CARE HOMES FOR OLDER PEOPLE
Hyne Town House Strete Dartmouth Devon TQ6 0RW Lead Inspector
Judy Cooper Unannounced Inspection 3rd January 2006 11:50 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 Hyne Town House DS0000003725.V275241.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. Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Hyne Town House Address Strete Dartmouth Devon TQ6 0RW 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) 01803 770011 01803 770307 Mr Stephen Anthony Mould Mrs Yvonne Margaret Mould Mrs Jean Gloria White Care Home 33 Category(ies) of Dementia - over 65 years of age (33), Old age, registration, with number not falling within any other category (33), of places Physical disability over 65 years of age (33) Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: Hyne Town House is registered to accept thirty-three residents within the categories of Dementia - over 65 years of age (33), Old age, not falling within any other category (33), Physical disability over 65 years of age (33). Hyne Town house is a period detached building, with a purpose-built wing, situated in the small coastal village of Strete. The home provides accommodation for residents over three floors, with a passenger lift to access the upper floors. The home commenced an extensive refurbishing/extension programme in May 2004, which has resulted in the home being upgraded to a high standard and has included extending the homes communal space by the creation of a large garden room. A new commercial kitchen has also been installed. Further works to provide additional assisted bathing facilities, easier access to the homes passenger lift, and a disabled toilet as well as the creation of nine new single rooms have also been undertaken. A new quiet lounge has been created where the previous dining room was and the home has a new staff area, a new office area and a new medicine storage room. The home now comprises of 27 single rooms and 3 double rooms, with the majority being en-suite and many with far reaching views of the surrounding countryside and out to sea. Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place on Tuesday 3rd January, commencing at midday and finishing at 5.00p.m. Shortly after the commencement of this inspection, a complaint was received within the Commission’s office and was then forwarded by telephone to the inspector at the home. Therefore this inspection also constituted the investigation of that complaint. An inspection of the premises, examination of appropriate records and policies and discussion with the home’s manager, on the day of the inspection, all formed the basis of the necessary information gathering. Staff on duty were also observed, whilst in the course of undertaking their daily duties. The majority of the required core standards were inspected at the last inspection in September 2005. Therefore those inspected on this occasion concentrated on those appertaining to the complaint details as well as those associated with resident welfare on a day to day basis. Further observations were made regarding what progress had been made in respect of the previously identified shortfalls noted at the last inspection. The two core standards that had not been inspected at the previous inspection were also inspected on this occasion. Following on from the inspection, correspondence between the Registered Provider and the Commission, as well as a requested visit by the owner and the home’s manager to the Commission’s office, to meet with the inspector and her regulation manager, took place. This overall collated information has therefore informed the content of this report. What the service does well: Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 6 The management and staff continue to provide a relaxed, family atmosphere within the home. The manager and staff also continue to provide very individual care for the residents, some of whom are unable to fully communicate their needs. The staff continue to endeavour to maintain residents’ dignity and their rights to make personal choices. Due to the category of the resident group cared for at Hyne Town House (i.e. some residents suffer from advanced dementia), it means that staff need to take time and use good observational skills to determine what a resident may be trying to communicate, and this was again noted as being part of the staffs’ role within the home. What has improved since the last inspection? What they could do better:
The registered provider must ensure that residents are protected from the risk of fire within the home by maintaining all fire precautions in line with those recommended by the local fire and rescue service. (An immediate requirement
Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 7 was issued at this inspection in relation to a fire door leading into the kitchen being wedged open). The home’s fire prevention/awareness training records must also be available within the home at all times for inspection purposes. The manager must ensure that residents are fully protected by the appointment of suitable staff. To this end, the registered manager must have sight of the returned Criminal Record Bureau enhanced disclosure for all members of staff, before staff are left to work in an unsupervised capacity with residents. In the event that the CRB disclosure has not been received back and subsequently approved, before the staff member commences work, a named supervisor should be appointed to work with the staff member until such times as it is. All hot water, provided to residents’ facilities within the home, must continue to be regulated to a safe temperature to ensure that residents are protected from the risk of sustaining a scald. Provision of suitable window restrictors, based on identified risk and assessment of the vulnerability of the resident, must continue to be provided where required. To ensure all staff are aware of the residents’ needs, all care records appertaining to a resident’s daily care must be up to date and contain details of what care has been given/is needed. All care plans should also be updated with relevant current information. A record of any drugs administered, or of any reason why the drug has not been administered, must be maintained at all times to ensure that all staff are aware of this and so help prevent any mistakes taking place. Due to the staff caring for two residents with an infectious condition, the registered provider/registered manager must ensure that updated infection control training continues to be made available to all staff. This will then ensure that appropriate care is provided to these residents and that other residents are protected from any spread of infection. Staff involved with food rotation/distribution within the kitchen, must ensure that all food to be used is in date and that all stored food is named, dated and used within the appropriate time scales. All substances hazardous to health should be stored away in a secure manner to ensure residents are protected from these substances. Due to the high percentage of agency staff having had to be recently used to maintain the correct staffing levels within the home, the registered manager should provide a working document that contains all necessary information
Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 8 regarding the care needs of the residents and the key aspects of practice within the home. This could then be used as a reference document by any member of agency staff to refer to if they have not worked within the home before. The registered provider must ensure that all residents’ rooms are numbered or named to allow all staff to easily locate residents, who may call for assistance. The registered provider should provide additional management hours, to help support the registered manager in her day to day management of the home. 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. Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 10 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected on this occasion. EVIDENCE: Hyne Town House DS0000003725.V275241.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): 7,9 Residents could be at risk by incomplete daily records/care plans being maintained. Residents also could be at risk by those care staff responsible, not always documenting when residents’ medication is given, or the reasons why it may not have been given. EVIDENCE: Care plans for two residents were inspected. Some past recorded information, within one of the resident’s care plans, was obtained over twelve months ago by the manager, regarding the G.P’s agreement to a resident self medicating prescribed medication, following an alcoholic drink. As this resident now no longer self medicates staff members therefore administer her medication. The manager had not recorded whether, or not, the G.P had reviewed the continued administration of the medication or whether she had informed the G.P of the fact that staff were now having to administer the medication rather than the resident themself.
Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 12 Any review with the G.P should have been recorded to protect both the resident and the staff administering the medication. (The manager later confirmed that she had contacted the resident’s G.P and the G.P confirmed he was in agreement with the medication continuing to be given to the resident and she had now recorded this.) It was also noted that one resident in particular enjoys a drink of alcohol and, on occasions, was noted as demanding more alcohol and at the same time becoming more difficult with their behaviour. Some daily resident records did not have an individual entry for each day or night on every resident, therefore making it difficult to follow the progress of all residents and to ascertain if any new needs had presented, or how identified ones were being dealt with on a day to day basis. It was noted that one resident whose care was looked at in depth did have a diagnosed infectious disease. Confirmation of the disease was given to the home on the 16th December 2005. Although part of the complaint received by the Commission had alleged that this resident had wandered, after this date, into another resident’s bedroom and into the home’s kitchen, there was no written documentation of this and the manager verbally confirmed that neither she, nor other staff members currently at the home, could recall such an instance happening following the confirmed diagnosis. Therefore this part of the complaint was not upheld. Although the standard appertaining to medication was not inspected in full, some areas were looked at as part of the complaint investigation. It was noted that there were some gaps regarding the recording of medication administered to some residents. The administration of the medication, or the reasons why it may not have been administered, had not always been confirmed in a written form on the Mars Sheet. This therefore made it unclear, on occasions, as to whether or not the resident had actually been given their medication. Hyne Town House DS0000003725.V275241.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 Residents continue to enjoy a varied life at the home. Visitors continue to be encouraged and welcomed and links maintained with the local community. EVIDENCE: Regular informal activities continue to be made available within the home, and the management and staff of the home provided a varied and busy Christmas programme. The home continues to operate an open visiting policy and the visitor’s book clearly showed that the residents had many visitors at varying times throughout the day, whilst several came and went during the inspection. The routines within the home remain very flexible to ensure that residents can choose how they spend their time. During the inspection it was noted that several had chosen to spend their time in the communal lounge or conservatory whilst some others were going out with a relative etc. Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 14 Hyne Town House DS0000003725.V275241.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 The home’s complaint processes remain in order and allows residents and others to voice any concerns they may have. EVIDENCE: The home’s complaint procedure was clear and continues to be displayed in a communal area of the home. The owner/manager dealt appropriately with a complaint made directly to the CSCI in July this year regarding resident care and this was fully investigated and concluded at this time. During this inspection the Commission received a complaint regarding certain practices within the home and therefore this inspection incorporated an investigation of those issues. Hyne Town House DS0000003725.V275241.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): 19,26 Hyne Town House provides a comfortable, clean, pleasant, well maintained and warm environment. Some health and safety issues need to be improved to ensure a safe environment is maintained for the residents at the home. EVIDENCE: The tour of the building evidenced that the registered provider continues to provide a good standard of accommodation throughout. Bedrooms have been personalised as desired and residents can bring in personal items with them if they wish to. Although the manager stated that the she and the staff at the home maintain the day to day home’s fire precautions in line with the requirements of the local fire department, the relevant records necessary to confirm this were unavailable for inspection, having been taken away from the home to be updated.
Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 17 The home’s kitchen door, which is a fire door, was noted as being wedged open during the inspection. An immediate requirement notice was issued in respect of this, as resident safety could be compromised by the use of such, and the manager did take immediate remedial action before the inspection ended by removing the door wedge. Relevant materials were provided for residents with an infectious condition in their own rooms including alcohol gel and red clinical waste bags. However in one of the bedrooms the alcohol gel was not easily available, having been put on top of a wardrobe to prevent the resident in the room gaining access to the gel. Without prior knowledge of this a new member of staff such as an agency staff may have been unable to locate this. Discussion with a domestic member of staff took place and it was concluded that a bottle of cleaning fluid had been left within one of the resident’s bedrooms, but had now been taken and locked away. Infection control training had been provided within the home, but not formally for all staff since September 2004. Hyne Town House DS0000003725.V275241.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 Staffing levels are being maintained, in difficult circumstances to ensure that there are sufficient staff on duty. Some further updated staff training/supervision needs to take place to ensure all staff are fully trained and aware of how best to meet the care needs of the residents. Residents are not yet fully protected by the homes’ recruitment polices. Some residents are being placed at risk by the residents’ rooms not being named or numbered, which is unhelpful to any staff member unfamiliar with the layout of the home and the occupancy of each room. EVIDENCE: The staffing rota was inspected and discussed with the manager. It was noted that the owner and the manager were trying to recruit extra members of staff to compensate for some identified staffing shortfalls, but this was proving difficult at this present moment in time. Some new members of staff have been appointed recently but several have had had to have time off on sick leave etc which has left the home short of staff again. To compensate for this the registered provider and the registered manager have been using agency based staff, and there was written evidence of this.
Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 19 This has, however, resulted in agency staff being employed in more numbers, and on more occasions, than the owner and the manager would choose. However to maintain the necessary staffing levels they had been left with no alternative. On one recent occasion the night shift had been covered by an agency staff member, along with another agency staff member, one of whom had never worked at the home before, whilst the other had undertaken a few shifts previously. On another occasion an agency staff member had worked with a lesser experienced, but regular staff member and the agency staff member had taken the responsibility for the shift. The owner confirmed that this had only been at the agency staff member’s insistence but that due to staffing pressures the manager had agreed to this. (Normally the home does not have a senior night care worker as both are deemed to be equal in status). However it must be stated that a core staff group continue to remain in post and are held in high respect by the management and residents alike whilst continuing to provide an excellent delivery of care. It was also pleasing to note, that the staff mix continues to include a full time male carer, which helps keep a balance of a mixed gender staff group working within the home. A written request was noted as having been made two weeks prior to this inspection, by an agency member of staff, that all rooms within the new extension, be numbered or named. This was to aid the agency staff who were not that familiar with the home, to easily be aware of which resident was calling for help, or in the event of a fire so that a safe evacuation of the premises could be made. This request had not been carried out and remained unmet on the day of the inspection. The staff recruitment programme had not yet been completed to the required standard. Some enhanced C.R.B checks, although applied for, had not been received back, and these staff members are continuing to work with residents in an unsupervised capacity. Until these are returned, a senior staff member must be appointed to act as a supervisor for the staff member concerned. NVQ training in care is being made available to staff to allow the home to achieve the 50 of trained staff required and currently there are over this amount of trained staff working within the home. However some further basic statutory training requirements have been identified as being needed to be provided to ensure that staff continue to be fully aware of, and therefore able to meet, all residents’ needs appropriately. These include updated training in infection control, as well as updated training in medication awareness, satisfactory maintenance of residents’ records and an Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 20 awareness of the legal requirements required for the storing of substances hazardous to health. Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 21 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): 31,38 The overall management of the home remains good, however additional management hours are required to ensure all management tasks can be undertaken as required. Full hot water regulation has not yet been fully completed, which means that residents’ health and safety is still being compromised in some areas. Residents have a lack of natural ventilation due to some windows being locked. EVIDENCE: The manager, who was present throughout the inspection, was very professional and helpful and clearly had an understanding of the management role expected within the home. She has many years experience in the care of the elderly at a senior level and is currently undertaking an NVQ level 5 in management. She holds many other care related qualifications including a
Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 22 degree in Sociology and has attended numerous care related courses. She is also an NVQ assessor. Discussion took place with the manager, in respect of her ascertaining with her training provider, that the current qualification she is working towards is the equivalent of the NVQ level 4 and 5 in care and management and therefore meets the requirements regarding qualifications for registered managers, of this Commission. Discussion also took place at this inspection, with the manager, regarding the management hours that she has available. Although her role is full time the manager currently does not have an assistant manager to whom she can deputise some tasks. This again has been due to difficulties in recruiting a suitable candidate. The home’s hot water supply remains regulated where there are full bathing facilities and totally within the new extension. Since the last inspection further water regulation has taken place and risk assessments are in place for all areas. The owner stated that there was a planned phased programme in place to ensure water regulation will be provided to all other outstanding outlets i.e. residents’ hand washbasins within the near future to ensure resident welfare is maintained. The manager stated that some further window restrictors have now been put in place, however in some cases, the risk of fully opening windows is being managed by the locking of the window concerned, until suitable restrictors can be provided. These must be provided as soon as possible to ensure that the environmental standard regarding residents being able to have adequate ventilation can be met. Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 2 x x x x x x 2 STAFFING Standard No Score 27 3 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x x x 2 2 Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 24 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 OP19 Regulation 23 Requirement Timescale for action 03/01/06 2 OP29 18 3 OP37 17 The registered provider must ensure that the homes fire precautions are maintained in accordance with the requirements of the local fire and rescue service. (Previous date given for this 29/09/05) 03/02/06 The registered manager must ensure that an enhanced disclosure from the Criminal Records Bureau is received, and seen, before a staff member is allowed to work with residents, in an unsupervised capacity. If the enhanced CRB check has not been returned, when the staff member is due to commence work, a senior staff member must be appointed to act as a supervisor for the staff member concerned, until the disclosure is received back. (Previous date given for this 29/10/05) All records including residents’ 03/02/06 daily records and care plans must be up to date and contain all necessary information, including any specific instructions.
DS0000003725.V275241.R01.S.doc Version 5.1 Hyne Town House Page 25 4 OP9 17 5 OP19 13 6 OP26 13 7 OP26 13 All drugs administered must be signed for. In the case that a resident does not have prescribed medication for any reason, a record of why this is the case must be made. Any substances that are hazardous to health must be securely stored as per the Control of Substances Hazardous to Health legislation. The registered provider/manager must ensure that staff receive updated training in the prevention of infection control. The registered provider/ registered manager must ensure that there is a suitable food rotation system in place, within the home’s kitchen. 10/01/06 03/01/06 03/03/06 10/01/06 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 OP19 OP38 Good Practice Recommendations The registered provider should name, or number, each resident’s room to aid new staff locate, and attend to, the resident requiring help. The registered provider should continue to ensure that all water outlets, including hand basins within the home, are risk assessed and the hot water supply regulated to 43 degrees Centigrade, as required, to minimise the risk of residents sustaining a scald. The registered manager should provide a working document for agency/new staff, covering shifts at the home, to refer to if they are unfamiliar with the general running of the home and the needs of the residents. The manager should confirm with her training provider that the current qualification she is working towards (NVQ level 5 in management) also encompasses NVQ level 4 in management as well as incorporating the NVQ level 4 in
DS0000003725.V275241.R01.S.doc Version 5.1 Page 26 3 OP30 4 OP31 Hyne Town House care qualification. This is to ensure that the qualification, when obtained, does meet the requirements of this Commission for registered managers. 5 6 OP32 OP38 Consideration should be given to increasing the management time available within the home. Suitable window restrictors should be provided where there is an identifeid risk to resident welfare. Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Hyne Town House DS0000003725.V275241.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
