Inspection on 04/09/08 for Highfield House Residential Home

This inspection was carried out on 4th September 2008.

CSCI found this care home to be providing an Good service.

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

Highfield House Residential Home 12/02/10

Highfield House Residential Home 09/09/09

Highfield House Residential Home 13/06/07

Highfield House Residential Home 28/06/06

Highfield House Residential Home 02/02/06

Highfield House Residential Home 04/10/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 13/11/2008.

CARE HOMES FOR OLDER PEOPLE Highfield House Residential Home 67-69 Sudell Road Darwen Lancs BB3 3HW Lead Inspector Mr Graham Oldham Unannounced Inspection 09:30 4 5 September 2008 th 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 Highfield House Residential Home DS0000064296.V363324.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. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield House Residential Home Address 67-69 Sudell Road Darwen Lancs BB3 3HW 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) 01254 701273 F/P 01254 701273 Dhillon Financial UK Limited Miss Michelle Elizabeth Underwood Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP The maximum number of people who can be accommodated is: 18. Date of last inspection 13th June 2007 Brief Description of the Service: Highfield House is a detached property set in its own grounds. It has a small garden at the front, a car parking area at the side and a small enclosed garden area to the rear. Accommodation is provided in single rooms and five bedrooms have en-suite facilities, (W.C. and wash hand basin). There are bedrooms on both the ground and first floors. A passenger lift connects the two floors. There are two bathing and one shower facility. The home is on a bus route into Darwen Town Centre, and is approximately half a mile from the main shopping centre. The statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. The fees for Highfield House are £341 per week. Extra payment is required for hairdressing, newspapers or periodicals, toiletries and outings. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced key inspection, which included a visit to the home, took place on the 4th and 5th September 2008. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Two residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Two staff members were questioned about the care of the resident’s case tracked. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. What the service does well: The assessment process enabled residents to be correctly placed at the care home. Plans of care had been developed and reviewed with residents to ensure their wishes and needs were met. Residents case tracked said, “ I have been here a few weeks. I chose here because I could not manage at home. My social worker wanted me to try it and I want to live here permanently. Since I moved in I like it” and “I have been here a few years now. I am still happy here and we all get on”. Residents were happy with their chooice of home. Residents case tracked said, “when they help me they treat me with dignity” and “they help me in a nice way and I feel comfortable with the care I get”. The professional was staff delivered personal care met residents approval. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 6 Residents health care needs were assessed and they had access to specialists to ensure their care was up to date. Residents case tracked said, “The food is very good” and “the food is OK. I get enough and we get good choice. If you don’t want it the cook does not mind and she will change it”. Meals and mealtimes were social and pleasant for residents. Residents case tracked said, “I get visitors and staff give her a cup of tea and treat her well” and “I get visitors – my daughter comes every day. The staff are lovely to her”. Visiting was encouraged for the benefit of residents One resident case tracked enjoyed the activities and said, “I enjoy the bingo and dominoes but sometimes I like an hour after lunch so don’t bother with activities then. We are going to Blackpool lights. One resident case tracked preferred to do his own thing. Residents case tracked were satisfied with the activities on offer at the care service. Residents case tracked said, “I am satisified with everything and I have no complaints. I have no quarrel with anyone. They are very professional in an informal way and I could complain to anyone. I feel safe and “I would report any complaints but don’t have any problems or complaints. I feel safe here noboby bothers me”. Residents felt safe and able to voice their concerns. Residents case tracked said, “I like my room very much. I have my own telephone” and “my room is very nice and I have a lot of my own things. I have my own easy chair as well which is comfortable”. Residents were satisifed with their personal space. Residents case tracked said, “I have been looked after very well. Staff are pleasant with me. All in all I am happy with my move” and “Staff are lovely with me and we have a laugh. I am happy here”. What has improved since the last inspection? Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 7 The registered provider was providing petty cash for staff to buy food or cleaning materials ensuring residents were better looked after. Making two staff available at nighttime had alleviated the issues surrounding privacy and dignity for the benefit of residents. The relationship between the registered person and some staff had improved creating a better atmosphere at the care home. Plans of care showed signs of resident involvement to ensure their wishes were taken into account. Staff had undertaken the administration of medication training to help protect the health and welfare of residents. Plans of care had been reviewed on a regular basis to keep staff up to date with care issues. What they could do better: The registered person must ensure recruitment procedures are robust to help protect residents from possible abuse. The registered person must ensure staff training in NVQ, health and safety topics and safeguarding are undertaken to provide a more competent staff team. The registered person must be available or designate a member of staff to be able to access all the office and records. The registered person shall make suitable arrangements to provide residents with some form of stimulating exercise. The registered person should ensure workmen are competent and do not leave hot water outlets in bedrooms turned off for sustained periods to ensure residents personal hygiene is easily maintained. The registered person should consider employing someone to work in the office for a few hours a week to ensure all documents are filed and can be found at an inspection. The registered person should ensure quality assurance systems meet current specifications and are available for inspection. The registered person should ensure he attains the necessary qualifications to meet current requirements to manage the service. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 8 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. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 9 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 Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 10 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): OP3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process ensured staff had sufficient information to be able to meet the needs of residents. EVIDENCE: Two residents were involved in the case tracking process. Both residents had been assessed prior to admission. Social services had assessed one person as being suitable for residential care. The assessment of residents enabled staff to correctly place residents. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 11 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): OP7, OP8, OP9 and OP10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Plans of care had been developed and reviewed to ensure staff were up to date with each residents needs. Residents had access to specialists to meet their health care needs. Medication policies, procedures and staff training ensured risk of errors were minimised. Residents were treated with respect and dignity to ensure they were comfortable with the personal care they received. EVIDENCE: Two residents were involved in the case tracking process. This involved examining the plans of care, talking to residents about their care and discussing the care issues with two staff members. Care was delivered by staff, written accurately in the plans and met the expectations of residents. Plans had been developed with the aid of residents and reviewed on a monthly basis. Resident’s case tracked said care was good. Plans of care enabled staff to meet the up to date needs of residents. Each resident case tracked had their needs risk assessed. This included assessment for pressure area care, nutritional and moving and handling needs. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 12 A falls risk assessment had been completed. Plans of care contained evidence residents attended specialists such as GP’s, District Nurses and Psychiatric staff. Equipment was provided for residents where a risk was demonstrated such as pressure relieving mattresses or frames and wheelchairs. Outpatient and other appointments were recorded within the plans of care. Residents had access to specialists to receive up to date care or advice. Policies and procedures for the administration of medication were up to date and had been reviewed in line with the Royal Pharmaceutical Societies guidelines. Medication records were up to date and contained no unexplained gaps. Staff had access to current medication publications and their local pharmacist to gain advice. There was a good system for the ordering, administration and disposal of medication. There was a Controlled Drug register and appropriate cupboard. There was a signature list for all staff who administered medicine. Residents signed their agreement to the level of support they needed for medication administration and where possible were able to self administrate. There was a copy of the British National Formulary for staff to use. The person in charge said they had access to their pharmacy for advice. The safe administration of medication helped protect the health and welfare of residents. Most of the inspection was undertaken in the dining room and staff were observed carrying out their tasks. There was a good rapport observed between staff and residents. Staff delivered care in a professional manner. Resident’s case tracked were satisfied staff administered care in a way they felt comfortable with and preserved their dignity. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 13 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): OP12, OP13, OP14 and OP15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Leisure activities provided were suitable to resident’s tastes and helped provide a fulfilling life. Visiting was open and unrestrictive to encourage socialising with family and friends. Residents were able to exercise choice to retain some independent living. The food served at the home met residents nutritional needs. EVIDENCE: Two residents were involved in the case tracking process and said they were satisfied with the level of activities on offer. Plans of care tell staff to promote independence and how to offer choice such as the times for getting up and going to bed or what they want to wear. There was an activities list and all activities were recorded in a ledger and individually in plans of care. Some musical instruments had been purchased to try to inject some fun into the activities. Residents were offered choice within the routine and suitable leisure activities to enable them to lead a satisfactory life. Resident’s case tracked said the food was satisfactory and they had a good choice. The kitchen was clean and tidy. The cook carried out environmental health checks. The weekly menu was displayed outside the kitchen and staff Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 14 were heard telling residents what was to eat. Staff were observed to sit and talk to the residents they fed in an individual and dignified manner. Mealtimes were unhurried and sociable. Residents were observed chatting and laughing with each other and staff. The meal consisted of home made soup, meat pie or fish, potatoes, vegetables and rice pudding. A hot and cold drink was offered. The meals residents took were recorded. A meal was taken and found to be hot, nutritious and tasteful. Salt, pepper, vinegar and sauces were available. Residents were able to have specialised diets – one person ate a diabetic diet. The cook said she had petty cash to buy extra food or replenish anything they ran out of. The environmental health department had visited and the recommendations made had been completed. Residents appreciated the quality and choice of food. Two residents case tracked said there were no restrictions to visiting and staff treated their families well. Open visiting enabled residents to meet and socialise with their family and friends. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 15 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): OP16 and OP18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were aware of their right to complain and confident to approach management with any concerns. Robust policies, procedures and staff training protected residents from possible abuse. EVIDENCE: The complaints procedure was available for residents to access and make a concern known. Timescales meet our standards. There have been three complaints and a concern made against the home since the last key inspection, parts of which were founded. The home responded to the complaints to reach a satisfactory conclusion. The home used the Blackburn with Darwen Adult Protection system to follow a local procedure. There was a copy of the ‘No Secrets’ document, whistle blowing and adult abuse policies and procedures. Both residents case tracked felt safe at the home. Not all staff had training in safeguarding issues. There had been one reported adult abuse issue, which was substantiated. Residents were protected from possible harm. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 16 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): OP19 – OP26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lived in a clean, tidy and safe environment. The home was well decorated with fixtures, fittings and furnishings domestic in character, which made for a homely and comfortable environment. The continued upgrading of the home provided better facilities for residents to enjoy. EVIDENCE: On the tour of the building some hot water outlets were checked and no water was available in the upstairs bedrooms. The hot water had been left off overnight by two plumbers. The home was warm, clean and did not have any offensive odours. Staff used a maintenance book and the owner completed the routine jobs when he arrived. The grounds were safe, tidy and accessible. CCTV cameras protect the outside and are not intrusive. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 17 Communal space had been improved considerably since the last key inspection and was homely and confortably furnished. There was an area separated from other communal areas for residents to smoke. There was sufficient dining and lounge space. Lighting was sufficient for residents to read. The dining tables and chairs and sitting room chairs are new and of a good domestic type quality. There were toilets near to communal and private areas and en-suite toilets wre being fitted to some rooms. There was a passesnger lift for residents to access all areas. There were grab rails and disability equipment in corridors, bathrooms and toilets. No wheelchairs were observed that would pose a threat to the health and safety of residents. All residents had a call bell. Several bedrooms were visited and contained sufficient furniture for residents to lead a comfortable life. All rooms were carpeted. All the bedrooms doors can be locked and there is a lockable facility in each room. Screening is provided in double rooms. All bedrooms visited showed residents had personalised it to their tastes. Rooms were ventilated with individual windows which are safe for residents. Hot water outlets are set at a temperature not to scald. Emergency lighting is provided and maintained. Radiators have a device fitted to prevent scalding. The laundry facilities had been upgraded and the walls and floor can be cleaned easily. There was suitable equipment observed in working order. There are infection control policies and procedures for staff to follow. The laundry is sited well away from food preparation areas. Hand washing available in the laundry. Services and facilities comply with legislation. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 18 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): OP27, OP28, OP29 and OP30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Evidence was not made available to prove recruitment procedures were robust enough to safeguard residents from possible abuse. Staff had not undertaken training in mandatory subjects to ensure the staff team was well trained. Induction and foundation training was undertaken in a professional manner to ensure staff are competent to meet the needs of residents. EVIDENCE: The staff rota demonstrated there were sufficient staff to meet the needs of residents. Two staff files were examined and not all the necessary documentation required for recruitment was contained within the files. There was only one written reference for each member of staff. The registered person had also lost the POVA (Protection of Vulnerable Adults) first check. This is necessary to employ someone prior to a full criminal records check. The registered person said the missing documents were somewhere in the office but was unable to locate them. There were 40 of staff holding NVQ qualifications with a further three staff currently enrolled upon a course. When they complete the course 70 will be achieved. Staff attended a recognised induction course. One the day of the inspection there were two care staff, a cleaner and a cook for the 12 residents accommodated at the home. Staff attended a recognised a recognised induction course. The registered person had not been able to access mandatory training such as first aid, health Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 19 and safety and food hygiene to ensure staff had the necessary knowledge and skills in these key areas. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 20 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): OP31, OP33, OP35 and OP38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The financial systems protected residents from possible abuse. Health and safety policies, procedures and training protected the health and welfare of staff and residents. EVIDENCE: Resident’s case tracked managed their own financial affairs. A secure system was used for residents pocket money held at the care home. The home did not undertake to manage the finances of residents and therefore the risk of financial abuse was minimal. There were health and safety policies and procedures. Health and safety legislation was available at the home. Staff had been trained in some health and safety topics such as moving and handling and medication administration. Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 21 All electrical and gas appliances and installation had been maintained. Fire tests and drills had been carried out. A competent person was completing a fire risk assessment. Accidents were recorded. Health and safety policies, procedures and staff training helped protect the health and welfare of staff and residents although more training would benefit the care service. The registered person had implemented a quality assurance system. This included regular staff and resident meetings and obtaining the views of residents although the surveys could not be found on the day of the inspection. The registered person needed to use a better filing system to be able to prove the care service is committed to providing a quality assurance system. The registered person had decided to manage the service and although committed to sufficient hours he tended to work long days and was not available to make certain files and records available for inspection when needed. Records must be available to ensure a full picture is gained during inspections. Highfield House Residential Home DS0000064296.V363324.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 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 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 Schedule 2 Requirement The registered person must ensure the documents related to in Schedule 2 are available for inspection to prove recruitment is robust The registered person must ensure staff are trained appropriately to meet the needs of residents. This must include health and safety, food hygiene and first aid. The registered person must ensure records are at all times available for inspection. Timescale for action 30/10/08 2. OP30 18(1)(c) (i) 31/12/08 3. OP31 17(3)(b) 30/11/08 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 OP8 Good Practice Recommendations The registered person shall make suitable arrangements to provide residents with some form of stimulating exercise. DS0000064296.V363324.R01.S.doc Version 5.2 Page 24 Highfield House Residential Home 2. 3. OP18 OP19 The registered person should ensure all staff have up to date training in safeguarding. The registered person should ensure workmen are competent and do not leave hot water outlets in bedrooms off for sustained periods to ensure residents personal hygiene is easily maintained. The registered person should consider employing someone to work in the office for a few hours a week to ensure all documents are filed and can be found at an inspection. The registered person should ensure 50 of staff attain NVQ qualifications. The registered person should ensure he attains the necessary qualifications to meet current requirements to manage the service. The registered person should ensure quality assurance systems meet current specifications and are available for inspection. The registered person should ensure that now supervision is ongoing each staff member has supervision six times a year minimum. 4. 5. 6. 7. 8. OP27 OP28 OP31 OP33 OP36 Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG 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 Highfield House Residential Home DS0000064296.V363324.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!