Inspection on 23/08/05 for Hilton Road

This inspection was carried out on 23rd August 2005.

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

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

Other inspections for this house

Hilton Road 03/11/08

Hilton Road 14/11/07

Hilton Road 18/09/06

Hilton Road 27/02/05

Hilton Road 14/10/04

Hilton Road 27/05/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hilton House 92 Hilton Road Lanesfield Wolverhampton WV14 6DR Lead Inspector Rebecca Harrison Announced 23 August 2005 10:00 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hilton House Address 92 Hilton Road, Lanesfield, Wolverhampton, West Midlands, WV14 6DR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01902 820069 01902 651616 Arcare (West Midlands) Limited Mrs Susan Bala Sharma Care Home 3 Category(ies) of Learning Disability (3) registration, with number of places Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No conditions of registration apply.. Date of last inspection 14th October 2004 Brief Description of the Service: Hilton House is a traditional style semi-detached property, which is located in a residential area of Lanesfield approximately 3 miles from Wolverhampton City centre. The home offers access to local amenities and transport and the premises are in keeping with the local community. The home is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and personal care to a maximum of three adults who have a learning disability. The accommodation provided is on two floors comprising lounge, dining room, kitchen, laundry, three single rooms (two with en-suite facility), bathroom and a sleep-in area. The home has a garden to the rear of the property. The homes philosophy is to Maintain a high standard of care, respecting individuality, privacy, residents dignity and independence at all times. First and foremost a happy and secure environment within the home. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and commenced at 10.00 a.m. and lasted five hours. The Lead Inspector was Rebecca Harrison and the Provider Representative was Mrs Susan Sharma, Registered Manager. On arrival to the home, two people were out accessing day services and the person most recently admitted to the home was being supported by the registered manager and the deputy manager. The inspection included talking to staff and managers on duty, examination of a number of records, case tracking and a full tour of the premises. The manager, staff and the service user present for the inspection were most welcoming and helpful throughout the inspection. The purpose of the inspection was to review the progress made by the home since the last unannounced inspection undertaken on 14th October 2004, by Mr Ian Harris, Regulation Inspector. Four requirements were made to include one brought forward from the previous inspection. No complaints have been received by the home or referred to the Commission for Social Care Inspection since the last inspection. There have been no referrals made to adult protection. The information provided in the Pre-Inspection questionnaire signed as accurate and complete by the proprietor/registered manager was not an accurate reflection of the findings of this inspection. What the service does well: The people living at Hilton House are cared for by staff that are committed to their work and have a good understanding of service users individual support needs. Service users are supported to maintain family ties. The home has developed positive professional working relationships with health and social care professionals and day service staff. The health of service users is closely monitored and individuals are supported to access NHS Healthcare facilities. The CSCI received comment cards from two people living at the home in preparation for the inspection. The comments were generally positive. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,4 and 5 The home does not provide sufficient information for prospective service users to be clear about the services the home provides to meet their needs. EVIDENCE: The home has a brief Statement of Purpose in place however the information provided does not fulfil the requirements of National Minimum Standard 1, Schedule 1 of the Care Home Regulations 2001. A Service User Guide is yet to be developed. Since the home was last inspected it was reported that one person was served notice to leave following an increase in behaviours that challenged the service. The person most recently admitted to the home on 29.07.05 was admitted on an emergency basis following the unexpected death of her main carer. A Community Care Assessment completed by the placing authority was seen on file in addition to a pre-admission assessment form. The Registered Manager informed the inspector that she visited the person in a respite service prior to the person being admitted to the home. A series of introductory visits were not offered due to the person requiring a permanent place of care urgently. Discussions held with the service user indicated that she is settling into her new home well and is adapting well with the sudden changes in her life. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 9 A contract between the home and the service users was seen on file-dated 29.07.05, signed by the registered manager and a close family member of the service user. Although the contract is comprehensive is does not currently meet the specified requirements of National Minimum Standard 5.2. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 The home has a consistent care planning system in place, which is updated at appropriate intervals however risk assessments require further development. EVIDENCE: As previously stated a needs assessment was seen on file in addition to a care plan compiled by the home. The care plan was dated 03.08.05 and signed by the registered manager and a family member of the service user. Records seen on the care files of the other two people evidence that care plans are reviewed and updated at the required frequency. It was reported that a new risk assessment format has been introduced. Perusal of these indicated that not all activities undertaken by individuals have been risk assessed and that those assessments undertaken need to be more comprehensive. The deputy manager is responsible for compiling risk assessments. Discussions held with her evidenced that she has not received any training in risk management and she agreed that such training would be very beneficial. The home has a risk taking policy in place however this was found undated. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13,14,15 and 16 Service users are supported to lead full and active lives and encouraged to maintain contact with their families. EVIDENCE: None of the people living at the home currently access paid or voluntary work. However, two service users access local day service provision provided at Stowheath five days per week. The person most recently admitted to the home is currently supported by the staff team and remains at home throughout the week. Each service user has a book for the recording of activities undertaken. Discussions held and records seen evidence that the people living at the home are provided with good opportunities to access their local community. Activities recorded included theatre trips, local walks, meals out, trips to the coast, discos, barbeques, safari park and Blackpool. Service user hobbies and interests were recorded on the care files seen. A requirement was made at previous inspections in relation to providing service users with a holiday as part of the basic contracted price. The Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 12 manager stated that the two existing people are being provided with a holiday to the Isle of Wight in October 2005. Records seen and discussions held evidence that family links are well maintained. It was reported that visitors are welcome to visit the home at all reasonable times. The home has liaised very closely with the family of the person most recently admitted to the home. It was reported that the service user regularly visits a relative who lives in a local care home. Service users may see their visitors in the shared space provided or in the privacy of their own room. A log of visitors to the home is recorded in the homes diary. Daily records seen detail activities, appointments, events and liaisons with family and professionals. Preferred daily routines were seen recorded on care files. The promotion of privacy and dignity was observed during the inspection however, locks fitted to bedroom doors were found not to be working and require replacement. Service users responsibility for housekeeping tasks were seen recorded in addition to service users preferred form of address. A no smoking policy is in place. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 The personal and health needs of service users are well met with evidence of regular review. The home has a safe system of handling, storing and managing medication. EVIDENCE: Care records seen and discussions held evidence that the health of the individual service users is closely monitored. As previously stated care records seen evidence preferred routines and service users are supported to access NHS Healthcare facilities. The manager reported none of the service users are currently receiving specialist support however a Consultant Clinical Psychologist has previously worked with the home in relation to a service user who has since been discharged. The person most recently admitted to the home does have mobility and physical disability and the home were advised to make a referral to the occupational therapist for an assessment to be undertaken to ensure that she is provided with the technical aids and the equipment required to maximise her independence. A hairdresser visited the home during the inspection for an appointment with the person most recently admitted to the home. The service user was clearly happy with the outcome of her appointment. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 14 Service users are registered with the Parkfield Road Medical Centre, Wolverhampton. Health appointments were seen recorded on appointment records. Two comment cards from health and social care professionals were forwarded to the CSCI in preparation for the inspection. Comments were generally positive. Discussions held with the person most recently admitted to the home evidence that she is grieving. Family members and the staff team are currently supporting her with her sudden loss. The home is to look into bereavement counselling following consultation with the service user and family. Medication procedures appeared satisfactory at the time of this inspection. It was reported all but the two most recently appointed staff have gained the Certificate in safe Handling of Medicines. As from 26.09.05 prescribed medicines will be supplied from Boots Chemists using the monitored dosage system (MDS). Training has been booked for staff in the use of the new system. None of the current service users are prescribed controlled drugs. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home has a complaints procedure in place however the arrangements for adult protection must be reviewed to safe guard service users. EVIDENCE: The home has a complaints procedure in place which needs to be amended to include the contact details of the CSCI and that all complaints will be responded to within 28 days. The complaints procedure must also be provided in a format appropriate to the needs of the people living at the home. It was reported that no formal complaints have been received by the home since the last inspection. There have been no complaints referred to the Commission for Social Care Inspection. The manager was advised to provide a separate bound book to log complaints. The home does not have a copy of the Wolverhampton Inter-Agency Adult protection procedures. No referrals have been made to adult protection since the last inspection. Discussions held with the manager and the senior care worker evidence that staff have not received training in adult protection procedures. The management of service users finances was not reviewed on this occasion and will therefore be reviewed at the next inspection of this service. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 Service users are provided with a comfortable environment to live, however, the home is in need of some investment. EVIDENCE: Hilton Road is a semi-detached property situated in Lanesfield, Wolverhampton. The home offers access to local amenities and transport and the premises are in keeping with the local community. All service users are provided with a single bedroom. One bedroom is located on the ground floor and two bedrooms are located on the first floor. En-suite facilities are provided in two rooms. The home has a maintenance worksheet however works stated to have been undertaken were not recorded on the maintenance sheet and did not correspond with the pre-inspection questionnaire signed by the registered manager and forwarded to the CSCI in preparation for the announced inspection. Carpets in the lounge and dining room are heavily soiled and the dining room carpet stained with bleach. Lampshades are not provided in all rooms. The environment is generally looking in need of some investment and redecoration. The bath water temperature on the first floor was very hot – see standard 42. The requirement made by the fire officer for the replacement of a door from the lounge to the stairs remains outstanding. Discussions were held with the Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 17 managers in relation to fire risk assessments, which have not yet been undertaken. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34 and 35 The staff have a good understanding of the service users’ support needs however recruitment practices are poor potentially placing service users at risk. EVIDENCE: Staff were seen to interact positively with the service user who was at home for the duration of the inspection. They appeared to be good listeners and communicated well with the service user. Letters seen on file and discussions held with manager’s evidence that the home has developed good professional relationships with health and social care professionals and staff at day services. It was reported that four staff have undertaken NVQ level 2 but the units have not yet been assessed. Managers stated that the home employs five care staff. The staff rota was seen and indicates that one member of staff supports three service users. Cover is provided over three shifts to include sleep-in. The manager provides on-call back up. The home does not employ domestic staff therefore care staff are required to carry out domestic and catering work in addition to their care duties. Staff meetings are recorded. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 19 Discussions held with the manager and deputy evidenced that two new staff have been employed since the last inspection. The two staff were recruited in May and July 2005. The personnel files were reviewed by the inspector and although it was reported that CRB’s had been applied for there was no evidence of such seen on either file. On one personnel file the referees were not stated on the application form. References seen on file stated ‘To whom it may concern’ and ‘Dear Sir/madam. There was no previous history of employment, no evidence of interview and no job description available. On the other file the reference stated on the application form did not correspond with the reference obtained. It was reported that work permits had been obtained however no evidence of such was available. One of the application forms seen was incomplete. A third personnel file was seen for a member of staff employed on 19.05.02. A CRB had not been obtained until 14.01.03. The CRB disclosure was not for this place of work or for the position. The rota seen evidences that these staff are working unsupervised without an appropriate CRB disclosure. A lengthy discussion took place with the manager and deputy in relation to the homes poor recruitment practices, which require considerate improvement to ensure that service users are not being placed at risk. There was no evidence that the requirement made at the previous inspection for staff to receive induction and foundation training has been met. Therefore this requirement will be reviewed at the next inspection in addition to staff training. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,41 and 42 The health and safety of service users is not fully promoted. EVIDENCE: The joint proprietor, Mrs Suman Sharma is the registered manager of the home. Her deputy Ms Balvir Sahota is the registered manager of another of the organisations homes but has a regular input into the management of Hilton House. Mrs Sharma informed the inspector that she has fifteen years experience providing a care service to people across three homes and has obtained the Registered Managers Award. Ms Sharma is to negotiate with the college in relation to NVQ level 4 in Care. Record keeping systems need to be improved generally as evidenced throughout this report. The deputy manager appeared motivated to introduce better systems following the findings of this inspection. Standard 42 – Safe Working Practices was not fully assessed during this inspection and will be reviewed at the next inspection. The temperature of the Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 21 water in the bathroom located on the first floor was extremely hot to the touch. The home did not have an appropriate water thermometer available and the manager was unsure if a temperature control valve was fitted. Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 1 3 x 3 2 Standard No 22 23 ENVIRONMENT Score 2 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 3 3 2 x Standard No 31 32 33 34 35 36 Score x 3 3 1 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hilton House Score 2 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x 2 2 x E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 23 yes Are there any outstanding requirements from the last inspection? 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 1 Regulation 4 Sch 1 Requirement The registered persons must compile a Statement of Purpose that meets Scehule 1, Regulation 4 of The Care Homes Regulations 2001. The registered persons must produce a Service Users Guide which sets out clear and accessible information for service users covering aspects of National minimum Standard 1.2, Regulation 5. The contract must include all of the requirements specified in National Minimum Standard 5.2. Service users must be enabled to take responsible risks within a risk assessed framework, which is comprehensive recorded and regularly reviewed and updated. Service users bedrooms must be fitted with a suitable locking device and service users offered a key to their bedroom unless a risk assessment states otherwise. The registered provider must make a referral to Occupational therapy for an assessment to be conducted on the person most recently admitted to the home. Timescale for action 07.10.05 2. 1 5 07.10.05 3. 4. 5 9 5(bc) 14(2) 13(4b) 07.10.05 07.10.05 5. 16 13(4) 01.11.05 6. 18 12(4a) 23/08/05 Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 24 7. 22 22 8. 23 13(5)(6) 21 9. 24 23(2b) 10. 11. 24 34 16(2j) 19 Sch 2 12. 34 19 Sch 2 13. 14. 15. 16. 34 35 37 41 Sch 2 18(1) 9 17 Sch 1,2,3,4 The complaints procedure must include contact details of the local CSCI and that all complaints will be responded to within 28 days and be provided in a format appropriate to the needs of the people living at the home. . The home must obtain a copy of the Wolverhampton Inter-Agency Adult protection policy and procedures and provide staff with training in adult protection. The home must produce a planned maintenance and renewal programme for the fabric and decoration of the premises with records kept. The premises must meet the requirements made of the fire service department. Recruitment procedures must be robust. Two written references must be obtained and any gaps in the employment records must be explored and findings documented. Appointments must be subject to a PoVA check and CRB disclosure gained prior to a new employee directly working with service users. All personnel files must contain the documentation required by Schedule 2. New staff must receive induction and foundation training which meet Skills for Care specification. The Registered manager must obtain NVQ 4 in Care. All records required by regulation for the protection of service users and for the effective and efficient running of the business must be maintained, up to date and accuarate. 07.10.05 07.10.05 07.10.05 07.10.05 23/08/05 23/08/05 07.10.05 23/08/05 31.12.05 17.10.05 Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 25 17. 42 23(2p) 18. 42 12,13,23 A risk assessment must be carried out to identify potential scalding risks fron hot water temperatures and to assess the vulnerability of all those who have access to bathing and washing facilities. Risk assessments must be carried out for all safe working practice topis covered in Standards 42.2 and 42.3. 23/08/05 07.10.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 9 19 34 Good Practice Recommendations it is recommended that staff receive training in risk management strategies. It is recommended that the outcomes of all appointments are also recorded on the appointment records. It is recommended that an employee checklist be introduced for recruitment purposes to include the application, references, interview, PoVA check, CRB, offer of appointment, contract, job description, probationary meeting etc. It is recommended that water thermometers be provided and bath water tested prior to service users bathing/showering. It is recommended that a copy of the Department of Health National Minimum Standards and Regulations for Care Homes for Adults (aged 18-65) be retained in the home and staff made familiar with these. 4. 5. 42 41 Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn Shrewsbury SY2 5DE 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 Hilton House E56 S37693 Hilton Road V220159 AI 230805 Stage 4.doc Version 1.40 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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