Inspection on 15/01/07 for Elgin Rest Home

This inspection was carried out on 15th January 2007.

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

Elgin Rest Home 11/12/07

Elgin Rest Home 03/01/06

Elgin Rest Home 05/07/05

Elgin Rest Home 16/03/05

Elgin Rest Home 21/12/04

Elgin Rest Home 21/01/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Elgin Rest Home 12-14 Manor Road Westcliff On Sea Essex SS0 7SS Lead Inspector Mrs Nikki Gibson Key Unannounced Inspection 15th January 2007 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 Elgin Rest Home DS0000015432.V316185.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. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elgin Rest Home Address 12-14 Manor Road Westcliff On Sea Essex SS0 7SS 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) 01702 340172 Mr John Finlay Dickson Mrs Yasmin Zalina Dickson Mrs Yasmin Zalina Dickson Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd January 2006 Brief Description of the Service: Elgin Rest Home is a small family run home, owned and managed by Mr and Mrs Dickson. The home is a detached property situated within close proximity of local amenities, public transport and the sea front. The home is decorated, furnished and maintained to a good standard through out. The home has three shared rooms and eleven single bedrooms. The home has a passenger shaft lift and electric stair lift and all bedrooms have a call alarm facility. There is a garden to the rear of the property and limited car parking is available to the front. In October 2006 the range of fees was from £369 to £424 per week. Residents paid additionally for hairdressing, chiropody, newspapers, toiletries etc. The most recent inspection report is displayed in the entrance hall. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which covered all the key National Minimum Standards. The site visit took place over eight hours. During the visit there was a tour of the premises and a selection of records and documents were studied. Time was spent in the lounge and dining room observing practice, and with residents in their own rooms. Seven residents were spoken to about life at Elgin Rest Home. The inspection process also included discussions with the proprietors, all staff on duty, and two relatives. Surveys were sent to residents, relatives, the District Nursing team, a GP Practice and a social work team who are involved in the home. A preinspection questionnaire and other reports and correspondence provided by the proprietor were also used as evidence to inform this report. The proprietor/manager, staff, and residents were most helpful and this was greatly appreciated. Discussion of the inspection findings took place with the manager throughout and at the end the inspection and guidance was given. What the service does well: What has improved since the last inspection? Only eight standards were covered at the last inspection and no breaches of statutory requirements were recorded. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Elgin Rest Home DS0000015432.V316185.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 Elgin Rest Home DS0000015432.V316185.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents receive the information about the home that they need to make an informed judgement. The pre-admission assessments studied were limited in detail and did not provide adequate information to ensure that the prospective resident’s needs and wishes could be met. EVIDENCE: Six surveys were received from residents and they all said that they had received a contract. They also all said that they had enough information about the home before moving in, so that they could decide whether it was the right place for them. The manager said that she encourages prospective residents to visit the home. At that time they have the opportunity to see CSCI inspection reports, however she said many families have already downloaded the reports from the Internet. Updated pages of the Statement of Purpose were provided with the pre-inspection questionnaire, however it was noted that this made reference to the NCSC and this needs amending. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 9 The manager said that all residents are visited in their previous accommodation and a preadmission assessment is undertaken before a place is offered. The manager was reminded that she must confirm in writing to the prospective resident that the home is able to meet their health and welfare needs. The pre-admission assessment for the newest residents were studied. They provided limited information about the resident and did not cover all the areas that would be expected. Standard 3 of the National Minimum Standards gives guidance of the areas of possible need that should be assessed. A more comprehensive assessment would ensure that prospective residents needs can be met before a place is offered. Elgin Rest Home does not provide Intermediate Care. Elgin Rest Home DS0000015432.V316185.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a good standard of care and residents are happy and relaxed. At times the home over relies on verbal instructions which are not included in the care plans. Some shortfalls in the administration of medications were observed. EVIDENCE: A number of care plans were studied. Unfortunately the poor preadmission assessments provided limited information for the initial care plans. For example one resident had problems with her eyes and required staff to frequently administer eye drops, however, this was not adequately recorded in her care plan. She also had dressings on her legs which affected her bathing options and this was also not recorded in sufficient detail. There was limited formation of residents hobbies and the social care needs of residents was another area of the care plans which required development. It was pleasing to note that the member of staff who provided the care wrote the daily notes and this evidenced that staff did take time to sit and chat with residents. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 11 A GP involved in the home said in a survey that it seemed a very caring home. The manager is a champion for the residents ensuring that they get the medical help and support that they require. Medical appointments are recorded separately in the care plan for easy retrieval of information. There are six monthly eye tests and six weekly chiropody appointments available in the home. The hairdresser attends weekly. The procedures used to record and administer medication were inspected. A random audit of records and medication were made and the figures tallied. Staff undertake medication training and clearly care was taken with residents medication. However, some short falls were noted and guidance was given. Staff should only sign if they have personally administered the medication. It was pleasing to note that some residents are supported to self medicate. However, staff should not sign the Medication Administration Records (MAR) for residents who self medicate. For these residents their needs to be a detailed risk assessment. The storage and management of Controlled drugs was discussed with a senior member of staff and the manager. The home has a copy of Royal Pharmaceutical Society of Great Britain guidelines for ‘The Administration and Control of Medicines in Care Homes and Children’s Services’ These are being updated and the new guidance must be followed when in place. The home must follow best practice and ensure suitable storage for all medication including the extra precautions necessary for controlled drugs. Staff were observed respecting the privacy and dignity of residents. Residents were seen to be relaxed with staff, interaction was lively and friendly but respect was maintained. One member of staff said, “I love talking to the residents, I like their stories and wisdom”. Another staff member said, “I like listening to the residents”. A new resident said, “the staff are very good, they do things just the way I like it. I am nearly blind so it is important to me that they put things where I want them”. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are extremely happy with life at Elgin Rest Home. Visitors to the home are made welcome. Residents are able to exercise some choice in the lifestyle they lead. Meals are adequate and mealtimes are made enjoyable. EVIDENCE: A range of pastimes take place at Elgin Rest Home. A programme of activities is displayed in the hallway, however the home is advised to consider how this could be recorded so that residents are better able to read it. Activities included videos, walks, cards, dominos, bingo, Fish and Chip suppers and arm and leg exercises. In the residents’ surveys activities in the home was one area where residents were not fully satisfied. At the inspection residents spoke positively of the keyboard and piano players who visited the home and wished they could attend more frequently. The home may wish to obtain further advice on appropriate activities for the elderly from the National Association for Providers of Activities for Older People on 02070789375 Fax 02077359633 Email: info@napa-activities.co.uk NAPA Bondway Commercial Centre, 5th Floor unit5.12 71 Bondway, London SW1 8SQ Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 13 A local church provides a monthly Church Service and members of the church were given the opportunity to comment on the home. Their comments were very positive. They said they were made very welcome by both residents and staff and they found the atmosphere friendly. A visitor to the home said that he is always made welcome and he is encouraged to use the facilities and prepare himself a drink. The manager said the home has a flexible routine which is adapted to suit individual residents. Residents are able to choose where to sit, either in one of the comfortable lounges, the dining room or if they prefer to stay in their rooms. In a survey a resident wrote, ‘next to my home, this is the next best place’. A new resident said that arrangements had been made for her to eat her meals at a different time to other residents, as this was her specific wish. Residents spoken to on the subject said that they are able to get up or go to bed at a time to suit them. One resident said, “There are no rules apart from you have to be ready for meals”. Feed back from staff advised that changes were to be made to the routine and night staff would be expected to get up a specified number of residents. This would be contrary to good practice and would limit residents’ choice. Residents should not be woken or hurried in the mornings. The care plans should provide information about when residents like to get up in the mornings and there should be flexibility for residents to get up earlier or later as they wish. Residents were complementary about the meals provided, describing them as ‘awfully good’, ‘quite satisfactory’ and ‘excellent’. In written surveys most residents responded to the question, “Do you like the meals at the home” with “Usually”. A copy of the menu supplied with the pre-inspection questionnaire detailed a choice. Residents spoken to were unclear if there was a choice. On the day of inspection, corned beef, potatoes and vegetables were being served to all the residents. New disposable ‘bibs’ have been purchased to ensure that residents clothes are kept clean and their dignity is maintained. Although it was also noted that all the dining tables were covered white thin plastic tablecloths, which detracted from the homely and domestic atmosphere. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints policy which makes residents feel safe. The homes Protection of Vulnerable Adults policy needs some additions to greater protect residents. EVIDENCE: The home’s complaints policy was appropriately displayed in the entrance hall. Residents said that if they had a problem they felt able to speak to a member of staff or the proprietors, who were referred to as ‘charming’. One resident wrote in a survey, ‘any problems I can always speak to the staff’. An Advocacy service for the elderly was also advertised in the entrance hall. The complaints log was studied and there was evidence that concerns raised by residents are appropriately investigated and addressed. At this inspection the home’s Protection of Vulnerable Adults policy could not initially be found. Once the policy was available the home was advised to extend it with clear instructions and contact details as to who to contact following a suspicion or allegation of abuse. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Elgin Rest Home provides care in a warm, comfortable clean and safe environment. EVIDENCE: Elgin Rest Home is converted building and although the premises are clearly not purpose built it provides care a homely environment. The building was adequately maintained and free from offensive odours. One regular visitor to the home made comment that she considered it ‘a lovely clean home’. There is a choice of two comfortable lounges and a separate dining room for residents to gather communally. Lighting and furnishings are domestic in character and of good quality. Bedrooms varied in size and shape. One new resident said although her room was small she liked it as she could reach everything easily. Residents are able to bring small items into the home and rooms were seen to be personalised. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 16 One resident said she enjoyed the company of sharing a room and there was curtaining to ensure privacy. The facilities in the laundry which was situated just outside the dining room were less than ideal. There was a sink for rinsing clothes, but not a separate bowl where staff could wash their hands. At the time of the inspection there was no liquid soap, paper towels or lidded bin. Commode pots are washed in the residents’ toilets due to a lack of alternative arrangements. The Home is strongly advised to contact the Health Protection Agency who will be able to advise them on improved infection control policies. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff are experienced and competent and provided a good standard of care. Recruitment practices were robust and protected residents. The induction programme needs to be developed and formalised to meet appropriate standards. EVIDENCE: The agreed minimum staffing level at Elgin Rest Home is: 1 senior carer and two care staff from 8 am to 8 pm 2 night carers one awake and one asleep. Two residents said in their surveys that there were always staff available when they needed them and four residents said there were ‘usually’ staff available. All staff spoken to were enthusiastic and well motivated. They spoke of the residents with respect and affection. The home had a stable workforce who enjoyed their work and worked well as a team and this was reflected in the standard of care provided. The manager said she budgeted for all staff to do three training courses per year. Five staff had completed their NVQ level 2 in Care of whom two were waiting for their certificates. The manager held copies of all the staff training certificates that had been issued in individual files. She was advised to also have a training matrix so that any gaps in training within the home could be easily identified. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 18 Two staff recruitment files were studied. These evidenced that checks and references were taken up before the person was employed and an appropriate recruitment procedure was being followed and this protected the residents. The home could not evidence that its induction programme meets the requirements of the Skills for Care training targets. The manager was advised to review the homes induction programme and ensure that it meets good practice standards and is recorded. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38 A Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides strong leadership and there are clear lines of accountability in the home. Residents’ views are sought and a Quality Assurance system is being developed. The safeguards for managing residents’ money need to be reviewed. EVIDENCE: The Manager/owner said that she had been a manager since April 1990 and obtained the Registered Managers Award by distant learning. She kept up to date with new developments in the care of the elderly by attending at least three training courses per year. Staff spoken to during the inspection expressed respect for the manager’s knowledge and management style. They said she listened to them, motivated them, and she set a good standard and liked things to be done well. The Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 20 manager said she had confidence in the knowledge and integrity of staff and did not need to worry when she was away from the home. As part of the Quality Assurance system the home has sent surveys to residents and relatives. The manager said responses to the surveys would inform the homes annual development plan. The system for managing residents’ money held in safe custody by the home was inspected. Four accounts were checked at random and the records and money balanced and receipts for debits were available. The home was advised to have a system for auditing money being deposited by residents or their relatives. In addition to this system the home also put aside small amounts of residents’ money that they could spend, at the ‘Trolley Shop’, which the home ran. There was no system for monitoring this money and no receipts were available. The system had been set up by the home to encourage independence by the residents and this is to be commended, however the system had no checks and could not be audited and left the residents open to financial abuse. Without loosing the positive side of the system the home should look at ways of making it more secure and possibly it is something which could be agreed with residents and their supporters. Staff supervision is taking place and annual appraisals are being introduced. Records showed that supervision and staff meetings are used as training tools. The manager is advised to also ensure that supervision is a two way process and that staff are encourage to raise subjects and training issues. In general working practices in the home are safe and resident and staff welfare is paramount. However, a shortfall in the storage of substances hazardous to health were noted in the laundry where items that should be kept securely locked away were seen on the side and in an unlocked cupboard. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 21 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 ENVIRONMENT CHOICE OF HOME Standard No Score 1 2 3 4 5 6 Standard No 19 20 21 22 23 24 25 26 Score 3 3 2 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X X 3 X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 2 3 X 2 Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO 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 6 Requirement Timescale for action 14/03/07 2 OP3 14(1) 3 OP7 15 4 OP9 13(2) The Registered Person must keep the Statement of Purpose and Service User Guide under review and revise when appropriate. The CSCI must be notified of any changes. This refers to updating them so the reference to the NCSC which no longer exists is removed. The Registered Person must not 14/03/07 provide accommodation to a prospective resident unless their needs have been fully assessed. This refers to developing the pre-admission assessment to be more comprehensive The Registered Provider must 14/03/07 ensure that care plans have sufficient detail to provide clear guidance to staff on the actions to be taken to meet the resident’s health, welfare and social needs. Care plans must be kept under review. The Registered Person must 14/03/07 make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the DS0000015432.V316185.R01.S.doc Version 5.2 Elgin Rest Home Page 23 5 OP14 12(2) 6 OP18 13(6) 7 OP26 13(3) 8 OP30 18(1) home. The Registered Person shall as 14/03/07 far as is practical enable residents to make decisions with regard to their care, health and welfare. This refers to enabling residents to get up and go to bed when they choose and to record their wishes in their care plans. The Registered Person must 14/03/07 make arrangements to prevent residents from being abused. This refers to policies and procedures being readily available and known to staff. The Registered Person must 14/03/07 make arrangements to prevent the spread of infection and ensure satisfactory standards of hygiene. This refers specifically to laundry arrangements. 14/03/07 The Registered Person must ensure that staff receive training appropriate to the work that they perform. This refers to the need to provide all new staff with structured induction training. The Registered Person must maintain an accurate record of all residents’ money held in safe keeping with appropriate invoices/receipts. 9 OP35 Schedule 4(9) 14/03/07 10 OP38 12(1)(a) 14/03/07 The Registered Person must ensure that the Home is conducted so as to promote and make provision for the health and welfare of the residents. This includes the control of substances hazardous to health, which should be locked away. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 24 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 OP12 Good Practice Recommendations It is recommended that the range of pastimes are extended and there is a clearly written programme of activities. Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Elgin Rest Home DS0000015432.V316185.R01.S.doc Version 5.2 Page 26 - 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!