Inspection on 22/06/06 for Lavender House Retirement Home For The Elderly

This inspection was carried out on 22nd 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

Lavender House Retirement Home... 07/12/06

Lavender House Retirement Home... 12/12/05

Lavender House Retirement Home... 10/10/05

Lavender House Retirement Home... 10/05/05

Lavender House Retirement Home... 29/11/04

Lavender House Retirement Home... 12/07/04

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

CARE HOMES FOR OLDER PEOPLE Lavender House Retirement Home For The Elderly 69 Welton Road Brough Hull East Yorkshire HU15 1BJ Lead Inspector Pauline O`Rourke Key Unannounced Inspection 22nd June 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lavender House Retirement Home For The Elderly DS0000019688.V302385.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. Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lavender House Retirement Home For The Elderly 69 Welton Road Brough Hull East Yorkshire HU15 1BJ 01482 666013 01482 666013 Address 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) Quality Care UK Limited *** Post Vacant *** Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Old age, registration, with number not falling within any other category (32) of places Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one service user under 65 years Date of last inspection 12th December 2005 Brief Description of the Service: Lavender House is a Georgian style care home on two floors, set in the heart of the village of Brough. There are twenty-four single bedrooms, eight of which have en-suite facilities, and four shared rooms; three have en-suite facilities. There are flowerbeds and parking to the front with a small garden to the side of the building. Local amenities are close by including shops, pubs, and rail and bus services. The home is registered to provide care and accommodation for 32 older people, some of whom may have dementia. A variation to the registration has been made to accommodate one service user under 65 years of age. On 22 June 2006 the fees for the home ranged from £300 to £500 depending on the assessment of need and room chosen for occupancy. Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors carried out the site visit over 6 hours as part of an annual inspection cycle. In preparation of this visit, a pre-inspection questionnaire was sent to the home. The provider, as part of this questionnaire, supplied the names and addresses of the service users and their representatives. Subsequently, questionnaires were sent to 14 service user representatives and 14 service user questionnaires were sent. No Service users responded to the questionnaire whilst 5 service user representatives and four professionals responded to the questionnaires. Due to concerns about Lavender House received by the Commission, three additional unannounced inspections have taken place since the last inspection of all the key standards. Letters sent to the registered person following these visits can be obtained from the CSCI office on request. One of the inspectors looked at all parts of the building, spoke to staff, service users and relatives, whilst the other inspector looked at records and had a discussion with the manager. What the service does well: What has improved since the last inspection? There have been three unannounced visits to the home since the last inspection in December 2005. It has been noted by the inspectors and in feedback received from relatives that the home is much cleaner now than it has previously been. A new acting manager has also been appointed in this time and the feedback from the staff was very positive. (Unfortunately the manager left shortly after the site visit.) They think she is much more approachable and willing to work with the staff. The service user records Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 6 identifying the help and support they require have more detail in them and the staff find them easier to use. The introduction of a key worker system including a weekly report of what they have done allows for continuity to develop in the support offered and gives the family a point of contact other than the manager in the home. The recruitment process has also been improved and all new staff must now have a Criminal Records Bureau disclosure check and complete an application form before they commence employment in the home. Since the last inspection there have also been some service users who have moved to nursing homes and feedback received during this inspection highlights this as an improvement as it was felt that the mix of service users was wrong. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lavender House Retirement Home For The Elderly DS0000019688.V302385.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 Lavender House Retirement Home For The Elderly DS0000019688.V302385.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): 2 and 3. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. For the one new admission made this year, sufficient information was provided and an assessment made so that an informed choice could be madet . EVIDENCE: There has been only one admission to Lavender House this year as there has been a block on contracts by East Riding of Yorkshire Council due to concerns about care practices in the home. One of the concerns raised by one of the professionals was that historically, the home had admitted service users whose needs were beyond the skills of the staff leading to poor care practice. Another concern expressed is that the home does not always recognise the need for specialist input and so the needs of some service users were not being identified so could not be met. The only service user to be admitted this year was spoken to and they said that someone from the home came to see Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 9 them before they came to the home. They also said that one of the reasons for selecting the home was because of its location. An assessment of need was seen in their file and a care plan had been developed from this information. The service user did not have any recollection of being issued with a contract and there was no evidence in the file to show that one had been supplied. A letter was seen on file to say that their needs could be met in the home. Lavender House Retirement Home For The Elderly DS0000019688.V302385.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): Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. Service users’ needs are met but is compromised by inaccurate medication records and lack of staff training. EVIDENCE: 4 of the 16 care plans were examined and were found to have a letter signed by the service user and manager to confirm that the home will meet their assessed needs. A life history, personal profile, needs, preferences, social and daily records are also kept in the service user’s file. Information also included are risk assessments for: nutrition, pressure sores, mental health, and mobility. There are also bed rail risk assessments in place along with signed consent from relatives for their use. However the bedrails have not been properly fitted and present a risk to the health and safety of the service user and is reflected later in this report. Care plans and risk assessments are reviewed monthly. A record of professional visits for the service users is Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 11 maintained. There is also a letter on record to say their needs could be met in the home, the service user has signed these. There is also a weekly key worker report, which indicates what activity has taken place on a one to one basis. Feedback was received from several professionals who expressed their concern at the staff’s ability to have a clear understanding of service user needs. This was evidenced during the inspection when a service user appeared to be omitted from a toileting regime because staff seemed to be avoiding the inspectors. Feedback received also highlighted a concern about the service users accessing appropriate health services in a timely fashion and that outpatient appointments were missed. This feedback was supported by a relative who expressed their concern about the lack of staff able to escort service users to outpatient appointments. There was also concern about the communication between the staff between shifts and that sometimes health professionals were called out several times in one day when a single call would have been enough. A handover now occurs in private and information is shared at these times. Staff spoken with said the whole care planning approach had improved since the new manager started as they are all involved and they are easy to follow. Some of the feedback received indicated that the proprietor was difficult to deal with, especially if there were disagreements or he did not like what was being said. The keys to the medication cupboard are left on a hook outside the cupboard so security is compromised. Whilst the overall administration of the medication has improved there were still errors and several service users medication could not be audited. There was a notice on the wall in the medication room saying ‘staff must not take paracetamol prescribed for service users’. This infers that staff have been using service users medication for their own use. Senior staff that manage the medication have completed the ‘Safe Handling of Medications’ learning distance course. There were creams prescribed for service users not stored in a cupboard or in the service user room. The fridge was clean and a daily record of its temperature is now kept. There are no service users who self medicate. The service users are treated with respect and dignity although there was one occasion where a member of staff was asked if she should speak to the service users from the front and not from behind especially when they were sat in a high winged chair. The service users spoken with during the visit said that ‘the staff are excellent now’ ‘staff always respect my privacy’. One service user has identified that one of the male carers sees to their personal care, they consider him to be a friend and this is managed well. ‘Staff generally good’. ‘staff are excellent here’ were other comments received during the visit. Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. Service users are supported in their lifestyle choices and visitors are welcome all day. However, how food is provided requires improvement. EVIDENCE: Service users spoken with said that they were able to follow their own routine. One chooses to remain in their room and has all meals delivered to the room. There are no service user meetings and whilst not all service users in situ could contribute, there are several who have strong opinions about how they could live their life. Service users have been able to bring in to the home items of furniture for their rooms. They can follow their own routines and several service users said the staff help them to remain independent by supporting their choices in when they get up/go to bed Service users were seen coming and going with visitors throughout the day. The service users spoken with said that their visitors could come at any time and those visitors spoken with said that staff were always welcoming although Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 13 they were not always offered refreshments. Five feedback forms have been received from the relatives. Staff spoken with said that they would support service users if they identified someone that they did not want to visit. All visitors are asked to sign in and out of the building. There are no planned diets at this time but the manager has organised, in conjunction with the GP, for a dietician to come to the home and advise on the nutritional content of a set menu. There is no set choice but an alternative is offered when staff know that someone does not like what is offered. This information is in the care plan. On the day prior to the visit, the cook had used two chickens for 14 service users and also let staff have a meal, although the manager did say that staff meals were not provided. One of the feedback cards received indicated that the quality of the food available was dependent on who was preparing it. An opinion was expressed that instead of employing cooks, the owners were happy for the care staff to do it. Feedback received also indicated that the mealtimes were irregular especially at the weekend and that meals provided were not always appropriate for a diabetic. The kitchen was in need of a thorough cleaning as the floors were dirty and there was food on the floor between the fridges and under the racks storing the dry goods. The food temperatures are recorded but when the heated trolley is used, temperatures of the food stored is not recorded. The fridge temperatures were measured at 8.2°C this is too high for refrigerated food. Service users spoken with said the quality of the food was variable. Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. Service users and/or their families are able to raise concerns. However service users would be better protected if staff received more training. EVIDENCE: There is a complaints procedure in place although there is no evidence that it has been reviewed recently. However, service users and relatives did say that they would speak to the new manager if they had any concerns. A record of compliments and complaints is kept in the entrance hall. One service user did complain to a member of staff about the attitude of another member of staff and the situation with this service user changed positively once their concerns had been raised. Not all of the relatives contacted were aware that a complaints policy was in place. The adult protection policy is in line with East Riding of Yorkshire Council and whilst there was no evidence that training has been provided to the staff, they did have an awareness of their responsibilities if they suspected abuse occurring. However, this is an urgent training requirement given the concerns of the local council about overall care practices. Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 15 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 and 26. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. The environment lived in by the service users is appropriate although maintenance is poor EVIDENCE: On an inspection of the home, the following areas were identified as requiring attention: • Magnetic catch on door 3a was broken, the hot water measured 46.2°C • Room 6 the hot water measured 50°C • There were no raised toilet seats in the toilets near to these rooms. • Bed rails were fitted but they were loose and had gaps at the side • One of the bedroom doors was wedged open • Room 15b there was a malodour in the room Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 16 • • • Room 14 the hot water measured 47°C Communal pads and razors were stored in the ground floor bathroom. The kitchen was dirty and required cleaning. Several bedrooms had been personalised by the service users and several had commented on how important it had been to be able to bring in their own furniture. The communal areas of the building were clean and well maintained. The proprietor has employed a handyman for both Lavender House and Fern Villa. The handyman said that it was his understanding that he would carry out weekly/monthly checks of the hot water temperatures and look after the general maintenance of both buildings. Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 17 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 and 30. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. Staffing levels are adequate to meet the needs of the current service users, but they need to access specialist training so that they can carry out their responsibilities appropriately. EVIDENCE: Staff spoken with confirmed that they had all applied for a Criminal Records Bureau disclosure through East Riding of Yorkshire Council. The manager said that she had started supervision and identifying areas where staff require training. She does not have a specified training budget and at the time of the inspection had only been able to access training that is free and provide inhouse training. It is her intention to work through the Induction training with all the staff to ensure they are competent in the basics of care planning and ensuring the service users are treated with respect and dignity. There are between 2 and 3 members of care staff on duty throughout the day with the manager counted as extra to those figures. A cleaner is employed 5 mornings a week and a cook is also employed. A two-week rota was provided on site on request. The cleaner should have access to COSHH training and all staff that handle food should have a food hygiene certificate. The staff said that the new manager was more approachable and they have confidence in the care plans, they feel more included in what is going on Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 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): 31, 33, 35 and 38 Quality in this outcome area is poor. The judgement has been made using available evidence including a visit to this service. The registered person is unable to maintain the quality of the service because there is no (registered) manager in place to take charge of the day to day management of staff and effect the improvements necessary to meet standards. EVIDENCE: At the time of the site visit the position was that the manager had been in post for one month. She had 8 years experience as a care worker in the field of mental health and worked as a senior carer/team care manager for 8 months before coming to Lavender House. She did not have a National Vocational Qualification in management of care. She had had no job description and had Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 19 not signed a contract of employment. She worked Monday to Friday only working weekends and evenings when necessary. The manager had responsibility for petty cash and minor repairs but did not have access to a training budget. The staff and service users spoken with said that the new manager was more approachable; she had tried to implement more training and had started supervision with the staff. All staff said that they had found the changes in the care plans devised by the manager easier to follow. The proprietor visits monthly but the reports he completes do not reflect the reality in the home. When the Commission received a complaint at the beginning of the year, one of the elements was that the home was dirty. At the inspection this was found to be the case yet the regulation 26 reports did not reflect this. There is quality assurance system in place. It is a collation of information from sending questionnaires to the service users and holding relative meetings once a month. There are no service user meetings held. Staff supervisions have begun and regular staff meetings now take place. Information from these meetings is used in the quality assurance process. However, an annual development plan is not available. A comments book in the entrance hall had positive feedback from relatives. The personal monies of 4 service users was checked and the cash and records were accurate and up to date. The money is kept securely and service users who use this facility were aware of where their money was and were happy for the staff to help them manage this. Not all of the staff have training in areas of health and safety. Whilst in-house training has been provided for manual handling, this should be extended to an external trainer so that up to date techniques can be learnt. Feedback received in preparation for this visit expressed concern that staff are insufficiently trained in the use of the hoist and have been unable to use it effectively when service users have fallen. The manager had started to collate information on a training matrix showing what staff had done and when and what was planned. There was evidence that the lift has been serviced recently, 20/06/06 however, several areas of concern have been highlighted in the last inspection dated 22/3/06. Whilst the lift remains safe to use, it is recommended that a plan to do the identified works be provided to the Commission. The bath hoists have recently been serviced but there were no safety certificates available for the gas, electrical system, or portable appliance testing. There are environmental risk assessments in place although there was no evidence that these are reviewed annually. There are COSHH risk assessments in place. The fire records were not available on the day of the inspection although staff and service users spoken with said that the alarm is tested regularly. At the time of the inspection there was no evidence that the gas dryer had been serviced. At this inspection there was evidence that falls/accidents are being recorded and when necessary they are being reported to the Commission. Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 2 X 3 X X 1 Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 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 OP9 Regulation 13 Requirement Staff must ensure that the medication records are kept up to date and that all medicines intended for us by the service users are used correctly. (Previous timescale of 12/12/05 not met) The staff preparing food should have training in the preparation and handling of food. (Previous timescale of 12/12/05 not met) The registered person must ensure that the magnetic catch on the door to 3a is repaired The hot water temperatures in rooms 6 and 14 were above 43°C and need adjusting. The bedrails must be fitted properly. The kitchen was dirty and requires cleaning. (Previous timescale of 12/12/05 not met) A bedroom had an unpleasant odour and requires cleaning. (Previous timescale of DS0000019688.V302385.R01.S.doc Timescale for action 30/10/06 2. OP15 18(1)a 30/10/06 3. OP19 13(4)a and c 30/10/06 4. OP26 16(2)k 30/10/06 Lavender House Retirement Home For The Elderly Version 5.2 Page 22 5. OP30 18(1) (c) 6. 7. OP31 OP33 8 24 8. OP38 13 12/12/05 not met) All staff must have training in adult protection procedure including the whistle blowing policy. (Previous timescale of 28/02/06 not met) A manager must be appointed (and subsequently registered) The registered person should provide the Commission with a report as to the quality review undertaken within the home. Ensure the progress made so far with staff training continues to guarantee they are competent to do their job. The registered person must provide the Commission with the following safety reports: Gas Electrical systems Portable appliance tests. Fire records 30/10/06 30/10/06 30/10/06 30/10/06 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 3 Refer to Standard OP8 OP10 OP14 Good Practice Recommendations The manager should ensure that all service users attend their outpatient’s appointments. Staff should have refresher training in dealing with the service users with respect and dignity at all times no matter who is visiting the home. Service user meetings should be established to ensure their views and opinions can influence the running of the home. Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Lavender House Retirement Home For The Elderly DS0000019688.V302385.R01.S.doc Version 5.2 Page 24 - 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. 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