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Inspection on 05/06/07 for Nydsley Residential Home

Also see our care home review for Nydsley Residential Home for more information

This inspection was carried out on 5th June 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

People, who use the service, describe the home as having a homely atmosphere. It provides people with a place to stay near to where they once lived, enabling them to remain close to family and friends. People made positive comments about Nydsley such as `Very good place`, `excellent` and the staff are `very kind and patient and with a sense of humour.` Discussion with the staff showed they have worked at the home for a number of years and they knew the personal likes and dislikes of the people in the home very well. This encourages people`s decision-making and makes sure the service is delivered in the way they want. Food and mealtimes are treated as an occasion and something to be looked forward to. Tables are set attractively with the necessary cutlery and aids to help individuals during their meal. Birthdays and celebration are made special for individuals. This helps to make sure people receive a varied and nutritious diet.

What has improved since the last inspection?

To stop the spread of infections, at the previous inspection a requirement was made for hot food temperatures to be taken of all food cooked and served in the home, this had been carried out.

What the care home could do better:

To make sure peoples` care needs are fully identified and met safely in the way they prefer and want, the staff need to make sure everyone`s care plans are detailed and up to date and are accompanied by a detailed assessment of any risks the person may encounter. These assessments must offer staff directions of how these risks could be minimised. To make sure people receive the correct medication the staff must stop secondary dispensing medication. This is where staff in the home take medication out original containers and puts the medication into another box. The way people are recruited to work in the home needs to be improved, and all safety checks carried out. This minimises the risk of unsuitable staff being employed. Staff need to be provided with appropriate training to ensure people receive both the safest and best quality of care available.

CARE HOMES FOR OLDER PEOPLE Nydsley Residential Home Mill Lane Pately Bridge North Yorkshire HG3 5BA Lead Inspector Caroline Long Key Unannounced Inspection 5th June 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000007797.V335817.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. DS0000007797.V335817.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nydsley Residential Home Address Mill Lane Pately Bridge North Yorkshire HG3 5BA 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) 01423 712060 Mr Frank Leonard Hall Mrs Elizabeth Anne Hall Mrs Elizabeth Anne Hall Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places DS0000007797.V335817.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st June 2006 Brief Description of the Service: Nydsley is registered to provide residential social and personal care for fourteen older people. The home is a large detached house set in its own grounds. There is a lounge and dining room and conservatory on the ground floor. There are ten single bedrooms, eight with en-suite facilities, and two double bedrooms. All areas of the building are accessible via the use of a stair lift. There is a well-tended garden and a conservatory, which provide views of the local countryside. The home has a car park for staff and visitors and is located close to the local services and amenities of Pateley Bridge. The home was first registered to Mr & Mrs F Hall in 1989. The registered manager is Mrs E Hall. The home has an information pack and service user guide to inform people about the home. On 5th June 2007 the fees for the home ranged from £320 to £340. DS0000007797.V335817.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • • • A review of the information held on the home’s file since its last inspection. Information submitted by the registered provider in the pre inspection questionnaire. Surveys received from nine people who use the service and four relatives, a general practitioner and a district nurse. An unannounced visit by an inspector to the home lasting over five hours. This visit included a tour of the premises, examination of records, talking to people who use the service, care staff, and management. Also observing staff working. Looking at three peoples care files in detail. • What the service does well: People, who use the service, describe the home as having a homely atmosphere. It provides people with a place to stay near to where they once lived, enabling them to remain close to family and friends. People made positive comments about Nydsley such as ‘Very good place’, ‘excellent’ and the staff are ‘very kind and patient and with a sense of humour.’ Discussion with the staff showed they have worked at the home for a number of years and they knew the personal likes and dislikes of the people in the home very well. This encourages people’s decision-making and makes sure the service is delivered in the way they want. Food and mealtimes are treated as an occasion and something to be looked forward to. Tables are set attractively with the necessary cutlery and aids to help individuals during their meal. Birthdays and celebration are made special for individuals. This helps to make sure people receive a varied and nutritious diet. DS0000007797.V335817.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. DS0000007797.V335817.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 DS0000007797.V335817.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): Standard 3 only. People who use the service experience good quality outcomes in this area. People who may use this service and their representatives have the information needed to choose whether Nydsley is the right home for them. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Nydsley is in a village in the Yorkshire Dales, and people who use the service had either previously lived locally and visited, or knew the staff or Mr and Mrs Hall before they moved into the home. The registered and deputy manager explained many people have lived at the home for many years and they generally have a waiting list of local people who are interested in moving into Nydsley. Most of the people who use the service stated they felt well informed about the home before they moved in. DS0000007797.V335817.R01.S.doc Version 5.2 Page 9 One relative explained in the survey how Nydsley was a wonderful home and how emphasis was placed on the fact that it is their relatives home now and not just an institution. They described how their relative had settled well, and looked better since moving into the home. The deputy manager explained people are visited at their homes and an assessment of their needs carried out by the registered manager. Following this they are encouraged to visit Nydsley before they come to stay permanently. When people are accepted into Nydsley the deputy manager gathers information from the care manager, health professionals, the general practitioner and the relatives. This information is used to write an assessment of their needs and their care plan. Two records were looked at where the people had been recently admitted; both contained an assessment of the persons individual needs that was carried out before they had come into the home carried out by North Yorkshire County Council and the Health Authority. Also the registered manager was able to explain why they had been unable to carry out their own assessments before the people came into Nydsley. A recommendation was made at the previous inspection for all people resident in the home to be issued with a contract; from the nine surveys returned, six stated they had received a contract. Although the home does have a statement of purpose and service user guide, it was difficult to evidence these were being routinely handed out. One survey stated they had not received any written information. The home is not registered for intermediate care. DS0000007797.V335817.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): Standards 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. Due to an established staff team, people receive the health and personal care they need in a respectful and dignified way, however this is compromised by unsafe medication practices. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People in the home and their relatives generally made positive comments about the care they received at Nydsley. Examples were: ‘Very good place,’ ‘I receive all the help needed,’ and ‘My relative has been at Nydsley for 5 years and they are very happy, the staff have a great deal of patience with them and do look after them very well.’ DS0000007797.V335817.R01.S.doc Version 5.2 Page 11 Observation of the staff with people in the home showed good practice, staff were sympathetic to their needs, talked to them respectfully, and made sure their dignity was maintained. They listened to peoples request and gave the extra help and support needed to provide people with a caring home. Discussion with the staff showed they have worked at the home for a number of years and they knew the personal likes and dislikes of the people in the home very well. People in the home also confirmed staff were aware of their care needs. However, comments made on a survey and during the site visit did show that occasionally people’s personal care was not always offered to a consistently high standard, in regards to cleanliness of hair and clothing. Three peoples care records were looked at in order to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. All the records had a life history, personal profile, people’s strengths, needs goals and actions. Although the life histories and personal profiles of two were found to be completed in detail and gave examples of the peoples personal preferences, which evidenced peoples involvement. The strengths, needs, goals and actions promoted peoples independence did not contain sufficient information to enable all the individuals care needs to be identified and met. The risk assessments did not contain the detail and actions necessary to prevent or minimise risks for the people in the home. A requirement was made at the previous inspection for care plans to be reviewed monthly, this had not been carried out. Records of the care provided by staff were made monthly, to develop a picture and track any changes to people’s health the home should consider recording issues daily. There was a mixed response about whether the peoples health care needs were always identified and met. The local general practioner visits the home every eight weeks and the records showed evidence of other visits from the GP, district nurse, chiropodist and optician. However the surveys did have two examples of when peoples health care needs were not always fully promoted. Although medication is stored in a locked cupboard and it is usual that only trained members of staff administer medciation. Looking at the medication practices showed that medication is dispensed from the orginal packets into dosset boxes at the beginning of each week. This practice is known as secondary dispensing and is unsafe. The registered manager agreed for the home to receive further advice from the Commission’s pharmasist. The registered manager has informed the Commission she has taken action immediately to resolve this issue. DS0000007797.V335817.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): Standards 12, 13, 14 and 15. People who use the service experience adequate quality outcomes in this area. Social, cultural and recreational activities are not meeting everyone’s expectations. People receive an appealing healthy and varied diet according to their choice. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Entering Nydsley reminds a person of entering a person’s own home. Many of the people who use the service come from the local community and appreciate being able to remain near to places and people they know. There is a waiting list for Nydsley, which shows it is providing the type of accommodation which people in the area want. There has been a mixed response as to whether the level of activities in the home could be improved upon. During the site visit people talked about enjoying the entertainer, television, reading and crosswords. One explained DS0000007797.V335817.R01.S.doc Version 5.2 Page 13 how they attend a local group at the local community hall. Relatives visited regularly, and often took people out. The staff who lived locally explained how they were able to spend time talking in the afternoons about the local community. People who lived in the home said although there were not many activities they did not mind as they enjoyed talking and spending time with the others. One described how before they became too ill they enjoyed walking into near by Pateley Bridge. The home has a cat and dog, which people in seemed accustomed to and enjoyed. People were reading the daily newspapers. Staff and the people in the home confirmed there is a regular ecumenical religious service conducted in the home. However comments received on surveys were mixed where people were asked in the survey are there activities arranged by the home that you can take part in two stated always, two usually, two sometimes, and two never. Negative comments were also received for instance: ‘Could be more entertainment activities and stimulation.’ ‘To me there does not seem to be any activities.’ ‘Provide or arrange some more activities.’ People said they could make choices about their daily routines, the times of rising and retiring to bed, staff were observed encouraging people to make choices and they described how they would enable people to choose the clothes they were wearing. Meals were seen as a occasion, most of the people in the home attend the dining room for their meals. During the site visit the dining room looked very comfortable, clean and appealing. Tables were set with table cloths, napkins and place mats, tea and coffee cups. The meal was roast chicken and vegetables and apple crumble. Everyone said the food was very good, positive comments have been received in the surveys. The registered manager explained they had recently received an environmental health inspection where they had found everything to be correct. Following a requirement made at the previous inspection the home is now regularly checking and recording the temperature of the hot food it serves and the cat was not seen in the kitchen during the site visit. DS0000007797.V335817.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): Standards 16 and 18. People who use the service experience adequate quality outcomes in this area. People’s complaints are listened to and responded to by the manager of Nydsley. People are protected from abuse due to staff working closely together, but this is compromised by a poor recruitment procedure. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who use the service generally said they felt safe, and did not have any complaints about the service, but if they had, they would feel confident in voicing them to the staff or the registered manager. The home has a complaints procedure that is displayed in the office and is part of the service user guide. The Registered Manager explained the home has not received any complaints since the last inspection. The deputy manager explained any concerns, which were raised, were dealt with immediately; people using the service generally agreed this did happen. The home has the local procedure from North Yorkshire County Council for safeguarding adults, and the registered manager and the deputy manager were aware of the actions to take to protect people. However, the policy needs to be update to reflect current and local safeguarding adult guidelines. DS0000007797.V335817.R01.S.doc Version 5.2 Page 15 The registered manager explained staff discuss issues such as abuse at their regular staff meetings. To make sure current practices are up to date some staff should attend training which is specific to the local procedures. The complaints procedure needs to be updated to refer to the Commission for Social Care Inspection. Appropriate recruitment procedures are not followed, with reference and criminal record bureau checks (CRB) this could put people at risk. DS0000007797.V335817.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): Standard 19 and 26. People who use the service experience good quality outcomes in this area. Nydsley provides a safe,well maintained, and comfortable place for people to live. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: All people who use the home stated it was always fresh and clean. There is a pleasant dining room, comfortable lounge, and a large conservatory with good views of the surrounding countryside. Nydsley has gardens and terraces where people can sit out. Many of the bedrooms have en-suite facilities. People made positive comments about the home and their rooms. DS0000007797.V335817.R01.S.doc Version 5.2 Page 17 The home is also well maintained and the furnishings and decorations are of a good standard and decoratation is homely. People liked their bedrooms, and all were happy with the facilities in the home. There were sufficient toilets and bathrooms and equipment available to help people. There was also a well maintained stairlift to help the residents negotiate the stairs. Where people were sharing a room they had been asked, screens were available for privacy and they said they enjoyed the company and preferred to share a room. The providers live on site and help to maintain the home. DS0000007797.V335817.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): Standards 27, 28, 29 and 30. People who use the service experience poor quality outcomes in this area. Staff are aware of their duties and meet the needs of the people. However the recruitment procedure could put people at risk. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has a well-established staff team of mainly local people who know the people in the home well and are able to provide them with the care they want in the way they prefer. Positive comments made about staff were: ‘Very kind and patient and with a sense of humour.’ ‘Excellent.’ ‘Staff do look after my relative with kindness, love and sensitivity at all times. I have nothing but the highest praise and Mrs Hall and all her staff.’ Two staff files were looked at from staff who had been employed at the home following the last inspection. Neither contained a completed Criminal Record Bureau Check or Protection of Vulnerable Adult Check. Both had two references, but the registered manager said for one who had commenced in DS0000007797.V335817.R01.S.doc Version 5.2 Page 19 March she had only just received the references. Also, no criminal record bureau checks had been carried out on any of the staff team. Although the registered manager explained many of the staff had worked at the home for years and the newly recruited staff were local and personally known, to protect people it is essential a robust recruitment procedure is followed and all staff have a completed criminal bureau record check to make sure they are suitable. This must include an application form which gives details of all previous employers, including the reasons for any gaps in employment, two references particularly from where the applicant may have worked with vulnerable adults, and all the necessary police checks. All this information must be sought before the person starts work. The registered manager has been asked to make sure the newly recruited staff are working supervised at all times and to inform the Commission when criminal bureau record checks have been completed. The records and talking with the deputy manager evidenced a range of training has been carried out, covering food hygiene, first aid, medication, pressure area care and infection control and that four staff have recently commenced a distance learning course for dementia. However, mobility assistance training was not up to date. To protect people it is essential all staff particularly new staff are provided with training on how to help people move around safely. The pre assessment questionnaire states under a quarter of the staff have achieved their National Vocation Qualification in care at level two or above. The staff explained that they normally believe there are enough staff on duty and they do have time to talk to people in the home during the afternoon, this was partially agreed people surveyed, who when asked are the staff available when you need them stated five always, three stated usually and one stated sometimes. Also one commented ‘Usually but they are busy.’ During the site visit, there was the deputy manager, three care staff and the cleaner on duty. One of the care staff was cooking the meals. The registered manager and the provider were also on the premises. DS0000007797.V335817.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): Standards 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. The management arrangements in the home are appropriate for the home. We have made this judgement using a range of evidence, including a visit to this service EVIDENCE: The provider and manager live on the premises and the home benefits from their close supervision. The registered manager is very accessible and speaks to people daily. A new quality assurance survey where people were asked their views about the service was sent out in 2005, the registered manager explained they hoped to repeat this again soon. DS0000007797.V335817.R01.S.doc Version 5.2 Page 21 The home is small and has a small and long standing staff team and the manager and deputy work alongside staff on shift and monitor and assess practice. The registered manager explained staff meetings happen regularly where polices and procedures are discussed. The deputy manager said the home does not keep money for people living in the home. The inspection evidenced that some of the policies and procedures need to be updated to reflect current practices. The pre inspection questionaire states all the health and safety checks were upto date and maintained. The registered manager explained the fire officer had recently visit and required some adaptations to the fire system which they were in the process of carring out. The electricity certificate from 2005 showed some work also needed to be carried out which the registered manager has agreed to send the Commission a copy of the certificate to show the work has been completed. DS0000007797.V335817.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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X N/A X 2 3 DS0000007797.V335817.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 OP7 Regulation 15 (2)(b) Requirement To make sure peoples’ needs are identified and met. Peoples’ care plans must be reviewed on a monthly basis (Timescale of 31/03/06 and 14/08/06 not met) Risk assessments must contain the detail and actions necessary to prevent or minimise risks for people in the home. These must reviewed on a monthly basis. To make sure people receive the correct medication. Medication must not be secondary dispensed by the staff. The registered person is required to have in place for all new staff A completed application form, • Two written references • Evidence that a satisfactory CRB and POVA first check has been This must be carried out prior to their employment. DS0000007797.V335817.R01.S.doc Version 5.2 Page 24 Timescale for action 01/07/07 2 OP7 13 (4) (c) 01/07/07 3 OP9 13 (2) 01/07/07 4. OP29 19 01/07/07 • Previous requirement not met 31/08/06 For all staff currently employed a criminal record bureau check must be carried out within the next three months. The Commission must be informed when this has been completed. 5 OP30 18 (c) (i) 13 (5) The registered person is required to make sure that staff have the necessary training to enable them to care for the people who use the service safely. Such as mobility assistance. 01/09/07 DS0000007797.V335817.R01.S.doc Version 5.2 Page 25 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 OP1 Good Practice Recommendations The statement of purpose and service user guide should be review regularly to make sure it accurately reflects the services the home can offer. People should be offered daily and social activities, which will help keep them stimulated and independent. The register person should make sure all the people in the home are offered the opportunity to engage in local recreational activities. To help maintain the quality of the service provided by the home, more staff should be encouraged to commence their National Vocation Qualification is Care at Level two or above. To make sure people are protected by up to date practices the registered manager or her deputy should attend training on safeguarding adults so they can keep other staff informed. To make sure people are cared for safely. The registered person is to make sure that all of the home’s policies and procedures are in place and available to the staff. Especially for mobility assistance and safeguarding adults and medication. 2 OP12 3 OP28 4 OP30 5 OP37 DS0000007797.V335817.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 DS0000007797.V335817.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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