed recent food standards training “ Better food, better business”, and the home has incorporated this new guidance into their existing practice. There is an Infection control policy and the new laundry has a domestic washing machine, sluicing facility and sufficient space for storing soiled and laundered items separately. Aprons and disposable gloves were available for staff and hand wash had been placed around the home including the reception area. Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 23 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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 24 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 OP25 Regulation 13 Requirement The Registered person shall ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety. (REG 13) (4) (b) The programme of installing covers to all radiators and pipe work accessible to service users to prevent the risk of service users sustaining a burn must be completed, commencing with those of greatest risk. Timescale for action 31/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 25 1. OP18 Staff should receive updated training in the protection of vulnerable adults and ensure that the homes policies and procedures are in line with locally agreed protocols. All residents’ bedrooms should be fitted with a locking device and all residents should be provided with keys unless their risk assessment suggests otherwise. The Registered Provider should undertake a review of the current arrangements for night staff. Consideration should be given to the appointment of waking night staff to ensure that staffing reflects the needs and numbers of residents living in the home. The Registered provider should whenever possible request a reference from a previous care employer when recruiting new staff. The Registered provider should make the results of the homes quality assurance questionnaires available to residents, families and other interested parties including CSCI. The Registered provider should ensure that secure facilities are available for the safe keeping of resident’s money held by the home. 2. 3. OP24 OP27 4. 5 OP29 OP33 6 OP35 Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Dawn Residential Home DS0000003683.V306673.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!