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Inspection on 24/09/07 for Mount Olive Residential Care Home

Also see our care home review for Mount Olive Residential Care Home for more information

This inspection was carried out on 24th September 2007.

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 no outstanding requirements from the previous inspection report, but made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The outcomes for people living at Mount Olive were good. The owner/manager enabled people to have a good quality of life. People were enabled to make choices about their lives, and regularly attended activities outside of the home. Comments from care management supported that residents were well looked after, and that they viewed Mount Olive as their own home. The owner/manager has a good knowledge of the residents, and ensured that their health care needs were met. However records in the home did not support the good practice that was observed during this site visit, and leave both the residents and the owner/manager vulnerable.

What has improved since the last inspection?

There have been no improvements made since the last inspection. The owner/manager has not complied with the requirements made in the last inspection report.

What the care home could do better:

The lack of management systems in the home places both residents and staff at risk. The standard of record keeping in key areas relating to residents, such as assessment, care planning, risk assessments and medication, was poor. This means that residents are at risk of their health and personal care needs not been met, and owner/manager unable to evidence the care and support that was being provided. Therefore the level of information recorded in the files about individual needs and abilities must be improved and used to develop plans of care, which support that the needs of the residents can be met. The administration and storage of medication and associated record keeping must improve to ensure that people receive their medication as prescribed. The lack of management systems to ensure that people who come into contact with the people living at Mount Olive have Criminal Record Bureau checks completed by the home in place, places people at risk of being cared for by staff who are unsuitable. These required checks must be completed by the Manager. The lack of up to date information about training and servicing of equipment does not support that these have taken place within the required timescales.

CARE HOME ADULTS 18-65 Mount Olive Residential Care Home 99 Shardlow Road Alvaston Derby Derbyshire DE24 0HJ Lead Inspector Jo Wright Unannounced Inspection 24th September and 2 October 2007 10.30 nd Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 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 Mount Olive Residential Care Home DS0000001995.V342486.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 Adults 18-65. 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. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mount Olive Residential Care Home Address 99 Shardlow Road Alvaston Derby Derbyshire DE24 0HJ 01332 571470 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) Mrs Gloria Emphemia Holness Mrs Gloria Emphemia Holness Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th February 2007 Brief Description of the Service: Mount Olive Care Home is part of the ‘home’ of the Registered Provider. It provides care for up to three Residents, and is situated on the South Eastern corner of Derby, in the area known as Alvaston. A lounge and dining area specifically for residents is provided, and each resident has their own bedroom. The Home has a large garden available to Residents. Information about the service is made available through the Service User Guide. The monthly fees range from £1204 to £1460, and there are additional charges for service such as hairdressing services and trips out. This information was provided on 2nd October 2007. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of the key inspection for this service. One inspector carried out the site visit. The care of all of the people living at Mount Olive was looked at in depth during this visit. Time was spent speaking with one of the residents who was in at the time of this visit and the owner/manager. A tour of the building was also undertaken. Information available prior to the inspection was used to inform areas to look at during the site visit. Although the owner/manager had not fully completed the pre-inspection information, information had been provided in the form of a letter. 1 completed care management survey was returned and the information within the surveys has been incorporated into the relevant sections of the report. What the service does well: What has improved since the last inspection? What they could do better: Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 6 The lack of management systems in the home places both residents and staff at risk. The standard of record keeping in key areas relating to residents, such as assessment, care planning, risk assessments and medication, was poor. This means that residents are at risk of their health and personal care needs not been met, and owner/manager unable to evidence the care and support that was being provided. Therefore the level of information recorded in the files about individual needs and abilities must be improved and used to develop plans of care, which support that the needs of the residents can be met. The administration and storage of medication and associated record keeping must improve to ensure that people receive their medication as prescribed. The lack of management systems to ensure that people who come into contact with the people living at Mount Olive have Criminal Record Bureau checks completed by the home in place, places people at risk of being cared for by staff who are unsuitable. These required checks must be completed by the Manager. The lack of up to date information about training and servicing of equipment does not support that these have taken place within the required timescales. 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. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Insufficient needs assessment information may result in residents needs not been met. EVIDENCE: All three residents have lived at Mount Olive Care Home for a number of years, and their care is funded through the local authority. Representatives from the local authority (care management) visit each year to review the each person’s care. However, up to date information following these reviews was not available at the time of this visit. The information recorded about residents was not adequate. Basic information was not available about the residents and did not ensure that the social, emotional and care needs of residents could be met. There was no up to date information about each person’ s abilities and areas where they required support and assistance. As there are no staff employed at Mount Olive, the owner/manager delivers any personal care and support. Discussion with the owner/manager demonstrated that she knew the residents extremely well and was able to meet their needs. However, the lack of written information leaves the residents vulnerable to not having their needs met if anything were to happen to the owner/manager. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 9 The requirement made at the last inspection for all residents to have an up to date assessment of need in place has not been complied with. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Lack of concise care planning and risk assessments may result in residents needs not being met. EVIDENCE: Care planning documentation was not adequate and did not provide sufficient information to demonstrate that the individual needs of residents could be met. There were no care plans or risk assessments in place for any of the residents living at Mount Olive, that detailed what action was to be taken to care for them and meet their needs. Although it was clear from discussion with the owner/manager that residents were enabled to take responsible risks and make decisions about their lives, there were no risk assessments in place to support this. One person regularly goes out of the home independently and is able to use public transport. All three residents regularly attend church functions, holidays and trips out, and go in the owner/managers vehicle Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 11 regularly. None of these activities had been risk assessed. As previously stated, up to date information from care management was not available. Discussion with the owner/manager and observation supported that people living at Mount Olive are seen are part of the family and are treated as such. The owner/manager and her husband accompany the residents on many of the trips and activities that they take part in. Despite the lack of care plans, there was a good level of information recorded in the daily logs about the activities. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ wellbeing was enhanced by the range and frequency of social and recreational activities provided. EVIDENCE: All of the residents living at Mount Olive Care Home attend daycentres and groups/clubs during the week. They are well integrated into two church communities and attend functions several times a week, in addition to going on outings and holidays with these organisations. The residents and the owner also have a week’s holiday to Skegness booked during October 07. Comments received from care management supported that the ‘residents enjoy an active social life with regular access to local facilities, night outs and holidays’. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 13 One resident was at home at time of this visit and was sat in the lounge doing a jigsaw. This resident commented that they liked doing jigsaws, and talked about the trips out with the church, singing with the church, and what was going on over the next few days, as the day centre was closed. The daily logs supported that residents were engaged in activities on a regular basis. Residents were encouraged to keep in touch with families where possible, and relatives encouraged to visit as they wished. The routine in the home was described as relaxed, although residents do have to be ready for the transport when attending the day centres. The owner/manager reported that residents would stay in bed a little later on the days they are at home. Meals were prepared by the owner/manager, although two of the residents are able to make snacks for themselves. It was reported that residents are offered a variety of home cooked food, and residents and owner eat at same time, albeit in separate dining rooms. Records of the food served are not kept, although the owner/manager stated that residents were offered a choice at each mealtime. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Lack of a clear audit trail for medication administration leaves residents vulnerable of not having their health needs met. EVIDENCE: As previously stated, there were no care plans in place, although the owner/manager was fully aware of each residents needs. The residents living at Mount Olive require minimal support and guidance with personal care, which is delivered by the owner/manager. Discussion with the owner/manager supported that she monitored residents’ health care needs, and noted any changes in condition and took appropriate action. These changes were recorded in the daily logs. The daily records also supported that residents had access to their GP, attended audiology clinic as required, and also the chiropody, optician and dentist. Comments received from care management supported that ‘residents are treated with respect and dignity and their health issues are managed appropriately’. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 15 Residents all have their own clothes and were observed to take pride in their appearance. Residents access services in the local community, such as the hairdresser and GP surgery. Medication practice was poor and placed people at risk of not having their health care needs met. The residents at Mount Olive received regular medication, and the owner/manager ordered the repeat prescriptions. Up until recently two of the residents had been responsible for managing their own medication. There were no risk assessments in place to support that these residents were capable of taking responsibility for their medication. The owner/manager said that she had recognised that one of the residents was no longer able to do this, so she had taken over the responsibility for administering this person’s medication. The owner/manager was unable to demonstrate that residents received their medication as prescribed as there were no up to date medication administration records. Storage of medication was inadequate, as not all medication was stored in a secure area. The requirement made at the last inspection for all residents to have care plans in place has not been complied with (See Individual Needs and Choices). Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 22 and 23 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Although the best interests of the residents are considered at all times, allowing people to work at the home without a CRB completed by the home potentially puts the residents at risk. EVIDENCE: The owner/manager stated that she has not received any complaints during the previous 12 months, but during discussion indicated that the residents would tell her if they were unhappy with anything. Information about the complaints procedure was not in a format suitable for the people living at Mount Olive, for example in symbol and picture format. The regulatory authority has not received any complaints about the care and services provided at Mount Olive during the previous 12 months. Policies and procedures relating to safeguarding adults were in place, and made reference to contacting the local authority. The owner/manager stated that she had attended safeguarding training provided by local authority, although there was no written evidence to support this. No referrals have been made through safeguarding procedures during the previous 12 months. A Criminal Records Bureau (CRB) was in place for the owner’s husband, who also lives at Mount Olive. The owner/manager stated that the required checks had been carried out for the volunteers at the churches and the people who Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 17 occasionally look after the residents whilst the owner is away, but not by herself. This was a requirement made at the time of the last inspection. The systems in place of the safe keeping of residents’ money in the home were inadequate. The owner/manager stated that she keeps money for one resident, but does not keep any records, receipts and signatures, which would justify account activity and resident spending. Money for the other residents was managed through care management. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25, 26, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable and homely environment that meets their needs. EVIDENCE: The people living at Mount Olive were provided with homely, domestic environment. Each person has their own bedroom, with a door that locks if they wish. The residents had been enabled to personalise their bedrooms. The residents have their own lounge and dining room, although the owner/manager does spend time with the residents in the lounge area. Residents make good use of the large well maintained garden area, either by sitting out on the patio area, or for barbecues. Appropriate aids and adaptations, such as a stair lift and bath hoist, were in place. Toilet facilities were available on both the ground floor and first floor. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lack of up to date training may result in residents not being supported by a person with the necessary skills, knowledge and experience to fully meet their needs. EVIDENCE: There are no staff employed at Mount Olive Care Home and all care and support was provided by the owner/manager. It was reported that members of the family help out with some of the domestic chores, such as ironing. There was no evidence to support that the owner/manager had attended any recent training, although the owner/manager commented that she had previously attended fire training, safeguarding procedures, and moving and handling training. The owner also reported that she does not attend any provider meetings or care home association meetings, but does receive support from another local care home owner. Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39, 41 and 42 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents’ wellbeing may be significantly affected by the lack of management systems and poor record keeping. EVIDENCE: Comments received from care management indicated that ‘the manager is a genuine caring owner who has the best interests of her residents at heart. Residents really do feel Mount Olive is their home’. Although residents living at Mount Olive were treated as part of the family, and the owner/manager has their best interests at heart, this cannot be demonstrated and supported through record keeping. The lack of recording keeping leaves both the residents and owner/manager vulnerable. There was no written evidence to support that residents needs could and were being met, Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 21 due to the lack of assessments, care plans, and medication records. There was no evidence to support that systems were in place to maintain residents’ safety, because of the lack of risk assessments and accident records. The owner/manager was not able to demonstrate that residents’ money was kept safe, as there were no records, receipts and signatures held in the care service to justify account activity and resident spending. There were no quality assurance systems in place. Residents meeting were not held. The owner/manager was not able to demonstrate that the routine maintenance was up to date, as up to date certificates were not available. The electrical wiring installation certificate was dated September 2002, and indicated that the check should be repeated in 5 years, ie September 2007. This was not been carried out, and the owner/manager was asked to check with the electrician. The owner/manager stated that she did not carry out portable appliances tests. The requirements made at the time of the last inspection for the manager to attend appropriate training, including fire training, and for a quality assurance tool to be developed and used have not been complied with. Mount Olive Residential Care Home DS0000001995.V342486.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 Adults 18-65 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 X 2 1 3 X 4 X 5 X X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 1 X 2 X 2 X 1 1 X Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 YA2 Regulation 14(2) Requirement All people using the service must have an up to date and detailed assessment of needs. This will ensure that their needs are identified and planned for. Previous timescale of 30/04/07 not met All people using the service must have an up to date, detailed care plan. This must outline the delivery of care in line with the individuals assessed needs. This will ensure that people using the service receive person centred support that meets their needs. Previous timescale of 30/04/07 not met Risk assessments must be provided and reviewed, on at least an annual basis, on each resident ensuring that these are acted upon and recorded in each Resident’s plan of care. This will ensure that all risks are identified and appropriate action taken. Previous timescales of 27/02/04, 13/12/05 and 30/04/07 not met. Timescale for action 31/12/07 2. YA6 15(1) 31/12/07 3. YA10 12(1) 31/12/07 Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 24 4. YA20 13(2) and 17(1) Schedule 3 13(2) 5. YA20 6. YA22 7, 19 Sch 2 7. YA22 17(2) Schedule 4 8. YA35 10 9. YA39 24 When medication is administered to people who use the service it must be clearly recorded, to ensure that people receive the correct levels of medication. Medication must be stored securely at all times, to ensure that it can not be accidentally taken by the wrong resident. All persons working at the home, paid or unpaid must have a Criminal Records Bureau check, which has been undertaken, by the home. This will ensure that people using the service will be protected from harm. Previous timescale of 30/04/07 not met A record of all money in safe keeping for residents must be kept. This record must state the date on which the money was received, the date of which it was returned or used, and the reason why. This will ensure that the account activity and resident spending can be justified and audited. The owner/manager must attend appropriate training. This will ensure that people using the service are cared for by an owner/manager with up to date skills and knowledge. Previous timescales of 27/01/04, 13/12/05 and 30/04/07 not met. A quality monitoring tool must be developed and used. This will ensure that people using the service and their representatives to feel consulted and their views valued and acted upon. Previous timescale of 30/06/07 not met 31/10/07 31/10/07 31/12/07 31/10/07 31/12/07 31/03/08 Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 25 10. YA41 17 11. YA42 23 12 YA42 13 All required records must be in place and kept up to date. This will ensure that all required information is available. Fire training must be provided twice a year for the owner/manager as she covers night duty. This will ensure that people using the service are cared for by an owner/manager with up to date skills and knowledge. Previous timescale of 27/01/04, 13/12/05 and 30/04/07 not met. Equipment must be serviced within the specified timescale and evidence provided to support this, in order to demonstrate that people using the service have been protected from any unnecessary risks. 31/12/07 31/12/07 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Mount Olive Residential Care Home DS0000001995.V342486.R01.S.doc Version 5.2 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. 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