Inspection on 04/10/06 for Edge Hill Residential Home

This inspection was carried out on 4th October 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Edge Hill Residential Home 14/05/09

Edge Hill Residential Home 29/09/08

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

CARE HOMES FOR OLDER PEOPLE Edge Hill Residential Home 315 Oldham Road Royton Oldham Lancashire OL2 6AB Lead Inspector Steve Chick Unannounced Inspection 11:15 4 October 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 Edge Hill Residential Home DS0000067199.V298434.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. Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Edge Hill Residential Home Address 315 Oldham Road Royton Oldham Lancashire OL2 6AB 0161 624 8149 0161 624 8149 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) Mrs Shanti Odedra Mr Sunil Odedra Mrs Margaret Brown Care Home 36 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (28), of places Physical disability over 65 years of age (3) Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 36 places to include: *up to 28 service users in the category of OP (Old age not falling within any other category). *up to 5 service users in the category of DE(E) (Dementia over 65 years of age). *up to 3 service users in the category of PD(E) (Physical disability over 65 years of age). The service must employ at all times a suitably qualified and competent manager who is registered with the Commission for Social Care Inspection. N/A 2. Date of last inspection Brief Description of the Service: Edge Hill is a privately owned care home, which is registered to accommodate 36 people. The home is situated on the main Royton to Oldham road and is within easy reach of shops and public transport services. The building is a detached property with pleasant gardens to the front and car parking space to the rear. Accommodation for service users is provided on the ground and first floors of the building. A passenger lift has been installed between these two floors, and ramped access has been provided externally. There are 30 single bedrooms, 12 of which have en-suite toilet facilities (some of which are shared), and three double bedrooms, all of which have en-suite facilities. At the time of this site visit (October 2006) Edge Hill charged between £313.88 and £341.50 per week. Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. For the purpose of this inspection five service users were interviewed in private, as were five relatives of service users and one visiting professional. Additionally discussions took place with the manager and two staff members was interviewed in private. The inspector also undertook a tour of the building and looked at a selection of service user and staff records as well as other documentation, including staff rotas, medication records and the complaints log. This key inspection included an unannounced site visit to the home. All key standards were assessed. All service users and visitors spoken to during this visit were positive about Edge Hill. One visitor, when asked what the best thing about the home was, replied “well, I’ve booked to come in!”. visitors also liked, what they felt was the open ethos and lack of pretence in the home, with more than one visitor using the phrase “what you see is what you get”. This was the first inspection since the change of ownership of the home in May 2006. This change seems to have been well managed with several relatives who were spoken to, saying they felt they had been kept informed of the changes and had been invited to meet the new owners. What the service does well: Edge Hill offers a clean, well maintained and homely environment for the benefit of service users. One visitor described Edge Hill as “home from home [and I] felt really comfortable with that”. Service users were complimentary about the way all areas were kept clean. Visitors also appreciated the fact that their relatives were always wearing appropriate, clean clothing. Staff maintain a warm and welcoming atmosphere for service users and visitors. Comments from service users and visitors about the staff included “warm”; “polite … friendly … welcoming”; “extremely friendly and hard working” and “lovely”. The provision of food was good. Service users and relatives were confident that Edge Hill communicated well with them, dealt with ‘concerns’ appropriately and provided an environment where service users were safe and protected from abuse and exploitation. Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 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 the following standard(s): 3, 5 and 6. Quality in this outcome area is good. Service users’ needs are appropriately assessed and they, or their representatives, are able to visit before a decision is made that the home is appropriate for them. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: A selection of service users’ files was looked at. All had evidence that an assessment had been undertaken before the service user moved to the home. This included an assessment from the home’s manager. In one example seen there was no written assessment from an independent professional, however the service user confirmed they had been assessed by a local authority social worker while in hospital. The manager had also visited Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 9 this service user in hospital and reported she was still waiting for the documentation from social services. Visitors spoken to during the inspection confirmed that they had been able to visit the home to assess its suitability for their relative before making a decision to move in. One visitor identified as a good thing, the fact that the home had advised them not to make an appointment to visit, but to just turn up and see them as they are. Edge Hill does not offer intermediate care. Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. Service users’ have individual plans of care which are regularly reviewed to ensure care practices reflect the up to date needs of each service user. Service users have access to appropriate community based medial services to ensure their health needs are met. The home’s procedures in connection with administration of medication are predominantly implemented to the benefit of the service users. Practices in the home promote the dignity of service users. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: A selection of service users’ files was looked at. All had a copy of a written care plan and risk assessments relating to a range of issues such as skin care, Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 11 falls and nutrition. There was documentary evidence that the care plans were regularly reviewed. Evidence that the care plans were amended when circumstances or the assessment changed was not as consistent. The consequence of this was that the documents sometimes contained contradictory information. Two specific examples seen, related to pressure care and a service user’s ability to administer their own medication. Discussion with the manager indicated that in both these examples circumstances had changed, and while staff were working to the latest assessment, not all relevant aspects of the documentation had been updated. Staff who were interviewed confirmed that they were made aware of changing circumstances by a verbal briefing at each change of shift and by the daily records which were maintained. Staff who were asked, were confident that the combination of written information, structured verbal briefing and their personal knowledge of each service user was effective in ensuring service users’ needs were met. There was little documentary evidence that service users or their representatives were involved in creating or reviewing their care plans. However visitors were clear that they were involved with care decisions if appropriate, and service users were positive about the care they received. One service user reported that staff had encouraged him to talk to them about any aspect of his care. There was documentary evidence that service users had appropriate access to the full range of medical and para medical services available in the community. Service users and visitors expressed confidence that appropriate medical support was obtained, when necessary, in a timely manner. A visiting professional reported good and appropriate communication with the staff at Edge Hill. They were also confident that medical ‘instructions’ were appropriately followed. The home uses a pre dispensed monitored dosage system to administer service users’ medication. Medication was seen to be appropriately and securely stored. A selection of medication administration records was looked at and presented as being appropriately maintained. The temperature of the fridge used to store some medication had been regularly recorded. It was of some concern that this task had been undertaken by several staff, none of whom had taken action in response to the temperature being consistently in the 20’s o C, which was far too high. A brief examination of the thermometer Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 12 identified that the sensor was not actually in the fridge, but was reading room temperature. Interactions between staff and service users presented as relaxed, with assistance and support being offered in a sensitive manner. Observation and discussion with service users and visitors indicated that service users were treated with dignity and respect, but this did not prevent appropriate banter from taking place. Several visitors commented on how service users always looked clean and tidy, which would serve to enhance their dignity. Discussion with service users and visitors indicated a high level of satisfaction with the care offered at Edge Hill. One visitor was clear that if her relative was not looked after well “she wouldn’t be here” and observed that “what you see is what you get, and it is brilliant.” Another visitor said “I can’t praise them [staff] enough”, and another commented, “staff are caring and have a genuine commitment”. One service user, when asked if they were treated well, replied “definitely”. Another said that staff “treat me very well” and commented that this included the night staff who undertook regular checks and responded appropriately to the call system. Edge Hill Residential Home DS0000067199.V298434.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 and 15. Quality in this outcome area is good. Appropriate social contacts and activities are facilitated within the home to give service users the opportunity for social fulfilment. Visitors are welcome in the home to maintain community and family links for the benefit of service users. Service users are able to maximise their autonomy within the context of community living. The provision of food to maintain service users’ health and well being is good. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: Each service user’s file seen had some reference to their social history which would assist the home to meet their social needs. A range of activities was reported by the manager to be available for service users to participate in if Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 14 they wish. There was a notice board advertising social activities throughout the week. These included outings to a local market. Service users and visitors confirmed that activities and occasional outings were a regular part of the routine of Edge Hill. During this unannounced site visit entertainers were present in the lounge. Edge Hill has a policy of allowing visitors at any reasonable time. Service users and visitors spoken to confirmed that this was the practice in the home. Visitors spoken to described the staff as friendly and welcoming. Visitors also believed that good communication with staff was maintained. Observation and discussion with service users and staff, indicted that service user were able to exercise personal choice within the context of communal living. Service users were free to get up and go to bed when they wished, could access any of the communal areas or their own rooms whenever they wished and had a choice as to where they took their meals. One service user, when asked what the best thing about Edge Hill was, replied “freedom …[there are] no restrictions.” The manager reported that there were no unreasonable budget limitations on the provision of food. All service users were positive about the food available at Edge Hill. One service user recalled that at his first breakfast at the home, he had assumed staff were joking when they ran through all the options. They were not. Service users also confirmed that there is a choice at mealtimes and ample portions. Visitors also reported positively on the provision of meals for their relatives. One visitor was aware of staff making toast in the evening if people wanted, and another was appreciative of staff going to the bother of making a meal if a meal time is missed, for example if out with the family. Edge Hill Residential Home DS0000067199.V298434.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 and 18. Quality in this outcome area is good. Service users are confident that any complaint they may have would be dealt with appropriately. Service users are protected from abuse or exploitation by the homes policies and practices. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: The home has an appropriate complaints procedure which was available for service users and their representatives. Interactions between staff and service users and visitors was observed to be relaxed and informal. All service users and visitors who were asked expressed confidence that any complaint or concern would be appropriately dealt with by Edge Hill. One visitor was able to cite an example of a concern regarding their relative’s room which was acted on “right away”. Staff who were interviewed also expressed confidence that they and their colleagues would respond appropriately to concerns or complaints. The manager reported that she had attended a course on the protection of vulnerable adults run by OMBC and had cascaded the information to the staff Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 16 team. Staff who were interviewed demonstrated an understanding of the need to be vigilant about the possibility of abuse, and of appropriate action to take. This included the ‘whistle blowing’ procedure. All service users and visitors spoken to during the visit were confident that service users were protected from abuse or exploitation. Edge Hill Residential Home DS0000067199.V298434.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, 23, 24, 25 and 26. Quality in this outcome area is good. The home is appropriately maintained, decorated and cleaned to enable service users to live in a pleasant, safe and hygienic environment. Suitable toilet and bathing facilities are available to enable service users to maintain their personal hygiene in a dignified manner. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: During the visit to the home a tour of the building was undertaken. This included communal areas and a selection of service users’ bedrooms. There were several communal areas where service users could spend their time, or they could access their rooms when ever they wished. The manager reported Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 18 that several areas of the home had been redecorated since the previous visit. This was confirmed by visitors. The manager reported that the new owners were considering changes to the grounds of the home to make them more safe for more service users. Service users’ bedrooms showed clear signs of personalisation. Service users who were asked, confirmed that they were able to bring their own items into the home. One service user also reported that the home had provided two wardrobes for her as she wished to have a lot of clothes with her. The manager reported that at the time of this visit all their double rooms were being used as singles. The home presented as being clean and tidy throughout. This was confirmed as the usual state of the home by service users, visitors and staff spoken to. One visitor cited cleanliness as amongst the best things about Edge Hill. One service user described her room as “lovely” and observed that staff always cleaned her room when she was out of it. No remedial issues relating to the maintenance of the building were identified during this visit. Edge Hill Residential Home DS0000067199.V298434.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 and 30. Quality in this outcome area is good. The numbers and skill mix of staff on duty promotes the independence and well being of service users. Recruitment and vetting procedures are predominantly applied to minimise the risk to service users of inappropriate staff being employed. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: The manager reported that staffing levels are usually maintained as a minimum of four care staff during the day (08:00 – 22:00) and three care staff at night (22:00 – 08:00). The managers hours are in addition to these. The home also employs dedicated cooks and domestic staff. Inspection of the staff rota for the week beginning 25th September 2006 demonstrated that staffing was predominantly provided in line with these numbers and did not fall below an acceptable level. The manager reported that of the sixteen care staff, eleven held NVQ II or higher (or equivalent). Of these two held NVQ III. It was also reported that Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 20 three other care staff were enrolled on an NVQ II course. A random selection of documentary evidence to confirm this was seen. A selection of records relating to the recruitment of new staff was looked at. These demonstrated that most of the required vetting procedures had been followed before the staff member had commenced work. CRB (criminal record bureau) disclosures, references and proof of identity were kept on record. Full employment histories with a record of the reasons for any gaps in employment were not always on file. Each record had two written references, but one example was seen where there was no clear explanation why a previous relevant employer had not been given as a referee. It was reported by the manager, staff and visitors that the staff team was consistent, with relatively low staff turnover. This consistency would be of benefit to service users. Staff who were interviewed confirmed that new staff undergo a period of induction. They also reported that the management structure in the home was supportive of staff undergoing further training. Staff confirmed that they have periodic appraisals, and that these include discussion about their training needs. The manager reported staff had had access to dementia awareness training and ‘yesterday today and tomorrow’ (an Alzheimer’s society training package), both of which had been cascaded to staff. It was also reported by the manager that she was a moving and handling facilitator and consequently staff were given regular training updates. Service users and visitors were very complimentary about the attitude of the staff team. One visitor said the staff were “brilliant”, another said the staff were “extremely friendly and hard working” and another cited “the friendliness of the staff” as one of the best things in the home. Another visitor described the staff as “very nice … always helpful”. Service users described the staff variously as “lovely”, “good to work with” and “they treat me very well”. Edge Hill Residential Home DS0000067199.V298434.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, 33, 35 and 38. Quality in this outcome area is good. The manager is appropriately experienced and qualified to run a care home for the benefit of service users. The home has an ethos and framework to further improve services for the service users. Service users’ financial interests are protected by the home’s procedures and practices. Service users and staff are protected by the implementation of the home’s health and safety procedures. This judgement has been made using available evidence, including a visit to the service. Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager holds an appropriate qualification which has been confirmed on previous occasions and has several years experience of running a care home. Service users, visitors and staff confirmed that the manager’s style was to be open and approachable. Staff who were interviewed expressed the view that the management at Edge Hill was accessible for professional advice and support. The manager reported that questionnaires seeking service users’ and relatives’ views on the home were distributed in April 2006. She also reported that this survey had not resulted in a written report or action plan. The manger also reported that she understood that the ‘new owners’ ( registered in May 2006) would be introducing their own version of a Quality Audit and Quality Monitoring system. As mentioned elsewhere in this report, service users and visitors described easy and effective communication with the home. Similarly they reported being able to influence the manner in which care was offered. A selection of records relating to money held by Edge Hill on behalf of service users was looked at. The records presented as being predominantly appropriately maintained to safeguard the interests of the service users. Some examples were seen where cash had been returned to a service user with neither their signature to confirm they had received it, nor the signatures of two staff who witnessed the transaction. The transparency of the procedure would also be improved if joint receipts, for example from the hairdresser, were signed by the person receiving the money. Staff who were spoken to confirmed that they had received training in connection with health and safety issues. A small selection of records confirming the appropriate servicing of equipment in the home was looked at and presented as being in order. Records relating to the maintenance of fire detection and alarm equipment were looked at. They presented as being appropriately maintained. This included fire drills undertaken in March 2006 and servicing of the alarm system in August 2006. Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 23 Staff confirmed the availability and mandatory use of disposable gloves and aprons to minimise the risk of cross infection. The manager reported that staff are also supplied with alcohol gel hand cleaner to further minimise the risk of cross infection. Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X N/A X 2 X X 3 Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 OP29 Regulation 19 Requirement The registered person must ensure that the vetting of new staff is rigorously undertaken in connection with obtaining a full employment history and references from the most appropriate source. Records must be maintained to clarify gaps in employment and the reasons for accepting referees. Timescale for action 01/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The registered person should ensure that service users, or a representative of theirs, signs their care plan to confirm their involvement in its formulation, and their agreement with it. The registered person should ensure that all appropriate parts of the service user’s documentation is amended following a change in their circumstances. The registered person should ensure that staff understand DS0000067199.V298434.R01.S.doc Version 5.2 Page 26 2. 3. OP7 OP9 Edge Hill Residential Home 4. OP35 the function of records relating to the safe storage and administration of medication. Staff should be instructed to draw any anomalies to the attention of the manager or registered person. The registered person should ensure that service users sign to confirm they have received any cash returned to them, or that two staff sign to confirm that they witnessed to transaction. Similarly if cash is given to anyone who provides services to the service user, a signed receipt should be obtained. Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Edge Hill Residential Home DS0000067199.V298434.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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