Inspection on 24/01/07 for Hollywood Rest Home

This inspection was carried out on 24th January 2007.

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

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

Other inspections for this house

Hollywood Rest Home 05/02/09

Hollywood Rest Home 03/12/07

Hollywood Rest Home 15/06/06

Hollywood Rest Home 17/11/05

Hollywood Rest Home 09/06/05

Hollywood Rest Home 21/01/05

Hollywood Rest Home 28/06/04

Hollywood Rest Home 27/02/04

Hollywood Rest Home 14/01/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Hollywood Rest Home 34 Cresthill Avenue Grays Essex RM17 5UJ Lead Inspector `Michelle Love Unannounced Inspection 24th January 2007 08:40 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 Hollywood Rest Home DS0000018090.V329564.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. Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hollywood Rest Home Address 34 Cresthill Avenue Grays Essex RM17 5UJ 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) 01375 382200 01375 381611 hrh@hollywoodresthome.co.uk Mr Rajpaul Singh Dhillon Mr Gurmit Singh Dhillon Mr Rajpaul Singh Dhillon Care Home 21 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (21) of places Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th June 2006 Brief Description of the Service: Hollywood Rest Home is situated in a quiet residential area on the outskirts of Grays. It currently offers 17 places on two floors with a passenger lift to the first floor. The home offers single and double bedrooms, a limited number of which have en-suite facilities. There are on-going building works to improve the premises and increase the numbers to 25 places, and works remain in progress. The home currently offers residents one large lounge/dining area and one smaller lounge area. The home has a rear garden, which is well maintained and accessible to residents. Limited parking is available to the front of the property. The weekly fees range from £395.43 to £485.00 Additional charges/costs are incurred by residents relating to hairdressing, purchase of personal toiletries, newspapers/magazines, sweets etc, and the above information was detailed within the homes pre inspection questionnaire. Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced `key` site visit whereby the majority of all key standards were inspected. The visit was carried out by two inspectors, Michelle Love and Bernadette Little. The site visit commenced at 08.40 and finished at approximately 18.00 p.m. As part of the inspection process a range of records relating to individual residents and members of care staff were examined for example care plans, risk assessments, healthcare records, menus, nutritional records, staff files, staff rosters etc. In addition several residents and staff were spoken with at the time of the site visit and any comments have been incorporated into the main text of the report. The inspection was conducted with the assistance of both Mr RS and Mr GS Dhillion and the homes deputy manager. What the service does well: What has improved since the last inspection? The homes premises has been extensively renovated and refurbished to provide a very high standard of accommodation to people living within the home. Work and effort has been undertaken to continue to improve in areas pertaining to care planning, risk assessing, ensuring staff receive appropriate training to meet the needs of people living at Hollywood Rest Home and recruiting staff in line with regulatory requirements. Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 6 The number of Statutory Requirements has highlighted at the previous inspection to the home has reduced from 17 to 10. Although there are still 10 Statutory Requirements documented there is clear evidence to indicate that progress is being made to attain a higher standard. The home has a meaningful activities process both `in house` and within the local community, which appears to be working well and providing individual residents with stimulus and meaningful occupation. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has an adequate system for assessing the needs of prospective residents. The homes Statement of Purpose and Service Users Guide has been developed and includes information relating to the services provided, however some amendments are required. EVIDENCE: In general terms the Statement of Purpose and Service Users Guide was seen to be satisfactory, however on closer inspection some elements were noted to be inaccurate and require amending. For example the Statement of Purpose makes reference to the registered provider/manager undertaking NVQ Level 4 in Care and Management in September 2006, however this is inaccurate as the registered provider/manager has not commenced this training and there is no start date planned. The document does not detail that the deputy manager is currently completing NVQ Level 4 in Care and Management. Additionally the Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 9 documents do not make reference to the care home being registered to cater for the needs of those people who have a formal diagnosis of dementia. Lastly the document still refers to the Commission for Social Care Inspection dealing with complaints. This needs to be amended to reflect that the Commission no longer has any statutory undertaking to investigate complaints. Further detail is recorded with the Complaints/Protection section of the report. Pre admission assessments were completed for the newest residents admitted to the care home. Little evidence was available to suggest pre admission assessments had been conducted with the resident and/or their representative and there was no evidence to indicate that the registered provider had confirmed in writing that it could meet the needs of the prospective resident. Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has an adequate system for recording individual resident’s care needs and identifying the delivery of care by staff. Medication procedures within the home were deemed satisfactory. EVIDENCE: On inspection of five individual care files, a plan of care was evident. Continued improvement was noted in relation to care documentation and included reference to the social, physical, emotional and healthcare needs of individual residents and how these were to be met by care staff working within the home. Some elements pertaining to care planning still require additional improvement by the registered provider/manager and deputy manager if it is to meet the statutory requirement at the next inspection. This refers specifically to ensuring that all elements of the individual care plans are personalised and individualised, that they include people’s strengths and weaknesses, there is Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 11 clear evidence that the care plans are devised with the resident and/or their representative, ensuring that daily care records are written daily and after every shift and that where scores are stated within formal assessments, there is clear evidence detailing the rationale for the score and its meaning. The registered provider/manager and deputy manager must ensure where care plans detail that a person’s weight must be monitored weekly this is carried out and recorded. Additionally not all elements of the care plans examined had been reviewed as regularly as they should. This refers specifically to some care plans not having been reviewed since October/November 2006. Another care plan made reference to the person being encouraged to stand every two hours with the assistance of two carers, however this did not take place for several hours with little/no assistance provided. Risk assessments were devised for the majority of risk areas identified, however in some cases more information is required detailing the specific nature of risk and how this is to be minimised. The homes medication storage facilities and arrangements for the safe administration of medication to residents was observed to be satisfactory. Only one omission of signature on the Medication Administration Record (MAR) for one person was noted, however the MAR indicated that one particular medication was to be administered three times daily but was being administered four times daily. No evidence was available to indicate that this had been agreed/altered by the resident’s GP. Following discussions with the registered provider/manager and deputy manager, inspectors were advised that this had been agreed by the resident’s GP. Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who reside at the care home are involved within a meaningful programme of activities. EVIDENCE: An activities co-ordinator is employed at the care home for four hours daily Monday to Friday. Much improvement was noted in relation to people who use the service being involved in a range of meaningful daytime activities both `in house` and within the local community. For example much effort has been made to involve individual residents to access the local community for shopping and tea and cakes. Additionally residents have been involved with bingo, skittles, sing-a-long, music, beauty care/nail care, board games, card games, arts and crafts, reading and writing. One area of improvement is required in relation to the devising of social assessments for all residents residing at Hollywood Rest Home. On the day of inspection only 8 assessments had been completed detailing individual’s likes, dislikes and personal preferences. It is envisaged that all residents will have a social assessment completed. Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 13 The home has an open visiting policy whereby visitors to the home can visit at any reasonable time. Several visitors were observed on the day of inspection and there appeared to be a good relationship between the care home and people’s visitors. No menu was displayed advising of the menu for the day. The deputy manager advised inspectors that once the new dining room is up and running a menu is to be displayed. Food provided to residents was observed to be of a reasonable quality and quantity and positive comments were observed from individual residents. Those residents requiring assistance to eat their meal were supported with due care, however very little verbal interaction was noted between staff and residents. Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory system for investigating complaints and appropriate measures are undertaken to ensure that people residing at the care home are protected from abuse. EVIDENCE: The home has a complaints procedure, which enables anyone living at the care home or involved with the service to complain or make suggestions for improvement. The registered provider/manager was advised that the homes complaints procedure needs to be amended to reflect that the Commission for Social Care Inspection no longer has any statutory responsibility to investigate complaints. Any complaints received at the Commission will be referred back to the registered provider or to the local authority if they are contractually involved. As part of the inspection process inspectors will examine how the registered provider has dealt with issues and as to whether regulations are being met. Since the last inspection the home has received three complaints. Information relating to the actual investigation undertaken, action taken and outcomes was readily available. The complaints file was observed to be well maintained. No record of compliments had been received since the last inspection. Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 15 The home was observed to have policies and procedures pertaining to Protection of Vulnerable Adults. Following discussion with one newly recruited member of staff, it was evident that they knew the above policy, when incidents need to be referred to an external agency and who to refer the incident to. The homes training matrix recorded all but five members of staff (3 care assistants, 1 activities co-ordinator and 1 domestic member of staff) have up to date Protection of Vulnerable Adults (POVA) training and all but three members of care staff have not undertaken training relating to aggression/challenging behaviour. No POVA issues have been highlighted since the last inspection. Hollywood Rest Home DS0000018090.V329564.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): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides an environment that is appropriate to the specific needs of the people who live there. EVIDENCE: The home is safe, homely and comfortable for all those who reside at Hollywood Rest Home. Much work has been undertaken over a considerable period of time by the registered providers to provide an environment that is appropriate to the specific needs of the people who live there. In addition to inspecting under this outcome group, specific emphasis was also undertaken to inspect additional bedrooms/communal areas so as an increase to the homes registration could be agreed from 21 to 27 beds. As highlighted previously `works` carried out were to a high standard and some residents who were already residing in the newer rooms within the home advised that they were Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 17 very lucky and liked living at the care home. Additional improvements have been made to the homes communal areas (dining area/additional lounge area). The homes laundry area has been renovated and upgraded and at the time of the inspection the home were awaiting the delivery of equipment. The home was observed to be clean, tidy and odour free. Hollywood Rest Home DS0000018090.V329564.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): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels within the home are adequate and the registered provider ensures that all staff receive relevant training. Recruitment procedures for newly appointed staff were satisfactory. EVIDENCE: On inspection of four weeks staff rosters, these evidence in general terms staffing levels being appropriate to meet the needs of existing residents. Attention must be made to ensure that the deployment of staff within the home and especially within communal areas, for example lounge areas is maintained and there were times throughout the inspection when residents were observed to be unsupported for up to 10 minutes at any one time. Staff rosters were noted to be well maintained, and indicated that for the most part the registered provider/manager’s hours are supernumerary to the rota, except for between 14.00 a.m. and 16.00 a.m. when he undertakes care duties Monday to Friday. The roster evidenced that all staff have sufficient `off duty` days and there is sufficient ancillary staff (cook/domestic) cover except at weekends (domestic), whereby cleaning tasks are undertaken by care staff in addition to their care tasks. The registered provider confirmed that he has advertised for a domestic and laundry staff. Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 19 Improvement has been made to ensure that staff had undertaken relevant training. On inspection of the training matrix evidence suggested 5 members of staff had not received food hygiene training, 12 members of staff had not received health and safety training, 2 members of staff had not received fire awareness training, 6 members of staff had not received basic first aid training, all but one member of staff had undertaken manual handling training, 8 staff had not received training relating to infection control and 2 members of staff still required training relating to dementia awareness. Specialist training had been undertaken for some people relating to risk assessment, epilepsy and parkinsons disease. Additional training must be undertaken pertaining to those conditions associated with the needs of older people for example diabetes, sensory impairment, continence etc. In addition to the training matrix a random sample of actual certificates were seen so as to evidence the above. Inspectors were advised that 8 members of staff have completed NVQ Level 2, 2 members of staff have completed NVQ Level 3, the deputy manager is currently undertaking NVQ Level 4 and 7 members of staff have en-roled to undertake NVQ Level 2. Since the last inspection the home has employed two new members of staff. On inspection of their recruitment records the majority of records as required by regulation had been sought. The only gaps noted were in relation to job descriptions being very task orientated e.g. making beds, moping and cleaning toilets, putting away washing, assist with resident’s meals, completing fluid charts. Nothing was noted in relation to actual interactions with residents/time with residents, respecting people’s choice and dignity etc. The employment history of one member of staff was not fully explored and the record of induction basic. Other recruitment files as highlighted at the previous inspection to the home were examined. It was positive to note that records recorded as previously missing were readily available. Hollywood Rest Home DS0000018090.V329564.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): 31, 33, 36 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is adequately well run. EVIDENCE: It is clear that much effort has been made to ensure that the home is well run in the best interests of those people residing at the care home. As a result of previous concerns the Commission for Social Care Inspection will continue to monitor the homes progress and to monitor consistency. Following the last inspection to the home an application to increase the homes registration from 21 to 27 has been received by the Commission. As a result of Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 21 the findings at this inspection, it is believed that the application will be formally approved. The deputy manager confirmed that staff and resident’s meetings had been infrequent. The last staff meeting minutes were dated 17.12.04. On inspection of a random sample of staff files there was evidence to suggest that staff were receiving regular supervision. It was disappointing that the deputy manager had not received regular formal supervision from the registered provider/manager. A random sample of records as required by regulation were inspected, for example the employers liability and registration certificate, hoist certificates, the homes fire risk assessment (dated 12.10.06), certificate for Legionella and records for hot and cold water temperatures (except for the kitchen/laundry areas). In addition to the above the temperature records were noted in relation to the medication fridge and kitchen fridge/freezers. Quality assurance questionnaires were forwarded to resident’s relatives/representatives in 2006. It was disappointing to note that only 4 responses were received, however positive comments were recorded relating to care staff and the implementation of a better activities programme. The registered provider/manager was advised that quality assurance questionnaires should be undertaken more frequently and to include not just relatives, but to seek the views of other people for example healthcare professionals etc. Hollywood Rest Home DS0000018090.V329564.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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X 2 X 3 Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4 and 5 Requirement Ensure that the homes Statement of Purpose and Service Users Guide is updated and amended to reflect the most accurate information. Previous timescale of 1.9.06 not met. Ensure that residents and/or their representatives are involved in the pre admission assessment process. Ensure that the registered provider has confirmed in writing that it can meet the needs of the prospective resident. Ensure that care plans are detailed and comprehensive and fully reflect the needs of the individual resident. Ensure that risk assessments are devised for all areas of assessed risk and that these are detailed and comprehensive. Ensure that care plans are regularly reviewed and updated. The registered person must ensure that at all times competent persons are working DS0000018090.V329564.R01.S.doc Timescale for action 14/08/07 2. OP3 14 21/07/07 3. OP3 14(1)(d) 21/07/07 4. OP7 15 21/07/07 5. OP7 13(4) 21/07/07 6. 7. OP7 OP27 15(2) 18(1)(a) 21/07/07 01/08/07 Hollywood Rest Home Version 5.2 Page 24 at the care home in such numbers as are appropriate for the needs of residents. This refers specifically to the deployment of staff within the home being inadequate on occasions. Previous timescale of 01.03.05 and 1.2.06 not met. The registered person must ensure that all members of staff receive training appropriate to the work they are to perform. This refers specifically to training which caters for those conditions associated with the needs of older people. Previous timescale of 1.5.06 and 1.10.06 partially met. Ensure that a quality assurance system is implemented more frequently and that in addition to peoples relatives are interested parties are consulted. Ensure that all staff working at the care home are appropriately supervised. This refers specifically to the deputy manager. 8. OP30 18(1)(c) (i) 01/11/07 9. OP33 24 01/09/07 10. OP36 18(2) 01/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP38 Good Practice Recommendations More care/senior staff are empowered to write detailed and comprehensive care plans/risk assessments. Ensure that COSHH data sheets are available for all items utilised within the care home, and that COSHH risk assessments are devised. DS0000018090.V329564.R01.S.doc Version 5.2 Page 25 Hollywood Rest Home Not inspected on this occasion Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Hollywood Rest Home DS0000018090.V329564.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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