Inspection on 30/01/08 for Parc Vro

This inspection was carried out on 30th January 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parc Vro 18/10/06

Parc Vro 15/03/06

Parc Vro 12/07/05

Parc Vro 25/11/04

Parc Vro 13/05/04

Similar services:

Manor Lodge

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Parc Vro Mawgan-in-Meneage Helston Cornwall TR12 6AY Lead Inspector Ian Wright Unannounced Inspection 30th January 2008 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.V345266.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.V345266.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 parc.vro@btconnect.com Mrs Alison Stevenson Position Vacant 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.V345266.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. People who use the service to include up to 15 adults of old age (OP) People who use the service to include up to 3 adults over 65 with dementia (DE{E}) People who use the service 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 people who use the service not to exceed a maximum of 15 18/10/06 Date of last inspection 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 people who use the service. There is suitable parking for staff, people who use the service 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 fees at the time of the inspection are from £300 per week. There are additional charges e.g. for hairdressing, chiropody, and newspapers etc. Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This key inspection took place in eight and a half hours in one day. All of the key standards were inspected. The methodology used for this inspection was: • To case track three people who use the service. This included, where possible, meeting and discussing with them their experiences, and inspecting their records. • Discussing with two staff their experiences working in the home. • Discussion with other people who use the service 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: Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 6 Five statutory requirements have been issued as a result of this inspection. Action regarding these is required by law, within the timescales set. In summary: • The operation of the medication system needs improvement e.g. regarding controlled drugs and the recording of medication administered. • The adult protection procedure needs to state correct alerting procedures e.g. contacting the social services department when an allegation is made. (The registered provider said she would do this, but the policy must also state this would occur.) • Two references must be obtained for new staff-preferably before they commence employment. Any verbal references must be recorded and subsequently confirmed in writing. • Staff training needs improvement. For example it is essential there is always a first aider on duty. • Records of the testing of the call points for the fire system need to be recorded weekly. It is advisable a visual check is completed at the same time regarding the new ‘self testing’ emergency lighting system. 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. Parc Vro DS0000009130.V345266.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.V345266.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): 2, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable information is provided to people who use the service and their families regarding rights, responsibilities and the service they should expect. Assessment procedures are satisfactory, for example, the registered provider ascertains people’s needs can be met before a service is offered to them. 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 this was not signed for one person. However the registered provider said the original signed copy is retained by either the person using the service or their representative. It is advisable to keep a signed copy in the file. The registered provider assesses people who use the service before they are admitted. The registered provider said people who use the service or their relatives could visit the home before formal admission is arranged. Some people who use the service remembered an assessment was completed before Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 9 admission was arranged. Copies of assessments were available for inspection in peoples’ files. Parc Vro DS0000009130.V345266.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): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health and personal care needs are generally met to a satisfactory standard, although improvement is required regarding the management of medication. This will ensure people using the service can be confident their health and personal care needs are fully met. EVIDENCE: There is a copy of a care plan in each person’s file. Staff said care plans were accessible to them. Care plans are reviewed appropriately. Although many of the people the inspector spoke to were not sure if they had a care plan, all said care is delivered to a good standard, and staff did their best to meet their needs. People who use the service said they were satisfied with the healthcare support they received. This includes visits from GP’s, district nurses, chiropodists, dentists and opticians. Suitable records are kept regarding interventions by external professionals. Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 11 The registered provider has a satisfactory medication policy. Medication is administered via the monitored dosage system. The medication system was inspected, and there is a need for improvement regarding the following issues: • Controlled drugs- totals in the controlled drugs register must agree with controlled drugs kept in stock. • Medication given must be signed for. There were 2-3 administrations not recorded. • Medication not given should not be signed for. A reason should be recorded on the rear of the medication sheet / person’s records, why it was not given (refused etc). • All medication administered must be recorded on the medication sheet. • Any unnecessary / excess medication stock must be returned to the pharmacist. Most staff have a record they have received formal training regarding the administration of medication. However, two people in the sample of staff records inspected, did not yet appear to have received this training (both have commenced employment within the last six months). If these staff administer medication they need to receive formal training in this area (e.g. from a pharmacist). People who use the service said they felt staff worked with them in a manner, which respected their privacy and dignity. People who use the service were positive about their care. People who use the service said personal care was provided to a good standard. The registered provider has a satisfactory policy regarding anti discrimination. There are currently no people who use the service from ethnic minorities, although the registered provider stated she would be more than happy to accommodate people who use the service 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.V345266.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): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate arrangements are in place so people who use the service can enjoy a lifestyle that meets their needs. Food provided is to a good standard so people enjoy good quality meals that meet nutritional needs. EVIDENCE: People who use the service 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. The morning routine of assisting people to get up was unrushed and appears to take individual wishes and needs into consideration. People who use the service either spend time in the lounge or in their bedrooms. There are some activities, but the registered provider said many people are not interested in organised activities. However, a Methodist minister visits the home to give communion to some. One of the staff will give lessons regarding the Internet, and one person has taken this up. One person has a vegetable patch and the household eats the vegetables. The home actively ensures any household waste is recycled or composted, and one person who uses the service is involved in this. People who use the service said they could receive visitors when they wished. The inspector spoke to a Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 13 relatives of two people who use the service and both said they were pleased with the service provided. People who use the service all said they were encouraged to make choices and did not feel there were excessive or inappropriate restrictions placed upon them. Some of the staff have recently obtained training regarding the Mental Capacity Act 2005. The registered provider said she does not look after any monies on behalf of people who use the service. Subsequently monies are either maintained via individual solicitors or by relatives. All bedroom doors are lockable and people who use the service said they felt their personal belongings were safe and secure in the home. People who use the service have their meals in the downstairs dining room, or in their bedrooms. The inspector shared lunch with people who use the service on the day of the inspection. The meal was gammon and vegetables. A choice of sweet is provided and this is served on a trolley to assist people to make a choice. The registered provider has introduced a ‘buffet style’ evening tea and people said they enjoyed this. Overall the meals appear to a very good standard. Everyone who the inspector spoke to said they enjoyed the food provided. Suitable records of menus and records of meals provided are maintained. Special diets (e.g. pureed meals) are provided if required. Staff have a good understanding of people’s preferences, and an alternative to the main course on offer is provided when requested. Parc Vro DS0000009130.V345266.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): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has developed complaints and adult protection procedures. The adult protection procedure needs some expansion but otherwise people who use the service can be assured any concerns, complaints and allegations will be taken seriously, and suitable action will take place to resolve any matters of concern. EVIDENCE: The registered provider has procedures in place regarding complaints and adult protection. People who use the service said they would have confidence approaching staff or the registered provider if they had any concerns, complaints or allegations. The Commission for Social Care Inspection has not received any complaints regarding this service. The registered provider’s adult protection procedure needs to clearly state if any allegations were received this would be reported to the Department of Adult Social Care, and CSCI. Some staff in the sample of personnel files assessed appeared to have received training regarding prevention of abuse and adult protection. All staff should receive this training. The training can be obtained free from Cornwall County Council. Information regarding this can be found at: http:/www.cornwall.gov.uk/index.cfm?articleid=37718 Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 15 Staff and people who use the service 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.V345266.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): 19, 26 Quality in this outcome area is generally good. This judgement has been made using available evidence including a visit to this service. Parc Vro provides a pleasant and homely setting for the people who live there. EVIDENCE: The building was inspected. The building appears to be well maintained, clean, pleasantly decorated and homely. There is a pleasant garden, which people who use the service 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 people who use the service to go upstairs. Decorations are to a good standard. The hallway / landing and the dining room have recently been redecorated to a high standard and there is a new carpet in the hallway. Internal doors have also been replaced due to new fire regulations. Bathroom and shower facilities are to a satisfactory standard. 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.V345266.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels are satisfactory, however recruitment procedures and staff training require some improvement. Improvement in these areas will help to give people who use the service more assurance that they are supported by appropriately trained and recruited staff. 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. 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 generally 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. However two staff members who have commenced employment since August 2007 only had one written reference. The registered provider said she had received a verbal reference for one of these people, and was advised this should have been Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 18 recorded, and confirmation obtained in writing. The registered provider’s approach to equal opportunities and anti discrimination is to a good standard. The inspector spoke to one member of staff regarding staff induction arrangements. The person said they were shadowed on several initial shifts. In regard to records of staff induction, there is documented evidence for most staff, but this was not available on file for one member of staff who commenced employment in August 2007. Staff training records were inspected for a sample of seven staff. Staff training required by regulation is to an adequate standard. There are some gaps in training required by regulation. Records show that in regard to: • Fire training-there was no record three staff had received this training, and one person had not had this training in the last year. • Food handling- records show two staff had not received this training • First Aid- records show four staff did not have valid certificates. There needs to be at least one person with a first aid certificate on duty. On the day of the inspection there was no record of a first aider being available in the afternoon/ evening, and on the night shift. • Manual handling- there is no record that three staff had this training in the last year. • Infection control- there was no record two staff had this training In regard to other training to meet the needs of the people who use the service, records show in regard to: • Dementia-four of the staff did not appear to have received training in this area. • Adult protection / awareness of abuse- three staff did not appear to have received training in this area • Medication- three staff did not appear to have received training in this area, although there was enough suitably trained staff on duty to administer medication. A recommendation was made in the last inspection report for the registered provider to set up a monitoring system to ensure staff training is updated when required. The registered provider has returned their Annual Quality Assurance Assessment (AQAA)- this is a return which has to be returned to CSCI on an annual basis. This states the provider has had difficulty in obtaining some of the training which is necessary. However the inspector said that the following training can be obtained from, for example, the following sources: • Fire- A senior member of staff could be trained as a ‘fire warden’ with the fire authority, and could cascade training annually to staff. This could also be supplemented by DVD training. • Food Handling- This can now be cascaded by a qualified food handler, in line with recent Food Standards Agency guidance (i.e. ‘Better Food Handling, Better Business’ guidelines.) The Environmental Health Officer can provide information and guidance regarding this. Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 19 • • • • • First Aid- This training can be obtained from local further education colleges or from organisations such as St John’s Ambulance. Abuse / adult protection- this can be obtained from Cornwall County Council. NVQ units may also cover this matter. Manual Handling- This training can be obtained from local further education colleges as well as other sources. Medication- This training can be obtained from pharmacists. There are various DVD and correspondence courses available regarding infection control and dementia. NVQ units may also cover this matter. Parc Vro DS0000009130.V345266.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): 31, 33, 35, 38 Quality in this outcome area is generally good This judgement has been made using available evidence including a visit to this service. Management arrangements are generally satisfactory and ensure people who use the service receive good care and support. However improvement is required to health and safety measures so people who use the service can be assured they live in a safe environment. EVIDENCE: The registered provider has suitable experience, skill and knowledge to manage the home. Staff and people who use the service spoke highly of the registered provider and her approach. The registered provider has a quality assurance policy. An annual survey is completed of the views of people who use the service, relatives and other interested parties. Results of this show positive outcomes for people who live at the home. The registered provider completed the CSCI Annual Quality Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 21 Assurance Assessment (AQAA). This is a return which has to be returned to CSCI on an annual basis. It was completed to a high standard. Some discussion took place between the registered provider and inspector regarding improving quality assurance measures, although the current measures do meet the standard. The registered provider does not look after any monies or act as an agent for r government financial benefits for people living in the home. People who use the service 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 records of tests on moving and handling equipment, the electrical hardwire test circuit, portable electrical appliances, oil and gas appliances and the passenger lift. Health and safety risk assessments are satisfactory and there is a suitable risk assessment regarding the prevention of Legionella. The registered provider said fire call points are tested weekly and recorded in the diary. However records of this are erratic and need to be improved. New emergency lighting has been installed which are self testing. It is advisable that a visual test is completed weekly (e.g. at the same time as the call point test) and this is recorded. Parc Vro DS0000009130.V345266.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 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 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 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 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.V345266.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 OP9 Regulation 13(2) Requirement The registered provider must ensure the medication system operates according to appropriate procedures (e.g. as outlined in the Royal Pharmaceutical Society guidelines). Any staff handling medication need to have training e.g. by a pharmacist. Issues outlined in the report need to be addressed. People who use the service can subsequently be assured their medication is handled appropriately. The registered provider must have a suitable policy regarding handling any allegations of abuse. For example the policy must outline appropriate reporting mechanisms. All staff need to have training regarding recognising abuse and what to do if they suspect abuse is occurring. This will assist in ensuring people who use the service know any allegations will be managed appropriately. The registered provider must obtain two written references for staff recruited. Any verbal DS0000009130.V345266.R01.S.doc Timescale for action 01/03/08 2. OP18 10, 12, 13(6) 01/07/08 3. OP29 19. 01/03/08 Parc Vro Version 5.2 Page 24 4. OP30 18 5. OP38 13, 23 references should be recorded, and subsequently a written confirmation obtained. One reference should be obtained from the previous employer. This will ensure people who use the service are assured appropriate staff checks are completed before new staff work with them. Staff need to receive training 01/07/08 required by regulation, and according to the needs of people living in the home, as outlined in the report. There needs to be appropriate records of staff induction. These measures will help to assure people who use the service that staff have appropriate induction and training according to the law and to meet their needs. (Dementia and First Aid training- previous deadline of 01/04/07 not met. Second Notification) There must be records kept 01/03/08 regarding the testing of fire prevention equipment e.g. emergency call points. This will help to assure people who use the service that the fire system is tested at intervals prescribed by the fire authority. 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 OP38 Good Practice Recommendations A visual test should be completed regarding the emergency lighting system on a weekly basis. Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Parc Vro DS0000009130.V345266.R01.S.doc Version 5.2 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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