Inspection on 17/01/06 for House On The Hill

This inspection was carried out on 17th January 2006.

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

House On The Hill 23/06/08

House On The Hill 03/12/07

House On The Hill 12/12/06

House On The Hill 02/05/06

House On The Hill 01/12/04

House On The Hill 12/09/04

House On The Hill 25/02/04

House On The Hill 06/08/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE House On The Hill 61 Rosemary Hill Road Little Aston Sutton Coldfield West Midlands B74 4HJ Lead Inspector Mrs Mandy Brassington Unannounced Inspection 17 January 2006 09:30 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 House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 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. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service House On The Hill Address 61 Rosemary Hill Road Little Aston Sutton Coldfield West Midlands B74 4HJ 0121 353 0464 0121 3530464 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) Bonehill Limited Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13), Physical disability over 65 years of age (3) of places House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: n/a Date of last inspection 27th July 2005 Brief Description of the Service: House on the Hill is a residential home that provides a service for older people. The home is registered to provide care for three people who have a physical disability. The home is an attractive building located in a residential area within Little Aston. All the bedrooms were located on the ground floor each one for single occupancy. Six of the bedrooms had an en-suite facility. Bathing facilities were located at each end of the home. Two lounges provided an area for service users to relax in. There is a small laundry and storage room used for hairdressing. Located off the dining room is a well appointed kitchen; all of the meals were prepared and served from the kitchen. Parking for visitors and staff was at the front of the home on the gravel. The front entrance has steps and a ramp and there is a secure mature garden to the rear with a seating area. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 7 hours by one inspector. A tour of the home was undertaken. Seven service users, staff on duty, three visitors and the manager were spoken to in depth. Case tracking of three care plans was undertaken. Four staff records were examined and observation of planned activities took place. The inspector ate lunch with the service users and observed the staff administer medication. The manager came to the home early to provide the information gathered. Documents, reports and records were requested and where available provided for the inspector. What the service does well: The home is a large house that is registered to provide accommodation for up to thirteen individuals and as a result is able to provide a relaxed and friendly environment. Personal possessions can be brought in to the home so it is more homely to each individual. People who use the service said that they were more than happy with the care they received. Comments made by the service users included: ‘I would not consider staying anywhere else’ ‘The staff are very good and always helpful’ ‘I’m able to see people whenever I like’ Family members also praised the staff in relation to the support given to their relative and the family, especially through the transition into residential care. Staff were observed to deliver a good standard of care, ensuring privacy and dignity was maintained and individual choices given. Information from service users and family members confirmed this to be an accurate account. Each individual had a plan of care that included a record of health care monitoring. Care plans were reviewed monthly. Each service user was provided with a statement of terms and conditions at the point of moving into the home. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 6 A choice of menu is available every day and the meal was served professionally. Staff were courteous and unobtrusive throughout the meal. Service users said that the food provided was good. What has improved since the last inspection? What they could do better: The Statement of Purpose and Service User Guide remain incomplete and do not accurately reflect the exact nature of the service, and was not specific about staffing. The complaints procedure needs to be amended. The temperatures of the baths in the older part of the house are too high and thermostatic valves are to be fitted to ensure the health and welfare of the service users. Two environmental requirements remain outstanding; the fly screen in the kitchen and the laundry hand washing facilities. These are to be addressed within the timescales recorded. The home is to ensure that robust procedures are in place for the protection of individuals. The on-call arrangements at night are to be reviewed. The arrangements for the individuals living on the first floor is to be clarified and further documentation is required. Their role is at present unclear and additional information is required on their eligibility to work in this capacity. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 7 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. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. The Statement of Purpose and Service User information for prospective users to make suitability of the home. Contracts were individuals are able to spend time at the moving in. EVIDENCE: The Statement of Purpose and Service User Guide remains incomplete and requiring further information as included in the National Minimum Standards and Regulations. These document need to accurately reflect the service provided. Care plans inspected contained a written contract and statement of terms and conditions, which was completed prior to admission. The manager stated the initial assessment is carried out during an introductory day visit in conjunction with family members, and professional’s views are sought. Service users and family members confirmed that individuals were House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 10 Guide does not provide adequate an informed decision about the provided to service users and home with their family prior to invited for lunch prior to be offered a place at the home. Two relatives spoken with commented that ‘they would not consider any other home for their mother’. The home also provides a respite facility and two service users stated they had received respite prior to becoming a permanent resident in the home, deciding to stay at the home as they were pleased with the service provided. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Care planning and health care monitoring is well documented; further work is required to ensure risk assessments are robust. Medication is well managed and the systems in place safeguard the service user. EVIDENCE: Each service user had an individual plan of care, which included personal, and social care needs. The care plans evidenced that Health needs were closely monitored and medical professionals contacted where necessary; evidence of weight monitoring was included. The plans had been reviewed on a monthly basis. Some plans contained information that was more specific and the manager had begun to develop systems of recording risk and confirmed that further development was planned. There was evidence to show service users were involved in the plan. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 12 Family members are able to have an active role in supporting families with health care appointments. On the day of the inspection, one family member had chosen to take her mother to hospital for treatment following a fall. Service users spoken to stated that staff ‘were kind and courteous and always available to help’. The manager was committed to enabling service users to retain their independence where possible. One family member reported that staff supported her mother to continue with laundry tasks, as she believed that having some garments laundered by others would not be dignified. Staff were observed offering sensitive support and communicating appropriately with service users. Two members of staff administered the medication during lunch. Staff have been receiving training for safe administration of medication; this is planned for all staff. The staff administering the medication had a good knowledge and understanding of safe procedures and for usage. The pharmacist carries out an audit of the home’s medication systems. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Activities and stimulation for service users are now in place, stronger emphasis needs to be placed on the recording of such and investigating opportunities for community activities. Visitors are made welcome and encouraged to continue to play an active role with the plan of care. EVIDENCE: The manager has introduced activities within the home and these were recorded in the diary, though were difficult to evidence. It was recommended that clear records be kept of the activities and names of attendees should also be noted. During the inspection, a religious service was conducted in the home, through a local Methodist church; this takes place monthly. During the afternoon “Armchair Keep-Fit” was carried out; this takes place weekly. The home has a spacious dining area, where all service users ate lunch. Individuals stated they are able to eat their meal in their room. Breakfast time is flexible, to enable individuals to choose the time they want to arise. The meal was relaxed and choices and second helpings were offered, the staff were unobtrusive and served the meal in a professional manner. On the day of House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 14 the inspection there was a three-course meal served; for starters, it was fruit salad, the main meal was chicken pie or lamb cutlet with potatoes and vegetables and dessert was rhubarb and peach crumble. Three service users stated that there had been an improvement in the quality of the food and there were more choices available. The cook reported that the menus are discussed with the service users and new meals added according to preferences. The kitchen was inspected and found to be clean and tidy. vegetables were available. Fresh fruit and Service users revealed they were able to come and go freely and receive visitors throughout the day. All service users and family members spoken with stated the home encouraged links with family and friends; visits are relaxed and can be unplanned. Individuals are able to go out into the community with family and friends. As part of the review of activities, the manager is looking at community activities with staff members. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 The complaints procedure is to be reviewed to enable service users and their representatives a full understanding of the options available to them relating to making a complaint. EVIDENCE: The home has a complaints displayed in the front hall, in each bedroom and within the Statement of Purpose. The complaints procedure needs to reflect that individuals may contact the Commission (CSCI) to make a complaint; this currently states only if a complaint cannot be resolved successfully or is of a serious nature. Discussion with service users revealed they were aware of the complaints procedure and would approach staff if they had any concerns. A book is available in the front Hall for any compliments and complaints. Issues raised within this book had been addressed. Service users are able to maintain an active role in the management of their finances. The home has a Safe for storage of valuables and a record is maintained of monies kept on behalf of an individuals. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25, 26. The Home was well maintained and clean and tidy. Overall, the home provides a safe and comfortable environment for service users and the home has addressed many long-standing requirements; though the fitting of thermostatic valves is to be carried out to ensure the health and welfare of service users when bathing. EVIDENCE: The home provides accommodation for up to thirteen individuals. The home is pleasantly decorated and furnished and service users are able to decorate the home with personal belongings. There were a variety of art works displayed that had been painted by one service user. It is pleasing to the Commission that the outstanding environmental requirements had been addressed in relation to radiators and securing identified furniture. The manager stated that further work has not been carried out on the pond as this is to be filled in. The manager must ensure a risk assessment is completed and necessary work carried out, to ensure the safety of service users until this takes place. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 17 All service users had a large single bedroom; six bedrooms had an en-suite facility. All bedrooms were personalised to reflect the interests and wishes of the individual. The manager reported that some carpet is to be upgraded in line with a request from service users. Bedroom doors have been fitted with appropriate locks with the exception of one, due to a specialist lock being required as the door is very ornate; a suitable lock is being investigated. Service users spoke enthusiastically about having the facility to lock their room. This work had only recently been completed and keys were to be given to individuals. It was advised that a record be kept of individuals not wanting this facility. The manager reported that all water outlets had been checked. Bathing facilities in the older part of the home did not meet required guidelines and records demonstrated the water temperatures in these areas were too high. It is required that all bathing facilities be fitted with appropriate thermostatic valves to ensure the health and safety of service users. All sinks are to be risk assessed, and if a risk is identified thermostatic valves are to be fitted to these areas. The laundry area had not been adapted to provide appropriate facilities. It is required that the manager contact Environmental Health to inspect the premises to ensure it meets Health and Safety Guidelines. On the first floor of the home is private accommodation. The entrance is inside the home. During the night, the home is secured and the tenants need to ring the doorbell to gain access. This has disturbed the sleep of service users and is not acceptable. The manager reported this would be reviewed. This will be inspected upon the next visit. The previous report identified that Environmental Health had inspected the property and identified a fly screen to be fitted in the kitchen. This remains outstanding. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The home has a well-established staff team who provide a good quality of care. The home is to ensure that robust procedures are in place for the protection of individuals. The arrangements for the individuals living on the first floor are unclear and additional information is required on their eligibility to work in this capacity. EVIDENCE: At the time of this inspection, there were two staff on duty. The manager came to the home to assist with the inspection. Observation of the roster demonstrated that two staff were on duty on each day shift; 7.30am – 2.00pm and 2.00pm – 9.30pm. Each shift started ten minutes earlier to carry out a staff hand-over. The cook worked from until 7.30am – 2.00pm and domestic cover was being provided by staff from another home. During the night one member of staff worked. Above the home is private accommodation. Each night the tenant worked as a sleep in person; the access to the flat is in the front hall of the home. The manager reported that in the event of an emergency staff would ring the doorbell to alert the sleep-in person. It is required that this be reviewed as in an emergency it may not be possible for the only member of staff to go to this door. A more suitable system is required. It is required that the sleep-in person be included on the staff roster. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 19 Inspection of four staff files revealed the home had developed a new system to ensure all required documentation is available; this has not been completed for all staff and the home must ensure that a photograph is included on all files. The tenants living in the first floor accommodation do not have two written references, or a photograph and there are no terms of conditions and it is unclear as to their role in the home. Additional documentation is also required in relation to work permits. This information is outstanding from previous reports. It is required that necessary information be obtained. The manager reported that four staff have obtained an NVQ Qualification. One staff file inspected contained evidence of this qualification. The manager reported that there is one vacancy in the home. Agency staff are not used and additional shifts are covered by the staff team to ensure consistency of care. The staff team have now received training for Safe administration of Medication and Moving and Handling. Staff are currently receiving training for infection control. Staff stated there have been more training opportunities. It is recommended that staff receive three paid days training per year; Staff currently attend training in their own time. Evidence of POVA and CRB checks were available. The hairdresser visits on a weekly basis and the manager confirmed a CRB Check had not been completed. It is required that the hairdresser has an enhanced CRB Clearance. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38. The new manager has brought about a change in the home and is committed to addressing any shortfall to improve the quality of care at the home. The providers are playing a more active role and carrying out their responsibilities to work towards meeting the National Minimum Standards. EVIDENCE: The home had appointed a new manager from their existing staff team. It is required that the manager submits an application to begin the Fit person’s process. The manager reported that quality assurance questionnaires had been developed and are to be sent to families and relevant professionals. The manager was aware of the need to compile an annual review. This is to be inspected during the next visit. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 21 The manager reported that the first monthly visit by the provider was planned for later that week. These visits are to be unannounced and a copy of the reports forwarded to the Commission. Four service users and staff members stated that the Providers have been visiting the home on a more regular basis and been very accommodating where an area of need had been identified. The manager has been in post for a short period of time and formal supervision has not begun; the manager is aware of the need for staff to receive supervision. Staff revealed that since the manager has been in post the standards within the home have improved. Staff, service users and a visitor told of the manager’s approachability and support. These included: ‘Hazel has helped mum settle into the home and has been very supportive to me during this time’ ‘I wouldn’t consider letting mum stay anywhere else, Hazel and the staff have been brilliant’ ‘Hazel has high standards and we all know what we are to do, if we are unsure of anything she’s always there to support us’. Service users were encouraged to look after their own financial affairs with the support of their families or representative. There is a safe where individuals are able to deposit valuables and money. The health and safety of service users and staff were promoted with safe regular fire checks and drills, servicing of gas appliances, and monitoring the water system; there is a requirement for fitting thermostatic valves. A photocopy of the home’s inspection certificate is displayed in the front Hall. It is required that only the original certificate be displayed. House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 17 3 18 X 2 3 2 x 3 3 3 2 STAFFING Standard No Score 27 1 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 3 3 X 3 2 X 2 House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 4 (1)(2) 5 (1)(2) Requirement To review the homes Statement of Purpose and Service User Guide to ensure that the details complied with Schedule 1 and 2 of the Care Homes Regulations. A copy is to be sent to the Commission. THIS REQUIREMENT IS OUTSTANDING FROM REPORTS 01/12/03, 12/09/04, 28/07/05 To further develop plans of care to ensure all service users have a detailed plan. To review the complaints procedure to ensure it clearly records individuals have a right to contact the Commission to make any complaint To risk assess the pond and fencing and take action to ensure the safety of service users whilst awaiting work to be carried out To fit thermostatic valves to all baths and risk assess all water outlets To contact environmental Health to carry out an inspection in the DS0000005119.V278067.R01.S.doc Timescale for action 17/04/06 2 3 OP7 OP16 15 (1) 22 (1) 17/04/06 07/03/06 4 OP19 13 (4)(c), 2 (b) 07/02/06 5 6 OP21 OP26 13 (4) (a)(b)(c) 16 (2)(j) 17/02/06 17/02/06 House On The Hill Version 5.1 Page 24 7 OP27 16 (2)(j) 8 9 OP27 OP27 18 (1), 23 (2)(a) 23 (2)(a) 10 11 12 OP27 OP29 OP29 17 (2) 19 (1)(b)(i) 19 (1)(b)(i) 13 14 15 OP29 OP31 OP36 19 (1)(b)(i) 9 (1)(2) 18 (2) 16 OP38 28(1) laundry To ensure that the outstanding requirement identified on the Environmental Health inspection report of 03/02/04 to have fly screens fitted to the kitchen window is addressed. THIS REQUIREMENT IS OUTSTANDING FROM REPORTS 01/12/04 AND 28/07/05 To review the on-call arrangements during the night To review the arrangements for access to the private accommodation during the night to ensure service users are not disturbed. Sleep-in staff to be included on the staff roster. As Schedule 4 (7) All staff files are to contain a photograph. As Schedule 2 (1) The registered person shall inform the commission within a week of the receipt of this report the full details on the people employed to cover the night duty their roles, responsibilities and qualifications and elligibility to work in the home. THIS REQUIREMENT IS OUTSTANDING FROM REPORT 28/07/05. As Schedule 2 (1)(3)(5) (8) The hairdresser is to have a CRB Check. As Schedule 2 (7) The manager is to submit an application to begin the Fit Persons Process. All staff working a the home should receive at least 6 formal supervision sessions per annum. THIS REQUIREMENT IS OUTSTANDING FROM REPORT 06/08/03 The original registration certificate is to be displayed DS0000005119.V278067.R01.S.doc 17/02/06 17/02/06 28/02/06 27/01/06 17/04/06 17/02/06 17/02/06 17/02/06 17/04/06 23/01/06 Page 25 House On The Hill Version 5.1 within the home. (Regulation: Care Standards Act, Part II, (28)(1)) 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 OP12 OP30 Good Practice Recommendations To evidence social and recreational activities in the home and the community in a clear manner Staff to receive three days paid training per year House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 House On The Hill DS0000005119.V278067.R01.S.doc Version 5.1 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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