Inspection on 12/09/06 for Glenmuir House

This inspection was carried out on 12th September 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Glenmuir House 11/09/08

Glenmuir House 14/11/05

Glenmuir House 17/05/05

Glenmuir House 09/11/04

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

CARE HOMES FOR OLDER PEOPLE Glenmuir House 4 Branksome Road St Leonards On Sea East Sussex TN38 0UA Lead Inspector Mike Flint Key Unannounced Inspection 12th September 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Glenmuir House DS0000061434.V310793.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. Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenmuir House Address 4 Branksome Road St Leonards On Sea East Sussex TN38 0UA 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) 01424 430203 www.angelhealthcare.co.uk Angel Healthcare Limited Vacant Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users should be aged 65 years or over on admission. The maximum number of service users to be accommodated is 20. Only older people who have been assessed as requiring residential care are to be accommodated. 14th November 2005 Date of last inspection Brief Description of the Service: Glenmuir House provides residential and personal care to up to twenty older people. The property is a large detached building situated in a quiet residential area of St Leonards. Accommodation is provided on three floors, having a passenger lift that provides level access to all rooms. Glenmuir House has been registered as a care home since 1978 and owned by Angel Healthcare Limited since June 2004. The gardens, surrounding the home, are well kept and readily accessible to the service users. The home is approximately one mile from the town centre and sea front. A bus service runs near to the home. Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of the home was carried out over six hours, during a day in September 2006, when there were eighteen (18) older people in residence. There were no vacancies as two of the double rooms were being used for single occupancy. On duty were the acting manager, who assisted throughout the inspection, the shift leader, three carers and the full-time cook. During the visit the Inspector spoke with a visitor to the home, the cook, each of the duty care staff and seven of the residents in private. The Inspector was pleased to accept the invitation to join residents for their midday meal, which was of a good standard, with choices offered. The following sources were used to inform this ‘key’ inspection: - requirements from the previous inspection, the information provided in the pre-inspection questionnaire completed by the manager, and the comments from the residents, staff and visiting professionals. Written comments were received from four (4) residents in response to postal questionnaires, out of the ten (10) that were sent out beforehand. The aims of a key inspection are to assess the home’s performance in respect of a performance rating. Glenmuir House had met, or was in the process of meeting, most of the recommendations and requirements recorded in the previous inspection reports. This visit identified aspects of the service that demonstrate positive outcomes, as well as a small number of areas, where Standards have not been met. Standards not assessed during this inspection were assessed during the previous two inspections, in the months of May and November in 2005. The fees for residential care at Glenmuir House are currently £395.00 to £500.00 per week, depending on the services and facilities provided; extras such as newspapers, hairdresser, chiropodist, transport, and toiletries are additional costs. What the service does well: Glenmuir House continues to provide residents with a warm, friendly and comfortable place to live, which maintains and promotes their independence. Staff provide a good standard of personal care, which is tailored to individual needs. The service is managed and run in the best interests of residents. Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: A small number of recommendations remain outstanding from the last inspection. Improvements are required in terms of: - staff recruitment, where it was noted that several staff have been employed before satisfactory CRB (Police) checks have been obtained; staff development, where it was noted that there are no regular staff meetings, or individual supervisions; and staff training i.e. both in safe working practices and the NVQ awards in Care. To ensure the health, safety and welfare of all those, who live and work within the home, the regular health and safety checks carried out should include all areas, such as the garden, to which residents have access. At the time of the inspection it was noted that not all windows in residents’ private rooms had been safe-guarded with restricted opening e.g. in one room on the second floor, where the window-sill is at a low level, there is significant risk to the resident concerned, of falling out. Since a senior manager’s resignation from the organisation, the linemanagement supervision and support available to the acting manager has reduced. One of the more obvious results of this has been the absence of ‘notifications’ being communicated to the Commission, as required by Regulation e.g. death of a resident, or any event that effects the safety, health or welfare of a resident, or residents. (Regulation 37 refers) ----Comments received include the following and reflect the good overall outcomes for residents: ‘Glad that I came to this home because it is excellent’; ‘Staff are always attentive and listen and help’; ‘The staff are kind people’; ‘There’s a wide range of food’; ‘The meals are very good, when the (full-time) cook is on duty’; ‘There is always a choice of menu’; ‘The cook is lovely’; ‘I go for a walk most days’; ‘I get out on my (mobility) scooter’; ‘I attend motivation sessions and holy communion (in the home)’; ‘There are performances in the lounge of Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 7 acting and singing’; ‘I prefer to stay in my room’; ‘Staff look in at various times and at night’; ‘There are always (fresh) flowers in the hall’; ‘Everything has been done for me exceptionally well’; ‘Everyone is nice and kind’; ‘I am very satisfied with everything here’; ‘I chose this home as it has a good name locally’; ‘My friend visited prior to moving in and had lunch with other residents’; ‘She was able to ask the manager any questions that were not clear’; ‘I visit often and am always made to feel welcome’; ‘The home has a pleasing atmosphere’; ‘Hope I am able to stay (here) for the rest of my days’. Footnote: The Inspector thanks the acting manager, staff and residents for their participation, co-operation and hospitality shown during the course of the inspection. Thanks also to those others, who have submitted their written comments, or who have been contacted for their comments, as part of this Key inspection of Glenmuir House 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. Glenmuir House DS0000061434.V310793.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 Glenmuir House DS0000061434.V310793.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good; the home has procedures in place to ensure that the needs and expectations of those admitted can be met. This judgement has been made using available evidence including a visit to the home. EVIDENCE: Documentary evidence showed that satisfactory pre-admission assessments are completed for those, referred to the home. Residents spoken with said that visits to the home had been arranged to assist in their reaching a decision about moving in for a trial period. They also said that since moving in they felt their needs of were being well met. The home does not admit persons requiring intermediate care. Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good; personal support in the home is offered in such a way as to promote and protect the residents’ privacy, dignity and independence. This judgement has been made using available evidence including a visit to the home. EVIDENCE: A satisfactory system of care planning and risk assessment is in place, though some inconsistencies were noted within the documentation. A brief personal history of each resident is included in care plans. Individual daily progress notes are entered for residents by duty staff and there is a system in place for recording night-time checks. Regular care-plan reviews are recorded and involve the resident concerned. Residents spoken with commented very favourably about the good quality of care provided by staff. Glenmuir House has well-established links with local GP surgeries and Healthcare Services; at the time of the inspection, the District Nursing team were providing on-going nursing support to the home on a twiceweekly basis e.g. to change residents’ dressings. Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 11 The administration of medicines in the home is satisfactorily managed to promote good health. Only residents who so wish and who have been assessed as competent may manage their own medicines, in which case lockable facilities are provided in residents’ private rooms. Only staff who have received training in this aspect of their work are responsible for administering medicines. All interactions between staff and residents, observed during the inspection, were friendly and respectful e.g. when entering residents’ private rooms and when attending to residents. The Inspector noted that time was given to residents, when there was any extra attention needed. Residents, who wish, have a private phone line installed in their rooms, which one resident said was a life-line now that they were unable to get out. Glenmuir House DS0000061434.V310793.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good; the home provides a relaxed and supportive environment that enables residents to pursue their interests and autonomy within a socially orientated setting that is beneficial to their wellbeing. The meals in this home are of a good quality, offering both choice and variety, catering for any special dietary needs. These judgements have been made using available evidence including a visit to the home. EVIDENCE: Daily activities are provided for the interest and recreation of those residents, who wish to participate. Residents’ views regarding activities varied between those who enjoyed socialising and others who were not so interested. The Inspector considered that the support and encouragement given to residents, who wished to pursue their own interests, was appropriate; some of the more able residents said they enjoyed going out into the community for walks; a small number attend Sunday services in the local parish church; communion is provided in the home for those who are unable to get out. It was apparent, during the inspection, that the routines of daily living are flexible to suit the residents’ needs e.g. taking meals in their private rooms, entertaining visitors, or attending events outside the home. Many of the residents have regular contact with family and friends. Visitors are welcome to Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 13 the home at any reasonable time. On entering residents’ rooms it was clear that most bring personal items with them on admission. The Inspector was shown the menu plan by the cook, which appeared to provide an appealing, nutritious and well-balanced diet. Daily mealtime choices are discussed with residents on the day before, with records being kept of all meals served. Residents spoken with commented very favourably about the quality and choices of the meals served. During the inspection visit the Inspector was invited to join residents at the midday meal, which was tasty, nicely presented and well cooked. The cook said that a note is made of residents’ preferences, or special diets and that care is taken over this. Glenmuir House DS0000061434.V310793.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good; any matters of concern are handled appropriately, reassuring those involved that they are being listened to and that action will be taken, as necessary. Staff receive training in the protection of vulnerable adults, minimising potential risks to residents’ safety and well-being. These judgements have been made using available evidence including a visit to the home. EVIDENCE: There have been three complaints recorded since the last inspection. The acting manager produced satisfactory records of these that had been made at the time, showing each of the matters had been dealt with efficiently and satisfactorily. The home has a written procedure that advises residents, or visitors to the home how to make a complaint. Residents said that the staff and manager were very approachable and responsive, should issues arise that required action. There are policies and procedures in place relating to the protection of vulnerable adults and adult abuse, the staff spoken with said that they had received training in this area of their work. Glenmuir House DS0000061434.V310793.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25 and 26 Quality in this outcome area is good; the home provides a pleasing environment that is accessible and homely, meeting residents’ individual and collective needs in a comfortable, genteel style. The introduction of health and safety checks will ensure that a safe environment is maintained. These judgements have been made using available evidence including visits to the home. EVIDENCE: The layout and location of the home is well suited for its purpose. It is set in its own, grounds and situated in a quiet, residential area, where it is safe for residents to take exercise. On the day of the visit the Inspector noted that the previously well-kept grounds required some attention, in order to make the garden areas accessible and pleasing, for the benefit of residents. The manager said that a part-time gardener has been employed. Within the home, there is a choice of spacious and comfortably furnished communal rooms; of the private rooms, entered by the Inspector, each appeared to be satisfactorily decorated and furnished. The overall cleanliness Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 16 and hygiene in the communal areas and residents’ private rooms is maintained at a good standard. The home has suitable infection control policies of which staff said that they are aware. The acting manager is responsible for recording the recommended fire alarm checks and a contractor is currently responsible for checking the emergency lighting systems. Outstanding maintenance tasks are noted and carried out either by the owner’s employed handyman, or by the appointed outside contractors. At the time of the inspection there was no environmental risk assessment recorded and the regular (e.g. monthly) health and safety checks, required to ensure the well being of residents and staff, were not being carried out, or recorded i.e. for all areas of the home to which residents have access. All residents’ rooms and communal rooms have a call bell system, and residents said that staff are always responsive. Residents’ private bedrooms have en-suite facilities and either meet, or are above the National Minimum Standard as regards room sizes. Carpets have been replaced in five of the private rooms since the last inspection. A married couple is using one of the three rooms, registered for double occupancy, whilst the remaining two are being used as singles. The home provides two assisted bathrooms and a walkin shower. A passenger lift gives access to all floors. Glenmuir House DS0000061434.V310793.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate; whilst the staff appeared committed to their work and to have a clear understanding of the residents’ support needs, evident from the positive relationships, which have been formed between staff and residents, observed during the inspection, lax recruitment practices are putting the vulnerable, elderly residents at potential risk of harm. These judgements have been made using available evidence including a visit to the home. EVIDENCE: The duty rotas show satisfactory staffing arrangements are in place in respect of the care, cleaning and catering. The acting manager, assistant manager, or team leader is rostered to be present, seven days a week and there is an oncall duty system. The rota shows four duty carers in the mornings, three during the afternoon shift and two, duty night carers. Two young tea-time assistants are employed also a junior (trainee) carer. At the time of this inspection there were three staff, who had achieved NVQ awards in Care and four others, who have a nursing qualification. The acting manager informed the Inspector of the distance learning training that is arranged for staff. It is recommended that NVQ training be made available for all staff to access and that the target of 50 trained staff is achieved. Staff spoken with confirmed that they felt well supported by the acting manager; however, regular formal supervisions and staff meetings have yet to be put in place. Their comments reflected their enjoyment in their work and a Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 18 good team spirit. The are currently no staff vacancies, though some turnover of staff had necessitated the use of agency staff, earlier in the year; a resident spoken with said there had been some difficulty in understanding these temporary workers, due to their poor English. An examination of staff files showed that whilst application forms are being completed and employment references taken up, prior to appointment, the required CRB/POVA (Police) checks had not been applied for in the case of three of the carers and a further four checks had not been returned, prior to those persons being employed to provide personal care to vulnerable, elderly residents, in contravention of UK government legislation. Glenmuir House DS0000061434.V310793.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is good; the acting manager with senior staff provide a management team with the necessary skills, competence and experience to ensure a satisfactory standard in the day-to-day running of the home; together they have established an open and inclusive approach, maintaining a sense of mutual trust that residents understand and respond to positively. These judgements have been made using available evidence including a visit to the home. EVIDENCE: The acting manager has been in post for a little over one year and an application for her registration as manager is in process with the Commission. She has extensive relevant experience and is undertaking further NVQ training in Care at level 4; she will also be required to complete the Registered Managers Award, within a given timescale, as a condition of registration. Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 20 Good progress has been made in meeting the National Minimum Standards at the home, since their introduction in 2002. Both the residents and relatives spoken with commented very favourably about the quality of service provided at Glenmuir House. Quality assurance measures have been introduced that provide helpful feedback i.e. from satisfaction questionnaires, completed by residents, relatives and visitors to the home. The acting manager said that the responses had been helpful; the Inspector pointed out that by providing some feedback to residents e.g. during a residents’ meeting, this would encourage their further participation. The home has yet to produce an annual development plan, as an additional quality assurance measure. The atmosphere within the home is very relaxed, friendly and informal, which the residents confirmed suits them well. During a tour of the premises it was noted that few of the windows in residents’ private rooms were fitted with safety devices, or opening restrictors. In discussion with the acting manager it was apparent that the health and safety checks that are carried out have not included all parts of the home to which residents have access. It is recommended that these checks cover all aspects of health and safety, that there be an appointed first aider on duty at all times and that training in first aid be included in the training for staff in safe working practices. The Inspector reminded the acting manager of the requirement for the Commission to be notified of any events in the home that affect the health, safety, or well-being of residents. The acting manager maintains suitable records of individual pocket monies with receipts, where small personal items are purchased on behalf of residents. The home is part of a larger group, and the acting manager said that she receives support from the organisation, though this has lessened since the resignation of her line manager. The home has adequate insurance cover, and a current certificate of insurance was on display in the home. Glenmuir House DS0000061434.V310793.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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 X 3 3 3 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 X 3 X 3 2 X 3 Glenmuir House DS0000061434.V310793.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. 01 Standard OP29 Regulation 19(1)(b) Requirement That all the required documents on newly recruited and existing staff are obtained, including CRB/POVA checks. (Previous timescale unmet) That the required target of 50 staff trained to NVQ level 2 in Care is worked towards and achieved. That the home has a registered manager, who is suitably qualified and experienced. Timescale for action 31/12/06 02 OP30 18(1)(a) 31/12/07 03 OP31 9(2)(b)(i) 31/12/06 04 OP36 18(2) That formal recorded individual 31/12/06 supervision is regularly provided for all care staff i.e. at least 6 times annually. (Previous timescale unmet) That the registered person shall give notice to the Commission without delay of the death, injury, serious illness, or any event in the home, which adversely affects the well-being or safety of any service user, including allegations of staff DS0000061434.V310793.R01.S.doc 05 OP38 37(1 & 2) 01/10/06 Glenmuir House Version 5.2 Page 23 misconduct, theft, burglary or accident in the care home. 06 OP38 18(1)(c,i) That a programme of training in 31/12/06 safe working practices, including first aid, food hygiene, fire safety, moving and handling, infection control, elder abuse and is delivered and completed by all care staff. (Previous timescales unmet) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 01 Refer to Standard OP19 Good Practice Recommendations That the health and safety checks, carried out at the home include all parts of the building and grounds, accessed by residents, and that these checks cover all aspects of health and safety within the home. That risk assessments are carried out in respect of the fitting of window restrictors in residents’ private rooms. That the residents’ garden is satisfactorily maintained for their use. That a suitable air extraction unit is installed in the kitchen to meet current health and hygiene standards. That the manager has strategies for enabling staff, residents and other stakeholders to affect the way in which the service is delivered e.g. staff meetings/ residents meetings. That the home has an annual development plan based on a systematic cycle of planning-action-review, reflecting the aims and outcomes for residents. That at all times there be a trained first aider on the premises, amongst duty staff. 02 03 04 05 OP19 OP19 OP26 OP32 06 07 OP33 OP38 Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Glenmuir House DS0000061434.V310793.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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