Inspection on 28/02/07 for Martins House

This inspection was carried out on 28th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Martins House 24/10/08

Martins House 04/10/07

Martins House 06/09/06

Martins House 24/11/05

Martins House 01/08/05

Martins House 02/11/04

Martins House 10/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Martins House Jessop Road Stevenage Hertfordshire SG1 5LL Lead Inspector Claire Farrier Unannounced Inspection 28th February 2007 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 Martins House DS0000019460.V329809.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. Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Martins House Address Jessop Road Stevenage Hertfordshire SG1 5LL 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) 01438 351056 01438 741528 Chauncy Housing Association Limited Mr Joseph Hudson Care Home 63 Category(ies) of Dementia - over 65 years of age (63), Old age, registration, with number not falling within any other category (63) of places Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th January 2007 Brief Description of the Service: Martins House is owned and operated by Chauncy Housing Association, and is registered to provide personal care and accommodation for 63 older people who may also suffer from dementia. There is a unit housing eleven frailer residents on the first floor. Martins House is a purpose built three storey building situated in a residential area of Stevenage. There is a parade of shops nearby and the town centre is about a mile away. Accommodation is provided in single rooms, although there are facilities to offer shared accommodation if requested. All rooms have an ensuite toilet and washing facilities and there are a number of assisted bathrooms throughout the home. The floors are linked by two passenger lifts and the home is accessible for wheelchair use. There is a well kept garden with seating areas and raised flowerbeds that are accessible for people in wheelchairs. The Statement of Purpose and Service Users Guide provide information about the home for referring social workers and prospective clients. The current CSCI inspection report is available within the home. The current charges range from £338 to £495 per week. Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by two inspectors over one day. The focus of the inspection was to assess all the key standards. Some additional standards were also assessed. We talked to as many of the people who live in the home as we were able to. We also talked to some of the staff. Eight people completed Have Your Say surveys before the visit to the home, and we have used some of their comments in this report. The manager sent some information about the home to CSCI before the inspection, and the relatives of some of the residents contacted us. When we were in the home we looked at the home’s records, care plans and staff files, and we made a tour of the premises. We talked to the manager about what we had seen during the day. We also visited the home in November 2006 and January 2007 in order to check on the progress that has been made in meeting the requirements that were made at the last inspection. Some of our observations from these visits have been included in this report. What the service does well: What has improved since the last inspection? Following the last inspection disciplinary action was taken that resulted in the dismissal of the manager. The deputy manager was appointed as acting manager, and several new measures have been put in place to improve the services provided by the home. These include maintenance and refurbishments, improved procedures for medication, seeking professional advice on health care and dementia care, and appointing a training officer. The acting manager consulted the psycho-geriatrician about improving the provision for dementia care in the home. His team visited the home and looked at what the home currently provides with regard to environment, training and activities. A programme for maintenance has been implemented, and most of Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 6 the priority items have been addressed. The refurbishment of the bathrooms is now completed. The carpets in several bedrooms have been replaced, and a heavy-duty carpet cleaner has been purchased to address problem odours. The health and safety concerns that were raised at the last inspection were addressed immediately, and measures have been put in place to ensure that health and safety in the home is monitored regularly and effectively. 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. The summary of this inspection report can be made available in other formats on request. Martins House DS0000019460.V329809.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 Martins House DS0000019460.V329809.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 4 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has sufficient information on residents’ care needs and access to appropriate services to enable their needs to be met. However the home does not provide sufficient facilities and expertise to provide a good service for residents with dementia. EVIDENCE: A sample of care records of the residents were inspected and there was evidence of a pre-admission assessment of needs being carried out in each case, including Social Services assessments for those who are funded by the Social Services. The home’s assessment includes specific needs for each individual, such as cultural needs and individual interests and preferences. A prospective new resident was visiting the home during our visit to the home in January. Her granddaughter said that they had chosen this home above others Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 9 because of their nice caring initial approach. The staff were very approachable and the facilities seemed good. A careworker was seen showing the family around the home. She introduced her to other residents and explained things in a kindly manner, proceeding at the resident’s own pace. Staff members were observed to have a good relationship with the residents. They have the skills and experience to meet most of the residents’ personal care needs. Following the last key inspection the acting manager has taken measures to improve the quality of dementia care in the home. She consulted the psycho-geriatrician about improving the provision for dementia care in the home. His team visited the home and looked at what the home currently provides with regard to environment, training and activities. They suggested some homes that he considers provide good practice, and the acting manager is currently arranging visits to them. The team have offered to provide some training for the staff. They suggested that one care worker should be allocated on each floor as the “dementia champion”, to oversee the specific needs of the dementia clients on each floor. A training officer has been appointed (see Staffing), to identify the best way to provide appropriate training to enable the staff to meet the needs of people with dementia. The effects of these measures are yet to be seen in the home, and at the time of this inspection there was little evidence of improvement in facilities for people with dementia. There is no environmental differentiation, such as colour coding or pictorial cues to assist orientation. There is no evidence of specific activities such as reminiscence or facilities for sensory stimulation. Martins House DS0000019460.V329809.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is proactive in promoting a good quality of healthcare, but the general improvements that were seen in this area have not been carried forward into the care plans. EVIDENCE: Most people who completed “Have Your Say” surveys for the inspection, or who were spoken to on the day, said that they usually receive the personal care and support and the medical support that they need, but most were not completely satisfied. One person said, “More often you are treated like you don’t have a mind of your own. Also some fool around as if you were stupid to make you look foolish.” Another person commented, “Those who need help, have to wait until a carer is available.” During the random inspection in November 2006 one person said that the health care is very good in the home. This person is diabetic, and has confidence that their needs are fully met. The GP is always available when needed. On this occasion two people commented that they have to wait if they ask to see a doctor. Several people have an Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 11 assessed diagnosis of a mental illness, including depression, schizophrenia, paranoia and unspecified “mental health problems”, in addition to those who have a diagnosis of dementia. The community mental health team provides support to the home for these people, but there was no evidence that the staff have sufficient information to be able to meet their needs appropriately. The care plan for a representative sample of people were seen, including those with high needs and low needs, and those with a diagnosis of dementia and mental illness. They contain only brief and basic details for each person. No information was seen on the procedures for meeting each person’s identified needs, in particular for people with mental health problems or of dementia. Measures are being implemented to address the concerns that have been raised during the last key inspection and the additional visits to the home since then. Since the last inspection the acting manager has started monitoring falls in the home, and it was reported that the support from GPs has improved. She also consulted the psycho-geriatrician about improving the provision for dementia care in the home. His team visited the home and looked at what the home currently provides with regard to environment, training and activities. (See Choice of Home). Risk assessments have been put in place, in particular for people who take anti coagulant medication and for people who use reclining chairs. The recording of medication has improved. The home has good procedures for administering and recording medication, and the managers and the staff have made it a priority to ensure that they demonstrate good practice in this area that protects the people in the home from any avoidable risks. The local pharmacist has given them advice on storing and recording medication, and no errors were found on this occasion. Martins House DS0000019460.V329809.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents maintain their independence by making choices about the food and how they spend their days. There is a range of stimulating activities to suit the needs of most of the residents, but there are insufficient activities for people with dementia. EVIDENCE: The home has an activities and crafts room. The activities organiser talks to everyone when they are admitted to the home, and she tries to arrange activities and entertainments that as many people as possible enjoy. Some people do not wish to take part in any communal activities, and this is recorded in their care plans. One person commented on the Have Your Say survey that the same few people take part in activities, but the response to all the surveys was that everyone enjoys the activities. There are no specific activities to meet the needs of people with dementia. The activities organiser would benefit from specific training in providing activities for people with dementia. Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 13 Everyone who completed a Have Your say survey for this inspection said they usually or sometimes enjoy the meals provided in the home. No-one was completely complimentary, and one person said that the meals are cold and undercooked. We spoke to some of the people in the dining room at lunchtime. The most positive comment was, “It’s alright.” One person said that the meat is generally tough, and we noticed that several plates of meat were thrown away uneaten. Some people said that they do enjoy the cooked breakfasts, which they can choose to eat in their rooms. There is a kitchenette on each unit where residents and visitors can make drinks for themselves, and a fridge that residents can use. We observed the staff serving lunch to the people in the dining room on the ground floor and on the dementia unit. The staff were polite and respectful, but they were not able to tell people what the menu was when they asked. Glasses of squash were taken to the tables, and the meals were served plated and gravy offered separately. The enjoyment of meal times may be improved by providing menus so that people can look forward to their meal, and by putting drinks, gravy and possible vegetables on the tables so that people can serve themselves or be served more personally. Martins House DS0000019460.V329809.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to safeguard the residents from abuse. Residents and relatives are confident that any complaints will be properly investigated. EVIDENCE: The home has a satisfactory complaints procedure in place. Everyone who completed a Have Your Say survey said that they know how to make a complaint. There is a monthly residents’ meeting where concerns can be raised, and the complaints procedure is displayed throughout the home. Some people felt that their complaints are not listened to, especially about the quality of the food. All complaints made to the home are recorded. Since the last inspection the family of one of the homes residents made a complaint to Social Services that the level of care was very poor and complaints raised by the family were not being addressed. The social worker visited the home to reassess the resident’s needs, and a strategy meeting was arranged to investigate the concerns. The concerns referred to events that happened when the previous manager was in post, and measures have now been put in place to ensure that complaints are investigated and responded to appropriately. Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 15 The home has comprehensive procedures for prevention of abuse. Training in safeguarding vulnerable adults has been provided for all the staff, and the staff spoken to were aware of their responsibilities for whistle blowing. Martins House DS0000019460.V329809.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home and gardens provide a comfortable environment for most of the people who live there. Further refurbishment and cleaning is needed so that it provides a clean and safe environment. EVIDENCE: Martins House is a purpose built three storey building. The decorations and furnishings in the home are domestic in style, and provide a homely and comfortable environment. The communal rooms include a large dining room, an activity room and three lounges. There is a well kept garden with seating areas and raised flowerbeds that are accessible for people in wheelchairs. Since the last inspection a programme for maintenance has been implemented, and most of the priority items have been addressed. The refurbishment of the bathrooms is now completed. The carpets in several bedrooms have been replaced, and a heavy-duty carpet cleaner has been purchased to address Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 17 problem odours. The high dependency unit still looks shabby compared to the rest of the home. The carpet is very badly stained, and in many places the paintwork is scuffed and worn. The carpet in one bedroom was torn from the door opening equipment. One visiting relative said that the home is getting shabby. This person said that the manager has acknowledged this. It was reported that quotes were being obtained to refurbish and redecorate the high dependency unit and the hairdressing room. The remainder of the home appeared to be generally clean, and appropriate procedures are in place for the control of hygiene and for effective management of laundry. Most people who completed Have Your Say surveys for this inspection said the home is always clean and fresh. However in the high dependency unit the chairs in the lounge were dirty, and some of them had food debris spilt down the sides that had not been cleaned. Several wheelchairs looked dirty, and the fridge in the unit kitchen was dirty. Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staff numbers in the home are sufficient to ensure that all the residents’ needs are met. However there is a lack of training to ensure that staff have sufficient knowledge and skills to provide a good quality of care for the people in the home. EVIDENCE: All the members of staff spoken to during the inspection were enthusiastic about their work in the home, and several said that they like the residents, and that they feel well supported. The home has a good level of staffing, with twelve care assistants during the day on weekdays and seven at weekends. There are three waking night staff and one sleeping in. Everyone that we spoke to was complimentary of the staff. One person said, “You can’t fault the staff.” and several commented that they are “very good”. The acting manager has completed an audit of the training that the staff have completed. A training officer was recruited, and had started work shortly before this inspection. The training officer will have responsibility for arranging in-house training and sourcing suitable external training. There were no training records when he arrived at the home, and he was starting to identify what was needed and how best to supply it. The training that is needed includes all the mandatory health and safety training and an induction training Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 19 programme that meets the standards set by Skills for Care. Training is also needed to meet the specific needs of the people in the home, and in particular for dementia care. Training is available for NVQ qualifications, and this needs to continue to ensure that the target of 50 qualified staff is achieved. The acting manager is a NVQ assessor, and 20 of the 52 care staff have NVQ qualifications at level 2 or 3. The home has robust policies and procedures for recruitment. Two staff files were inspected for recently recruited members of staff. They both contained all the required information, including good references and a satisfactory CRB (Criminal Record Bureau) disclosure. Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Developments are in progress to ensure that the home carries out the aims and objectives of the Statement of Purpose, and to ensure that systems are in place to meet the needs of the residents. EVIDENCE: Following the last inspection further discrepancies were found in the work of the manager, and disciplinary action was taken that resulted in his dismissal. The deputy manager was appointed as acting manager, and several new measures have been put in place to improve the services provided by the home. These are detailed in the appropriate sections of this report, and include maintenance and refurbishments, improved procedures for medication, seeking professional advice on health care and dementia care, and appointing a Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 21 training officer. The company submitted their last audited accounts to CSCI, which show appropriate levels of income, expenditure and balances. The improvements that have been implemented in the home are also an indication that sufficient funds are available for the management of the home. The proprietors have not informed CSCI of the measures that they have taken to appoint a new manager. The acting manager has set up a system for assessing the quality of care in the home. Surveys have been sent to residents, relatives and professionals who visit the home. The Friends of Martins House have offered to act as advocates, to help residents to complete the questionnaires in confidence. An action plan will be drawn up following the outcome of the surveys. Regular residents meetings take place, and a trustee of the management committee attends the meetings. The proprietor carries out regular monitoring visits of the home, which include discussion with residents and staff. The arrangements for management of residents’ money were inspected and appeared to be accurate. Money is stored safely and adequate records are maintained in order to protect service users from financial abuse. Appropriate records are maintained for the health and safety of the residents and staff in the home, and staff follow the home’s policies and procedures. A programme of fire training for all the staff is in progress, and the fire drill record has been brought up to date, including a list of the staff who take part each time. The last fire drill took place in August 2006. It was reported that regular fire drills will be implemented for all staff, including the night staff, when the fire training has been completed. Martins House DS0000019460.V329809.R01.S.doc Version 5.2 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 X 3 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 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 2 X 3 3 3 X X 2 Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 23 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 OP4 Regulation 12(1) Requirement The manager must ensure that the home provides specific facilities for dementia care in order to meet the conditions of registration. (Previous timescale of 07/12/06 not met. Some progress has been made, and a new timescale has been set.) The manager must ensure that all care plans provide adequate and appropriate details of each person’s needs, so that the staff have the information that they need to be able to meet their needs. Meaningful activities need to be developed for people with dementia that meet each person’s individual needs. The manager must ensure that the premises are maintained in a good state of repair. This will provide a pleasant environment for the people who live in the home, and ensure that there is no risk to their health and safety. DS0000019460.V329809.R01.S.doc Timescale for action 31/08/07 2. OP7 15(1) 31/08/07 3. OP12 16(2)(n) 31/08/07 4. OP19 23(2)(b) 31/08/07 Martins House Version 5.2 Page 24 5. OP26 23(2)(d) 8. OP30 18(1)(c) (i) 9. OP31 8 10. OP38 23(4)(e) Measures must be put in place to make sure that all areas of the home are kept clean and hygienic. This will provide a pleasant environment for the people who live in the home, and ensure that there is no risk to their health and safety. The manager must ensure that mandatory health and safety training is provided for every member of staff. All staff must also have appropriate specialised training in meeting the needs of people with dementia. (Previous timescale of 07/12/06 not met. Some progress has been made, and a new timescale has been set.) The proprietors must inform CSCI of the measures that they have taken to appoint a new manager of the home. The manager must ensure that every member of staff, including the night staff, take part in at last one fire drill a year. 30/06/07 31/08/07 30/06/07 31/08/07 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 OP15 Good Practice Recommendations It is recommended that consideration is given to providing jugs of drink and gravy, and possibly dishes of vegetables, on the tables so that the residents who are able to do so can serve themselves. Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Martins House DS0000019460.V329809.R01.S.doc Version 5.2 Page 26 - 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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