Inspection on 11/07/06 for Firbank

This inspection was carried out on 11th July 2006.

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

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

Other inspections for this house

Firbank 20/02/06

Firbank 17/07/05

Firbank 19/01/05

Firbank 25/05/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Firbank 8 Crescent Road Shanklin Isle Of Wight PO37 6DH Lead Inspector Neil Kingman Unannounced Inspection 11 July 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 Firbank DS0000012491.V294292.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. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Firbank Address 8 Crescent Road Shanklin Isle Of Wight PO37 6DH 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) 01983 862522 01983 863490 Georgia Rose Residential Care Limited T/A Firbank Mrs Margaret Jones Care Home 26 Category(ies) of Dementia - over 65 years of age (2), Learning registration, with number disability over 65 years of age (2), Old age, not of places falling within any other category (26), Physical disability over 65 years of age (7) Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20 February 2006 Brief Description of the Service: Firbank is a registered residential home providing care and accommodation for up to 26 people over the age of sixty-five years with a range of physical, social and emotional needs. The home is situated in a quiet tree-lined avenue in Shanklin close to local amenities, shops and public transport. Accommodation is provided on three separate floors all of which may be accessed by a passenger lift. There is level access into the front of the home and a portable ramp to help negotiate the door threshold. The home has installed hand and grab rails at various points around the building to assist service users with mobility difficulties. Externally there is a patio area and extensive sea views from some bedrooms and the communal lounges. Parking spaces can usually be found in the Crescent or adjoining roads. The home is owned by Georgia Rose Residential Care Limited and managed by Mrs Margaret Jones. Weekly fees range from £365.40 to £460.00. The manager states that a copy of the home’s service users’ guide is provided to all prospective residents, or their representatives as soon as is reasonably practicable. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by Firbank and brings together accumulated evidence of activity in the home since the last key inspection on 20 February 2006. The manager forwarded to the Commission a selection of pre-inspection information about the service. Part of this inspection was to undertake a site visit to test the information provided. The inspector looked at records, spoke with the manager, her deputy, care staff and residents, and toured the building. Prior to the site visit telephone discussions were held with a social services care manager who visits the home and a visiting relative. There were twelve responses to the care homes survey received from residents in the home, and six responses from visiting relatives. The views about the service were generally very positive. What the service does well: What has improved since the last inspection? It was noted at the site visit that the home had addressed the requirements identified at the last inspection: • • • Firbank Medication Administration records were in order Care staff receive the Protection of Vulnerable Adults (POVA) check clearance before commencing work in the home. Records of weekly fire alarm tests were up to date. DS0000012491.V294292.R01.S.doc Version 5.2 Page 6 Decoration, maintenance and staff training are ongoing. What they could do better: While the outcomes of the inspection were largely positive there were two requirements identified as needing attention: • • To provide liquid soap and disposable towels in all areas of communal hand washing. To ensure that details of telephone references are recorded. While staff training is ongoing and up to date the induction programme for new staff has changed with the introduction of Skills for Care. It is recommended the home introduce the new Common Induction Standards. A staff training plan would provide an ‘at a glance’ record of staff training achievements and needs. 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. Firbank DS0000012491.V294292.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 Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that the care needs of the people who live at Firbank will be met by undertaking a proper assessment prior them moving into the home. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. EVIDENCE: It had been noted at previous inspections of Firbank that the manager does not admit new residents without first undertaking a pre-admission assessment. At this site visit the inspector looked at how the home managed the admission of the newest resident, who moved into the home the previous week. Records showed, and the manager confirmed, that she undertook a full pre-admission assessment of the individual’s needs at the hospital, speaking with staff there and also the community care officer. A copy of the assessment was available in the resident’s care plan, which also included risk assessments. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 9 Residents at Firbank are long term. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. However, respite care is provided if there is a room available. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a system of care planning with an individual plan for each resident. They provide a good demonstration that residents’ health and social care needs are identified and met and include risk assessments and monthly reviews. The home promotes and maintains residents’ healthcare and ensures that access to healthcare services is available at all times. Medication is securely held and appropriate records maintained. The home ensures that staff respect residents’ privacy and dignity at all times, especially with regard to the arrangements for health and personal care. EVIDENCE: The principal of case tracking was used in a sample of three care plans. The intention was to look at the outcomes for residents in general by assessing all Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 11 areas of care for those sampled. The sample included the newest admission to the home, a resident with high care needs and a male resident with a learning disability. Each resident has an individual personal care plan. Those seen were clear and simple, containing an assessment of needs together with a plan of care with objectives; information about family members, contact with health professionals and other specific relevant information. Risk assessments were in place. Each had a record of significant events, and evidence of regular reviews. Staff spoken with said that communication about residents’ needs was good, with regular shift handovers, staff meetings and supervision. Although residents spoken with seemed unclear about their own care plans, they were generally aware that staff kept records about them. One relative visiting a mentally frail resident was fully aware of the individual’s care plan. The manager said that there was no incidence of pressure sores as staff practiced good continence and pressure area management. A good example was that of the resident with high care needs who was case tracked. This individual was at risk of developing pressure sores and was supported with an appropriate mattress, cushion, visits from the district nurse, and a programme of ongoing pressure area management. Staff spoken with were very clear about their role in preventing pressure sores. Residents are given the option of retaining their own GP where possible but most access those at the Shanklin medical centre. As for dentists, opticians etc., the manager and care records confirmed that residents have regular access to a whole range of healthcare professionals. Nine out of twelve responses to the care homes survey showed residents receive the care and support they need and care managers spoken with raised no concerns. All six responses to the visiting relatives survey were very positive; indicating the home always keeps them informed of important matters affecting their relative. Medication is dispensed by means of a monitored dosage system by staff who have completed medication training. At the time of the site visit medication for residents was securely held, and records relating to the safekeeping and administration of medicines were found to be in order. During the course of the site visit the manager, deputy and staff showed an understanding of the importance of treating residents with dignity and respect. The core values of social care are reinforced in a code of practice and covered in the induction programme for new staff. The visiting relative spoken with and residents who could give an opinion were full of praise for the staff and Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 12 their approach to care. During the day the manager and staff were seen to knock before entering rooms and staff addressed residents by their preferred name. The home provides a pay phone in the hall for residents, which can be moved around the home. The office phone can be made available if privacy is required. Some residents have their own installation in their room. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The daily routines in the home are flexible and informal. The home makes a serious effort to arrange activities, which suit the needs of the residents. Friends and family are welcome to visit at any time, but are requested to avoid mealtimes where possible. Residents unable to manage financial affairs are supported by their families. The promotion of choice extends to all aspects of daily living including personalisation of rooms, and meals. The nutritional needs of residents are satisfied with a varied and balanced diet of good quality food. EVIDENCE: Eleven of the twelve responses to the care homes survey received as part of the inspection process indicated that activities are always or usually arranged. A calendar of activities shows they are many and varied. In discussions with the manager and her deputy it was clear that a lot of effort goes into trying to find something that meets as many needs and preferences Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 14 as possible. A residents’ meeting is held every Monday with sherry and refreshments, at which views are sought and details of the week’s activities given. The meetings often incorporate a reminiscence session. Activities offered for residents include a visiting singer, bingo, quizzes, games, cliff top walks, minibus outings and the celebration of birthdays and other important national days, e.g., Easter, Valentine’s, St Patrick’s etc. Every month there is a themed day, relevant to the month. Visits by clergy are arranged for the residents who wish them, and support provided for those who wish to attend church. The deputy manager explained that the Monday meetings are especially important to keep abreast of residents’ changing preferences as many have ceased to enjoy arts and crafts, musical exercises and outside facilities such as clubs. Visiting arrangements can be found in the service users’ guide. Visitors are welcome at any time but are requested to avoid mealtimes where possible. Residents can receive visitors in their own rooms or any of the communal areas. In addition to the main first floor lounge there is a lounge on the ground floor, which offers quietness and some privacy if required. The inspector noted the seating at the front of the home was a popular spot for the residents on a warm day, as it was during the site visit. The manager said that all residents have their own advocate/representative in the form of a family member, solicitor or the facility of the court of protection. They are encouraged to personalise their rooms and during the tour of the building the inspector noted varying amounts of personalisation to rooms, which reflected residents’ needs and preferences. Eight out of the twelve responses to the care homes survey indicated residents always liked the meals, and the others usually liked them. Sample menus showed meals to be varied and nutritious. The inspector was able to sit with residents at the lunch table. The atmosphere was sociable especially on one table where it was evident that residents had a good rapport with each other. Staff were on hand throughout the meal to assist residents who were finding it difficult to eat. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ complaints are treated seriously and given an appropriate response. The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: The home has a policy and procedure for dealing with complaints, which is set out in the statement of purpose, and also on a board in the hall. The inspector looked at the complaints register and noted the last recorded complaint from a resident. It gave details of the complaint and what was done about it. Nine out of twelve responses to the care homes survey indicated residents always knew how to make a complaint. All six visiting relatives who returned a comment card indicated that they were aware of the home’s complaints procedure. One visiting resident, in discussions with the inspector confirmed the strength of the procedure by saying they had raised some minor concerns and had been pleased with the response. The home has an adult protection policy and procedure in place, which links with the local authority guidance. The manager confirmed that adult protection training for staff is planned for the near future. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 16 Staff spoken with were very clear about how to recognise abuse, what to do, and the importance of reporting issues of concern without delay. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Firbank provides a warm, welcoming, clean and comfortable environment for residents to live in. On the day of the site visit the home was clean, hygienic and there were no unpleasant odours. However, liquid soap and disposable towels are required in all areas of communal hand washing. EVIDENCE: Firbank many years ago was a hotel. It was converted to a care home providing accommodation on three floors, accessible to residents via a passenger lift. A mezzanine level does not have lift access but the one room on this floor is occupied by a resident with good mobility. The inspector toured the building with the manager and noted several rooms and the lounges enjoyed outstanding views across the bays of Sandown and Shanklin. All rooms are reasonably decorated. Some are quite large and well personalised. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 18 All residents are accommodated in single rooms with either en-suite facilities or a wash hand basin in the room. The ground floor lounge opens out onto a rear patio and another popular seating area can be found at the front of the building. All areas of the home were found to be clean and free from unpleasant odours. There is a laundry sited well away from areas where food is stored, prepared, cooked or eaten. The manager confirmed that soiled articles are washed at appropriate temperatures. At the time of the site visit the laundry floor was in the process of being tiled. During the tour the inspector noted a lack of liquid soap and disposable towels in WCs and bathrooms. This has the potential for cross infection. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels and mix of skills are adequate to meet residents’ needs. To ensure residents are in safe hands arrangements are made for staff to undertake NVQ training. At the time of the inspection 63 of care staff had achieved the NVQ at level 2 or above. In general terms the home operates a robust recruitment procedure, which ensures residents are protected. However, it is important to ensure that a detailed record is kept where telephone references are sought. The staff training and development programme ensures the residents’ needs are met in line with the aims of the home. EVIDENCE: Details provided in the staffing rosters evidenced the fact that the home is well staffed and that sufficient care staff are on duty in the home throughout the twenty-four hour period, to meet the needs of the residents. During the site visit the inspector noted four care staff on duty until 14:00 and three until 20:00, with the manager and the deputy supernumerary. The home provides additional catering, domestic and maintenance staff. Wherever possible the Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 20 home provides five care staff during the morning until 14:00 hours. Staff spoken with said that the extra member of staff made all the difference at that peak time of the day. All twelve responses to the care homes survey indicated there were always or usually staff available when residents needed them. All comment card responses from relatives indicated there were always sufficient staff on duty when they visited. Currently 63 of care staff have achieved the NVQ at level 2 or above. The home operates a good NVQ training programme to ensure the ratio of qualified staff remains high. It was noted that a further two staff are currently on the level 2 training programme and two on the level 3 programme. The home has a staff recruitment policy that includes an application form, terms and conditions of employment and police and Protection of Vulnerable Adults (POVA) checks on all newly appointed staff. During the inspection the recruitment records of all newly appointed staff were checked and found generally to be in order. However, in discussions with the deputy manager it was understood that telephone reference checks had been carried out for two newly recruited care assistants while waiting for the signed written record to be returned. It is important that a written record is kept to evidence the telephone check, stating when the check was made, to whom it was made and what was said. The home provides an induction/foundation training programme for new staff, which follows the TOPSS England guidance. TOPSS England became ‘Skills for Care’ in April 2005 and produced a new set of Common Induction Standards (CIS) designed to be met within a twelve-week period. The home is advised to introduce the new standards for all newly appointed care staff. A sample of staff training files and certificates demonstrated that statutory training is regularly updated. Care staff supported the fact in discussions with the inspector. They spoke of a good training ethos in the home where NVQ and statutory training is encouraged and provided. A social services care manager praised the core group of staff for their knowledge, skills and approach to the care of the residents. It is felt that the home would benefit from producing a training plan, which would provide an ‘at a glance’ record of staff training achievements and needs. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Both the current manager and the deputy have the requisite experience and qualifications to meet the standard. The home has developed effective quality assurance systems for measuring its performance based on seeking the views of residents, representatives and stakeholders. The home provides a facility to safeguard residents’ monies or valuables on request. Involvement in residents’ finances is limited to assisting some with their weekly allowances, and helping them with the purchase of incidental items. While policies, procedures and staff training ensure so far as is reasonably practicable the health, safety and welfare of residents and staff a gas heating/boiler inspection is required to be carried out by a CORGI qualified contractor. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager has given formal notice of her intention to stand down after 26 years of owning and latterly managing Firbank. The current deputy has been nominated as the new manager as from 31 July 2006. Both the current manager and the deputy have the requisite qualifications to meet the standard. All four care staff spoken with confirmed that the home is very well run; staff morale is high and both the manager and the deputy are supportive and approachable. The home has the Investors in People Award, which reflects its commitment to staff training and development. Residents’ meetings are held every Monday not only to gauge satisfaction with the service but also to address any concerns that may be raised and to ensure that activities provided are popular and likely to be supported. Quality assurance is also ongoing through care plan reviews, monthly visits from a representative of the Company to monitor the conduct of the home, and residents’ care reviews with their representatives and care managers. The integrity of the system for administering residents’ monies was examined by way of dip sampling. Receipts were kept of transactions and records and monies balanced. The home’s pre-inspection information signed by the manager confirmed that policies and procedures were in place to ensure safe working practices in the home. All care staff undertake statutory training, which includes health and safety, food hygiene, manual handling and first aid, which are updated on an ongoing basis. A sample of records was viewed including accidents, fire logs and public liability insurance, all of which were in good order. There was evidence that an electrical inspection was booked for the middle of July 2006. A gas heating/boiler inspection is required to be carried out by a CORGI qualified contractor. Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 24 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 OP26 Regulation 13 Requirement Timescale for action 04/08/06 2 OP29 19 Sch 2 To provide liquid soap and disposable towels in all areas of communal hand washing in order to minimise the risk of cross infection. Where telephone references are 04/08/06 taken, to ensure that a record is kept of the time and date, who was spoken with and what was said. 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 2 Refer to Standard OP30 Good Practice Recommendations To introduce the new Common Induction Standards for all newly appointed care staff. To produce a training plan, which would provide an ‘at a glance’ record of staff training achievements and needs. OP30 Firbank DS0000012491.V294292.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Firbank DS0000012491.V294292.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. 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