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Inspection on 18/10/06 for Parc Vro

Also see our care home review for Parc Vro for more information

This inspection was carried out on 18th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

Parc Vro provides a pleasant, relaxed and homely environment for the people who live there. The majority of service users spoke highly of the registered provider and her staff team, and all said their care was provided to a good standard. Staff seem professional and competent to carry out their work. The registered provider appears insightful regarding the needs of service users. The differing skills and knowledge of the staff team and the registered provider complement each other to ensure care is delivered to a high standard. Food provided is to a good standard, and all service users said meals were to a high standard.

What has improved since the last inspection?

The registered provider and her team have made very good progress in implementing the requirements made in the last report. For example a substantial amount of training has taken place. Care and employment documentation is now generally satisfactory.

What the care home could do better:

One of the night staff needs to have an appointed persons first aid certificate and this training needs to be arranged as a matter of priority. Although dementia care is to a good standard, all staff need to have some formal training regarding dementia care. The electrical hardwire circuit was being upgraded at the time of the inspection. The registered provider is also going tohave portable electrical appliances tested (due October 2006) once this work is completed. Evidence the heating, and gas appliances have been serviced also needs forwarding to the commission, as this information was not available at the time of the inspection. Although a risk assessment for the prevention of Legionella has been completed, a testing regime needs to be implemented as outlined in the provider`s risk assessment.

CARE HOMES FOR OLDER PEOPLE Parc Vro Mawgan-in-Meneage Helston Cornwall TR12 6AY Lead Inspector Ian Wright Key Unannounced Inspection 18th October 2006 09:00 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 Parc Vro DS0000009130.V311929.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. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parc Vro Address Mawgan-in-Meneage Helston Cornwall TR12 6AY 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) 01326 221275 01326 221275 Mrs Alison Stevenson Care Home 15 Category(ies) of Dementia - over 65 years of age (3), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (15) Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 15 adults of old age (OP) Service users to include up to 3 adults over 65 with dementia (DE{E}) Service users to include up to 3 adults over 65 with a mental illness (MD{E}) To accommodate a named service user with Dementia aged over 65 years Total number of service users not to exceed a maximum of 15 Date of last inspection 15th March 2006 Brief Description of the Service: Parc Vro provides care for up to 15 fifteen older people some of who may have dementia or mental health difficulties. The home is situated in a rural location outside the village of Mawgan, near Helston. The registered provider is Mrs A. Stevenson. The home also provides day care for up to five people during weekdays. The home is wheelchair accessible, and has a lift to the first floor. The home has gardens which are accessible to service users. There is suitable parking for staff, service users and visitors. A copy of the inspection report is available in the hallway, and it is suggested a copy is requested from management if required. The range of fees at the time of the inspection is £293 to £420 per week. There are additional charges e.g. for hairdressing, chiropody, and newspapers etc. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place in seventeen and quarter hours over two days. All of the key standards were inspected. The methodology used for this inspection was: • To case track four service users. This included, where possible, meeting and discussing with the service users their experiences, and inspecting their records. • Discussing with five staff their experiences working in the home. • Discussion with other service users and their representatives. • Observing care practices. • Discussing care practices with management. • Inspecting records and the care environment. Other evidence gathered since the previous inspection, such as notifications received from the home (e.g. regarding any incidents which occurred), was used to help form the judgements made in the report. What the service does well: What has improved since the last inspection? What they could do better: One of the night staff needs to have an appointed persons first aid certificate and this training needs to be arranged as a matter of priority. Although dementia care is to a good standard, all staff need to have some formal training regarding dementia care. The electrical hardwire circuit was being upgraded at the time of the inspection. The registered provider is also going to Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 6 have portable electrical appliances tested (due October 2006) once this work is completed. Evidence the heating, and gas appliances have been serviced also needs forwarding to the commission, as this information was not available at the time of the inspection. Although a risk assessment for the prevention of Legionella has been completed, a testing regime needs to be implemented as outlined in the provider’s risk assessment. 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. Parc Vro DS0000009130.V311929.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 Parc Vro DS0000009130.V311929.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. Service users are issued with a copy of terms and conditions of residency or a contract, so they are aware of their rights and responsibilities. The pre admission assessment procedure is good, and enables the registered provider to ascertain they can meet the needs of service users, before admission is arranged. EVIDENCE: A copy of the home’s statement of terms and conditions of residency / contract was inspected. An individualised copy of this document was on most service user files, although absent from one. The registered provider said this had been issued when the service user was admitted several years ago. A copy should be obtained if this is available from the service user or their next of kin. The registered provider assesses service users before they are admitted. The registered provider said service users or their relatives could visit the home before formal admission is arranged. Some service users remembered an assessment was completed before admission was arranged. Copies of assessments were available for inspection in service user files. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9, 10 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. All service users have a care plan, and the registered provider said these are reviewed when required. This helps to ensure service users’ care needs are suitably met. Healthcare support seems appropriate so service users can be assured they will receive suitable support from medical practitioners. The operation of the medication system is satisfactory so service users can be assured their medication is handled appropriately. Issues regarding the diverse backgrounds of service users appear suitably addressed. Service users have said they feel they are treated with respect and dignity. EVIDENCE: There is a copy of a care plan in each service user file. Staff said care plans were accessible to them. The registered provider said care plans are not reviewed monthly but are reviewed and rewritten (when necessary) as service users needs change. Some service users the inspector spoke to were aware they had a care plan, but others were not. Service users however said care is delivered to a good standard, and staff did their best to meet their needs. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 10 Service users said they were satisfied with the healthcare support they received. This includes visits from GP’s, district nurses, chiropodists, dentists and opticians. Recording of visits from the dentist needs improvement e.g. within the medical section of individual service user files, rather than just in the diary. The registered provider has a satisfactory medication policy. Medication is administered via the monitored dosage system. The medication system was inspected and was generally satisfactory. Some items had been over supplied from the pharmacist. The registered provider said sometimes items arrive even if they are not ordered. Consequently the registered provider is trying to ensure these items are not reordered before stock is used up. The inspector said although stock levels were currently satisfactory, the matter would need to be addressed if a greater amount of stock builds up. Administration and recording seems satisfactory, and all staff have received satisfactory training from the pharmacist. Service users said they felt staff worked with them in a manner, which respected their privacy and dignity. Service users were positive about their care. Service users said personal care was provided to a good standard. The registered provider has a satisfactory policy regarding anti discrimination. There are currently no service users from ethnic minorities, although the registered provider stated she would be more than happy to accommodate service users from other cultures. The local population is predominantly Cornish, and from ‘White-UK’ background. Issues regarding sexuality, gender and disability seem to be suitably addressed. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14, 15 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. Routines and activities are satisfactory so service users can live a lifestyle that meets their needs. Visiting arrangements are flexible. Appropriate arrangements appear to be in place regarding the management of service user monies. Meals are provided to a good standard, so service users receive an appetising, wholesome and nutritious diet. EVIDENCE: Service users said they could get up and go to bed when they wished and routines are flexible to suit their needs. The inspector observed staff working in an appropriate matter with service users. The morning routine of assisting service users to get up was unrushed and appears to take individual wishes and needs into consideration. Service users either spend time in the lounge or in their bedrooms. There are some organised activities for example a craft workshop and keep fit session. A Methodist minister visits the home to give communion to some service users. One service user has a vegetable patch and the household eats the vegetables. The home actively ensures any household waste is recycled or composted, and one of the service users is involved in this. Service users said they could receive visitors when they wished. The inspector spoke to a relative of one service user who was very satisfied with the care her mother received. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 12 Service users all said they were encouraged to make choices and did not feel there were excessive or inappropriate restrictions placed upon them. The registered provider said she does not look after any service user monies, and service user monies are either maintained via individual solicitors or a service users relative. All bedroom doors are lockable and service users said they felt their personal belongings were safe and secure in the home. Service users have their meals in the downstairs dining room, or in their bedrooms. The inspector shared lunch with service users on both days of the inspection. The meal was roast chicken on the first day, and fish and chips on the second day. A choice of sweet is provided and this is served on a trolley to assist service users to make a choice. The meals were to a good standard. All Service users said they enjoyed the food provided. A choice of a hot and cold evening tea is offered. Suitable records of menus and records of meals provided are maintained. Special diets (e.g. pureed meals) are provided if required. Although a choice of main meal is not provided, service users said staff are aware of preferences, and an alternative is provided where necessary. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 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 the following standard(s): 16, 18 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. The registered persons have suitable procedures regarding complaints and adult protection. Subsequently service users can be assured there are appropriate procedures to deal with any concerns or bad practice. EVIDENCE: The registered provider has satisfactory procedures regarding complaints and adult protection. Staff and service users showed some awareness of the procedures, and were able to say who they would approach if they had a complaint or were concerned about abuse. The Commission for Social Care Inspection has not received any complaints regarding this service. Most of the staff have received training regarding prevention of abuse and adult protection delivered by the county council. Staff and service users all said they had not witnessed any bad or abusive practices. All staff have Criminal Record Bureau check, and a Protection of Vulnerable Adults check (where applicable). Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 19, 26 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. Parc Vro provides a pleasant, homely, clean and well-maintained environment for service users to live and feel at home in. EVIDENCE: The building was inspected. The building appears to be well maintained, clean, pleasantly decorated and homely. There is a pleasant garden, which service users can use. There is a large lounge and a dining room. Both are homely and comfortable. Bedrooms are individualised and comfortable. A passenger lift is provided to assist service users to go upstairs. Decorations are generally to a good standard. The registered provider said the hallway / landing and the dining room will be decorated shortly. Bathroom and shower facilities are to a satisfactory standard. One of the bathrooms needs to have a lock, and the registered provider said she would address this issue. Suitable kitchen and laundry facilities are provided. Cleaning staff are employed, and the home was clean and hygienic at the time of inspection. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 15 The soap dispenser in one of the upstairs bathrooms was not working. The registered provider said a pump dispenser is usually provided and she would attend to the matter. The wall mounted dispenser should however be fixed or replaced. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this area is generally good although some improvement is required regarding staff training. The judgement has been made using available evidence including a visit to the service. Staffing levels are satisfactory so service users can be assured that a suitable number of staff are available. Recruitment records are satisfactory so service users can be assured suitable checks take place when staff are recruited. Staff training has improved, although there are still some gaps in training required by regulation. Staff need training to develop their awareness of the needs of people with dementia. These measures will assure service users that staff have suitable skills and knowledge to cater for their needs. The registered provider has a good approach to ensuring staff have a national vocational qualification in care. Equal opportunities issues regarding recruitment and work practices seem satisfactory. EVIDENCE: Suitable staffing is provided. At least two staff are on duty between 0800 and 2200. One waking night staff is on duty between 2200 and 0800. The owner currently lives in the neighbouring bungalow. A cook and a cleaner are employed. A comment was made that at times in the evening, only one member of staff had been left on duty. The registered provider said staffing had at times recently been tight, and once or twice one carer had been in the home, but the registered provider had come over from her home, at key times, to assist with personal care. The registered provider said staffing had now improved. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 17 The registered provider has a suitable approach to providing National Vocational Qualifications for care staff. The registered provider said currently 80 of staff have an NVQ 2 or 3. Staff recruitment records are satisfactory. The registered provider has ensured current staff complete an application form. A Criminal Records Bureau check and Protection of Vulnerable Adults check (where applicable) are obtained. Two references have been obtained for most staff. One member of staff, who commenced employment in the last year, had only one reference. The registered provider said the person had worked for her previously, and she had also tried to chase the second reference, but without much success. Otherwise this member of staff’s records were satisfactory. The inspector spoke to several staff regarding staff induction arrangements. Staff said they were shadowed on several initial shifts. There is suitable documented evidence of staff induction. The registered provider’s approach to equal opportunities and anti discrimination is to a good standard. One member of staff spoke very positively of the support she received from colleagues and the registered provider, regarding how an incident was dealt with, when she was the victim of racist behaviour. Staff training records were inspected. Staff training required by regulation has developed well since the last inspection and is generally to a satisfactory standard. It is important, now this standard is nearly met, that the registered provider develops a monitoring system to ensure staff receive suitable updates e.g. in first aid, food hygiene etc. One person had ‘in house’ moving and handling training and also needed a first aid certificate. The registered provider said moving and handling training had been arranged for a number of staff shortly. She would also arrange for the person-who works nights- to have first aid training shortly. Some staff had received a training day by the home’s health and safety consultant regarding fire, health and safety, infection control and food hygiene. As a lot of subjects appear to have been covered in one day, the registered provider is advised to receive confirmation from the training provider that the training meets legal requirements e.g. Food Safety (General Food Hygiene) Regulations 1995) etc. The registered provider also needs to ensure all staff have training regarding dementia awareness although currently the needs of people with this diagnosis do seem to be met to a good standard. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this area is generally good, although some improvements are needed to ensure the health and safety standard is met. The judgement has been made using available evidence including a visit to the service. The registered provider is suitably experienced, skilled and qualified to manage the home. The registered provider has a satisfactory approach to quality assurance so service users can be assured the care they receive is of good quality. The registered provider does not handle service user monies. The management of health and safety issues is generally satisfactory although some improvement is required to meet the standard in full. This will assure service users they live in a safe environment. EVIDENCE: The registered provider has suitable experience, skill and knowledge to manage the home. There was some disquiet among staff the inspector spoke to regarding staffing arrangements over the Christmas period, but the registered provider seems aware of this and will try and resolve the matter. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 19 Staff and service users generally spoke highly of the registered provider and her approach. The registered provider has a quality assurance policy. The registered provider has tried to survey service users, relatives and other interested parties but has received a low response. However the registered provider said she regularly talks to service users, their relatives and others about the service and receives suitable feedback. The registered provider has a very ‘hands on’ approach to management. The inspector spoke to the majority of service users, and the majority were very happy with the service provided. The registered provider organises residents meetings; two of which have occurred in 2006. This has enabled the registered provider to get some formal feedback regarding care service users receive. Audits have been completed regarding fire safety and health and safety. It was suggested to the registered provider she has an annual development plan regarding any developments and improvements she intends to make to the service and the home, as a further means of quality assurance. The registered provider said she was aware of the requirement to report any untoward incidents or deaths to the Commission for Social Care Inspection, although there has not been any need to do so since April 2006. The registered provider does not look after any service user monies or act as an agent for service user government financial benefits. Service users or their representatives are responsible for their finances, and fees are paid via bank transfer. The registered provider has a health and safety policy. Records kept of checks required by regulation are generally satisfactory. For example there are suitable records for the testing of fire equipment and moving and handling equipment. Health and safety risk assessments are satisfactory and there is a suitable risk assessment regarding the prevention of Legionella. The electrician was present at the home on the first day of the inspection as the electrical system is currently being upgraded. The registered provider said portable appliances would be tested once this work has been completed. The registered provider said gas appliances and the central heating system had been serviced, although no documentation was made available for inspection. This, and information regarding electrical testing, needs to be forwarded to the Commission for Social Care Inspection. Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 20 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 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 21 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 OP30 Regulation 13,18 Requirement Timescale for action 01/01/07 2. 3. OP30 OP38 18 13, 23 There must be one member of staff on duty, at any time, with an appointed person’s first aid certificate. The night carer who does not have this must receive the training as a matter of priority, and a copy of the certificate must be forwarded to the Commission for Social Care Inspection. All care staff must receive 01/04/07 training in the awareness of people with dementia. The following is required to 01/01/07 improve and /or evidence health and safety precautions: • Forward the electrical hardwire certificate and portable electrical appliance testing certificate to the Commission for Social Care Inspection once this work is completed. • Forward evidence to CSCI that the central heating system, and gas appliances have been serviced. A gas safety certificate is also required. DS0000009130.V311929.R01.S.doc Version 5.2 Parc Vro Page 22 • Ensure there is evidence that satisfactory precautions are taken regarding the prevention of Legionella (as outlined in home’s risk assessment.) 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. 3. Refer to Standard OP30 OP30 OP33 Good Practice Recommendations Develop a monitoring system to ensure staff training is updated when required. Check with training provider that recent staff training meets legal requirements e.g. Food Safety (General Food Hygiene) Regulations 1995) Develop an annual development plan regarding any developments and improvements the provider intends to make to the service and the home, as a further means of quality assurance Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Parc Vro DS0000009130.V311929.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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