CARE HOMES FOR OLDER PEOPLE
Parade Rest Home 31 Raikes Parade Blackpool Lancashire FY1 4EY Lead Inspector
Christopher Bond Unannounced Inspection 30th November 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parade Rest Home DS0000009763.V351778.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. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Parade Rest Home Address 31 Raikes Parade Blackpool Lancashire FY1 4EY 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) 01253 293172 Mrs Yvonne Kerr Mrs Jean Margaret Hartley vacant post Care Home 14 Category(ies) of Dementia (14) registration, with number of places Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 12th September 2006 Brief Description of the Service: Parade Rest Home is an establishment that caters for elderly people who have dementia. The home is family run and has been established for over 20 years. It is situated in a quiet residential area of Blackpool and is close to the town centre. There are a number of shops within walking distance of the home and it is close to bus routes. Stanley Park is also a short distance away. The home is registered for 14 service users. The home has a regular social programme both within and outside of the establishment. Service users’ accommodation is situated on ground, first, and second floors and is accessed by a passenger lift. There are six single bedrooms and four of the rooms are shared. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (30/11/07) the information given to the Commission showed that the fees for care at the home are from £336.29 per week, with added expenses for hairdressing and chiropody. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. As part of the inspection process an unannounced site visit took place over a total of 4.5 hours on the 30th November 2007. A tour of the home was carried out, which included bedrooms, lounge, dining areas, and bathrooms. All areas were clean and hygienic. The residents’ personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication records for the home were also examined. The owner, manager, residents and care staff were spoken to during the inspection. Every year the registered person is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. This information, in part, has been used to focus our inspection activity and is included in this report. During our visit we undertook an observation of the residents of the home and how the care staff react to their specific needs. This observation took one hour, and recordings were formally made regarding the input of the care staff and the general well -being of the residents within the home. This observational tool helps us to understand the quality of experiences of people who are unable to provide feedback due to their cognitive or communication impairments. What the service does well:
The residents of this home are well cared for by a considerate owner, manager and staff team. The home is family owned and there is pride in the homely and comfortable environment that exists. There was plenty of input from the family and the care staff that were spoken to said that they were well supported. The house itself is decorated in an appropriate style and there are many original features. It looked very homely and a nice place to live in. It was a cold day whilst we were there and the residents looked warm, relaxed and content during the visit. Observations made showed that there was a general feeling of well being, and the residents received plenty of personal attention. All the residents looked well cared for and well dressed. The owner and manager were clearly thorough regarding the standard of hands on care that the home provided.
Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 6 Lunch was being served whilst we were there and the residents ate their meal in pleasant surroundings with appropriate support where necessary. The meal looked appetising and nutritious and the residents were given the time to eat their meal at their own pace. One of the residents was able to say that she enjoyed the food that was offered by the home. There was reference to the residents’ interests, hobbies, social needs and family backgrounds and past lives within the care plans. This is important because the care staff then have the knowledge of somebody as an individual person, and not just someone who needs to be cared for. There were activities available during the day to help ensure that people were being stimulated and motivated. The house was very clean and there were no unpleasant smells. Although there were no en-suite facilities in the bedrooms there were sufficient toilet and bathroom facilities available with plenty of space for the careers to perform personal caring tasks. The bedrooms were quite large and sufficient screening was available to ensure privacy in shared rooms. What has improved since the last inspection? What they could do better:
There were notable deficiencies in the way that the care staff’s skills were updated. The home did not have a staff training programme. Although there were certificates on the wall to show that training had taken place, many of these were longstanding. Important areas of training such as mandatory safety training, Dementia awareness, medication awareness and protection of vulnerable adult training had not taken place within the past 12 months. It is important that care staff update their skills on a regular basis to ensure that a well -trained and competent team delivers care. Everybody who lived at the home had a plan of care but there was no evidence to show that these plans had been formally reviewed. There should be information available to show that the residents’ healthcare, social and personal care needs are being checked and reviewed. The carers should do this at least once a month and changes must be recorded formally in the plan. This was not happening.
Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 7 There had been no training in Moving and Handling for some time. When residents are moved, assisted to move, lifted or transferred then it should be done in a way that is safe for the individual. Good training also protects the carers and helps them to move people without hurting themselves. It has been some time since the senior care staff had their skills updated with regard to the administration of medication. A pharmacist should ideally provide this training and a record of this should held on the staffs training records. A well -trained staff team helps to ensure that medication is administered properly and safely. Some of the personnel files of the care staff were looked at whilst we were there. Certain areas of information were missing from the files; for example some of the files did not contain a photograph of the staff member. There were no documents to verify the identity of the person in some of the files. This information is important and must be held by the home. One person had recently been employed by the home and sufficient disclosures had not been received by the home before this person began work. No Criminal Records Bureau disclosure was evident on file and a Protection of Vulnerable Adults check had not been carried out. The manager has a responsibility to ensure that the residents are protected from unsuitable staff by carrying out the required checks prior to employment. Suitable references had been received before the person began work. The residents, their representatives or visiting health professionals were not being formally asked about their opinion of the home. This information acts as a quality benchmark for the home and helps the service to make changes and develop for the benefit of the residents. This is important when some of the residents are unable to express their own opinion because of cognitive or communication difficulties. 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. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information held about the home was good meaning that an informed decision could be made about the suitability of the service. Each resident had their care and social needs fully assessed to ensure that the home could meet their specific requirements. EVIDENCE: The records of four residents were looked at whilst we were there. Each file contained a full needs assessment of the person concerned, and the care that they will require whilst living at the Parade. This information helps the home to formulate a plan of care to help ensure that the person is looked after properly whilst in the home. A Service User Guide was available for the home and this was given to all new residents and their families. The document held important information about the home and what services it could offer to prospective residents. This helped
Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 10 people to make an informed decision as to whether or not the home was able to meet their specific needs. There was no intermediate care at this home. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A lack of regular, formal review of care plans affects the standard of care offered by the home. EVIDENCE: Everyone who lived at the Parade had a plan of care that documented all of their daily needs and what care they should have whilst at the home. The plans help the care staff to provide a good service and to ensure that social and health needs are fully met. Unfortunately there was no formal review of these plans. Resident’s plan should be reviewed by care staff in the home at least once a month, updated to reflect changing needs and current objectives for health and personal care, and actioned. There was, however, reference to changes in the daily records of the home, and staff were informed verbally of any alterations in peoples care.
Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 12 Each plan held information about the health needs of the resident and there were references in the daily records about GP visits and input by other health care professionals. The care staff that we spoke to confirmed that there was regular health care input and the Manager of the home was in contact with the doctors surgery whilst we were there regarding a particular resident. Records showed that there had been input from physiotherapists; district nurses and opticians, amongst others, to ensure that the health care needs of the residents were met. No one who lived at the home was responsible for his or her own medication. This was a home for people who had dementia and the senior staff at the home handled medication. Storage of medication was appropriate and safe, and records of administration had been properly kept. It is good practice that a photograph of the resident should be available at the front of their records to help ensure that medication is administered safely: the manager of the home should ensure that this is done. The home did not hold any stocks of ‘controlled’ medication, however the manager was aware of the procedures to follow should this type of medication be prescribed. It has been some time since the senior care staff had their skills updated with regard to the administration of medication. A pharmacist should ideally provide this and a certificate should held on training records. A well -trained staff team helps to ensure that medication is administered properly and safely. During our visit we undertook an observation of the residents of the home and how the care staff react to their specific needs. This observation took one hour, and recordings were formally made regarding the input of the care staff and the general well -being of the residents within the home. This observational tool helps us to understand the quality of experiences of people who are unable to provide feedback due to their cognitive or communication impairments. The recordings showed that the interaction between the care staff and the residents was generally good, and the residents generally had a state of well being. There were three people on duty at any one time during our visit; this included one of the owners of the home, the manager, and one of the care staff team. There were nine people living in the home at the time. The residents were being spoken to respectfully as drinks were served after lunch. Although some of the residents went to sleep after their meal there was plenty of communication between the residents and care staff and people were seen smiling and in a good mood. One resident was a little withdrawn and upset, and the carer was able spend some time with her and reassure her. There were no planned activities during this period of time. The residents were all well dressed and looked well cared for. Training records showed that there had been no training for the care staff in Dementia Awareness for some time. Because this is a care home specifically
Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 13 for those people who have dementia, the manager and care staff should have their skills updated on a regular basis in order that recent knowledge and practice can be considered and adopted to improve the day-to-day care of the people who live within the home. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Regular and appropriate activities enhanced the residents’ daily lives. Visitors were encouraged to help maintain family support and contact. EVIDENCE: There was reference to the residents’ interests, hobbies, social needs and family backgrounds and past lives within the care plans. This is important because the care staff then have the knowledge of somebody as an individual person, and not just someone who needs to be cared for. The manager and the care staff that were spoken to made reference to activities that took place within the home, such as sing-a longs, bingo, and reminiscence groups. Entertainers were also booked on a regular basis. An organist had recently visited the home. Although there were no visitors to the home whilst we were there, the owner of the home said that everyone who lived there had friends and family who
Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 15 would visit. One of the residents was able to say that she had regular visitors. The manager and the owner both confirmed that visitors were encouraged and were made welcome. Lunch was being served whilst we were there and the residents ate their meal in pleasant surroundings with appropriate support where necessary. The meal looked appetising and nutritious and the residents were given the time to eat their meal at their own pace. One of the residents was able to say that she enjoyed the food that was offered by the home. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A lack of training for the care staff in safeguarding vulnerable adults affects the protection of people who live in this home. EVIDENCE: The home had a complaints procedure for the residents and their families to use. This was displayed within the home and formed part of the Service User Guide. One of the residents was able to confirm that she would speak to the manager if she was unhappy about the service that she received. There had been a recent concern at this home regarding a restraint issue. There is a policy available within the home regarding restraint and this should have been referred to before a decision was made to use this. Although the manager talked to the family of the person concerned and received their permission, restraint should not be used. A review of the person’s medication helped to solve the issue in due course. Training records showed that there had been no instruction for the care staff on safeguarding issues, or ensuring that vulnerable adults are protected. This type of training is very important and should be updated for all care staff on a regular basis. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 17 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): Standards 19, 21, 23, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a clean, warm, homely and well -maintained environment. EVIDENCE: It was a cold day whilst we were at the home. The home was warm and comfortable and the residents looked relaxed and content. The whole of the ground floor had been redecorated and re-carpeted. It is important that things are replaced when they show signs of wear, making the home a better place for people to live in. All of the rooms that were being used were large and contained personal items such as pictures, photographs and ornaments. Some of the rooms had been redecorated and had carpets fitted. The whole house was clean, hygienic and well maintained. The home smelled fresh and pleasant. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 18 None of the bedrooms had en-suite facilities. There were however sufficient bathroom facilities for the residents to use within this home. The service had a lift which had recently had its mechanism replaced, and there were service records to show that it had been properly maintained. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 19 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Inadequate recruitment practices may affect the protection of the residents. Staff were not trained in important areas of care. EVIDENCE: There were sufficient numbers of carers on duty to help ensure that the assessed needs of the residents at this home were adequately addressed and dealt with. Some of the personnel files of the care staff were looked at whilst we were there. Certain areas of information were missing from the files; for example some of the files did not contain a photograph of the staff member. There were no documents to verify the identity of the person in some of the files. This information is important and must be held by the home. One person had recently been employed by the home and sufficient disclosures had not been received by the home before this person began work. No Criminal Records Bureau disclosure was evident on file and a Protection of Vulnerable Adults check had not been carried out. The manager has a responsibility to ensure that the residents are protected from unsuitable staff
Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 20 by carrying out the required checks prior to employment. Suitable references had been received before the person began work. The home did not have a staff training programme. Although there were certificates on the wall to show that training had taken place, many of these were longstanding. Important areas of training such as mandatory safety training, Dementia awareness, medication awareness and protection of vulnerable adult training had not taken place within the past 12 months. It is important that care staff update their skills on a regular basis to ensure that a well -trained and competent team delivers care. The manager provided information to show that the most recent member of the staff team had undertaken an induction programme before she began work. The manager also confirmed that most of the care staff had nationally recognised qualifications in care (National Vocational Qualification level 2 or 3) although there were no certificates available in the personnel files to verify this. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 21 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, 36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lack of formal safety training for care staff compromised the well being of the residents in this home. EVIDENCE: There had been little mandatory safety training in this home since the last inspection. The training programme must cover areas such as Fire Safety, First Aid, Infection Control and Moving and Handling. One of the senior staff had recently attended a food hygiene course and had been instructing other care staff in safe practices. This situation is not ideal. There had been no training in Moving and Handling for some time. When residents are moved, assisted to move, lifted or transferred then it should be
Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 22 done in a way that is safe for the individual following a risk assessment having been undertaken. Good training also protects the carers and helps them to move people without hurting themselves. The manager of the home had a qualification in management and a nationally recognised qualification in care (National Vocational Qualification level 4). She was respected by the staff team and was available for advice and support when she wasn’t on duty. The home itself was family run: the owners were in day -to -day contact and helped to manage the service. No evidence could be found of formal or informal supervision of the care staff. Care staff files held no recent evidence of this. Supervision could take different forms; for example, individual one to one meetings with staff; a group supervision session or perhaps observation of professional practice. Supervision gives the manager and the care staff chance to discuss performance issues, training and other areas of support. Records should be kept and meetings should take place at least six times a year. Records showed that competent professionals were checking the gas, electric, lift, fire system and safety equipment on a regular basis. This helps to ensure that people live in a safe environment. The service did not have an effective quality monitoring system to ensure that the views of the residents or their representatives were taken into consideration. Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 23 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 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X 3 X 3 3 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 1 X 1 Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 (2) (b) (c) 17 (1) (a) Requirement Care plans must be reviewed at least once a month to reflect changes in health, personal care and social needs. All of the care staff that are responsible for administering medication must receive appropriate training to help ensure that they have the skills to undertake this task. Appropriate employment checks and disclosures must be carried out on care staff before they are confirmed in post in order to protect the residents from unsuitable staff. The manager must ensure that there is a training and development programme for all of the care staff in order that skills can be developed and updated in areas such as protecting vulnerable adults, dementia awareness and relevant areas of health and safety. Adequate information must be held on staff files to show the validity of the care staff’s
DS0000009763.V351778.R01.S.doc Timescale for action 31/12/07 2 OP9 31/01/08 3 OP29 19 (4) (c) 31/12/07 4 OP30 1 (a) (b) (c) 31/01/08 5 OP29 Schedule 2 31/12/07 Parade Rest Home Version 5.2 Page 25 6 OP38 23 (4) (4) identity. This helps to protect the residents from unsuitable staff. Mandatory safety training must 31/01/08 be carried out for all care staff in safety issues. This must include training in moving people properly, respectfully and safely, using the correct equipment. 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 OP28 Good Practice Recommendations Appropriate certificates should be kept by the home to verify that nationally recognised qualifications in care (National Vocational Qualification level 2 or 3) have been achieved. A quality monitoring system should be developed to acquire the views of the residents, their representatives and visiting health professionals on how the service is meeting their needs and aspirations. The manager should ensure that the care staff are appropriately supervised and supported. Formal records should be available on care staff files. Photographs should available of the residents as part of their medication records to help ensure that prescribed medication is being administered safely with no mistakes regarding identity. Photographs of individual care staff must be available in all care staff files to help prove identification and ensure that the residents are in safe hands. 2 OP33 3 4 OP36 OP9 5 OP29 Parade Rest Home DS0000009763.V351778.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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
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