Inspection on 13/06/06 for King William Residential Home

This inspection was carried out on 13th June 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

King William Residential Home 11/04/07

King William Residential Home 07/02/06

King William Residential Home 07/09/05

King William Residential Home 04/11/04

King William Residential Home 21/07/04

King William Residential Home 09/09/02

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE King William Residential Home Lowes Hill Ripley Derbyshire DE5 3DW Lead Inspector Bridgette Hill Key Unannounced Inspection 13th June 2006 08:55 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 King William Residential Home DS0000020027.V297552.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. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service King William Residential Home Address Lowes Hill Ripley Derbyshire DE5 3DW 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) (01773) 748841 01773 743606 Ashmere Care Group Mr Gerald Poxton, Mrs Sandra R Poxton, Mrs Ann Theresa Poxton, Dr Michael G Poxton, Mr David A Poxton Vacant Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (23), Physical disability (5) of places King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2006 Brief Description of the Service: The King William Care Home provides 24-hour staffed care for 23 older people and 5 physically disabled persons aged 18 - 65. The Home is a large detached brick building, a former public house, which is situated on the edge of a Derbyshire market town with good shopping facilities and amenities available within half a mile of the Home. The facilities provided at this Home comprise of 24 single rooms and 3 double rooms many of which have en-suite facilities available. The Home provides a garden area with easy access for Service Users. Services provided to Service users include personal laundry, home cooked and traditional food, social events and leisure activities. The range of fees charged at the home are £338.50 - £770.00, this includes a top up fee of £30.00 which includes hairdressing, chiropody and physiotherapy services. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced one which took place over 7 hours. The Acting Manager Gill Wright was on duty and the Area Manager Michaela Tamblin was available in the home throughout the inspection. As part of the inspection two service users, two relatives and one staff member were spoken to. A partial tour of the building was completed. Various records including care planning records were examined the findings are recorded in the body of this report. What the service does well: What has improved since the last inspection? What they could do better: The Provider must ensure that the registration categories for the home are adhered to as the Provider is currently in breach of their registration by accepting more that the number of Older Persons than the home is registered to accept. There are a number of requirements listed in this report which remain unmet from previous visits. Whilst there were a range of quality assurance processes being implemented action has not been taken to address all requirements. The care plans in place were found to be basic and repetitive with a lack of depth in the personalisation of them. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 6 Some standards were largely met but adversely affected by some key deficits. Examples of this are: gaps in employment histories not being explored, personal allowances not being promptly transferred to service users, and There are a number of requirements listed which relate to medications some of these are outstanding from previous visits and must be addressed. 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. King William Residential Home DS0000020027.V297552.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 King William Residential Home DS0000020027.V297552.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 Sufficient information was acquired regarding service users needs prior to admission being agreed however the information offered to service users has been out of date for time. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: A range of information was available in the entrance. This included the Service User Guide. The Statement of purpose was not available in the entrance area but a copy was available in the office. This was found to be inaccurate in describing the number of places at the home and did not reflect the managerial changes that have occurred at the home. This is an outstanding requirement from previous inspections. The care file of a service user recently admitted as an emergency was assessed. This confirmed that Care Management information had been obtained prior to accepting the service user for admission. The staff had also King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 9 completed an assessment on admission. A plan of care had not been devised, as it was only a short time since admission. The Acting Manager said that prospective service users were offered trial visits to the home where this was possible. The home is registered to accept 23 service users in the category of Older Persons and 5 places are registered for Physically Disabled persons 18 – 65 years. The occupancy of the home at the home of this visit revealed that there were currently 24 persons admitted in the category of Older Persons. Discussions on options to apply for registration to allow flexibility on the use of the beds were discussed with the Area Manager. Further correspondence and discussion with the Provider on a satisfactory resolution of this will take place. The home does not offer intermediate care as defined by National Minimum Standard 6. King William Residential Home DS0000020027.V297552.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Care plans in the home were generally basic in describing in how assessed needs were to be met. Some were not reflective of need, did not contain key information and had not taken into account specialist advice. This had the potentially for service users needs to remain unmet. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: A sample of three service user files were examined to assess how standards were being met. A lengthy and repetitive format was in place for recording the plan of care. The headings of this were however not always based on recording assessed needs. An example of this was one form headed ‘equipment’; equipment is actually used in response to an assessed need and is not a need in itself. Forms were available for incontinence and then another was available for bowel management. In general therefore the plan of care was duplicated in a number of areas. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 11 The content of care plans varied some detailing how personal hygiene needs to be met were well personalised. Other care plans were general in the style of writing and did not give information on how to approach and deliver care to individual service users. For one service user assessed needs had changed and whilst a note had been added to the plan of care the plan had not been updated to reflect the significant change. Not all care plans had been reviewed monthly or audited by the Acting Manager as was the company procedure. Service users were weighed monthly but information was not always recorded in the plan of care. In one file specialist advice had been sought and provided in a written format. This contained direct care delivery instructions it was of grave concern that this has not been included in the plan of care. The tissue viability tool in one file had not been updated since February when the scoring level indicated that monthly review was required. The history of falls log in the care file was found not to be up to date in one file giving staff the impression that falls had not occurred when they had. One care plan was in place to provide pain relief this did not detail what pain was typically experienced or include details of the service users capacity to express that they were in pain. The health needs of service users were considered to be met as care files included recorded visits by Doctors, dates of out patient appointments, chiropodists, opticians and dentists. Daily records were written for each shift by staff. The storage and administration of medicines was examined. Staff were observed administering medicines at two medications rounds during the inspection. The poor and dangerous practice of leaving the trolley open and unattended was observed at both rounds. At one round medications had been dispensed into a pot and left on top of the trolley unattended whilst other service users medication was administered and an open bottle of medication was left on a desk. The storage of medications was satisfactory with regards security but the temperature of the room was being recorded daily, which indicated temperatures in excess of 25ºc being recorded for the past three days. This King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 12 has the potential to adversely affect some medications and measures to address this should be considered. Where variable dosages were prescribed, as at previous visits the actual dosage being administered was not recorded. Topical preparations were found without a name label or date of opening. Where medication administration records had been handwritten these were doubly checked and signed by staff. One service user was observed to be undressing in a bathroom where the door had been left open by staff whilst they fetched something. A telephone was available for service users to use; this was in the smoking lounge and afforded little privacy to the user. All service users appeared to be tidily dressed. Staff were observed to use service users preferred names when addressing them. Some care files viewed contained service users post death wishes. In one file it was recorded that this had been discussed but the service user had not wished to make a decision about this. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Regular activities were offered to service users and a choice of meals were routinely offered. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service EVIDENCE: All care staff had a responsibility for the provision of activities. On the day of the inspection an external entertainer was in the home and the majority of service users were gathered in the lounge for this. There had been some improvements made by the introduction of the individual recording of the activities that service users had been involved with. These did not however record the functioning, enjoyment or responsiveness of service users as has been recommended. Some records indicated repeated refusals by service users to become involved in activities. Social care plans were included in the care files but these were not well personalised with service users preferences and interests. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 14 The range of activities offered included bingo, skittles, I spy, colouring and nails being painted. External entertainers visited the home on a regular basis typically monthly. On arrival at the home newspapers were ion a dining table for service users and these were observed being read later in the day. One outing on a boat trip had been enjoyed by some service users. A local church poster was displayed giving details of visits to the home. Service users and records available indicated that a choice of meals were routinely offered. The quality of food offered was said by service users to be good. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Processes for handling complaints are in place and being implemented. There is the potential for any allegations of abuse to be mishandled due to the lack of appropriate procedures being available to staff. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: The complaints procedure was on display in the entrance hallway and included in the Service User Guide. This included timescales for the resolution of complaints and the address of the Commission for Social Care Inspection. Since March 2005 two complaints had been received. One was ongoing and had been since December 2005. The complainant had been informed of the reason for the delay in investigation. Where investigations had been held written responses had been supplied to complainants within the given timescale of 28 days. The Protection of vulnerable adults policy could not be located in the home and it was not possible to check if this now recognised and advocated use of the local Protection of vulnerable adults as was part of the Provider contractual obligations when accepting service users funded by the Local Authority. This is an outstanding requirement from previous inspections. One staff member spoken to knew about the whistle blowing policy and said they had received training in the Protection of vulnerable adults. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 16 One Protection of vulnerable adults referral had been made and was in the process of being investigated. This was not care related and was an allegation of abuse outside of the home. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 17 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 The home provides a homely environment for service users with systems in place for repairs and ongoing maintenance tasks. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service EVIDENCE: A partial tour of the environment was undertaken at this visit. The Fire Officer last visited the home on 22/08/05 when all fire safety measures were considered satisfactory. There were four lounge areas available for service users one had a dining table in it. An additional dining area was also available. The Provider employs a handyman and a book was available detailing works to be done. Each job was signed off by the handyman and checked by the Acting Manager. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 18 Since the last inspection the downstairs corridors had been partially decorated. Water temperatures were checked with a sample of rooms checked on a weekly basis to ensure that all rooms were checked over each month. One bedroom viewed had an odour evident despite reports from the Acting Manager that the carpet had been cleaned that morning. Since the last inspection a lock had been fitted to the kitchen door although it was observed that the door was left wide open with no staff in the immediate vicinity. The laundry area was tidy and suitable for purpose. All laundry appeared to have been washed quickly and returns to service users. One relative verified this. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 19 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 Basic numbers of staff were provided and all service users and relatives spoken to were aware of this. Staff were receiving ongoing training. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: Staffing provision was recorded on the duty rota as 3 care staff working day shifts 8.00am – 8.00pm and two care staff working nights 8.00pm – 8.00am. This gives a total number of hours worked by staff as 420 per week. The occupancy of the home on the day of the visit was 25 service users the dependencies were given as 10 service users being of a medium dependency and 15 low dependency. According to the Residential Staffing Forum tool the basic provision number of hours required for this group of service users is 420. This figure does not include the number of hours for staff training, activities and allows for some difficulties in the layout of the building, as there are five communal areas and bedrooms located on both floors. All service users and relatives reported times when they said there were staff shortages. Weekends were particularly highlighted when relatives said that there were times when only two staff were on duty. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 20 There were 13 care staff employed at the home of which 6 had achieved at least NVQ (National Vocational Qualification) level 2 in care qualifications. Three of these staff have achieved NVQ (National Vocational Qualification) level 3 in care. A sample of staff personnel records was examined. There was an incomplete record or knowledge displayed of recorded gaps in employment histories. On one application the last known employer was not recorded. Some files did not have photographs of the staff in place. The source of one reference was not known and it was not known where to seek further information. Criminal Records Bureau checks for all staff were in place. Training records for staff were held individually within their personal files. It is recommended that an overview to established as it was not easy to identify if statutory training was due. Training undertaken by the staff group in the past year included: moving and handling , fire safety, Protection of vulnerable adults, control of substances hazardous to health, dementia/challenging behaviour and health and safety. External trainers completed some training, some was done by in house staff. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 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): 31,33,34,35,36,37,38 Management procedures are not always being robustly implemented as there are a range of deficits identified in many areas indicating a lack of completeness in the administration of managerial and quality assurance processes. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: There is currently not a Manager in post who has been registered with the Commission for Social Care Inspection. The Acting Manager has yet to submit an application to register with the Commission for Social Care Inspection. This was discussed and it was stated that this would be submitted shortly. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 22 The Acting Manager has started a NVQ (National Vocational Qualification) level 4 course and on discussion it was stated that the anticipated completion date for this is December 2006. A monthly quality control audit is completed by the companies Area Manager. This covered a wide range of aspects and concluded with a percentage rating of the home. Visits on a monthly basis were conducted by/on behalf of the Provider and documented. Some questionnaires had been given out and returned from staff, service users and relatives. Generally the feedback received was found to be good. Some included comments on how improvements could be made such as serving meals more slowly and taking care not to mix up clothing being retuned from the laundry. There was some evidence of comments being followed up to explore if action could be taken to address identified issues. No questionnaires had been given to visiting professionals as yet. Staff meeting and service user meeting had been held. Minutes were available. The dates of meeting indicated they were held infrequently. A range of audits were completed monthly including accidents, A valid public liability certificate was on display. Records for establishing financial liability were not requested at this visit. An annual development was stated to be in the process of being drawn up. Some monies are stored safely in the home on service users behalf. The records and balances of these were checked and found to be in good order with double signatories on all transactions and receipts retained for purchases. Audits to check balances of monies held were checked periodically. One service users allowance is paid to the Provider and transferred to the service users monies in the home. It was of concern that this does not appear to be transferred on a regular basis and has not been recorded in for the past 6 weeks. A system to ensure this is transferred swiftly and the service user has access to their monies must be developed. Some staff supervisions had been completed and a range of forms were available according to the role of the staff member. Some of these were in a workbook type format to be completed by the employee. The focus of these appeared to be repetitive of some statutory training such as moving and handling and medication. There was little evidence of discussions with staff record that included areas of practice and development for individual staff. The dates of supervision were sporadic and discussions with staff revealed that staff supervision occurred approximately 6 monthly. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 23 Service users personal records were observed at this visit to be left openly in a publicly accessible area. This has occurred on the past two inspections and has clearly not been addressed. Accident records were examined. An audit of falls and accident records were undertaken on a monthly basis. Service users were particularly monitored for a few days following accidents with records of this being recorded on the accident form. The service records for equipment and installations at the home were examined and were all found to be acceptable. King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 24 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 3 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 2 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 3 2 3 2 3 King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 25 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 Requirement The Statement of purpose must be amended to ensure that it meets the requirements of Schedule 1 Previous timescales 30.11.05 & 31/03/06 2 3 OP7 OP9 15 13 Care plans must be updated to record significant changes in service users assessed needs Topical preparations must be dated on opening and discarded according to manufacturers guidelines Previous timescale 28/02/06 Medications must not be left openly in areas where they may be accessed by service users at any time Where a variable dosage of a medication is prescribed the actual dosage administered to the service user must be recorded Previous timescale 28/02/06 The Manager must ensure that DS0000020027.V297552.R01.S.doc Timescale for action 31/07/06 31/07/06 30/06/06 4 OP9 13 30/06/06 5 OP9 13 30/06/06 6 OP10 12 30/06/06 Page 26 King William Residential Home Version 5.2 7 OP18 13 all staff protect the privacy and dignity of service users when personal care is being delivered The protection of vulnerable adults policy must be clear in what action staff must take following any allegations and refer to locally agreed procedures where service users are funded by local authorities Previous timescales 30.10.05 & 30/03/06 31/07/06 8 OP28 18 9 OP29 19 10 OP31 8 A plan must be implemented to ensure staff are trained to ensure that home meets the requirement for at least 50 of staff hold at least level 2 in care Staff must not commence employment unless all the required aspects of Regulation 19 are met A manager must be appointed and an application made to formally register the manager with the commission for Social care Inspection Previous timescale 30.11.05 & 15/03/06 30/09/06 30/06/06 31/07/06 11 OP35 16 12 OP37 17 A robust and regular system must be in place to ensure service users are paid their personal allowances on a regular and timely fashion All records containing personal data must be held securely in accordance with the Data Protection Act 1998 Previous timescale 30.9.05 & 28/02/06 31/07/06 30/06/06 King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP9 OP9 OP12 OP12 Good Practice Recommendations Measures to ensure the temperature of the drug storage area does not exceed 25ºc should be considered. A drug reference book dated not more than one year old should be obtained The service users abilities, responsiveness, functioning and enjoyment of activities should be recorded on an individual basis There must be a review of in house activities in consultation with service users to ensure provision meets the service users needs Protection of vulnerable adults policies and procedures must be available in the home The kitchen door should be locked when not in use Measures must be taken to eradicate malodours from the home An overview of staff training should be available to ensure that a system is in place to identify when statutory training is completed when due Feedback should be formally sought on the home from visiting professionals A system must be implemented to ensure staff receive regular and appropriate supervision to cover all aspects of clinical practice, philosophy of care and development 5 6 7 8 9 10 OP18 OP19 OP26 OP30 OP33 OP36 King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 King William Residential Home DS0000020027.V297552.R01.S.doc Version 5.2 Page 29 - 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!