Inspection on 19/04/06 for Edward House Care Home

This inspection was carried out on 19th April 2006.

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

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

Other inspections for this house

Edward House Care Home 17/04/07

Edward House Care Home 08/09/05

Edward House Care Home 30/11/04

Edward House Care Home 29/06/04

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

CARE HOMES FOR OLDER PEOPLE Edward House Care Home 175 Nottingham Road Eastwood Nottingham NG16 3GS Lead Inspector Rob Cooper Unannounced Inspection 19th April 2006 10:00 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 Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 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. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Edward House Care Home Address 175 Nottingham Road Eastwood Nottingham NG16 3GS 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) 01773 531 591 01773 531 591 Edward House Care Home Limited Jillian Sherry Ann Seetul Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within category OP Date of last inspection 8th September 2005 Brief Description of the Service: Edward House is a care home providing personal care for up to 32 people of both sexes who are over the age of 65 years. The property is a converted house in a residential location. The accommodation is arranged on two floors. There is lift access to the second floor. There is sufficient communal space to allow for a separate smokers lounge. There are twenty-eight single rooms and two shared rooms one of which has en-suite facilities. There is a small garden, which is accessible to wheelchair users. The company, which owns the home, has recently been sold and there are new directors. Edward House is situated within half a mile of Eastwood town centre, with shops, pubs, a library, and leisure and health facilities. Fees at Edward House vary from £251 to £341 per week. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place through the middle of the day, and lasted approximately three and a half hours, with one Inspector present. Edward House is registered for thirty-two places, however on the day of the Inspection there were twenty-six residents in residence, one of whom is currently in hospital. The methodology used was to visually inspect the premises, talk with six residents, four members of staff and case track three residents. Case tracking involves looking at a range of care records, and making a judgement about the quality of care that residents are receiving. Unfortunately it was not possible to speak to any relatives visiting Edward House, although five questionnaires were left with stamped addressed envelopes. The general impression is of a care home that is striving to move forward, and that has worked hard to achieve the requirements and recommendations left at the last Inspection. What the service does well: What has improved since the last inspection? What they could do better: Every resident must be issued with a copy of the Service User Guide. This is now an immediate requirement. A variation to the Registration category must be applied for in respect of the resident who is out of category. The Fire Officer’s advice must be sought in relation to the fire doors at Edward House. Regulation 26 visits need to be recorded and made available for inspection. Every resident should have a copy of the terms and conditions of residence, and record keeping around meals could be improved. The complaints procedure could be more prominently displayed and issued to every resident. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 6 Resident’s personal financial expenditure could be better documented. Staff should have an up-dated individual training and development profile. 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. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 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 Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 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): 12345&6 The quality outcome in this area – ‘Choice of Home’ is adequate. Prospective residents at Edward House do not have the information they would need and require to make an informed choice about where to live. Every resident does not have a written copy of the terms and conditions of residence at Edward House. Residents moving into Edward House have their needs assessed prior to moving in. Residents and their representatives know that Edward House will be able to meet their needs prior to moving in. Prospective residents, their relatives and friends have an opportunity to visit and assess the quality of the facilities and it’s suitability. Edward House does not offer Intermediate Care. EVIDENCE: The Statement of Purpose and Service User Guide were being re-written and copies were not available for Inspection. At the last Inspection it was set as a requirement that each resident had his or her own copy of the Service User Guide, this has still not been achieved. It is not sufficient that a central copy is Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 9 available for residents should they wish to see it, every resident should have their own copy of the service user guide. This is now an immediate requirement. Each resident’s file does contain a copy of the contract with the Local Authority outlining the fees payable, but there are no terms and conditions from Edward House with the contract. Three resident’s files were seen, and these all contained either a Standard Community Care Assessment, or an Extended Community Care Assessment. At the last Inspection two requirements were set relating to National Minimum Standard 3 – both of these requirements have been met. There is currently one resident who is out of category (younger than 65 years). Edward House should complete an application for a variation to the Registration Certificate in respect of this individual. Trial visits form a part of the admission procedure, with prospective residents coming for a look round, and tea visits. Two residents were asked about this, and they said that they had come for a look round, talked to people already living at Edward House, and stayed for tea. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 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 10 & 11 The quality outcome in this area – ‘Health and Personal Care’ is good. Residents at Edward House have their health; personal and social care needs set out in an individual plan of care. Resident’s health care needs are fully met at Edward House. No resident at Edward House currently self-medicates. Residents are protected by the policies and procedures for dealing with medication at Edward House. Residents feel that they are treated with respect and dignity, and their right to privacy is upheld. Residents are assured that the time of their death, staff will treat them and their families with respect and dignity. EVIDENCE: Four resident’s files were seen. The documentation within care plans was found to be comprehensive and complete, while following an ‘Activities of Daily Living’ format. This documentation is in the process of being updated, and provides a clear basis on which to assess resident’s care needs. Three of the files contained the ‘old’ documentation, while one had the new updated version. At the last Inspection there were three requirements set relating to National Minimum Standard 7. Two of these requirements were found to have Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 11 been met, while the third related specifically to a resident who is now deceased. The care plans outlined health care, and provided specific information relating to the health of the residents. Three residents were asked about their health, and all said that the staff would arrange for them to see a doctor, if they needed one – everyone said they were happy with this arrangement. During the Inspection a District Nurse was visiting a number of residents. The District Nurse gave positive feedback relating to the way that Edward House meets the health care needs of it’s residents. Medication policies and procedures were seen, and the storage and administration of medication checked. Residents said that they were happy with the staff administering their medication, and two said that they were ‘quite forgetful’ so this suited them much better. During the course of the Inspection staff members were seen interacting with the residents, this was done in a respectful manner, and staff were seen to be knocking on doors and asking residents rather than ‘telling them’. All six residents who were spoken with were asked about their views on the staff, everyone was very positive, with the following a selection of comments: “They are very kind”, “The staff are very nice”, “I only have to ask, and they will get it for me”, “Oh yes, the staff are very good, they are very kind to me.” When asked if staff knocked on bedroom doors – “Yes, always” and “Oh yes, every time”. Each of the three resident’s files that were case tracked, had details relating to the resident’s wishes at the time of their death. This included burial or cremation, where this was to take place, and whom should be informed/invited. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 & 15 The quality outcome in this area – ‘Daily Life and Social Activities’ is good. Residents at Edward House find that the lifestyle experienced matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Residents maintain contact with family, friends and representatives, and the local community. Residents receive a wholesome appealing balanced diet at Edward House, and the dining room is pleasant and spacious. However the recording of choices and preferences relating to food could be better. EVIDENCE: Four residents were asked about their experiences at Edward House, and specifically the entertainment and activities on offer. Three said that they were very happy, and talked about sing-a-longs, and ‘The Music Man’ coming into the home. New documentation introduced into resident’s files, meant it was simple to track evidence relating to resident’s activities. The notice board carried information relating to ‘The Birdy Man’ who was due to visit shortly, while the previous week a Country & Western singer had been to entertain the residents. On the day of the Inspection two relatives were seen visiting, but unfortunately left before the Inspector had the opportunity to speak with them. Five relatives questionnaires were left with pre-paid envelopes, and residents Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 13 were asked about family visits. Every resident who was asked said that they saw quite a lot of their family, and they could visit whenever they wanted. This was supported by documentation within resident’s files which outlined that their was an ‘open visiting’ policy. Edward House has a four-week repeating menu. This was seen, and provides plenty of choice and variety. The storage of foodstuffs was seen, and it was noted that food was of the branded variety, rather than the ‘value type’ food on offer at many supermarkets. There was also a good selection of fresh fruit and vegetables available. Record keeping relating to cooking and storage temperatures were seen, and found to be complete and correct. The method of recording individual choices relating to food was found to be generalised, and the cook said she would look at ways to improve the recording of this information. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 14 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 The quality outcome in this area – ‘Complaints and Protection is adequate. Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Resident’s legal rights are protected at Edward House. Residents at Edward House are protected from abuse. EVIDENCE: The complaints procedure is displayed in the foyer, although it was found to be out of date, in that it makes reference by name to the previous Registered Manager. The complaints procedure should be more prominently displayed, and should be given to each resident individually (as part of the Service User Guide). Complaints records were seen, and the last recorded complaint was in May 2005. This complaint was dealt with in line with the complaints policy, and managed within the identified time scale. Residents are registered for a postal vote at elections, with many families taking a lead in this process on behalf of their relative. Edward House has contacted Age Concern with regard to the use advocates, but currently no advocates have been identified, although the process is ongoing. A staff-training course on abuse relating to older people is booked for all staff in May 2006. Three members of staff were asked about the protection of vulnerable adults, and indicated that they were aware of policies and procedures, all three will be attending the abuse training in May. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 15 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 & 26 The quality outcome in this area – ‘Environment’ is adequate. Residents at Edward House generally live in a safe and well-maintained environment, however the fire door issue identified below is currently affecting resident’s safety. Residents have access to safe and comfortable indoor and outdoor communal facilities. Residents at Edward House have sufficient and suitable lavatories and washing facilities. Residents have the specialist equipment they require to maximise their independence. Resident’s bedrooms at Edward House suit their needs. Edward House is clean, pleasant and hygienic. EVIDENCE: A visual tour of the building showed that a number of areas had been redecorated and new carpets had been laid. A requirement was set at the last Inspection relating to lighting. No areas that were seen appeared excessively or dangerously dark, although it was not possible to check without a light meter. This will be re-checked at the next Inspection. There is an ongoing Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 16 programme of decorating resident’s bedrooms, with a number recently completed. Residents spoke about the redecorating, and said that things were getting much better, and that they liked the new furniture and décor in the dining room. One issue that was noted, was that residents were having difficulty getting through internal fire doors – particularly if the doors opened towards them, or the resident used a Zimmer frame or walking stick. Serious consideration should be given to this problem, and a solution actively sought. Edward House has three separate lounges, which are comfortable and safe. There are handrails located through out the building to aid those who require additional support while walking. Outside there is a pleasantly laid out garden to the front of the building, which is fully accessible via ramps to those with restricted mobility, and a small car park for the use of staff and visitors. Negotiations are ongoing to lease the wasteland at the rear of the property from the local church to increase the amount of garden available to residents. There are a number of lavatories and bathrooms located throughout the building. Baths are fitted with integral ‘chair hoists’ and there is also a walk in shower, although apparently residents do not like to use the shower, and prefer the bath. Bathrooms were well fitted, and comfortable. Toilets were fitted with rails, bars and raised toilet seats to aid those residents who are less mobile. Two residents were asked about the toilet and bathing facilities, and both said that they thought they were all right. One resident said they needed assistance getting to the toilet, but once there, they could hold onto ‘things’ (identified as meaning the grab rails and bars) and they felt quite safe. As already identified the bathrooms are equipped with integral chair hoists and grab rails, in addition Edward House has a passenger lift which enables those residents with restricted mobility to get to the upper floor of Edward House. One resident was asked about the lift, they have a bedroom on the upper floor, and said that they wouldn’t be able to manage the stairs. They said that the buttons were easy to operate, and they had no worries about the lift. A number of resident’s bedrooms were seen, and these were found to be comfortable, well equipped, and well personalised. Every resident who was spoken with said that they liked their bedroom; one resident said that their radiator was ‘temperamental’ as it made the room very warm or very cold. The radiator is apparently very old, and is due to be replaced. Alternative heating had been put into the room, when it was cold. One of the cleaning staff was spoken with, and cleaning routines and schedules were explained. The entire building was found to be clean, tidy and fresh. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 17 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): 29 & 30 The quality outcome in this area – ‘Staffing’ is adequate. Residents are supported and protected by the Edward House recruitment policy and practices. Staff members working at Edward House are receiving training and are competent to do their jobs, however staff member’s training records are in need of updating. EVIDENCE: Two staff files were seen. These both had copies of the person’s application form, Criminal Records Bureau Check and two references. At the last Inspection there were two requirements set, one relating to criminal records bureau checks and one relating to the need for two references before a new member of staff starts work, both of these requirements have been met. Recruitment procedures were discussed with staff, and a new member of staff said that there had been a delay between their interview and starting work, which was explained as Edward House waiting for references and Criminal Records Bureau checks to be returned. Three members of staff talked about their training opportunities and said that the training on offer was getting better. A number of staff are undertaking National Vocational Qualifications (NVQ) in care. Staff training records were found to be out of date, and did not reflect the training that staff were either undertaking, or had undertaken, and this needs to be addressed, and records updated. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 32 33 35 & 38 The quality outcome in this area – ‘Management’ is good. Residents at Edward House are potentially at risk from the leadership and management approach of the home. Edward House is run in the best interests of its residents. Residents are potentially at risk with regard to their financial affairs. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: Records of Regulation 26 visits were not available within Edward House for inspection. The Manager spoke with the Inspector on the telephone, and said that the necessary paperwork would be presented later in the day, as it was with the Manager, and not at the care home. Unfortunately the Regulation 26 forms had not arrived by the time the Inspector left, so it was not possible to evidence that Regulation 26 have been taking place. Each of the three Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 19 resident’s files that were case tracked contained a copy of a resident’s questionnaire; these questionnaires were dated June and July 2005. Minutes of residents meetings were seen, with minutes dated October and November 2005, and February 2006. The policies and procedures relating to resident’s monies were seen, together with storage of monies. It was found that monies coming into Edward House are receipted, however expenditure is not always so. In particular the hairdresser and chiropodist who visit Edward House regularly do not issue individual receipts for their services. The lack of receipts means that a clear financial audit trail does not exist, and therefore residents are potentially at risk of financial abuse. A range of Health & Safety records were seen, including Control of Substances Hazardous to Health (COSHH) and Fire Safety records. These were found to be correct and complete. At the last Inspection both the fire and COSHH records were found to be remiss, and requirements were set. These requirements have been met, and each resident now has an individual fire safety risk assessment, which is good practice. Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. 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 2 2 2 3 3 n/a HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 3 2 3 3 3 3 X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 2 3 X 2 X X 4 Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation Requirement Timescale for action 31/05/06 2. OP2 3. OP3 4. OP19 Regulation The Registered person must 5 ensure that each resident has an individual copy of the Service User Guide. This is an outstanding requirement from the previous inspection. This is now an immediate requirement. Regulation The Registered person must 5 ensure that each resident has a copy of the terms and conditions of residence to go with the Local Authority contract in their files. Regulation The Registered person must 14 apply for a variation to the Registration in respect of the resident who is out of category. Regulation The Registered Person must 23 ensure that the physical design and layout of the premises to be used as the care home meet the needs of the residents, by addressing the problems caused by fire doors in hampering resident’s progress around the building, the advice of the Fire Officer should be sought on this matter. 31/05/06 31/05/06 31/08/06 Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 22 5. OP32 Regulation The Registered person must 31/05/06 26 ensure that monthly Regulation 26 visits take place, and that they are recorded, and a copy is sent to the Commission for Social Care Inspection. Also that records are available for inspection at Edward House at all times 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 OP15 Good Practice Recommendations The Registered person should introduce a method of recording individual residents choices at meal times, their preferences and any other relevant information – for example diabetes. The Registered person should actively promote the use of the Complaints Procedure by issuing a copy to every resident and displaying the complaints procedure prominently throughout the building. The Registered person should ensure that all staff members have an individual training and development assessment and profile. The Registered person should ensure that receipts are obtained for all resident’s expenditure, so that a clear audit trail exists for tracking resident’s monies. 2. OP16 3. 4. OP30 OP35 Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Edward House Care Home DS0000008667.V289882.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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