Inspection on 07/11/05 for Limegrove

This inspection was carried out on 7th November 2005.

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

Limegrove 11/09/06

Limegrove 01/06/06

Limegrove 19/04/05

Limegrove 12/10/04

Limegrove 18/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Limegrove Limegrove St Martin`s Close East Horsley Surrey KT24 6SU Lead Inspector Sandra Holland Unannounced Inspection 7th November 2005 10:30 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 Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 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. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Limegrove Address Limegrove St Martin`s Close East Horsley Surrey KT24 6SU 01483 280690 01483 280834 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) Anchor Trust Mrs Christine Maureen Conroy Care Home 54 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (27), of places Physical disability over 65 years of age (13) Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th April 2005 Brief Description of the Service: Limegrove is a large purpose built home for older people located in the village of East Horsley. The home is registered to provide personal care and support for up to 54 service users. The home is divided into five self contained units each with their own lounge, dining room, kitchenette, toilets and assisted bathrooms. All residents bedrooms are for single occupancy with an en-suite facility. A meeting room is available and is used for some resident activities. Other activities are carried out on the individual units. The home has spacious, well-maintained gardens and is located close to the local village, with its shops and church. There is parking to the front and rear of the property. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second inspection in the Commission for Social Care inspection (CSCI) year April 2005 to March 2006. Mrs. Sandra Holland, Lead Inspector for the service carried out the inspection. Mrs. Dawn Morewood, newly appointed Manager of Limegrove was present representing the service. Mrs. Christine Conroy, Registered Manager of Limegrove was present for some of the inspection period. To make it clear who has been involved, the two managers named will be referred to as the manager and the registered manager respectively, throughout the report. A tour of the building took place and a number of records and documents were examined, including staff files, training records, care plans and medication administration records (MAR). Thirteen residents, nine members of staff and one volunteer were spoken with. The people living at the home prefer to be known as residents and that is the term that will be used throughout the report. What the service does well: What has improved since the last inspection? What they could do better: Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 6 Contracts must be supplied to residents for every period of admission to the home and must be supplied on or before the day of admission. No person must be admitted to the home unless they have been fully assessed to establish their needs. Care plans must be fully completed, contain all the required information and be available at all times. Medication – The medication keys must be kept on the person in charge at all times, any medication received into the home must be recorded and prescribed medication must be available to residents at all times. Handwritten entries onto MAR charts must be signed and dated by the person making the entry and signed by another member of staff who has checked that the entry is correct. The complaints procedure needs to be reviewed and to be made suitable to the needs of the residents. A full employment history must be obtained from any applicant to work at the home. The home must ensure that appropriate references are received for any applicant to work at the home. If any injury is stated by an applicant, that may affect how they are able to assist or support residents, a risk assessment must be carried out. Staff training records need to be reviewed and updated. A review of the quality of the service provided must be carried out and must involve residents and others involved in their support. The record keeping in relation to residents’ monies held for safekeeping must be improved to ensure the safety and security of residents’ finances. Fire doors must not be wedged open and other doors that can be kept in open position, should be kept open by a safe method. If the lift is not working, a sign must be placed on every door or access point to ensure the safety of all those in the building. Please contact the provider for advice of actions taken in response to this Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 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 Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 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): 2, 3 and 6. Contracts (or statements of the terms and conditions) and pre-admission assessments were available for some but not all residents. EVIDENCE: From the records held, it was clear that some residents have contracts (or statements of terms and conditions, if they are being funded by others) with the home and that others do not. One contract was seen and it had been signed by the resident and by a representative of the home. Another had been signed by a resident’s relative and was dated five days after the resident’s admission. It was not clear whether the relative was authorised to sign on behalf of the resident. It is required that a contract is supplied to residents and that a copy must be kept in the care home. The National Minimum Standards (NMS) state that contracts (or terms and conditions) should be provided to residents at the point of admission. The registered manager stated that the Anchor organisation, who are responsible for Limegrove, are reviewing the contracts that are currently Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 10 supplied. This is because the current contract form does not itemise all contributions to the fees that are paid, listing only the fee that is due in total. A pre-admission assessment of each resident’s needs is required to ensure that the home can meet those needs. The registered manager stated that preadmission assessments are usually carried out in the home and that the senior carer would greet the prospective resident and may gather information from the resident or their representative. The senior would then monitor the prospective resident during the course of the day and advise the deputy of the outcome. The deputy would then make any further entries and complete the assessment form. The records of recently admitted residents were seen and it was clear that the pre-admission assessment had either not been carried out or had not been carried out in the way described above. For one resident, no pre-admission assessment was held on file. For another resident, the resident’s family had completed most of the form, the deputy manager stated. The remainder of this resident’s assessment had not been completed and it had not been signed by anyone from the home or dated. The manager stated that intermediate care is not provided at the home. An immediate and another requirement have been made. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9. Individual plans of care are drawn up but these do not contain all of the required information. EVIDENCE: A number of individual plans of care were seen and these contained variable amounts of information. They did not appear to have been drawn up from a detailed pre-admission assessment as some areas had not been completed. The standard of recording in the care plans would make it difficult for staff to know what care was required by residents. The care plan for a resident admitted over a year ago contained most of the required information, but not all. The “personal details” form was not complete, with no details of the resident’s religion, whether they suffered from any allergies or their preferred funeral arrangements. Only one person to contact in the event of an emergency or if needed by the resident, was listed. Although the resident receives support from social services, no reference to a care manager was made in the care plan. It was clear that the resident had been involved with the care planning as it had been signed by the resident in various parts of the plan. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 12 In the care plan of one resident who had been admitted for a short stay, only one entry had been made that referred to the current stay. (The resident had stayed in the home earlier in the year). The details provided from the earlier stay were minimal, incomplete, had not been signed by the resident and had not been updated for the current stay. Assessments of risks to residents were seen within individual plans. These had been drawn up to assess the level of risk involved in any particular activity, such as self-administration of medication and how the risk can be minimised. Information was available on admission that one resident was known to wander at night, but no risk assessment had been made about this. The registered manager stated that Anchor organisation are reviewing the care plans in use and advised that a more straight-forward type of care plan may be used until the organisation’s review is completed. A number of the requirements made at the last inspection regarding medication, have not been met. The medication keys were not kept on the person in charge, medication had been received into the home and not recorded and a resident had been left without a supply of prescribed medication. A requirement that a cupboard for controlled drug medication be moved is still being looked into, the manager stated. Other shortfalls regarding medication were noted at this inspection. Handwritten alterations to the MAR charts had not been signed, countersigned or dated. Insulin that had been administered, had not been signed for on the MAR chart, only on the community nurses chart which was kept in the resident’s bedroom. A small number of changes need to be made to the medication policy that is specific to Limegrove. Photographs of residents were not present in the new MAR chart folder, but the manager explained that these would be added immediately. The home had changed to a new pharmacist supplier a few days previously but had not changed the photographs over to the new MAR folder. The photographs are used by staff to ensure that medication is administered to the correct resident. A requirement made previously, that a medication cupboard must be moved has been given an extended timescale. This is because the manager is liaising with a surveyor about an appropriate place for the cupboard. Requirements have been made. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 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): These standards were not assessed at this inspection. EVIDENCE: Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 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): 16. A complaints procedure is in place but this needs to be reviewed. EVIDENCE: The home’s complaints procedure is displayed in the entrance hall, on an enclosed notice board. This is positioned behind a photocopying machine and is not very easy to see or to read. This is a general procedure drawn up by the Anchor organisation, which owns and operates Limegrove. The procedure states in the first few lines, in small print, that complaints should be addressed to the home in the first instance. The next three stages are in larger print, are much more prominent and request the person making the complaint to write to an Anchor office. As the residents of Keswick are all older people, some of whom may have physical disabilities or dementia, it is required that the complaints procedure is reviewed to make it more suited to the needs of the residents. A greater emphasis on aiming to achieve resolution of complaints within the home and the timescales for action is recommended. (The Anchor organisation have advised that they are reviewing the complaint procedure for all the homes they operate). Complaints are currently recorded in a bound book and this was seen. Complaints had been recorded from residents, visitors and staff. It was noted that some complaints had been written into the book by the same person who Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 15 had written the response. The most recent complaint had been entered in this way, but had not been signed or dated. The manager was aware that this style of record book did not meet the recent changes in Data Protection law and stated that it would be changed to a numbered, loose leaf style. Money for safekeeping is held on behalf of a number of residents. It is of concern that the actual amount of residents’ monies held for safekeeping did not match the record held, as detailed at Standard 34. The lack of safeguards in this respect, leave residents open to financial abuse. A requirement has been made. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. The overall décor and furnishings in this home provide a well-cared for and homely environment for residents. EVIDENCE: Limegrove is a purpose built home, which is divided into five smaller, selfcontained units. It is attractively decorated in a cheerful and colourful way. It is appropriately furnished and equipped to meet the needs of residents. Homely touches were noted around the home, including plants and flowers, pictures and pets. The home’s cat was seen and two budgerigars live in a cage in the lounge of one unit. The home looked well maintained and the engineer was awaited on the day of inspection to repair the lift. All areas of the home, with the exception of one bedroom, were clean, tidy and freshly aired. The home has a main laundry which is operated by staff and another laundry is available for resident’s use. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 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, 29 and 30. A full team of staff are employed to meet the residents’ needs. Some aspects of the recruitment procedure need to be strengthened. EVIDENCE: In addition to the members of care staff, a maintenance worker, housekeepers, an administrator, an activities co-ordinator and kitchen staff, are also employed to carry out the roles required to meet residents’ needs. A number of these staff were spoken to during the inspection. They confirmed that they were clear about their role within the home. From examination of staff files, it was clear that aspects of the recruitment of staff need to be carried out more thoroughly. It was noted that for one recently recruited member of staff, a full employment history had not been obtained. Enquiries about the gaps in the employment history were not made during the interview that was carried out. For another member of staff, references had been received from a person not listed as a referee and a reference from a named referee was not received. One of the references received for this member of staff was received from a person living at the same address as the member of staff. It was also noted that neither of these two staff members had a contract of employment or a statement of terms and conditions on file. One member of staff had declared a previous injury on their application form, which may have Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 18 an impact on their physical support of residents. This person had not received moving and handling training since starting their employment a week ago. A risk assessment had not been carried out to assess any possible risks to residents or the member of staff that might arise due to the previous injury. A file of individual staff training records is held. This was seen to cover legally required training such as first aid, fire safety, food hygiene and other training to develop knowledge and skills such as dementia care, rights and responsibilities and care planning. Many of the individual records were out of date and for a number of staff, training needed to be updated. The deputy manager stated that she had become aware of this and would be arranging training courses in consultation with the manager. Requirements have been made. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 19 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. Changes in the home’s management have taken place and a review of the service provided is to be carried out. Record keeping with regard to residents’ finances needs to be improved. EVIDENCE: The registered manager of Limegrove stated that she has been asked by the Anchor organisation to provide guidance and assistance to other Anchor home managers in the Surrey region, for a period of up to six months. To provide management cover at Limegrove, another manager has been appointed and has yet to be registered with CSCI. The registered manager stated that a survey of the quality of the service provided had been carried out last autumn and that another was due to be carried out by the end of the month, by the deputy manager. A summary of the previous survey was provided in diagram form. The written summary, Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 20 which had been supplied to residents was not available. It is required that a summary of any quality survey is sent to CSCI. The management staff advised that the holding of residents’ monies for safekeeping was not encouraged and that wherever possible, residents or their representatives are encouraged to manage their own finances. Where it is required that money is held for residents, this is held in a communal bank account, with individual records maintained and the accruing of large amounts is discouraged. Where a large amount does accrue, residents would be advised to open their own bank account, managers stated. When the residents’ financial records were examined, it was noted that a large amount of money was being held for four residents. The money held for these residents amounted to approximately two thirds of the total being held for thirty eight residents. The registered manager explained that to enable residents to manage day-today expenses, cash could be supplied from the monies held for safekeeping. Alternatively, the home would pay for expenses such as hairdressing and chiropody and recoup the costs from each resident’s account. Written records of these transactions are maintained, as well as a computerised record keeping system. The registered manager stated that the balance of residents’ monies is checked on a monthly basis with the administrator. In the absence of the manager, the administrator checks them with the home’s receptionist. The amount of money held in the petty cash tins was checked with the registered manager and manager. It is of concern that the amount present did not accurately match the record held. The manager contacted the administrator during the inspection to ask where the detailed, written record was kept. Even when other receipts were deducted the amount present did not accurately match. The systems of recording must be improved in order to safeguard the residents from the risk of financial abuse. A small number of shortfalls were noted with regard to health and safety in the home. A ground floor fire door had been left wedged open by a mat. The lift was not working on the day of inspection and the engineer was awaited. A sign had been placed on the lift door on the ground floor, but not on the upper two floors, to ensure that residents or staff did not try to use the lift. A resident’s bedroom door had been wedged open with a shirt placed on the floor which presented a tripping hazard. Requirements have been made. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 21 Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 2 1 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 2 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 1 x x 2 Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 23 YES Are there any outstanding requirements from the last inspection? 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 OP2 Regulation 5 (1) (b & c) Requirement Each resident must be provided with a contract or statement of terms and conditions of their residence, on or before their admission and for each individual period of admission. Accommodation must not be provided to a resident unless the needs of the resident have been assessed by a suitably qualified or suitably trained person. The assessment must involve consultation with the resident or their representative and the registered person must obtain a copy of the assessment. Each resident must have a written plan detailing all the care and support needs of the individual and this plan must be available at all times. Timescale of 30/04/05 not met. The keys to the medication cupboards must be kept on the person of the designated person in charge at all times and never left unattended. Previous timescale of 19/04/05 not met. A complete record must be kept DS0000033691.V264632.R01.S.doc Timescale for action 05/12/05 2 OP3 14 (1) (ac) 07/11/05 3 OP7 15 05/12/05 4 OP9 13(2) 07/11/05 5 OP9 17(1)(a) 07/11/05 Page 24 Limegrove Version 5.0 6 OP9 13(2) 7 OP9 13(2) 8 OP9 12(1)(a) 9 OP9 12(1)(a) 10 OP16 22 11 OP29 19 (1) (ac) of all medication received into the home from whatever source. Previous timescales of 24/1/05 and 20/4/05 not met. Handwritten entries to medication administration charts (MAR) must be signed and dated by the person making the entry and countersigned by another member of care staff who has checked that the entry is correct. All medication administered, including medication which is recorded elsewhere such as insulin, must be recorded on the MAR charts. Service users must not be left without access to medication prescribed for them by their General Practitioner. Previous timescales of 24/01/05 and 19/04/05 not met The Controlled Drugs cupboard must be correctly secured to a solid wall in order to comply with the Misuse of Drugs (Safe Custody) Regulations 1973. Previous timescales of 28/02/05 and 31/05/05 not met. The complaints procedure must be reviewed and revised to meet the needs of the residents. The recording method must meet the requirements of the Data Protection Act. The registered person must not employ a person to work at the care home unless - (a) The person is fit to work at the care home. In the event that any injury is declared, a risk assessment must be carried out. (b) The information and documents specified in Schedule 2 have been obtained in respect of that person, which includes a full employment history. (c) He is satisfied on reasonable DS0000033691.V264632.R01.S.doc 07/11/05 07/11/05 07/11/05 06/02/06 06/02/06 07/11/05 Limegrove Version 5.0 Page 25 12 OP30 18 (1) (c) (i) 13 OP35 17(2) Schedule 4 14 OP38 13 (4) (a) grounds as to the authenticity of the references referred to in paragraph 5 of Schedule 2, in respect of that person. The registered person must 06/02/06 ensure that persons employed to work at the care home receive training appropriate to the work they are to perform. The registered person must 07/11/05 maintain in the care home the records specified in Schedule 4 and these records must be kept up to date and available for inspection. Specifically, the record of monies held for safekeeping on behalf of residents, must accurately match the amount held. The registered person must 07/11/05 ensure that all parts of the home to which residents have access are so far as reasonably practicable, free from hazards to their safety. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP31 Good Practice Recommendations Daily records must be detailed to include information about care given to residents and must include any checks made on self caring residents. It is recommended that the manager applies for registration with CSCI as soon as possible. Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Limegrove DS0000033691.V264632.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!