Inspection on 10/01/06 for Firs (Firwood Intermediate Rehabilitation Service)

This inspection was carried out on 10th January 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

Firs (Firwood Intermediate... 29/06/07

Firs (Firwood Intermediate... 15/05/06

Firs (Firwood Intermediate... 19/07/05

Firs (Firwood Intermediate... 05/01/05

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

CARE HOMES FOR OLDER PEOPLE Firs (Firwood Intermediate Rehabilitation Service) Firwood House Brassey Avenue Hampden Park Eastbourne East Sussex BN22 9QJ Lead Inspector Judy Gossedge Unannounced Inspection 10th January 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Firs (Firwood Intermediate Rehabilitation Service) Firwood House Brassey Avenue Hampden Park Eastbourne East Sussex BN22 9QJ 01323 503758 01323 509741 Address 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) East Sussex County Council Miss Caroline Denise Piper Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. A maximum of twenty-two (22) service users to be accommodated on the first floor. That service users are over the age of sixty-five (65) years or over on admission. That nursing care be provided. That three (3) places will be available for service users between the age of fifty-five (55) and sixty-four (64). That only bedroom number 20 can be used as a twin room if requested by the service users. 19th July 2005 Date of last inspection Brief Description of the Service: Firwood House is run by East Sussex County Council (ESCC) who is the Registered Provider, but who work in partnership with the Eastbourne Downs NHS Primary Care Trust, and provides a base for a range of services and facilities. Firwood House is purpose built on two floors, set in its own grounds in Hampden Park, which is located approximately three miles from Eastbourne town centre. There is a twenty-two bedded intermediate care unit called Firs, which provides service users resident on the unit a period of rehabilitation for up to six weeks. There is a day therapy service provided by the Firwood Rehabilitation Unit (Monday to Friday) is accessed by service users on the Firs unit. The Community Rehabilitation Service, Community Stroke Rehabilitaion Service, Speach and Language Team and a Dietician are based at Firwood House and can also offer support and guidance. The Firs unit is situated on the first floor and comprises of twenty single bedrooms and one further bedroom, which is a bedroom/sitting room and is available for double occupancy. All the bedrooms have en-suite facilities of a toilet, wash hand basin and shower. Telephone facilities are available in all the bedrooms. There are further assisted bathing facilities on the unit. A dining area on the ground floor is for all service users accessing the building, and a lounge and seating area with a kitchen facility situated on the unit for the use of the service users resident on this unit. Level access is facilitated with the provision of a passenger lift in the building. A garden is situated at the rear of the building. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken by the Lead Inspector for the home and two further Inspectors and took place over five and three quarter hours on 10 January 2006. This is the second statutory inspection for the year and should be read in conjunction with the first inspection carried out on 28 July 2005 to give an overview of all the standards to be assessed within this period. A tour of the home took place including communal areas and a selection of service users bedrooms. Rotas and care records were also inspected. Nineteen service users were resident and six service users were spoken with individually and four were case tracked as part of the inspection process. Service users were also spoken with generally as part of the inspection process. Comment cards were left in the home following the last inspection and two were returned during the interim period, one from a service user and one from a relative. Two relatives for one service user also commented on the day on the care provided. The Manager who was not present for all of the inspection, Nurse Manager, cook, a member of the housekeeping team, an occupational therapist and physiotherapist, administrative staff and a number care workers working on the morning and afternoon shift were spoken with. Since the last inspection two beds are now available for emergency placements for service users discharged from hospital. The CSCI has previously sent separate correspondence to the Responsible Individual for ESCC to raise concerns at the recruitment processes and lack of evidence of recruitment documentation in place on site for all its registered services. ESCC stated that all the required documentation would be in place by 1 January 2006. ESCC Older Peoples Services has gone through a re-structuring exercise and the Manager is for a temporary period also providing management cover for an ESCC domiciliary care agency based in Eastbourne. The CSCI has requested an update on this temporary arrangement. Following the inspection a serious concerns letter was sent to the Responsible Individual for ESCC regarding the lack of care plans and that it was not possible to evidence all the recruitment procedures in place. A letter of reply has been received and the responses to the issues raised were satisfactory. A meeting was also arranged with the Responsible Individual where issues raised during the inspection were discussed. What the service does well: Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 6 Staff where observed to ensure that the service user’s privacy and dignity is respected. Service users are supported to make choices about all aspects of the care provided. Staff work with service users to regain their independence and where possible return home. There is good support from healthcare professionals to help facilitate this. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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 Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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. The pre-admission information needs to be more detailed to ensure that service users care needs are identified and can be met on the unit. Service users accessing the unit are assisted to regain their independence. EVIDENCE: The Service Users Guide was in the process of being updated so the information was not available to be viewed in service users bedrooms. There were a number of new service users and it is recommended that when this information is updated services users will have access to information on the facilities provided. All service users are assessed by an assessor, working for one of ESCC’s Adult Services assessment teams. Currently all service users come straight from hospital. Staff spoken with confirmed that a copy of this assessment is sent to the unit for reference, and the documentation viewed for four new service users confirmed receipt. But the assessment should be more detailed and provide adequate information for staff. One service user had been admitted in to one of the emergency beds and needed to have an assessment completed. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 9 Staff were observed having some difficulty in arranging for an assessment to be completed. The home accommodates service users for a period of rehabilitation for up to six weeks. Occupational therapy and physiotherapy staff were spoken with and observed working on the unit during the inspection and working with service users to return home. Service users spoke of activities they had participated in to regain their independence and a range of equipment had been provided to assist their mobility. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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. Staff are not provided with the detailed information they need to ensure that service users’ health, personal and social care needs are met, therefore putting service users at risk. Systems are in place for new service users to be responsible for their own medication. However appropriate monitoring systems need to be in place to protect service users. EVIDENCE: There were no care plans in place to meet the requirements of Standard 7. Assessment documentation is currently being used in place of a care plan to identify individual service users care needs. These did not evidence that all the care needs had been identified at the start of a period of care on the Firs, and did not fully describe all the service users’ health, personal and social care needs, nor provide guidance to staff as to how care needs should be met or have supporting risk assessments in place. Regular reviews need to be evidenced. Other supporting documentation had not always been fully completed, dated and signed. Individual service users recording sheets were Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 11 not being used each day and in one instance a service user had not had a recording for five days. Three service users had been admitted late the previous day but the admission process had only commenced during the following morning. One service user spoken with who had been admitted the previous day spoke of requiring night medication whilst in hospital which had not been available the first night of their admission. They stated they had not been able to sleep very well that first night. Staff subsequently stated that this service user’s supporting documentation received as part of the admission process had not detailed the use of this medication. But had the admission process commenced on arrival this misunderstanding could have been resolved earlier. One service user with a hearing disability commented ‘staff only have a passing word no one chats to me because of my hearing loss.’ Another service user had short term memory loss and how their care needs were to be met was not detailed. There are detailed policies and procedures in place in relation to medication. A number of service users are responsible for their own medicines and procedures are available which facilitate this. The risk assessment to support this activity needs to evidence a regular review. A sample of the medication administration sheets were viewed and at times these were confusing as they were not always in date order, with the current sheet not easily accessible. The contents page in the controlled drugs book was full and it was difficult to identify which pages were allocated to which service user, but staff continued to use this book and recording was still being completed. To enable staff to access the correct page, and ensure the safety of service users, the list of medication and the page numbers needs to be accurate and up to date. Staff were observed to deliver care with dignity and respect. The relatives and all service users commented that they were pleased with the overall care provided in the home. Comments included ‘very comfortable really and looked after very well’, ‘staff have been very friendly I have no complaints at all,’ ‘the team work is brilliant nothing is a bother I cannot speak too highly of the care.’ There is a nursing station positioned on the unit and it should be ensured that confidentiality when using the telephone and during staff interaction is maintained. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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 and 15. There are some opportunities for service users to participate in activities during their stay, so their social care needs are fulfilled. There is flexible visiting on the unit and visitors to the unit are welcomed. The catering arrangements are adequate, providing an appropriate choice of meals to meet individual service users needs. EVIDENCE: It was difficult to evidence the activities that had taken place as the recording of activities which had occurred had not been maintained. Service users spoke of some activities they had participated in, but the frequency these occurred was not evidenced. On the day service users were engaged in a quiz, which was being run on the unit. One service user spoken with stated they had not felt able to join in the activities provided due to their hearing loss. Service users social care needs should be included on service users individual care plans. One service user commented that when there were some finances available it would be nice for a television to be provided in every bedroom. The two relatives spoken with and service users commented that there was flexible visiting. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 13 The care and support provided was seen to enable service users were possible to exercise choice whilst on the unit. An independent supplier of cook chill foods is used to provide the lunch in the home. Since the last inspection a cook has started to work at Firwood and fresh vegetables are now being provided to accompany the main meal. There is four-week rotating menu in place and service users spoke of choosing from the choice on the day. In general the feedback from service users was that the food is good. But further comments received from one service user was ‘The food is very good on the whole, some days are more tasty than others. The puddings are always very good’. Another service user commented that the food was very good but that the vegetables were not always hot. That they felt the serving of these could be better as the lids of the serving dishes were often left off too long enabling the vegetables to go cold. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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. There is a clear and effective complaints procedure in place, which enables service users and their representatives to raise any concerns that they might have. EVIDENCE: ESCC has a detailed compliments and complaints policy and procedure in place. Any complaints received are monitored through the line management arrangements in place within the organisation. Two complaints have been received since the last inspection. No complaints have been received by the CSCI since the last inspection. Where asked service users and relatives confirmed that they would feel comfortable raising any concerns with the staff or the Manager. Not all the service users were aware of the complaints procedure but the Service Users Guide was not available to reference. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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 and 26. The standard of the environment is good and on most of the unit provides service users with a safe, accessible, attractive and a homely place to live. EVIDENCE: Décor in the unit is to a good standard, furnishings are of a good quality and domestic in style. Service users are only in for a short period of time but a number of service users had taken the opportunity to personalise their bedroom. Work has been completed on the paving in the garden, which is now accessible. Communal bathrooms continue to be used as storage areas for equipment so appeared to be untidy and not a homely environment in which to bathe. Hot water in four of the wash hand basins and three baths used by service users were tested, and were close to the recommended safe temperature of 43° C. Records of the routine checks of the hot water temperatures were also viewed. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 16 The unit was clean and free from offensive odours and where asked service users commented on the good standard of cleanliness. Housekeeping staff spoken with were aware of procedures in place to control infection. The recording of routine fire checks were seen and were adequate. There was some wedging open of the internal en-suite door in service users bedroom. In one instance a service user was wishing to use the facility but was unable to close the door and could not remove the wedge. The Manager agreed to look in to this practice on the day. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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 and 29. Adequate staffing levels need to be maintained to ensure that all the care needs, the health safety and welfare of the service users resident are met. ESCC and PCT recruitment policies and procedures need to be evidenced in order to ensure that the health, safety and welfare of service users. EVIDENCE: On the day staff on the unit appeared to be and spoke of being very busy. On arrival on the unit the list of current service users resident was not up to date. Three service users had been admitted late the previous day and an agency member of staff was starting to go through the admission process with these service users. Staff spoke of the difficulties of trying to admit three service users on to the unit at the same time. Both the morning and afternoon shifts were one member of staff down due to sickness on the day. Three staff are currently on duty at night following the provision of two emergency beds, one of whom is a qualified nurse. There is still a high reliance on agency staff to cover the rota. The number of care staff on duty needs to be kept under review and increased as required to ensure that the changing care needs of the all the service users resident continue to be met. All recruitment of ESCC staff is co-ordinated by the Personnel Section at ESCC’s head office. Recruitment documentation for staff employed by ESCC is now held at the home but was not fully accessible to be viewed nor confirmation that all staff have a satisfactory Criminal Records Bureau (CRB) check in place. The Inspector was informed that a similar process is in place Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 18 for staff recruited by the PCT, which is also co-ordinated by the PCT’s personnel section, but again it was not possible to evidence this at the time of the inspection. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Service users and their representatives are enabled to give their views on the unit and the care provided. Staff need to have received the required health and safety training/updates to ensure the health, safety and welfare and safety of service users and staff. EVIDENCE: The Registered Manager has worked for East Sussex County Council for a number of years as a senior manager participating in a range of training opportunities, has completed NVQ Level 4 in Management, is an NVQ Assessor and is due to commence NVQ Level 4 in Care later in January 2006. ESCC has a quality assurance system in place, which is being implemented on the unit. There are opportunities for service users and their representatives to put forward their views about the unit and the care received through forums during their stay, a suggestion box and questionnaires completed at the end of a stay on the unit. This informs ESCC and staff of the quality of the service being provided, and some feedback has been collated. Representatives from Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 20 ESCC have confirmed that feedback from the quality assurance process is currently being collated to be available in April and that a formal process to gain feedback from other stakeholders has been developed. Regular quality assurance visits by a representative of ESCC are completed and recorded to meet the requirement under Regulation 26 were in place. Where a small ‘float’ of money is held for some service users the financial records to support this activity were adequate. The Manager is in the process of collating individual staff training needs and staff records seen showed that not all staff had received moving and handling updates, first aid, fire training and cosh training as required. It also needs to be evidenced that relief staff who also work on the unit have completed the required training. The Manager confirmed that new training run by ESCC on infection control is about to be cascaded down to staff. Confirmation has been given of the fire training to be in place to meet requirements. A detailed check of the environment and fire precautions should be carried out to meet the timescales as detailed in ESCCs policies and procedures. One cleaning storage cupboard was found to have been left open in an area accessed by service users. The organisation has now implemented a system to evidence that the maintenance of equipment and services has been carried out. Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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 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 1 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X 2 X X X X 3 STAFFING Standard No Score 27 2 28 X 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 22 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 OP3 Regulation 14 (1) (a) Requirement That initial assessments are fully completed at the start of any admission. This issue is outstanding since 30.08.05. That a system is in place to ensure that a written plan as to how the service user’s needs in respect of his health and welfare are to be met for all service users is in place, and are regularly reviewed. This issue is outstanding since 28.02.05 and 30.08.04. Service users have a risk assessment undertaken where required. That it is ensured the controlled drugs register records are accurate and as per the accepted preocedure. This issue is outstanding since the receipt of the last report. That the self-administraion risk assessment is reviewed to allow tailored levels of monitoring. This issue is outstanding since 30.09.05. That documented records on the MAR chart must be complete, accurate and meaningful. This DS0000059634.V249586.R01.S.doc Timescale for action 28/02/06 2 OP7 15 (1) 13 (4) 28/02/06 3 OP9 13 (2) 28/02/06 4 OP9 13 (2) 28/02/06 5 OP9 13 (2) 28/02/06 Firs (Firwood Intermediate Rehabilitation Service) Version 5.0 Page 23 6 OP13 16 (1) (m) 23 (2) (l) (m) 7 OP22 8 OP29 19 (1) (b) (i) 9 OP38 13 (4) (a) 10 OP38 18 (1) (a) 11 OP38 13 (4) (a) issue is outstanding since the receipt of the last report. That it is evidenced leisure and social activities provided. This issue is outstanding since 31.08.04. That where identified equipment is provided and available on admission for service use. Appropriate storage facilities for the homes equipment is provided. This issue is outstanding since 31.03.05. That the recruitment procedures are evidenced for all staff on the unit and confirmation that existing staff have completed a satisfactory Criminal Records Bureau check. This issue is outstanding since 30.10.05. That regular checks of the environment and fire precautions are maintained to meet the required timescales. That staff receive training/updates in moving and handling, first aid, COSSH and fire training to meet requirements. Training records are also maintained for relief staff working on the unit. That cupboards to be kept locked shut are done so 28/02/06 28/02/06 28/02/06 28/02/06 31/03/06 10/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP10 Good Practice Recommendations That the service users term of address is recorded Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Firs (Firwood Intermediate Rehabilitation Service) DS0000059634.V249586.R01.S.doc Version 5.0 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. 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