Inspection on 06/02/06 for Fernleaf Care Home

This inspection was carried out on 6th February 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

Fernleaf Care Home 30/05/07

Fernleaf Care Home 14/06/06

Fernleaf Care Home 13/07/05

Fernleaf Care Home 07/03/05

Fernleaf Care Home 09/12/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Fernleaf Care Home Fernleaf Care Home 26 Chesterfield Road South Mansfield Nottingham NG19 7AD Lead Inspector Lee West Unannounced Inspection 6th February 2006 10:30 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 Fernleaf Care Home DS0000052265.V280689.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. Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fernleaf Care Home Address Fernleaf Care Home 26 Chesterfield Road South Mansfield Nottingham NG19 7AD 01623 655455 01623 406370 info@bhcarehomes.co.uk 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) Bank House Care Homes Ltd Mrs Patricia Sooriah K Sooriah Care Home 21 Category(ies) of Dementia (4), Old age, not falling within any registration, with number other category (21) of places Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users shall be within categories OP (21) or DE (over 60 4 beds) 13th July 2005 Date of last inspection Brief Description of the Service: Fernleaf is a care home providing personal care and accommodation for up to 21 older people and has four beds allocated to care for people with dementia. The home provides short term, long term or respite care and accepts emergency admissions subject to bed availability. The home is owned by Mr. and Mrs. Sooriah and is a run as a family business. The home is located in Mansfield town centre and is close to shops, pubs, the post office and other amenities. The home was opened in January 1985 and consists of a former hotel building with extensions added. 19 of the homes bedrooms are single, and 9 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a passenger lift. There are 3 bedrooms on the first floor that are accessed by 3 steps which have a stair lift fitted. The home has an enclosed garden to the rear, which is easily accessible. There is car parking available for up to 8 cars to the front of the home in a small car park. Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the second of the two unannounced inspections to be carried out between April 2005 and March 2006. The inspection, carried out by two inspectors, Lee West and Rehana Rashid, lasted over 5 hours. The method used was Case Tracking where Service users were spoken with about their experiences and expectations of living at the home, with analysis of the records and talking with members of staff to ensure that those living at the home have their needs met and their health and welfare maintained appropriately. Other service users were spoken with and a tour of the home undertaken. Relatives and visitors within the home during the inspection were also given the opportunity to express their views. Present during the inspection were Jeanette Shepherd, Deputy Manager and Stephanie Fulwood, Training Manager, who works on Mondays within the home with the carers doing NVQs. Kris Sooriah arrived shortly after the inspection began and all gave invaluable assistance during this visit. What the service does well: Service users and visitors all expressed their satisfaction at the care given within the home. They are all pleased with their rooms, the staff are friendly and the food is “exceptional” “really good”. The environment within the home is homely and pleasant. The kitchen, dining room and lounge are well decorated with attractive furnishings. The service users rooms are personalised with personal possessions and all were clean and pleasantly decorated. The home has a hamster and rabbit and service users and visitors all expressed their pleasure with these. There is a dog, belonging to a member of staff, which the service users said “brightens my day” and “I miss angel when she is not here.” These animals are all well cared for in clean and hygienic surroundings. The food provided by the home is of good quality, the stores observed were plentiful and there was a variety of foodstuffs all well stored and within dates. Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 6 Fresh fruit was observed around the home and regular fresh vegetables are delivered. The cook prepares home made food as far as is possible and this was observed during the inspection as lunch of home made pie was served. What has improved since the last inspection? What they could do better: Care planning whilst based on clear admission assessments, and are signed as regularly reviewed, do not reflect changing needs and risks in some of those case tracked. In the communication section changing of needs or other information is not addressed. None of the care plans had details of service user’s wishes upon death. There is no formal procedure within the home for staff to follow when a service user is in need of nursing care. Although there have been some activities during the Christmas period and the home has a selection of animals which bring pleasure to the service users. The service users and visitors spoken with all pointed out the lack of regular, organised activities within the home. This is now an outstanding requirement. The service users said they would like a selection of activities during the week as the days are so long. There are also a number of service users with a diagnosis of dementia and their needs for mental stimulation are not being met. Generally, the home is well decorated, well furnished and pleasant. All the service users spoken with said they are satisfied with the environment. However, there are some areas of décor which need repair. The home is owned by Mr and Mrs. Sooriah and is Managed by Mr Kris Sooriah. The service users and visitors all expressed that they felt Mr Sooriah was approachable and helpful. The duty rota shows the Manager and Deputy Jeanette are available most days between 7.00-4.00, with the deputy as part Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 7 of the care team. No management hours are identified on the rota for the deputy to perform this role Improvements to record keeping within the home are required. There are gaps within care plans. The staff files case tracked have numerous issues, including no proof of identity, photograph, birth certificate, Criminal Records Bureau checks or satisfactory references and no signed contract of employment. All staff must have current Criminal Records Bureau and Protection of Vulnerable Adults checks, with two satisfactory references in place before working within the home and an Immediate Requirement was set for this to be dealt with. Care staff are not appropriately supervised. There was no evidence in the files viewed of staff training in Protection of Vulnerable Adults from abuse or in Basic Food Hygiene. As the Registered Manager, it is essential that Mr. Sooriah is fully aware of everything that is happening within the home, that he monitors care standards within the home and supervises the work carried out by the deputy manager and senior care workers, as well as other members of the workforce. 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. Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2,3,4,5, Prospective service users are provided with information to help make a choice. There are written contracts and the home assess needs before admission. EVIDENCE: Fernleaf have information which helps prospective service users decide if the facilities are suitable. Signed, written contracts were seen in the files case tracked, together with pre-admission assessments which clearly indicate the needs. The service users spoken with said they felt they had been able to make a choice. The relatives spoken with also felt they had had an opportunity to assess the suitability of the home. Fernleaf Care Home DS0000052265.V280689.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): 7,8,10,11 All service users have care plans and are treated with respect. Generally, care needs are being met, however, social and mental needs are not always addressed and there are some areas of documentation requiring improvement. There is no procedure in place for reassessment of service users who require nursing home care, or of service users’ wishes at time of death. EVIDENCE: Care plans, viewed during the inspection, contain clear and appropriate assessments and plans which meet the physical needs. There are, though, some areas of weakness within the planning. One plan showed, in the communications, records of falls but no changes to the plan, or any risk assessments were seen. There is no identification of social and mental stimulation needs within the care plans. Another plan did not identify pressure sores that one service user had, or any treatment for these. Records of weight were missing and although the review sheets were signed as being reviewed there were no changes made when the communication sheet showed there were changes in condition. There is no formalised procedure for reassessing service users whose care needs exceed the home’s ability to meet the needs Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 11 and the deputy explained that the District Nursing services were usually involved in deciding this. The service users spoken with though are satisfied with the care they receive and said the staff are always polite, knock on the door and treat them with dignity. “I’m well looked after” one service user commented. Relatives spoken with during the inspection also expressed their satisfaction at the level of care their relatives receive. They also confirmed that the staff treat the service users with dignity and respect. This was observed also during the inspection, by the two inspectors, who spent time in the lounge, at the “nurses station” during lunch and early afternoon. The service users and staff were seen to have a positive rapport. None of the care plans viewed had any indications of the service user’s wishes at the sensitive time of death. Fernleaf Care Home DS0000052265.V280689.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): 12,13,14,15 The home positively encourages contact with family and friends and service users are able to make choices. The home does not have activities to cater for the service users recreational interests and needs. Wholesome and appetising food is provided by the home in pleasant surroundings. EVIDENCE: There were activities organised during the Christmas period, but service users and visitors all expressed their sadness that there were no formal, regular activities arranged within the home. They said that “the days are endless”. The home, registered also for service users suffering dementia, is not addressing their mental stimulation needs either. This was demonstrated during the inspection, with one service user quite distressed following a good lunch, becoming increasingly agitated with no attempts made to deal with this. None of the care plans had any indication of service user’s social, cultural or recreational interests and needs which could be used to direct organisation of activities. The home does have a welcoming, warm and friendly atmosphere and the visitors spoken with all felt welcome and the positive interactions were also Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 13 witnessed during the inspection. One visitor said “I can come at any time and feel welcome.” The pets within the home, hamster, rabbit and dog, are a source of entertainment and pleasure for the service users and visitors alike. Children visiting are particularly pleased to see the rabbit. The habitats are clean and hygienic and the rabbit is kept in the garden, which is pleasant and also has squirrels in the trees. One service user said “I really miss the dog when she is not here.” “She reminds me of my old dog”. Service users spoken with said they are encouraged to make their own choices, like when to get up, when to go to bed and what to eat. They also said that staff do try their best to carry out their wishes, but continued to make comments around the lack of organised, regular activities. The kitchen, which is well equipped, with a substantial storecupboard of foodstuffs and fresh vegetables and fruit, is clean and hygienic. During the inspection a meat pie for lunch was being made and lunch was served in the pleasantly set out dining room. Some service users chose to eat elsewhere and their meals were taken to them. The carers who took the meals to other parts of the home though did not use trays in some instances, and none of the food was covered. Service users said the food was “excellent” and “there is plenty to eat.” There is a four weekly menu, displayed in the kitchen and service users are given choices if they do not like these. Fernleaf Care Home DS0000052265.V280689.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): 16.18 Complaints are taken seriously and investigated. The staff are aware of their role in the protection of service users from abuse. EVIDENCE: Service users and relatives spoken with said they were satisfied that any complaints would be dealt with properly. They said they would feel confident in talking with the Registered Manager, Mr. Sooriah or the deputy Jeanette Sheppard. The positive interactions between these two people and the relatives was observed and reflected what the service users had said. Staff are aware of their role within the Protection of Vulnerable Adults procedures and that they would refer to Jeanette or Kris for any problems to be dealt with appropriately. Steph Fullwood, the trainer and assessor, assists the care staff with National Vocational Qualifications, which does contain a compulsory unit on protection from abuse, however there was no evidence within the staff files of any training in Protection of Vulnerable Adults, or copies of the units achieved by the carers within the NVQs. Fernleaf Care Home DS0000052265.V280689.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): 19,20,21,22,23,24,25,26 The home environment is clean, pleasant, safe and hygienic and rooms suit the service users’ needs. There are some areas which require maintenance. EVIDENCE: The home is generally well decorated and furnished, with some areas requiring routine maintenance. There was a small area in the laundry corridor and in one of the toilets where the paper is peeling. There is a homely and pleasant atmosphere and the service users said they are happy with their rooms. They have their own possessions around them. One lounge has been set aside as a lounge for a couple who live in the home, as their lounge and dining area with their bedrooms in the nearby corridor. They said they are very happy with this arrangement. Specialist equipment is available to maximise independence, however, one service user is still waiting for an electric wheelchair to allow her to go outside unaided, “the authorities promised it a long time ago, and Mr Sooriah has tried to sort it.” Various mobility aids were being used by service users during the inspection. Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 16 There are sufficient toilet and washing facilities within the home, with some rooms having additional ensuite facilities. The service users have safe access to all areas of the home, which is clean pleasant and hygienic. The gardens at the rear are well set out, with access for all service users. “I love to go and see the rabbit”. Fernleaf Care Home DS0000052265.V280689.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): 27,28,29,30 The deputy manager forms part of the care team, as does the Trainer to meet the needs of the service users. Staff are trained and competent. The home’s recruitment practices require improvement. EVIDENCE: Staff files viewed during the inspection showed the Registered Manager has not always followed the home’s policies and procedures for recruitment. One member of staff had been employed without a Criminal Records Bureau check or evidence of Protection of Vulnerable Adults First check. An immediate requirement has been set for this, which has, at the time of writing this report, been addressed with appropriate checks evidenced. The staff files seen also failed to show any identification of the staff, some missing photographic evidence. Some files also had no references whilst others had one. Steph Fullwood the trainer is actively working with staff within the home. Some have achieved Levels 2 and 3 NVQs. Others are registered for either 2 or 3 and have recently started this. The staff files contained certificates of courses the staff have attended, but no evidence of Protection of Vulnerable Adults training or Basic Food Hygiene certification. Fernleaf Care Home DS0000052265.V280689.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): 31,32,33,36,37,38 Mr. K. Sooriah is the Registered Manager. The home tries to safeguard service users’ rights, but record keeping requires improvement. There are no quality systems in place within the home. Staff are not appropriately supervised at present. Water temperatures are not being recorded and legionnella checks are not being carried out within the home. EVIDENCE: Mr K Sooriah the Registered Manager, is said by visitors and service users to be available, “he is very approachable” “always willing to help” and “listens to what I have to say.” There is no system in place within the home, to monitor the standards of care, the service users spoken with said they were not aware of any monitoring which may have taken place. He is available on most days for service users or visitors. However, Mr. Sooriah says that he leaves the day to day care and reviews of care to the deputy manager and senior care workers. He deals with the management Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 19 paperwork. This leadership approach is reflected within the records kept. Gaps in information, failures to address changes identified, issues not followed up, such as making sure care plans and risk assessments have been reviewed and updated following changes in care needs, or incidents of falls. There is no evidence in any of the service users’ care plans of input from the manager. The deputy though said that he does regularly go through the files. She says that if she has any problems she would go straight to the Manager. There is also evidence within the staff files that the Manager has not met the required standards in procedures for recruitment of staff, or that the current staff are appropriately supervised. Safety records, including fire alarm testing were seen during this inspection. No evidence was seen of recording of water temperatures at this time, or of legionnella testing having taken place. Staff have received training in safe working practices and first aid, but no training in basic food hygiene was evidenced. Fernleaf Care Home DS0000052265.V280689.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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 2 X X 2 2 2 Fernleaf Care Home DS0000052265.V280689.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 OP7 Regulation 15(2) Requirement The registered person shall keep the service user’s plan under review and carry out with the service user or a representative of his, revise the service user plan to promote and make proper provision for the health and welfare of service users The registered person shall ensure the incidence of pressure sores, their treatment and outcome are recorded in the service user’s individual plan of care The registered person shall ensure that the service user’s psychological health is monitored regularly and preventive and restorative care provided The registered person shall ensure the service user’s wishes concerning arrangements after death are discussed and carried out The registered person shall consult service users about their social interests and make arrangements to enable them to engage in local, social and DS0000052265.V280689.R01.S.doc Timescale for action 14/03/06 2 OP8 17(1)(a) 14/03/06 3 OP8 13(1)(b) 27/03/06 4 OP11 12(2) 27/03/06 5 OP12 16(2)m 27/03/06 Fernleaf Care Home Version 5.1 Page 22 6 OP12 16(2)n 7 OP18 13(6) 8 OP19 23(2)(b) 9 OP28 18(1)C 10 OP29 19(1) 11 OP32 24(1) community activities This is an outstanding previous requirement The registered person shall consult service users about a programme of activities and arrange to provide facilities for recreation including having regard to the needs of service users, particularly consideration to be given to people with dementia and other cognitive impairment, those with visual or hearing impairments and those with physical disabilities This is an outstanding previous requirement The registered person shall make arrangements, by training to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse The registered person ensures the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally The registered person shall ensure that the persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform The registered person shall ensure that new staff are confirmed in post only following completion of a satisfactory police check and satisfactory Protection of Vulnerable Adults checks as set out in Schedule 2 The registered person shall establish and maintain a system for reviewing and improving, at appropriate intervals, the quality of care provided at the care home. The system shall provide DS0000052265.V280689.R01.S.doc 27/03/06 31/03/06 30/04/06 31/03/06 08/02/06 30/04/06 Fernleaf Care Home Version 5.1 Page 23 12 OP36 18(2) 13 OP37 17(1)(2) 14 OP38 13(3) for consultation with service users and their representatives The registered person shall ensure that persons working at the care home are appropriately supervised The registered person shall ensure all individual and home records are secure, up to date and in good order; and are constructed maintained and used in accordance with the Data Protection Act 1998 and other statutory requirements The registered person ensures the health and safety of service users and staff and to liaise with the Environmental Health Authority to design solutions to control the risks of Legionella, risks from hot water and regulation of water temperatures. 31/03/06 31/03/06 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 24 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 Fernleaf Care Home DS0000052265.V280689.R01.S.doc Version 5.1 Page 25 - 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!