Inspection on 28/11/05 for George Leonard Rest Home

This inspection was carried out on 28th November 2005.

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

George Leonard Rest Home 16/03/10

George Leonard Rest Home 05/03/09

George Leonard Rest Home 02/08/06

George Leonard Rest Home 11/04/05

George Leonard Rest Home 04/10/04

George Leonard Rest Home 27/04/04

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

CARE HOMES FOR OLDER PEOPLE George Leonard Rest Home 237 - 239 Oldbury Road Rowley Regis West Midlands B65 0PP Lead Inspector Mrs Cathy Moore/ Jean Edwards Unannounced Inspection 28th November 2005 08:00 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 George Leonard Rest Home DS0000004797.V268559.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. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service George Leonard Rest Home Address 237 - 239 Oldbury Road Rowley Regis West Midlands B65 0PP 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) 0121 561 4984 0121 561 1783 Mr S B Odedra Mr R S Odedra Mrs Christine Price Care Home 23 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (23) of places George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 23 OP and up to 3 DE(E) at any one time not exceeding the total number registered for. 11/04/05 Date of last inspection Brief Description of the Service: George Leonard Care Home is located on a main road between Blackheath and Whiteheath . A number of local shops and other facilities are available within easy reach of the home including a main bus route. The home originally comprised of two semi-detached police houses that have been linked together, converted and extended to provide the 23 bedded care home, as it now consists. The home has a small garden and a car parking space for approximately five cars to the front of the property and a good sized garden to the rear. The home comprises of two storeys . The ground floor houses the office, lounge, dining room, conservatory, kitchen, one of the assisted bathrooms and toilets. The first floor houses bedrooms, toilets and the second assisted bathroom. The home provides 19 single and 2 double bedrooms. 10 single and both double bedrooms are provided with en-suite facilities. George Leonard is registered with the Commission for Social Care Inspection to provide care to a maximum of 23 residents who have needs that fall within the category of old age, 3 of these places at any one time can be allocated to older people who have a diagnosis of dementia. George Leonard Rest Home DS0000004797.V268559.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 carried out by 2 inspectors’ on one day during 08.00 and 13.50 hours. The inspection was carried out as the second of the homes two routine inspections for this year. The premises were randomly assessed to include 2 bathrooms, 1 toilet, the lounge, dining room, conservatory, laundry and kitchen. The medication system and management of medication were assessed. Two staff and two residents’ files were assessed focussing on recruitment processes, admission processes and care delivery. Three staff and two residents’ were spoken to. Staff/ resident interactions were observed indirectly. Records involving fire safety and health and safety were perused and assessed. The manager and one of the registered persons’ were involved in the inspection process. Not all standards were assessed during this inspection. For a full overview of service delivery this report should be read together with the last inspection report dated 11 April 2005. What the service does well: It is very positive that the home has improved considerably since the last inspection. The home has a manager who is well experienced and has up to date knowledge. She has a good sense of leadership and gives clear direction to the staff team. The staff are motivated, committed and caring. The atmosphere of the home is warm, welcoming and positive. The general environment of the home in terms of décor and furniture is of a good standard. The home has good record systems in place to include assessment of need, care planning and risk assessments. Risk assessments in place have been approved by West midlands Fire Service and Environmental Health. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 6 Access to healthcare provision within the home is good, this was partially confirmed by a visiting district nurse who said; “ The home communicates well with us. They carryout instructions as we give them. We always assess and give treatments in the residents’ own room. We work together with the home to enable co-operation on both sides is good”. One resident spoken to said, “ The staff are great, food is good”. What has improved since the last inspection? As mentioned above the home has improved considerably since the last inspection in all respects. This confirmed by staff who said; “ Much happier, lots of changes but for the good. The manager is very approachable-we can ask for anything and she will do her best”. “ Lots of changes for the bettermuch more organised. Enjoy work. Manager good- helpful and supportive”. “ Food hygiene and moving and handling seem much better. – Getting it together- most important residents’ are happier- staff feel supported- there is teamwork”. The new manager is supernumerary to the rota, she works Monday to Friday 09.00-17.00 hours allowing her to focus on her managerial tasks. The new manager has revised the homes statement of purpose and service user guide. Staffing levels have improved since the last inspection. Two staff have been delegated catering responsibility this confirmed by the staff rota. Record keeping and risk assessments have improved significantly in the last eight months. A CCTV camera has been installed in increase security. The exterior of the building has been re-painted. This looks bright and clean. The communal areas have been redecorated. All easy chairs have been replaced with new attractive blue patterned chairs. New curtains, pelmets and throws have been ordered for each bedroom. The residents’ could choose from 3 colours. New carpets have been fitted in a number of bedrooms. New face cloths and fitted sheets have also been purchased. Sit on weighing scales have been ordered. It is being planned for the kitchen to be totally refurbished before Christmas 2005. Medication systems although improved, still require further development. It is pleasing that the registered owners have appointed representatives to carryout monthly visits of the home and compile a report of their findings. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 7 Infection control and laundry processes have improved since the last inspection due to the implementation of procedures and the monitoring of staff. Staff supervision sessions have been carried out since the last inspection. Regular staff and resident meetings take place. Events have been arranged for Christmas. A Carol service will be held on 14 December 2005 and a Christmas party with entertainment for staff, residents’ and relatives on 15 December 2005. An activity schedule is produced on a weekly basis. 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. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 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 George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 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): 2,3,4. Each resident has a written contract/statement of terms and conditions. No resident moves into the home without having had their needs assessed or being assured that their needs will be met. EVIDENCE: Two new residents’ files were assessed these both had included a written contract or statement of terms and conditions which detailed their room number and applicable weekly fee, what is included in the fee and what is not. Ample evidence was available to demonstrate that an assessment of need had been carried out by the manager prior to the residents’ being offered a placement at the home. A letter was available to confirm to residents’ how the home would meet their needs. One resident had been at the home for a 2 week respite stay. She returned home for only 2 days before choosing to go back to the home with a view to staying permanently. George Leonard Rest Home DS0000004797.V268559.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): 7,8,9,10. Residents’ health and personal care needs are set out in an individual plan of care. Residents’ health care needs are fully met. Medication systems/ administration require further development to ensure that they are fully safe. Residents’ are treated with respect and their privacy is upheld. EVIDENCE: Care plans have improved considerably since the last inspection. Care plan content and instruction is much more comprehensive. Areas covered include; personal care, health care and recreation. Care plans are being reviewed more frequently. There was evidence by way of residents’ signatures to demonstrate that they had been involved in their care plan production or that they are aware that they have a care plan. Access to healthcare provision within the home is good this was partially confirmed by a visiting district nurse who said; “ The home communicates well with us. They carryout instructions as we give them. We always now assess and give treatments in the residents’ own room. We work together with the George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 11 home co-operation on both sides is good”. There was evidence that residents’ have been seen by the dentist, chiropodist. One resident has recently been assessed by a speech therapist. Records to evidence daily personal care delivery need to be produced and be put into operation. Evidence was available to demonstrate that nutritional assessments are being carried out on admission and monthly thereafter. Residents’ are being weighed on admission and then every month. A set of sit on weighing scales has been ordered. A new pharmacist is contracting with the home. Evidence was available that this pharmacist carries out regular audits of the homes medication/ systems. A pharmacy contract was available for inspection. It is positive that staff who have a responsibility for medications either have or are receiving safe handling of medication training. Improvements have been made in respect of medications since the last inspection examples being; the auditing of medication by the homes pharmacist provider, the securing of medication training for staff, the undertaking of risk assessments in respect of residents’ who self medicate, the obtaining of an approved pharmaceutical guide and the updating of the staff example initial list. Further developments are needed to ensure medication safety examples being, staff to make sure that they sign medication records at the point of administration, to ensure that where a choice of dosage is given ‘ one or two tablets’ that the number actually given is recorded. That oral and external medications are stored separately, that all short life medications are date labelled when opened. Staff / resident interactions were observed during the inspection, these were seen to be positive with staff showing respect to residents’ and giving them choices. There was positive, light hearted conversation. Residents’ were confident to approach staff to ask questions or to make requests. Records revealed that the preferred form of address for each resident is determined on admission and recorded on their file. It had been determined in respect of the new residents’ their preference in terms of their personal care being delivered by an opposite gender staff member. Preferences in terms of baths / showers and times have been determined and recorded. Nursing interventions and treatments are now carried out in the resident’s own room, this confirmed by a visiting district nurse. George Leonard Rest Home DS0000004797.V268559.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): 14. Residents’ are assisted to exercise choice and control over their lives. EVIDENCE: The manager was given the telephone number of Sandwell Advocacy service to obtain information about this service to display in the home. All residents’ are given the opportunity to bring into the home with them personal belongings and furniture. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 13 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 Residents’ and their relatives and friends can be confident that their complaints will be listened to. Residents’ are protected from abuse. EVIDENCE: The home has a written complaints procedure which is available within the home and included in the homes service user guide. The manager confirmed that all residents’ have a copy of this document or it has been read to the residents’. The complaints procedure includes all of the required information. No complaints or concerns have been received by the home or the Commission for Social Care Inspection since before the last inspection. The majority of staff attended abuse awareness training provided by Sandwell MBC. The home has obtained since the last inspection, a copy of Sandwell MBC’s Adult protection guidelines which is positive. The manager has updated all in-house policies and procedures aimed to protect vulnerable people. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 14 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. Residents’ generally live in a safe’ well maintained environment. EVIDENCE: The home’s environment has improved considerably since the last inspection. The exterior of the home has been re-painted as have the communal areas which look cleaner and brighter. New easy chairs have been purchased which are an attractive blue fleck pattern. A number of bedrooms have been provided with new carpets. Bed linen has been purchased and curtains, pelmets and throws have been ordered for each bedroom. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 15 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): 28,29,30 Only a small number of staff at the present time have achieved N.V.Q level 2 or above not giving total confidence that residents are in safe hands at all times. Residents’ are protected by the homes recruitment policies. Staff are trained and competent to do their jobs. EVIDENCE: Only 4 of the total staff group to date have achieved N.V.Q level 2 or above. The manager was able to demonstrate however, that a number of staff are at present working towards this award. Senior staff are willing to undertake level 3, the manager is attempting to get funding for this. Staff recruitment process have improved since the last inspection. The manager has produced robust new recruitment policies. Records required were available on staff files perused examples being; sources of identity, written references and an application form. Evidence in the form of written folders/ workbooks were available to demonstrate that new staff have received prescribed induction/foundation training. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 16 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): 31,35,38. Residents’ live in a home which is run by a person fit to be in charge. Fine tuning is needed to ensure that residents’ financial interests are safeguarded. Fine tuning is required to ensure that the health and safety of residents’ and staff is promoted. EVIDENCE: The manager is already known and registered by the Commission due to her previous appointment. Her appointment in this home has been accepted by the Commission subject to a short formal interview, due to take place in December 2005. The manager has the required qualifications and experience. Residents’ money held in safe keeping was randomly checked. Balances against amounts were seen to be satisfactory. The money is held in the safe in George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 17 individual envelopes. It was noted that at the present time only one signature verifies transactions instead of the required two. Health and safety processes have improved since the last inspection. The new manager has secured input from both West Midlands Fire Service and Environmental Health. She has produced risk assessments pertaining to fire safety and health and safety which have been approved by these agencies. Service records were assessed. There were certificates to demonstrate the servicing of the emergency lighting, hoists, lift and fire alarm system. A valid gas landlords safety certificate was also available along with records to show that portable electrical appliances and the fixed electrical wiring tests are in order. Outstanding issues for instance, the installing of automatic closures on bedroom doors and the guarding of hot water pipes are in the process of being addressed. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 18 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 3 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x x STAFFING Standard No Score 27 x 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 2 x x 2 George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 19 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 OP8 Regulation 12(1)(b) Requirement The registered providers and manager must ensure that a record is made on a daily basis of all care delivered to each service user (Timescale of 04.10.04 and 01/05/05 not fully met). The registered providers and manager must ensure that : That medication administration records are initialled by the staff member administrating the medication immediately after it has been taken by the resident. That all short term medications examples being, optical preparations are dated on the first day of opening. That a suitable lockable facility is made available in the fridge to store the one residents medication . That the doctor is requested to review all residents’ medication on at least an annual basis George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 20 Timescale for action 28/12/05 2 OP9 13(2) 11/12/05 where they are being prescribed four or more medications. Where medications are prescribed as one or two to be taken then the precise number given each time must be recorded. Prescribed oral and external medication must be stored separately. (Timescale of 11/05/05 not fully met). The registered providers and manager must ensure that where medication records are handwritten ; Information being transferred from medication containers to medication records is verified by 2 staff and that this can be evidenced at all times. That the same level of detail is used as on pre-printed medication records, allergies, doctors names, dosage. The registered providers and manager must ensure that all receipt of medication is signed for. The registered persons and manager must ensure that where special instructions are provided for some medications for example Alendrolic acid , Risperendrate that the instructions are fully complied with. The registered persons and manager must ensure that they , or that they delegate a competent person to undertake regular in-house audits of the medication systems. DS0000004797.V268559.R01.S.doc 3 OP9 13(2) 11/12/05 4 OP9 13(2) 11/12/05 5 OP9 13(2) 11/12/05 6 OP9 13(2) 11/12/05 George Leonard Rest Home Version 5.0 Page 21 7 OP15 17(2) The registered providers and manager must ensure that a menu in a format understandable to all residents is on display at all times. This menu must detail all meals for the day including breakfast, lunch evening meal and supper There must be a choice of milk provided to the residents. (Timescales of 30/10/04 and 01/06/05 not fully met) The registered provider and manager must ensure that all food consumed on a daily basis by each resident is recorded. This to include breakfast, lunch, evening meal and supper. 12/12/05 8 OP15 17(2) 12/12/05 9 OP19 16(2)c, 23(2) 10 OP35 13(6) (Timescale of 30/04/05 not fully met). 20/12/05 The registered providers and manager must carry out an audit of the homes redecoration and replacement of furniture, fixtures and fittings throughout the home, all work identified must be incorporated in an order of priority into the routine maintenance programme. (Timescales of 30/11/04 and 15/11/05 not met). The registered providers and 12/12/05 manager must ensure that 2 signatures verify any transaction of resident money held in safe keeping by the home. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 22 11 OP25 13(4)(a) The registered providers and 10/01/06 manager must ensure that all exposed hot pipe work is guarded. In the interim period risk assessments must be carried out to eliminate any incidence of burning. (Timescale of 01/05/05 not fully met- all but 3 have been done). The registered providers and manager must ensure that all lights in toilets and bathrooms are provided with a light shade. 01/01/06 12 OP25 16(1)c 13 OP25 23(2)(d) (Timescale of 20.11.05 not met). The registered providers and 01/05/05 manager must ensure dedicated domestic hours are increased on a daily basis and must cover seven days. (Timescale of 01/05/05 not fully met). Cleaning hours are provided 5 days per week. Recruitment is being undertaken to cover the other 2 days. 14 OP33 24 The registered providers and manager must fully implement within the home a quality assurance / quality monitoring system as described in standard 33. (Timescales of 30.11.04 and 01/06/05 not fully met). 01/02/06 George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 23 15 OP38 23(4) The registered providers and 20/01/06 manager must ensure that no doors are propped open. Automatic door closures, linked to the homes fire alarm system must be purchased and installed. For advice contact West Midlands Fire Service. (Timescale of 01/05/05 not fully met). The manager confirmed that this will be addressed in Jan 06. 16 OP38 13(4),16( 2)23(2) The registered providers and manager must ensure : That food, fridge and freezer temperatures are taken and recorded as required. That all jams, sauces cooked meats and other short life products are dated when opened and stored as per manufacturers guidelines. That foods are stored appropriately in the fridges and freezers. (Timescale of 01/05/05 not fully met). 15/12/05 17 OP38 23(2) The registered providers and manager must ensure that ALL STAFF have or receive the following : First aid, moving and handling/ hoist training. (Timescales of 12.12.04 and 01/06/05 not fully met). 01/02/06 George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 24 18 OP38 13(4) The registered providers and manager must ensure that a documented weekly check is carried out in relation to all hoisting equipment, an additional visual check of this equipment must be made daily. Records must be made of these checks. 10/12/05 19 OP38 13(4) The registered providers and manager must ensure that a suitable bolt is fitted to the staff toilet door. (As the radiator is not guarded). (Timescales of 11.10.04 and 20/04/05 not met). The manager confirmed that the radiator would be guarded/ pipes boxed. The registered providers and manager must ensure that a stock of paper towels are available in the kitchen at all times. 01/02/06 20 OP38 13(3) 12/12/05 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 OP26 Good Practice Recommendations The registered providers and manager should consider employing dedicated laundry staff. George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 George Leonard Rest Home DS0000004797.V268559.R01.S.doc Version 5.0 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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