CARE HOMES FOR OLDER PEOPLE
Knyveton Hall 34 Knyveton Road East Cliff Bournemouth Dorset BH1 3QR Lead Inspector
Carole Payne Unannounced Inspection 11.30 1 and 4 March 2006
st th 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 Knyveton Hall DS0000003952.V284864.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. Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Knyveton Hall Address 34 Knyveton Road East Cliff Bournemouth Dorset BH1 3QR 01202 557671 NO FAX 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) Alan Coggins Limited Mrs Elaine Margaret Coggins Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 18th July 2005 Brief Description of the Service: Knyveton Hall is situated between Bournemouth and Boscombe close to Boscombe town centre and a short drive from the sea front. Bournemouth town is approximately two miles away from the home. There is parking at the front of the premises, street parking is also available. Knyveton Hall is a family run care home for older people who need the support of residential care. Services include personal care, meals, laundry, domestic services and recreational activities. Knyveton Hall is registered to accommodate up to a maximum of 39 older people (age 65 and over), both male and female. The proprietors are Alan and Elaine Coggins who live on the premises. The home is run by Mrs Coggins, she is supported by her sister who is the deputy manager and a care manager. Knyveton Hall is run as a Limited Company, Alan Coggins Limited. The home is arranged over four floors containing 35 single rooms and 2 double rooms, all floors can be accessed by a passenger lift. Communal areas include three lounges, two on the ground floor and one in the basement and a dining room. The basement lounge gives direct access to the level back garden. Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on the 1st and 4th March 2006 and took a total of 10.5 hours. The inspectors, Carole Payne and Maxine Martin were made to feel welcome in the home during both visits. The deputy manager was available on 1st March 2006 and the registered manager was present on 4th March 2006. This was a statutory inspection and was carried out to ensure that the thirty-eight residents who were living at Knyveton Hall were safe and properly cared for. Requirements and recommendations made as a result of the last inspection visit were reviewed. The premises were inspected and records examined. Time was spent in discussion with people living at the home, the management team and staff members on duty. Nine residents were spoken with and residents were observed enjoying the communal areas and spending time in individual rooms. What the service does well: What has improved since the last inspection?
The home now carries out a proper assessment prior to the admission of a new resident, to ensure that the home can meet the person’s needs. Care plans were in place for all residents who had recently moved into the home.
Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 6 Some members of staff have now attended a training course in adult protection and four members of staff have completed an NVQ in care and are awaiting their certificates. The home has started to introduce supervision and has introduced a record, which includes the comments of the supervisee. The registered manager of the home also records written contacts with the individual, which act to support the member of staff. There was an improvement in the signing and dating of risk assessments. The home is receiving local pharmacy support with improving procedures for the safe handling of medicines. There had been some recording of alternative meals provided where a resident did not choose to have the main meal. Since the last inspection the home has had an assessment of the premises by an Occupational Therapist. A separate paper record of the roster is now kept. What they could do better:
Written confirmation must be sent to residents moving in that Knyveton Hall is able to meet their assessed needs. Risk assessments and care plans must support safe care delivery, with respect for the person’s wishes and preferences. Risks identified as a result of accidents must be recorded in the accident book, and incidents occurring need to be monitored to ensure that risks can be minimised in the future. There were no specific nutritional risk assessments. For residents identified at risk of weight loss or dehydration; there was no monitoring of residents’ weights, with their permission, or of dietary or fluid intake. Residents’ nutritional needs must be assessed, monitored and reviewed, to ensure that healthcare needs are identified and met. It was recommended that the home obtain a copy of the Royal Pharmaceutical Society’s ‘The Control and Administration of Medicines in Care Homes.’ Hot radiators presented a serious risk of scalding to residents. An immediate requirement was issued at the time of the inspection for radiators to be risk assessed and action taken to protect from the risk of scalding. A clear legible record of the roster needs to be maintained with full names and hours to be worked by each member of staff. Any alterations must be readable.
Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 7 The service is failing to carry out thorough checks prior to employing staff. This has been a requirement in three previous inspection reports. Residents living at the home must be supported and protected by the home’s recruitment practice. It must also be ensured that the home’s recruitment records are available for inspection at all times. A training and development plan for all staff will enable training needs to be identified, tracked and maintained. New staff must undertake a programme, which meets with ‘Skills for Care’ induction standards, ensuring that they have the skills and qualifications to safely meet residents’ needs. There is insufficient recording of residents’ monies to promote a transparent audit trail in the way that the home handles service users’ monies. There must be a clear, auditable process of service users’ personal allowances received and passed to service users. Monies received by the service into the home’s account, and paid to service users, must be held in service users’ names. Any monies given to service users must be recorded, and, where appropriate, receipts kept where purchases have been made. There must also be clear policies and procedures regarding bequests to staff, demonstrating that the home is safeguarding the financial interests of service users. Formal supervision is not currently taking place on a regular basis. Supervision for care staff should take place a minimum of six times per year, or according to the needs of the individual. Residents’ healthcare needs and, therefore, dependency levels, are increasing. The home’s capacity in terms of equipping staff with the necessary skills, providing the appropriate environment, record keeping practices and staffing levels will be monitored during future inspection visits to the home to ensure that residents’ needs are met. 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. Knyveton Hall DS0000003952.V284864.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 Knyveton Hall DS0000003952.V284864.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): 3 A satisfactory assessment is now completed to ensure that no service user moves into the home, without having his / her needs assessed. The home is failing to confirm in writing with the resident that the home is able to meet these needs. EVIDENCE: A pre-admission assessment had been completed for three people who had recently moved into the home. On the day of the inspection a healthcare professional visited the home and it was decided that the home was suitable to meet two service users’ needs on a permanent basis. There were no copies of letters on file to the residents, or their family members, confirming that Knyveton Hall was able to meet their assessed needs. Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 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 and 9 Care plans did not adequately inform care delivery, with regard to the person’s personal, health and social care needs. The inadequacy of risk assessments and accident monitoring does not satisfactorily ensure that residents’ healthcare needs are met. The service is making positive progress to ensure that medicines are safely managed in the home. EVIDENCE: Some care plans did not inform staff members how care needs were to be met. Some of the records were not signed and dated by the person completing the record. Resident signatures were included in the care plans showing that they had been consulted about their plan of care. Residents’ falls had not been routinely recorded as accidents and there was no process to look at patterns of accidents occurring to minimise incidents in the future. In a resident’s file a healthcare need was identified. It was stated that staff had been informed and had the training to meet this need. However, the care plan did not explain how they were going to carry this out.
Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 11 Risks were identified relating to care. One service user experienced a fall during the inspection. The resident fell and had no access to a call bell to request help. It was not clearly explained in the care plan how staff members were going to minimise presenting risks, particularly where residents may be increasingly dependent upon care staff to meet their needs. There were no specific nutritional risk assessments. For residents identified at risk of weight loss or dehydration there was no monitoring of residents’ weights, with their permission, or of dietary or fluid intake. Mrs Walker said that a new recording system being introduced would include monitoring of nutritional needs. Mrs Walker, the deputy manager explained that there was effective liaison with external healthcare professionals, with regard to reviewing and monitoring care. She outlined that the home was awaiting a new recording system that she feels will better enable the home to ensure that assessment and care planning, support care provided. The home maintains a record of medicines received and disposed of. The deputy manager confirmed that the home was receiving local pharmacy support to ensure that medicines are safely kept and administered. Two boxes containing eye drops had been dated on opening and had expired. These were disposed of at the time of the visit. Some medicines with expiry dates 01 and 03 were kept in a service user’s room. The deputy manager undertook to advise the family straightaway, and, with their permission, to remove the items. One risk assessment seen for the self-administration of medicines had not been signed. The deputy manager was advised to obtain, and share with staff members responsible for the administering of medicines, a copy of ‘The Control and Administration of Medicines in Care Homes.’ Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 Residents are offered a well-presented and appealing diet, in the dining surroundings of their choice. The record for the documenting of alternative meals had not been maintained satisfactorily. EVIDENCE: Residents said that ‘the meals are good here.’ ‘They always provide something different if you would like it.’ The meals seen on both days of the inspection looked appealing and well presented. Residents can eat in the dining room, where they can enjoy sharing a meal in the company of others, in the lounge, or in their own room. Although there had been some recording of alternative meals provided, where a resident did not choose to have the main meal, this had not happened recently. Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 13 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 The service has open procedures, which support people to feel confident that their complaints will be listened to. The home currently does not have a complaints’ log. The home is making progress with the training of staff in awareness of abuse, promoting the protection of service users. EVIDENCE: The deputy manager confirmed that there had been no complaints since the last inspection. The complaints policy was amended during the inspection to state that a complainant may refer to the Commission for Social Care Inspection at any stage. The policy is displayed in the home’s main reception area. A resident living at the home said ‘I feel I can say anything and I know I will be listened to. The staff are so good.’ The deputy manager said that, at present, there is no complaints log for the recording of complaints received. Some training files hold copies of attendance on an adult protection training course. One staff member spoken to demonstrated that she was aware of action to be taken in the event of an allegation of abuse. Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 14 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): 22, 25 The home has had an assessment by an Occupational Therapist to assess the provision of appropriate equipment in the home to promote independence. Rising dependency levels in the home require continuous monitoring of the adequacy of the facilities to meet residents’ needs. Hot radiators presented a serious risk of scalding to service users. EVIDENCE: The home now has a record, which states that the service has had an assessment by an Occupational Therapist. One resident had a fall during the visit and had no means, to hand, to request assistance. The deputy manager said that an external healthcare professional was liaising with the home regarding the meeting of this resident’s needs and was monitoring care.
Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 15 Some radiators in the home were too hot to touch. In the dining room some radiators were positioned close to residents’ dining room chairs and presented a risk of scalding. An immediate requirement was issued at the time of the inspection, to carry out risk assessments of all radiators, and undertake immediate action to ensure the safety of residents as appropriate. Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 16 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 number of staff on duty adequately meets service users’ needs. Residents living at the home are potentially placed at risk by the poor recruitment practices of the home. The staff training and development plan is yet to be completed, there is therefore no structure to ensure that staff members are equipped with the skills that they need to carry out their roles. Induction carried out is not adequate to meet the required standards to equip new staff with the skills that they require to meet residents’ needs. EVIDENCE: There has been progress since the last inspection with ensuring that an accurate roster is maintained. The record is no longer written on an envelope; there was a list of first names. However, full names were not recorded and some shifts were empty, or had one initial. There was Tippex in places where there had been changes and the record did not accurately reflect the actual hours, which the deputy manager confirmed, could vary. The numbers of staff on duty at the time of the visits reflected adequate staffing levels. Four members of care staff have recently qualified with an NVQ 2 in care. Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 17 On the first day of the inspection the recruitment and training records were not accessible as the registered manager was away, and there was no key holder with access to the records. Five recruitment records contained no references. Mrs Coggins confirmed that no new staff had started since the last inspection. However, she said that two members of staff had left the home and returned to work after an absence of two or more years. No updating checks had been undertaken. Shortfalls included gaps in work histories and lack of proof of identity. There was no follow up of concerns regarding criminal convictions on one file. Mrs Coggins expressed concern regarding the difficulty in obtaining references and thus no staff file, she said, contained a reference. Records for staff training show that some staff members have been attending required mandatory training courses since the last inspection. However, there is still some work to do to ensure that all staff members are up to date and competent to fulfil their roles. One staff member had no record of manual handling training on file; two other staff members had not received updated training since July 2004. Some staff had recently received training in promoting continence. No training and development plan was in place to ensure that all staff are competent to do their jobs. Records on files for induction were brief and did not reflect TOPSS and now ‘Skills for Care’ induction standards. Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 18 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): 33, 35, 36, 38 People are asked what they think about the service, promoting the running of the home in residents’ best interests. There is insufficient recording to satisfactorily evidence the safe handling of residents’ personal monies. The paying of monies into the home’s account and paid to service users, and the acceptance of money bequeathed, do not demonstrate safeguarding of the financial interests of service users. The service is working towards its aim to carry out formal supervision of staff members a minimum of six times each year, to ensure that people working in the home are well supported in their roles. The home has a good routine maintenance programme, but is currently failing to equip all staff with the training required to ensure that the health, safety and welfare of service users are promoted and protected. A failure to apply safety footplates to wheelchairs puts service users at risk of harm. Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 19 EVIDENCE: The home uses questionnaires to ask people living in the home and relatives what they think about the service. Mrs Coggins said that she would ensure that this year when the audit is carried out she would make people aware of the results, and actions taken as a result of the survey. One resident said ‘I feel as though this is my home. I am asked what I think about things.’ ‘I love it here.’ Records of personal allowances given to residents do not record amounts and are not signed to confirm checking by two members of staff, as recommended at the last inspection. During the visit one of the residents was given personal money to spend. The manager said that no receipt book is maintained and kept to record any money transactions, nor any receipts for purchases. The manager said that monetary gifts had been made to staff. She also said that some personal monies are paid directly into the home’s account, at the request of the resident / their family. Staff members consulted with the management of the home on an informal basis, as part of their daily routine. A record of formal supervision has been started. A written record of contacts with the registered manager is also maintained. Files seen did not demonstrate that formal supervision takes place a minimum of six times each year, ensuring that the staff member is well supported both in their work, practice and their career and development needs. Records reflected a good routine maintenance programme. Shortfalls in manual handling training and other areas relating to health and safety were reflected in staff training records. The home has previously been required to develop a learning and development plan. This will ensure that the home has a routine ongoing programme for staff. Residents’ wheel chairs in use during the two days of the inspection did not have footplates in place. Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 20 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 1 1 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 1 X X X 2 X X 1 X STAFFING Standard No Score 27 2 28 2 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 1 2 X 1 Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 21 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 OP3 Regulation 14 Requirement Following assessment, written confirmation must be given to a resident that Knyveton Hall is able to meet their assessed needs. (Previous timescale of 31 August 2005 not met.) A care plan must be in place for each resident that gives clear guidance to staff on the actions to be taken to meet residents health and welfare needs. (Previous timescale of 30 September 2005 not met.) All falls occurring in the home must be recorded as accidents; the accident reports must be monitored and any actions to minimise risks must be reflected in residents’ risk assessments and care plans. Residents’ nutritional needs, including food and fluid intake, must be assessed, monitored and reviewed, to ensure that healthcare needs are identified and met.
DS0000003952.V284864.R01.S.doc Timescale for action 30/04/06 2. OP7 15 31/05/06 3. OP7 13 and 15 30/04/05 4. OP8 12(1) 15/04/06 Knyveton Hall Version 5.1 Page 22 5. OP18 18(1) All staff must receive training in the Protection of Vulnerable Adults. (Previous timescale of 31 December 2005 not met.) Risk assessments must be carried out and action taken to minimise the risk of scalding from hot radiators in the home. This was issued as an immediate requirement on 1/03/06, on the first day of the inspection. 30/06/06 6. OP25 13 01/03/06 7. OP29 19 Recruitment procedures must ensure that the information as listed in Schedule 2 is obtained, specifically: 1. Two written references 2. When a staff member needs to be recruited immediately Knyveton Hall must obtain a POVA First check, pending the result of the full Criminal Records Bureau (CRB) check before conditional employment is confirmed. 3. CRB checks must be routinely obtained for all staff before they commence employment in the home. Previous timescales of 01/07/04, 31/03/05, 31/07/05 not met. This was issued as an immediate requirement during the inspection visit on 04/03/06. Failure to comply with this requirement may result in enforcement action being taken. 04/03/06 Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 23 8. OP29 17 In accordance with the Care Standards Act 2000, part II, section 31, recruitment records to be made available for inspection, at all times. This was issued as an immediate requirement during the inspection visit on 1/03/06. 01/03/06 9. OP30 18 The training and development plan must be completed to ensure there is a proper structure in place so that care staff are trained to do their jobs. (Previous timescale of 30 November 2005 not met.) An induction programme, which meets ‘Skills for Care’ standards, must be introduced to equip new staff with the skills that they need to carry out their roles. There must be a clear auditable process of the handling of service users’ personal allowances from the point of receipt; stating dates and amounts. Any monies given to service users must be recorded, and, where appropriate, receipts kept where purchases have been made. 31/05/06 10. OP30 18 31/05/06 11. OP35 12(1) 17(2) 31/05/06 12. OP35 20 Monies received by the service into the home’s account must be paid into an account in the name of the service user. The account must not be used by the registered person in connection with operating the home. Safety footplates must be
DS0000003952.V284864.R01.S.doc 30/04/06 13. OP38 13 15/04/06
Version 5.1 Page 24 Knyveton Hall applied to wheelchairs when in use. 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. Refer to Standard OP7 Good Practice Recommendations Risk assessments should be routinely dated and should demonstrate the involvement of the resident, and evidence who has carried out the risk assessment process. (This was a recommendation in the report of the inspection visit to the home on 18 July 2005.) It is recommended that a copy of the Royal Pharmaceutical Society’s ‘The Control and Administration of Medicines in Care Homes’ is obtained and shared with staff administering medicines. Recording in the food record book should provide information on the alternative meal provided where a resident did not choose to have the main menu meal. (This was a recommendation in the report of the inspection visit to the home on 18 July 2005.) A log for the recording of complaints received should be in place, to accurately record the course of any complaint received, from whatever source. A formal recorded staff duty rota should be maintained. The staff rota should record any changes made so accurate information is held to demonstrate the hours worked by staff. (This was a recommendation in the report of the inspection visit to the home on 18 July 2005.) Where residents are not signing for receipt of their allowances, two members of staff should sign. This recommendation has been carried forward from the previous inspection. (This was a recommendation in the report of the
DS0000003952.V284864.R01.S.doc Version 5.1 Page 25 2. OP9 3. OP15 4. OP16 5. OP27 6. OP35 Knyveton Hall inspection visit to the home on 18 July 2005.) 7. OP35 There must be clear policies and procedures regarding bequests to staff, demonstrating that the home is safeguarding the financial interests of service users. All care staff should receive a minimum of six sessions of formal supervision each year, to ensure that they are adequately supported to work and develop within their roles. 8. OP36 Knyveton Hall DS0000003952.V284864.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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