Inspection on 06/11/07 for Glenhurst Manor

This inspection was carried out on 6th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Glenhurst Manor 22/06/09

Glenhurst Manor 03/12/08

Glenhurst Manor 04/06/08

Glenhurst Manor 10/03/08

Glenhurst Manor 29/06/06

Glenhurst Manor 03/03/06

Glenhurst Manor 17/05/05

Glenhurst Manor 26/10/04

Glenhurst Manor 27/05/04

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

CARE HOMES FOR OLDER PEOPLE Glenhurst Manor 44a West Cliff Road Bournemouth Dorset BH4 8BB Lead Inspector Catherine Churches Key Unannounced Inspection 10:00 6 and 12th November 2007 th 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 Glenhurst Manor DS0000003939.V340588.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. Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenhurst Manor Address 44a West Cliff Road Bournemouth Dorset BH4 8BB 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) 01202 761175 01202 761164 info@glenhurstmanor.co.uk Mr Kevin Robin Ellis Vacant Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2006 Brief Description of the Service: Glenhurst Manor is registered to provide personal care and accommodation for a maximum of 36 people. The home is in the West Cliff area of Bournemouth, a short walk from the cliff top and not far from the facilities of the town centre and the Westbourne shopping area and is situated on a bus route for central Bournemouth. It is registered to Mr Ellis. The post of Registered Manager has been vacant since December 2006. Accommodation is arranged over three floors providing 29 single bedrooms and 4 bedrooms that may be used as double rooms. All rooms except one have en suite facilities. A passenger lift provides level access to all areas of the home. There is a large lounge and a separate dining room; both have views of the rear garden. To the front and rear of the property are well-maintained grounds for the use of residents; there are car parking spaces at the front of the house. Fees range from £582.53 to £907.38 per week. Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on 6th and 12th November 2007. In total six and a half hours were spent in the home undertaking the inspection. The deputy manager was present throughout the inspection. The inspection took place as part of the regular, programmed inspection schedule for the home. The last inspection was June 2006. The purpose of this visit was to monitor the homes compliance with National Minimum Standards and with recommendations made during the previous inspection. Also, to check that the home is run in a satisfactory manner and that the people who are living in the home are properly cared for. The premises were inspected and a number of records examined. Time was also spent time observing routines within the home and talking with residents, visitors and staff. Generally, the feedback received from residents, visitors and staff was positive. Some of the comments received are detailed below: “The food is always very good” (a resident) “I enjoy the scrabble and music sessions” (a resident) “The staff are always very kind and helpful and friendly” (a resident) “The home is very well run” (a resident) “No concerns, a very nice care home” (a GP) “Being in care is not really a choice. We feel that the home could provide more, differentiated activities, especially accompanied walks.” (A relative) “Provides very personalised care. We feel they are in a comfortable, caring and secure environment” (a relative) “Treats everyone with great respect, understanding and makes them feel special” (a relative) “Very friendly, caring, chatty, helpful” (a relative) What the service does well: Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 6 Glenhurst Manor provides a homely, relaxed and comfortable environment with a welcoming and friendly atmosphere. The home is very well presented and has beautifully maintained gardens that residents reported they were very proud of. Residents say that staff are kind and caring and that their privacy and dignity is respected at all times. All residents, and visitors, spoken with were positive about the care and attention they receive. There is a good range of activities in the home and visitors are encouraged to come to the home whenever possible. Residents are encouraged to maintain their links with family and friends and visitors to Glenhurst Manor are made welcome. People are positive about the food at Glenhurst Manor. Food is well presented and staff are available to assist residents if help is required. The staff group is stable and were observed to be respectful, caring and helpful. Sufficient numbers of staff are on duty throughout the day and night to be able to meet the care needs of the residents. What has improved since the last inspection? It was disappointing to find that very little has improved since the last inspection. Only two of the requirements from the last inspection had been fully addressed: Bedroom furniture has been assessed and where necessary fixed to the wall to reduce the risk of it falling on residents. The regulation of the hot water system has been improved to reduce the risk of scalding. Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 7 What they could do better: Numerous issues have been identified which must be addressed to ensure that MINIMUM standards are met. These are summarised below: • All residents must have a plan of care that sets out in detail the action which needs to be taken by care staff to ensure that all aspects of their health, personal and social care needs are met. Individual care plans, must be created for each specific area of need and must not be generic. Based on regularly reviewed assessments e.g. falls, nutrition, risk, moving and handling, pressure areas and continence. Staff must receive training in the protection of vulnerable adults from all forms of abuse. Safe systems for the recruitment of staff must be put in place to ensure residents are protected. All new staff must receive the required induction training The provider must appoint a suitably qualified, competent and experienced person to manage the home and put them forward for registration with the Commission. Effective quality monitoring systems must be introduced must be put in place to measure the homes success in meeting its stated aims, objectives and statement of purpose. The home must ensure that the health, safety and welfare of residents and staff is promoted through: • Training staff and providing regular updates in moving and handling, infection control, emergency aid, health and safety and basic food hygiene. • Regular checks of the alarm system, emergency lights and extinguishers must be carried out and recorded to ensure that the system is working properly. • • • • • • 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. Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 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 Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory pre admission procedure is now in place. Assessments are undertaken and this means that the home tries to ensure that only those residents whose needs can be met by the home are offered places at Glenhurst Manor. EVIDENCE: The files of two residents who had been recently admitted to the home were reviewed. Assessments had improved since the last inspection. A new care planning system has been introduced and the quality of entries has improved. Evidence was available that the resident and/or their representative had been involved and letters confirming the outcome of the assessment were on file. Glenhurst Manor DS0000003939.V340588.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 and 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Each individual has a care plan and these have been reviewed. The care plan does not reflect all needs or the actual care that is being delivered. This means that the home cannot provide consistent evidence each persons needs are known and understood and that appropriate care is delivered at all times. EVIDENCE: The care documentation for three residents was reviewed. Each file contained a variety of risk assessments, care plans, daily records and reviews. Those care plans that were in place were satisfactory. Daily records and details in other care plans provided evidence that other care plans on a wider range of needs were not in place. Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 11 Some assessments of moving and handling needs, pressure sores and mental health problems had assessed residents as at risk but no action to reduce the risk was recorded and there were no instructions to staff. There was no evidence available that the resident and/or family member had been involved in the creation of the care plan. Mobile residents were being weighed once a month on standard bathroom scales. There is no provision for the less able to be weighed, therefore little or no monitoring of their nutritional health is taking place. Residents confirmed that they have access to medical services. Records of visits from GP’s, district nurses, chiropodist, optician and dentist were up to date. All residents spoken with said that their privacy is respected and that they were treated with dignity. Staff were seen to knock at bedroom doors and treated residents with courtesy and kindness. All residents seen were very well presented and it was clear that staff pay attention to details such as make up and jewellery as well as the basics of personal care. Glenhurst Manor DS0000003939.V340588.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 experience a varied lifestyle, which reflects their interests and needs. Relatives and friends are made welcome at the home and supported to play a part in the life of the service. Contacts are maintained with the local community according to the wishes of residents. People who live at Glenhurst Manor make choices about the way that they live. Residents enjoy a varied and appealing diet, in delightful surroundings, at times that are convenient to them. EVIDENCE: Prior to moving into the home, and following admission, residents are asked about their interests and hobbies. Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 13 A calendar of events is produced on a monthly basis. Over the summer trips to local attractions were arranged and residents reported how much they had enjoyed these. The deputy manager confirmed that more such outings would be planned as well as a busy Christmas schedule. Social activities arranged include entertainment, quizzes and art classes. The gardens of the home are a special place in the warmer weather and residents were enjoying sitting and enjoying its peace, green and landscaped surroundings. Two relatives visiting the home were enjoying time with their family member in the privacy of the resident’s rooms. Both visitors spoken with said that they are made to feel welcome when they visit the home, and expressed their confidence that their family members are well cared for at Glenhurst Manor. The home has a pleasant dining room, looking out across the home’s gardens. This room is attractively decorated and furnished to a high standard. Tables are well presented to enhance the dining experience. The home has a varied menu. At lunch time alternatives to the meal choices were seen and were also recorded in the home’s records. Glenhurst Manor DS0000003939.V340588.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 poor. This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. Residents at Glenhurst Manor are confident that their complaints will be listened and responded to. Staff have not received refresher training in Adult Protection. The home is therefore putting residents at potential risk as a lack of knowledge may mean that an abuse is not noted. EVIDENCE: The home has a complaints log. No complaints have been received in the last twelve months. The home has a copy of the local adult protection protocol. According to training files sampled adult protection training last took place in 2004. This now requires updating. Some staff members are engaged in NVQ training, which includes training in abuse. Glenhurst Manor DS0000003939.V340588.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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is very well presented: it is nicely decorated and furnished and has a homely atmosphere. The grounds are also very well maintained, providing lots of colour and interest as well as a variety of places to sit and relax. The home maintains a good standard of hygiene and all areas seen were clean and free from offensive odours. EVIDENCE: Residents at the home enjoy the delightful surroundings of the Manor and its well-maintained gardens. All rooms have a unique character, and are furnished to a high standard. Matching soft furnishings complement each room, which are refurbished as they become vacant. The lounge was undergoing major refurbishment at the time of the inspection. Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 16 Dorset Fire and Rescue Service have visited the home and confirmed that it complies with their requirements. Previously it has been identified that there is no permanent staff toilet. Currently staff use ensuite facilities of a nominated vacant room. Mr Ellis confirmed that plans are being drawn up to create a permanent staff toilet. Individual accommodation is pleasantly furnished and decorated to a high standard, providing personal surroundings, with which residents expressed satisfaction. All rooms have ensuite facilities. A number of residents were spoken with in the privacy of their own rooms. All were very happy with the environment, commenting on how they had been assisted to bring furniture with them, the dedication of the cleaning staff and the pleasure that the beautiful surroundings gives them. All areas of the home visited were clean, hygienic and free from offensive odours. Glenhurst Manor DS0000003939.V340588.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): 27,28,29 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The deployment and number of available staff was sufficient to meet the needs of the residents. Staff have experience in caring for the elderly, a number have already achieved the minimum vocational qualification and others are undertaking training. This means that attention given to developing staff abilities and competencies. Vetting practices for the appointment of new staff are weak. The home has therefore potentially put residents at risk by employing staff without undertaking suitable checks. The required induction of new staff has not been taking place. This means that new staff may be delayed in acquiring the necessary skills and therefore not be able to provide the required care in a safe manner. EVIDENCE: Examination of the staff rota and observation throughout the inspection demonstrated there was a sufficient number and skill mix of staff to meet the needs of residents. All residents spoken with confirmed that staff were always available, kind and helpful. Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 18 Staff members are working hard to achieve National Vocational Qualifications in Care (NVQ.) The deputy manager said that six members of staff currently hold an NVQ and three members of staff are undertaking the qualification. There are seventeen care staff employed: therefore the home is close to meeting the required minimum of 50 of staff being qualified. Staff records were examined for three newly appointed members of staff. Records demonstrated serious omissions. None of the staff had had a POVA (Protection of Vulnerable Adults) check before commencing duties nor had completed CRB (Criminal Records Bureau) checks until well after their start date. Not all files had proof of identity or evidence of pervious training. References were not complete for one person. Employment histories were not always clear. The deputy manager was not aware of the Skills for Care inductions that must be done and therefore none of the new staff had received the requisite training. Glenhurst Manor DS0000003939.V340588.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): 31,33,35 & 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home lacks leadership and direction as a consequence of not having a registered manager in post for a prolonged period of time. Quality assurance systems are being improved and this should ultimately lead to improved services and facilities for residents. Sound practices and procedures are in place regarding resident’s finances. The health, safety and welfare of residents and staff is potentially being put at risk due to poor practice in relation to fire prevention and staff training. Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 20 EVIDENCE: The home has been without a registered manager for more than ten months. There was a proposed manager who left the home before registration was completed. The staff team work together to ensure that the home is run in the best interests of residents. The Deputy manager completed the CSCI documentation for the Annual Quality Assurance Assessment. No other work has been undertaken in the home to develop its own quality assurance system. The deputy manager confirmed that residents are encouraged to retain control of their finances for as long as possible. Where they state that they no longer wish to or they lack capacity to do so, then the home ensures that appropriate persons are available to take on this role. She confirmed that the home does not have any involvement with resident’s finances and does not hold any cash or valuables on anyone’s behalf. Fire records, accident books and staff training records were examined. Many staff had not received refresher or basic training in the mandatory areas of emergency aid, fire safety, basic food hygiene, moving and handling and health and safety. Weekly checks of the fire alarm system and monthly checks of the emergency lights and fire extinguishers were not being undertaken as required. A number of bedrooms on the first and second floors of the home have balconies. Risk assessments had not been carried out to ensure residents safety in these rooms. Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 X 10 3 11 X 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 1 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 X 3 X X 1 Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 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 OP7 Regulation 15(1) Requirement Each resident must have a comprehensive plan of care, generated from detailed assessment, which details all of their health, personal and social care needs and how these are to be met. 6/11/07 The poor quality of care plans has been an ongoing issue and this is the 3rd consecutive inspection which has resulted in a requirement. Improvements have been noted but the standard has not been achieved. Enforcement action may now be taken Where assessments of moving and handling needs, pressure sores and mental health identify risks, action must also be taken and recorded to reduce or prevent the hazard. 6/11/07 This is the second consecutive time that requirements have been made regarding pressure sore assessment and care. Timescale for action 29/02/08 2. OP8 14 29/02/08 Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 23 3. OP8 14 4. OP18 12(1) 5. OP28 18(1) 6. OP29 19 & schedule 2 The registered person must ensure that nutritional screening of residents is undertaken on admission and subsequently on a periodic basis, a record must be maintained of nutrition, including weight gain or loss, and appropriate action taken. 6/11/07 This is the 3rd consecutive inspection that has resulted in a requirement regarding this matter. Improvements have been noted but the standard has not been achieved. Enforcement action may now be taken Staff must receive training and regular updates on the signs and symptoms of abuse and the actions they should take should any form of abuse be suspected. 6/11/07 This is the second consecutive inspection that has resulted in this requirement. Enforcement action may now be taken. A plan must be developed and implemented to ensure that 50 of care staff are trained to a minimum of NVQ level 2 in care. 6/11/07 Progress is being made in meeting this requirement. The registered person must ensure that the home operates a robust recruitment procedure. Two written references, one of which is from the person’s last employment, must be received prior to commencement of employment. 6/11/07 This is the second consecutive inspection that has resulted in this requirement and other previous inspections have also raised this matter. Enforcement action may now be taken. DS0000003939.V340588.R01.S.doc 29/02/08 28/02/08 30/03/08 29/02/08 Glenhurst Manor Version 5.2 Page 24 7. OP29 19(1) 8. 9. OP30 OP31 18 8(1) 10. OP33 24(1) 11. OP38 12(1) 12. OP38 12(1) Staff may not commence duties in the home prior to the receipt of a satisfactory POVA check. CRB checks must also be satisfactory but can be received after commencement of employment. Evidence of identity and previous training must be available. All new staff must receive induction training as directed by Skills for Care. The provider must appoint a suitably qualified, competent and experienced person to manage the home and put them forward for registration with the Commission. Effective quality monitoring systems must be put in place to measure the homes success in meeting its stated aims, objectives and statement of purpose. Staff members must be updated in all areas of mandatory practice, as required. This must include updating in manual handling, health and safety, infection control, emergency aid and basic food hygiene. 6/11/07 This is the second consecutive inspection that has resulted in this requirement. Enforcement action may now be taken. The required weekly and monthly checks of the fire warning system must be carried out and recorded. 29/02/08 30/03/08 30/03/08 30/03/08 28/02/08 28/02/08 Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 25 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 OP9 Good Practice Recommendations It is recommended that staff members should have training in the use of the tablet counter to prevent possible contamination loss of medicines when counting tablets for stock balance purposes. 6/11/07 This recommendation is carried over to the next inspection as medication was not inspected on this occasion Handwritten amendments and additions to medicine administration records should be signed and dated by the writer and by someone who has checked the entry for accuracy. 6/11/07 This recommendation is carried over to the next inspection as medication was not inspected on this occasion Eye drops should be dated on opening, where they have a limited life on opening; disposed of according to dispensing instructions, and stored in their original container. 6/11/07 This recommendation is carried over to the next inspection as medication was not inspected on this occasion The registered person should consider the provision of a separate staff toilet. 6/11/07 Progress is being made and feasibility studies have been undertaken. 2. OP9 3. OP9 4. OP21 Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. Extracts may not be used or reproduced without the express permission of CSCI Glenhurst Manor DS0000003939.V340588.R01.S.doc Version 5.2 Page 27 - 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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