Inspection on 06/06/07 for Glendale House

This inspection was carried out on 6th June 2007.

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

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

Other inspections for this house

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

CARE HOMES FOR OLDER PEOPLE Glendale House 32 Boyne Park Tunbridge Wells Kent TN4 8ET Lead Inspector Helen Martin Unannounced Inspection 6th June 2007 12:45 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 Glendale House DS0000069118.V338532.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. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glendale House Address 32 Boyne Park Tunbridge Wells Kent TN4 8ET 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) 01892 524222 Chistlehurst Care Ltd Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Glendale House can provide personal care and accommodation for up to twenty older people. The home is located in a quiet residential street approximately ¼ mile from Tunbridge Wells town centre with the usual town amenities such as shops, church and post office. Glendale House has been converted to a residential home, having accommodation over three floors. The home has sixteen single and two shared bedrooms, four of which have ensuite facilities. Communal areas include two lounge areas, a dining room and garden. There is a passenger lift to all floors, a ramp to the rear of the building with car parking facilities to the front. Chislehurst Care Limited owns the home. Currently there is no manager registered with the CSCI. There is an Acting Manager and care staff working a roster, which provides twenty-four hour cover. Ancillary staff are employed for cooking and domestic duties. Information about the current range of fees have been requested by the CSCI but not provided by the home. Full information about the fees payable, the service provided, the home’s Statement of Purpose and the latest inspection report by the CSCI are available from the Acting Manager. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced site visit took place on 6th June 2007. The visit included speaking with the Acting Manager and six people who live in the home. Some judgements about the quality of life within the home were taken from observation and conversation. Some records and documents were looked at. A tour of the house and garden was undertaken. The home has provided a completed Annual Quality Assurance Assessment. All of the above have been used within the inspection process and some information has been included within this report where appropriate. Glendale House is in a transitional stage; it is acknowledged that the new owning company have undertaken, are in the process of and plan to undertake a great deal of work and improvements to the home. This has been taken into consideration within the inspection process. Currently the Acting Manager is not registered with the CSCI. Presently there are eighteen residents accommodated with one vacancy. The home has sixteen single and two shared rooms, one of which is currently used for single occupancy. Residents who share rooms have done so for some time and have made a positive choice to do so. Comments made by residents spoken with at the time of this visit included: ‘I like the home’ ‘I like my room’ ‘Staff are very nice and come quickly when you use the buzzer’ ‘The food is good – if you don’t like the choices, you can ask for something else’ ‘We have music and movement’ ‘ We do bingo with staff’ ‘I go out in the garden sometimes’ ‘My relatives take me out’ ‘My relatives come to see me’ What the service does well: Individuals are given the information they need before they decide to move into Glendale House. Procedures are in place to ensure that the home is suitable to meet prospective residents’ needs. Individuals enjoy living in a home, which is run in their best interests by a competent manager. They enjoy living in a clean, comfortable, warm and homely environment. Residents are Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 6 treated with respect. Arrangements are in place to maintain their privacy and dignity. Residents’ personal, health and social care needs are met. Individuals benefit from a sufficient number of staff who care for, understand and anticipate their wishes. The views of residents are listened to and receive appropriate consideration. Residents are recognised as individuals and are able to exercise choice over their lives. They enjoy their lifestyle within the home and are able to keep in contact with their family and friends if they wish. Residents benefit from a varied and balanced diet. The regular testing and maintenance of systems and equipment within the home protects their health and safety. There are procedures in place, which aim to protect residents from potential abuse. 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. The summary of this inspection report can be made available in other formats on request. Glendale House DS0000069118.V338532.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 Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are given the information they need before they decide to move into Glendale House. Procedures are in place to ensure that the home is suitable to meet prospective residents’ needs. EVIDENCE: A new statement of purpose, giving information about Glendale House, has been developed since the home’s registration in March 2007. This is clearly laid out and easy to follow. It was noted that information regarding residents’ activities, religious services and arrangements to meet relatives was not recorded in detail. The acting manager assured the inspector that the document would continue to be added to as the new owners develop the home. All residents have a service users’ guide and terms and conditions of accommodation. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 9 The acting manager said that residents had been assessed before they moved in, in order to ensure that the home was suitable to meet their needs; assessments undertaken were recorded. The acting manager stated that there had been no new admissions since the home was registered in March 2007. It was mentioned that prospective residents and their representatives have the opportunity to look around Glendale House before they decide to move in; a trial period is available after they move in to confirm that the home is suitable for their needs. The acting manager explained that the home does not currently offer respite or intermediate care. All residents spoken with said they were happy at the home. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are treated with respect. Arrangements are in place to maintain their privacy and dignity. Residents’ personal, health and social care needs are met, although the continued development of care plans could better reflect this. Residents’ protection could be enhanced by some improvements to the procedures in place for the administration of medication. EVIDENCE: Since the registration of the home in March 2007, new individual plans of care for each resident have been developed from assessments undertaken prior to their admission to the home. All the information seen had been reviewed and updated. Care plans identify the support required from staff to meet residents’ personal and health care needs. Risk assessments are undertaken for a range of issues, such as falls, pressure sores, nutrition and moving and handling. Hand-written notes are kept of the day-to-day support provided. Residents or Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 11 their representatives sign care plans and have been involved in developing life and personal histories. Although recorded, there is no specific care plan for social activities. There are some gaps in information, which the acting manager assured the inspector would be filled as the home continues to develop the care plans. Records seen confirmed that a range of health and social care professionals are accessed to support staff to meet residents’ needs. A GP visited a resident on the day of this site visit. The acting manager said that residents have had support from the District Nurse and the Kent Association for the Blind when necessary. No residents have pressure sores, although specialist preventative equipment can be provided where necessary. Residents’ nutrition is monitored and they are weighed regularly. Staff manage all residents’ medication for them; an easily monitored system is used. Medication records are completed appropriately, with the exception of one hand written entry, which was not countersigned as accurate or supported by written confirmation from the prescribing GP. The acting manager explained that because of the change in procedures to be implemented soon that this situation will not occur in future. It was said that photographs of residents for identification purposes would be provided shortly. Medication is currently stored in a locked wooden cupboard; drugs that require refrigeration are stored in an unlocked domestic fridge in an unlocked cupboard; fridge temperatures are monitored. The acting manager assured the inspector that the new owning company would shortly be installing appropriate and secure medication storage facilities. Residents spoke highly of the staff team. Staff are friendly and polite to residents and knock on their bedroom doors before going in. During this visit, staff were seen to attend to individuals’ needs in privacy and respond quickly when asked. Glendale House aims to provide residents with a home for life; if it is possible for the home to continue to provide the care they need, individuals nearing the end of their lives are supported to spend their last days in familiar surroundings with people they know. The acting manager demonstrated a good understanding of the needs of residents and their families at this time. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are recognised as individuals and are able to exercise choice over their lives. They enjoy their lifestyle within the home and are able to keep in contact with their family and friends if they wish. Residents benefit from a varied and balanced diet. EVIDENCE: The routines of the home are generally flexible. Those spoken with enjoyed their lifestyle within the home and described activities such as music and movement, watching television, bingo and going out in the garden. The acting manager explained that the home has two music and movement sessions a week and a violinist comes into the home on a regular basis; in addition musical entertainers had recently visited; care staff provide bingo, crosswords and local walks; a pantomime would be arranged at Christmas. Two residents enjoyed spending time at a local day centre on the day of this visit; it was said that they attended on a weekly basis and that transport was provided. Many residents attend communion with a local minister who visits the home. One Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 13 resident enjoys talking books. The acting manager said that since the registration of the home in 2007, the books available for residents to read had been changed on a regular basis. It was indicated that the new owning company would continue to develop activities and outings for residents. Residents are encouraged to keep in contact with their relatives and friends if they wish. Visitors are welcome in the home and are able to speak with staff and the acting manager. Residents spoken with confirmed that they enjoyed visits from and trips out with members of their family. Residents spoken with said the quality of the meals was good and a choice was available. Menus available on the tables in the dining room showed variety and choice. Residents can ask for an alternative to the choice of meals offered and records seen confirmed this. The food that individuals’ consume is also recorded. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views of residents are listened to and receive appropriate consideration. The home has procedures in place, which aim to protect residents from potential abuse. EVIDENCE: At the time of this visit, residents were at ease talking with staff and those spoken with had no complaints about the home. The acting manager said that although no complaints had been received, the home had the facility to record these and any investigations should this be the case. The home provides a written complaints policy and procedure. The home has procedures in place, which aim to protect residents from potential abuse. Since the registration of the home in March 2007, all staff have undertaken training in the protection of vulnerable adults. The home provides a written policy regarding this. The acting manager explained that the new owning company was in the process of reviewing and updating all policies and procedures. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy living in a clean, comfortable, warm and homely environment, although reviews of some potential environmental risks would enhance their protection. EVIDENCE: The home is comfortable, warm and homely. All areas seen were clean and tidy. Residents use the garden. Those spoken with said that they enjoyed the environment that the home offered. The acting manager indicated that the new owning company was in the process of reviewing the facilities of the home. Since the home was registered in March 2007 two bedrooms have been redecorated and refurbished in an Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 16 attractive and comfortable manner; furniture is of good quality with a small plasma television provided. New crockery and cutlery have been purchased. The acting manager said that new carpet, chairs and tables had been ordered for the dining room together with new armchairs for the lounge. It was mentioned that a longer term plan was to refurbish all bedrooms with matching bed linen and curtains; residents can choose their colour schemes. There are sufficient lounge, dining, bathing and toilet facilities. Individual bedrooms reflect the occupants’ personalities and have personal effects and are very pleasant. There are two shared bedrooms, one of which is currently used for single occupancy. The manager assured the inspector that residents who shared a room had made a positive choice to do so and had done so for some time. There is a passenger lift to all floors and a ramp gives access to the rear of the building. The Kent Associated for the Blind has provided some specialist equipment. Aids and adaptations to give increased confidence and support are provided as necessary, although it was noted that frames around toilet seats are not fixed to the wall or floor. There is a walk-in shower room. The home is warm and well lit and rooms are naturally ventilated. The acting manager stated that, since the registration of the home in March 2007, pre-set valves to reduce the risk of scalding had been installed to all hot water outlets, with the exception of two; it was mentioned that these would be installed shortly. Hot water temperatures are checked and recorded regularly and the acting manager indicated that tests for Legionnaires would be undertaken when appropriate. It was noted that whilst some radiators are provided with covers, others are not; the acting manager said that it was planned for radiator covers to be installed throughout. No risk assessments had been undertaken regarding this. The Environmental Health Officer has recently visited, no recommendations were made and the home has been awarded a gold star. The kitchen and laundry area are maintained in a hygienic manner. Although the laundry does not have a sluice facility, the acting manager described measures in place for the maintenance of infection control. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a sufficient number of qualified staff who care for, understand and anticipate their wishes. Residents would be better protected by improvements to the systems for staff recruitment and training. EVIDENCE: There is good staff interaction between residents and staff. All residents seen spoke highly of staff; it was said that their response was swift when the emergency call alarm was activated. Staffing levels during this visit was adequate to meet individuals’ needs and records seen confirmed this. Ancillary staff are employed for catering and domestic duties. The acting manager explained that on days when ancillary staff were not available, additional care staff undertook these duties. No new staff have been recruited since the registration of the home in March 2007. The acting manager stated that all staff recruitment files were currently in the process of being reviewed and updated by the new owning company. It was mentioned that not all documentation relating to existing staff contained all of the necessary pre-employment checks. One file seen did not contain an Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 18 application form or references, another contained references from a family member and friend and not from a recent employer. The acting manager explained that currently all staff had applied for a new enhanced criminal records bureau check and some appropriate references were being sent for in retrospect. It was noted that a new format blank application form did not request a full employment history but that over twenty years. The acting manager assured the inspector that the new owning company would continue to update all staff recruitment files. After appointment, all new staff are provided with induction training. Although some records seen confirmed this, detail was brief. The acting manager explained that the new owning company would provide a new orientation and induction programme with appropriate recording systems. The acting manager explained that all staff training was currently in the process of being reviewed and updated by the new owning company. It was said that since the home was registered in March 2007 all staff had undertaken a course in the protection of vulnerable adults and all staff would receive training in moving and handling and first aid training shortly. The acting manager explained that although all staff who administered medication were trained to do so, six were booked on a new course. It was mentioned that fire training was planned. The acting manager stated that when the cook’s food hygiene certificate expired they would undertake a refresher course. All staff who cook for residents have undertaken food hygiene training with the exception of one. Infection control training needs updating. Records seen indicated that although staff have received training around meeting the needs of older people, much of this needed updating. The acting manager assured the inspector that the new owning company would continue to update staff training. It was said that since the home was registered in March 2007, four staff had commenced NVQ training at level 2. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36, 37, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy living in a home, which is run in their best interests by a competent acting manager, although they would benefit from the acting manager’s registration with the CSCI. The regular testing and maintenance of systems and equipment within the home protect residents, although the recording of visits to the home by the owning company would enhance this, as would some improvement to risk assessments for windows and hazardous substances. EVIDENCE: Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 20 Currently there is no manager registered with the CSCI. The acting manager is experienced and knowledgeable about the needs of older people who require residential care and has worked in the home within a managerial capacity for ten years. The acting manager explained that they are commencing a Registered Manager’s Award this year; it was said that when completed, they would apply for registration with the CSCI. The atmosphere of the home is open and inclusive and individuals spoken with confirmed this. There is discussion on a day-to-day basis. Discussion with the acting manager and records seen confirmed that staff supervision had been undertaken. The new owning company has introduced a new recording format. The acting manager assured the inspector that supervision would take place more frequently in future. Both resident and staff meetings take place on a regular basis. The home has their own quality assurance system, which has included questionnaires being sent to residents in the past. The acting manager explained that the new owning company would soon introduce a new system. The acting manager explained that senior company managers currently visit the home on a weekly basis. It was said that these visits would shortly be recorded in order to comply fully with Regulation 26. The home has provided the CSCI with a completed annual quality assurance assessment. The home provides a range of written policies and procedures; staff sign to say that they have read and understood these. The acting manager said that policies and procedures were in the process of being reviewed and updated by the new owning company. The acting manager stated that the home does not hold any cash on behalf of residents and that all are provided with lockable facilities within their rooms. Accidents and incidents are recorded appropriately. Records seen indicated the regular testing and maintenance of systems within the home, such as fire alarm, emergency lights, staff call, electrical equipment and the lift. The manager assured the inspector that a gas safety check was undertaken when the home was purchased. Fridge, freezer and hot food temperatures are monitored and recorded. Other records have been mentioned previously within this report where appropriate. Open fire doors are fitted with a self-closing device should the alarm sound. The acting manager stated that although some windows had restrictors, others did not and that there were no risk assessments available for this. Cleaning chemicals are stored securely, although no data sheets are available for the control of hazardous substances. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 21 Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 2 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X N/A 3 3 2 Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP29 Regulation 19(1)(b) Requirement The registered person shall not employ a person to work at the care home unless…(they have) obtained…the information and documents specified in…Schedule 2. In that, in order to improve the protection of residents, the owning company must complete their stated intention to update all staff recruitment documentation as appropriate to include all the necessary preemployment checks. 2 OP30 18(1)(c)(i) The registered person 20/07/07 shall…ensure that the persons employed…to work at the care home receive training appropriate to the work they are to perform. In that, in order to improve the protection of residents, the owning company must complete their stated intention to update all necessary staff training as appropriate. Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 24 Timescale for action 06/07/07 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 OP7 Good Practice Recommendations It is recommended that, with regard to care plans: 1. The manager should complete their stated intention to fully complete all new care plans 2. Care plans should include social activities. 2 OP8 It is strongly recommended that, with regard to medication: 1. The acting manager should complete their stated intention to avoid hand written administration records wherever possible. 2. When hand written, administration records should be countersigned as accurate and supported by written confirmation from the prescribing GP in order to reduce the risks of errors. 3. The manager should complete their stated intention to provide photographs of residents to be kept with administration records for identification purposes. 4. The manager should complete their stated intention to install the expected appropriate and secure storage facilities as soon as possible. 3 OP22 It is strongly recommended that a review should be undertaken in order to protect residents from the potential risk of toilet frames that are currently not fixed to the wall or floor; any risks identified should be recorded and reduced by action taken. It is strongly recommended that a review should be undertaken in order to protect residents from the potential risk of scalding from high surface temperature radiators; DS0000069118.V338532.R01.S.doc Version 5.2 Page 25 4 OP25 Glendale House any risks identified should be recorded and reduced by action taken. 5 OP30 It is recommended that, in order to evidence that residents’ needs are being met, the new owning company should complete their stated intention to introduce an appropriately detailed method of recording staff induction training. It is strongly recommended that the acting manager should complete their stated intention to undertake a Registered Manager’s Award and apply for registration with the CSCI as soon as possible. It is strongly recommended that the owning company should complete their stated intention to record some regular visits to the home on a monthly basis in order to comply fully with Regulation 26. It is strongly recommended that a review should be undertaken in order to protect residents from the potential risk of some windows without restrictors; any risks identified should be recorded and reduced by action taken. It is recommended that, in order to improve residents’ protection, data sheets should be obtained for the control of hazardous substances used within the home. 6 OP31 7 OP33 8 OP38 9 OP38 Glendale House DS0000069118.V338532.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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