Inspection on 04/05/05 for Norwood Grange EMI Residential Home

This inspection was carried out on 4th May 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

Norwood Grange EMI Residential... 04/07/06

Norwood Grange EMI Residential... 19/10/05

Norwood Grange EMI Residential... 19/10/04

Norwood Grange EMI Residential... 12/05/04

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

CARE HOMES FOR OLDER PEOPLE Norwood Grange Residential Home Longley Lane Sheffield South Yorkshire S5 7JD Lead Inspector Carol Makin Unannounced 4 May 2005 9:00am 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 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. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Norwood Grange Residential Home Address Longley Lane Sheffield S5 7JD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0114 2431039 0114 2431039 None Mr Baljit Kalr Mr Resham Singh Mrs Rajinder Kalar Alice Merry (at present undergoing the registration process) PC Care Home Only 25 Category(ies) of DE(E) Dementia - over 65 (25) registration, with number of places Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mrs Rajinder Kalar and Mr Resham Singh do not enter the home until their CRB enhanced checks are received by, and are acceptable to, the CSCI. 2. Maintain Staffing Levels of 431.64 care hours per week. Date of last inspection 19th October 2004 Brief Description of the Service: Norwood Grange is a residential care home for older people. It is registered to provide personal care and accommodation for twenty-five residents over the age of 65 years with dementia. The home is situated in a residential area of Sheffield, near to local shops, a main bus route and the Northern General Hospital. The home is privately owned and is an older stone built property with accommodation for service users on two floors. Access to the second floor is via a lift or staircase. The home has a safe enclosed garden area, which has recently been landscaped and new garden furniture has been provided. There is a car parking area to the front of the property. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over seven hours from 9:15am to 4:25pm. Opportunity was taken to make a partial tour of the premises, inspect a sample of records and talk to residents, staff, the manager and area manager. All the residents and staff were seen during the inspection and the inspector spoke in detail to the staff on duty about their knowledge, skills and experiences of working at the home. Two relatives visiting at the time of the inspection and one resident was spoken to about their views on aspects of visiting and living at the home. The manager who is a qualified nurse and has many years experience working within a residential setting is at present undergoing the registration process with the CSCI. What the service does well: What has improved since the last inspection? The atmosphere in the home has improved since the last inspection; the new manager and staff team are to be congratulated for this. The residents looked more motivated, well dressed and groomed. A positive approach was taken by the management and staff towards the inspection process, which was refreshing. Plans are in place to access training opportunities for staff and staff supervision now takes place. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 6 Apart from one bedroom that was checked the previous offensive odours within the home had been eradicated the manager said this was due to the continence programmes they had introduced for the residents that have been assessed as needing them. Some repairs had been carried out to bathrooms and bedrooms. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, and 3 The manager stated that the homes updated Service User Guide had been sent by post to all relatives and a copy was seen in resident’s bedrooms so that the full information about the home is available. Not all residents received a contract detailing the homes terms and conditions before entering the home so that resident’s families do not know what the fees and charges will be. A full needs assessment is carried out for residents before admission to the home to ensure that the home can meet the needs of the resident fully. Relatives and prospective residents are invited to the home before the decision to move in is made. At this time discussions take place to see if the home can meet the identified needs. EVIDENCE: One relative spoken to had received the homes Service User Guide in the post that day. They said they had not received a contract detailing the homes terms and conditions. They had asked for this several times in the three months their relative had been at the home. The manager stated that they were experiencing difficulties with the placing authority that carried out the financial assessment and they had not confirmed the fees that the resident would have to pay. Staff said they had undergone training to assist them to care for the specific needs of their client group however not all statutory training was up to date. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 9 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 standard(s) 7, 8 and 10 The new manager said she had started the process of reviewing all residents care plans to ensure that all information that is required is available to staff to care for the residents needs. One relative spoken to stated that they were satisfied with the health care received. The district nurse visiting the home said that things were improving at the home and that no resident had any pressure sores. She praised the staff for their positive approach when she had raised issues that needed rectifying. One resident when asked said that they were very well looked after, staff was wonderful and they were treated with respect. There are no residents at the home who are capable of administering their own medication due to dementia. EVIDENCE: Two care plans checked did not contain the full range of information however there had been some progress made to update the plans since the last inspection. Two relatives spoken to said they had not been asked or involved in their relative’s plan of care. Plans checked included details of health professionals who were involved in the health needs of the residents. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 10 Residents looked well dressed and groomed, those spoken to said they were happy at the home and one offered to show the inspector her room as she was very proud of it and the new soft furnishings she had been provided with. Observations made during the inspection were that staff treat residents with respect and in a caring appropriate manner. Lively banter was witnessed throughout the day; this was two ways between residents and staff. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 11 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 standard(s) 12, and 15 Activities were taking place during the inspection; some were playing dominoes whilst others were doing artwork, which provided stimulation for the residents leading to discussions on different topics of interest to them. A notice was displayed for the church services held at the home. Residents said they can receive visitors anytime and two relatives said they are made welcome when they visit; staff offered them a drink of tea during their visit. Residents asked said the meals served were good. Staff have to stand beside residents to give assistance with their food as there are not sufficient chairs for them to sit. EVIDENCE: Activities had been reviewed since the last inspection and now are flexible and meet resident needs had been actioned however due to staffing levels on duty in the afternoons/evenings staff said that no activities take place at these times. The manager said due to a local licensee sponsorship a karaoke night was held fortnightly at the home, relatives had been invited to these. Food stored in the freezers was covered however meat delivered that day had not been dated before storing in the freezer. Food temperature checks are recorded and sanitising wipes had been provided for the food probe. A broken window had been replaced and a sink secured to the wall. The dishwasher has not been repaired. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 12 Extra hours had been allocated to the cook to ensure that all meal times were covered so care staff could concentrate on the care of the residents and not preparing the evening meal. Food stocks were adequate and the manager stated that they were using fresh vegetables and not frozen ones as was previously used. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 and 18 Residents and relatives, who spoke to the inspector, stated that they could always raise their concerns to the manager with the knowledge that ‘ she would look into the matter’. The complaints procedure was available to residents and had been provided to relative to ensure that they knew who to go to if they had a complaint. Care practices and procedures seemed in general, to protect residents from abuse, thereby creating a safe environment for residents. Whilst care staff showed an understanding of adult abuse, not all staff have received training in adult protection. The adult protection procedure had not been updated to include the Department of Health guidance “No Secrets”. The training and adult protection procedures need to be improved to ensure that more robust protection systems are in place for the residents. EVIDENCE: The manager said that since she took over the home there had been no complaints and none had been received by the CSCI. Complaints procedures are in place to ensure that residents or relatives feel confident about making a complaint. Discussions were taking place about the forthcoming election and of who would be able to take part taking into account the resident’s level of understanding due to dementia. Staff interviewed were clear on what was not acceptable behaviour towards residents and what they would do if they witnessed any inappropriate behaviour. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 14 These staff had not received training in adult protection. The manager said that a date had been planned for this training to take place. The adult protection procedure had not been updated to include the Department of Health guidance “No Secrets”. On recruitment, staff were not appropriately checked against the’ Protection of Vulnerable Adults Register’ which is required for the safe protection of residents. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 24, 25 and 26 The environment within the home was in the main clean, safe, comfortable and reasonably maintained, thereby enhancing its appearance and facilities. Some decorating had been carried out, new carpets fitted and improvements made to some of the bathrooms. A system has been put in place to ensure that minor repairs are carried out promptly, however more commitment is needed to maintain the facilities within the home for the comfort of the residents living there. In the main the lounges, dining room and the majority of the bedrooms were pleasantly furnished and decorated. The two bathrooms downstairs are still in need of major refurbishment both were in poor condition and not pleasant rooms for residents to use. A relative spoken to also commented on the general poor condition of these rooms. The manager said that continence management programmes had been implemented which had resulted in the eradication of unpleasant odours and made for better personal care for residents. Staff interviewed had not received training in infection control to ensure that they are knowledgeable about maintaining essential cleanliness. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 16 EVIDENCE: One resident spoken to said they liked their bedroom and were comfortable, she proudly took the inspector to her room to show her the new furnishings provided. Relatives spoken to said there had been immense improvements in the cleanliness of the home in the last three months since the new manager took over. Some repairs and renovations have been carried out in the upstairs bathrooms and a toilet. This toilet still requires walls plastering and decorating. A new call cord had been fitted in a bathroom however this was not long enough for residents to reach. A new bath seat had been provided in an upstairs bathroom and also new floor covering. In one bedroom a broken window restraint had been repaired however the window itself was damaged creating a safety and security hazard. One resident’s bedroom was unpleasant, the carpet was heavily stained and smelled offensive and the decorations in this room were damaged. The radiator cover in one bedroom was not fastened to the wall and was also dirty. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 The number of staff hours provided per week did meet the homes condition of registration. The recruitment information obtained for new staff was insufficient to adequately protect the welfare of residents who live at the home. Staff files did not contain the required information to prove that the appropriate and robust recruitment procedures are carried out. An immediate requirement was issued that all staff must have a current enhanced CRB (Criminal Records Bureau) check in place. This is the second immediate requirement issued in the last two inspections at the home for these checks to be carried out. The provider must carry out on CRB checks on new staff before employment to ensure the protection and welfare of the residents is maintained. Staff training has been arranged, which will enable them to meet the different needs of the residents at the home, but the lack of a staff development programme could mean that training needs may not be fully met. EVIDENCE: Staff interviewed stated that they did not have sufficient staff on duty at teatime and evenings to do any activities which was a problem as the residents became more unsettled at this time. Staff stated that they felt supported by the manager and that they worked well as a team. The manager stated that training was being sourced in infection control and adult protection. The majority of the staff working at the home had started their employment in the last three months. The inspector was impressed that Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 18 such a large turnover of staff had been carried out without creating undue upset for the residents. The management and staff are to be congratulated for this. One staff file checked did not contain proof of identity, health check, photograph, CRB check, gaps in employment were not explained and there was no details of previous experiences. The previous requirement relating to dementia training for staff was not checked on this inspection; therefore the requirement is carried forward to check on the next inspection. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 37 and 38 The overall management of the home has improved; a new manager has recently been recruited to the home. She is at present undergoing the registration process with the CSCI. In the last three months apart from one staff member there has been a complete change of the staff team. The manager is to be congratulated; the major change of staffing could have been detrimental for the residents as it is they appeared settled with the new staff and happy. The staff were positive about being part of the team at Norwood Grange and could verbalise positive approaches taken towards providing quality care. Two staff have NVQ level 2 qualifications and seven further staff have commenced this training. Routines are kept to a minimum so that care of the residents is tailored to meet their needs and not the staff. Staff have to carry a large water container up the stairs to the top floor staff accommodation, which is a safety hazard. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 20 EVIDENCE: The manager stated that the quality assurance system had been partially done but had not been completed. The previous requirement relating to residents finances was not checked and will be checked fully on the next inspection. Staff said that they do receive supervision with their line manager. When the building was checked, no fire exits were blocked however one fire door did not close fully into the rebate creating a fire safety hazard. On a tour of the building no hazardous substances were seen by the inspector insecurely stored. The previous requirement that all staff must receive updated statutory training had not been actioned. There was no water supply to the top floor where the manager’s office and staff accommodation was situated. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 1 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 1 COMPLAINTS AND PROTECTION 1 x 1 1 3 1 1 1 STAFFING Standard No Score 27 1 28 3 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 1 3 3 1 3 1 3 1 1 Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 22 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 2 & 37 Regulation 5 & 17 Requirement Residents must receive a contract which details the terms and conditions of occupancy and fees. Discussions must take place with the placing authority of how their financial assessment process can be carried out quicker to facilitate this requirement. Residents, relatives or their representatives must be consulted and involved in their plan of care, this must be recorded. Residents care plans must be fully completed to meet the required standards these plans must show evidence of monthly review and updating. The previous timescale of 1 Feb 05 was not met. Staff members must sit down with service users who need help with eating in order to assist them appropriately. The previous timescale of 1 Feb 05 was not met. Opened food stored in freezers and refrigerators must be dated. The previous timescale of 1 Feb 05 was not met. Timescale for action 1 Sept 05 2. 7 & 37 15 1 Sept 05 3. 7 & 37 10,12,15, 21,43 & Schedule 3 1 Sept 05 4. 15 10,12,18, 43 1 Aug 05 5. 15, 38 10,12,13, 16,21,23, 43 1 Aug 05 Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 23 6. 7. 15, 38 18 & 37 10,16,23, 43 8. 18 9. 19 & 26 10. 19,21 11. 19 12. 22 13. 14. 15. 24 24 25 The dishwasher must be repaired. The previous timescale of 1 Feb 05 was not met. 10,12,13, The adult protection procedure 43 must include the Department of Health Guidance ‘No Secrets’. The previous timescale of 1 Feb 05 was not met. 10,13,18, All staff must receive training in 43 adult protection. The previous timescale of 1 Mar 05 was not met. 10,12,23, The areas of the home, with 43 offensive odours, must be thoroughly cleaned and kept clean. Carpets must be replaced if the smell cannot be eradicated. The previous timescale of 1 Feb 05 was not met. 21,43 Action must be taken in the bathrooms to replace a stained floors, renew damaged paintwork, renovate the hoist that had a rusty base and the plastic coating peeling off the seat, replace the sealant around one bath and rectify the damaged floor behind one toilet The previous timescale of 1 Feb 05 was not met. 23 Decoration to the walls in the dining room that was damaged must be repainted. The previous timescale of 1 Feb 05 was not met. 10,13,43 The call cord in the bathroom identified must be accessible to service users when using the facilities. The previous timescale of 1 Jan 05 was not met. 12,13,23, The broken window frame 43 identified must be repaired. 23, 43 The identified bedroom with damaged decorations must be redecorated. 12, 13, 23 All radiator guards must be fitted securely J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc 1 Sept 1 Aug 05 1 Sept 05 1 Aug 05 1 Sept 05 1 Aug 05 1 Aug 05 1 Aug 05 1 Sept 05 1 Aug 05 Page 24 Norwood Grange Residential Home Version 1.20 16. 17. 27 29 10,18,43 10,19,43, Schedule 2 18. 29 10,13,18, 19,43, Schedule 2 19. 20. 29 30 19, Schedule 2 10,18,43 Staffing levels must be maintained to meet the assessed needs of the residents. New staff who have not received their CRB checks must not work unsupervised within the home. An immediate requirement was issued during the last inspection and had not been met. A Criminal Records Bureau (CRB) check must be carried out at the correct level before staff are employed at the home. An immediate requirement was issued during the last inspection and had not been met. Staff files must include their photograph. The home must produce a staff development programme, which meets the National Training Organisation specification. The previous timescale of 1 Jan 05 was not met. Staff must receive specialist training in all aspects of dementia care relevant to their role to meet the aims and objectives of the home and service provided. The quality assurance system and annual development plan must be implemented fully. The previous timescale of 1 Jan 05 was not met. Service users must have their own individual bank accounts. An independent accountant must audit Service users monies yearly. The previous timescale of 1 Jan 05 was not met. All staff must receive updated statutory training including infection control. All fire doors must be checked and those not closing fully into their rebate must be repaired. 1 Aug 05 4 May 05 immediate requiremen t issued 4 May 05 immediate requiremen t issued 1 Aug 05 1 Aug 05 21. 30 10,18,43 1 Sept 05 22. 33 10,24,43 1 Sept 05 23. 35 10,20,23, 43 1 Aug 05 24. 25. 38 38 10,13,18, 43 10,12,13, 23 1 Sept 05 1 Aug 05 Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 25 26. 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 38 7 Good Practice Recommendations Alternative arrangements must be made so that the practise of staff carrying large containers of water up to the loft area will cease. Information on service users accidents should be collated to identify any patterns or trends that require action taking. Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 Page 26 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Norwood Grange Residential Home J55 S32191 Norwood Grange V150595 04.5.05 UI Stage 4.doc Version 1.20 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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