Inspection on 09/02/06 for Parkview House

This inspection was carried out on 9th February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parkview House 19/07/07

Parkview House 10/01/07

Parkview House 13/07/06

Parkview House 23/10/05

Parkview House 08/02/05

Parkview House 23/07/04

Parkview House 24/02/04

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

CARE HOMES FOR OLDER PEOPLE Parkview House 12 Houndsfield Road London N9 7RQ Lead Inspector Margaret Flaws Unannounced Inspection 9th February 2006 10:00 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 Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 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. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parkview House Address 12 Houndsfield Road London N9 7RQ 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) 020 8805 7031 020 8805 4371 2 Care Mrs Mary Rockliffe Care Home 45 Category(ies) of Dementia - over 65 years of age (45) registration, with number of places Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd October 2005 Brief Description of the Service: Parkview House is operated by 2Care who operate other care homes nationally. This home is registered to care for forty five older people who have a diagnosis of dementia. The home is purpose built and opened in 1993. Residents live in five units, called clusters, which each house nine people. The units are self contained to provide a more homely environment. The home aims to provide a high level of support to residents to maintain their independence and quality of life. The home is located in Edmonton near to a public park. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day and formed part of the routine schedule of inspections for the home. The inspection was also an opportunity to check compliance with requirements made from additional visit in December 2005. During the inspection, the inspector visited four of the five units in the home and inspected the communal areas of the building. The inspector spoke with six service users, four relatives and one visiting social worker. Several staff were spoken to: the Deputy Manager, the Administrator, one Care Officer and five care staff. A sample of five service users’ care plans, home files and general records and medication records were also looked at. The inspector spent time in each unit, observing the service users and care provided to them. What the service does well: What has improved since the last inspection? At the last inspection of Parkview House in October 2005, seven requirements were made and twelve were made at the December 2005 Additional Visit. Two requirements remain outstanding (these are outlined in the next section). When there are changes in health or other circumstances, service users’ needs are reviewed and written care plans and risk assessments updated. Service users have a statement of terms and conditions on file. A turning chart for a specific service user has been kept up to date. Daily progress reports are completed after each shift. Staff understand how to calculate moving and handling scores and what they mean. Healthcare appointments are recorded appropriately and unexplained marks or injuries are recorded and investigated. All staff have received medication training. Records of special diets or different meals served are now kept. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 6 Staff files generally contain all the required information, including preemployment checks. One omission is subject to a requirement below. Detailed weekly Regulation Twenty Six visits and reports were undertaken as requested after the December 2005 Additional Visit. A bath was repaired on Montague Unit. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 7 contacting your local CSCI office. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 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 Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 Service users’ needs are fully assessed before they move to the home and they can be confident that these needs and risks will be regularly reviewed. EVIDENCE: The inspector looked at a sample of five service users’ files from three of the home’s units. Each file contained a clear assessment of the service users’ needs, including a moving and handling assessment, falls risk assessment and assessments of other risks relevant to each individual. There was also good evidence in each file that regular reviews take place and service users have statements of terms and conditions on file. The inspector followed up on a requirement made at two previous inspections regarding meeting the linguistic needs of a Greek speaking resident. There are currently two Greek speaking service users in the home, both of whom understand little English. The inspector met and observed one service user and her interactions with staff, which were positive. There is still one Greek speaking staff member who sometime works on the units where the service users live. A requirement is made that at the next review of these service users’ needs, a Greek speaking interpreter discuss with the service users if they are satisfied with the current communication modes and arrangements. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 10 Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Service users’ needs are reflected in their care plans, which are of a satisfactory standard. There have been improvements in updating assessments and care plans in view of changing needs. Staff have been trained in medication procedures to protect service users. Service users and relatives were positive about the quality of care they receive. EVIDENCE: Five care plans were inspected. These set out health, personal and social care needs and were of a satisfactory standard. All risk assessments and care plans inspected had been updated, meeting a requirement from the last inspection. Following an adult protection investigation on Jubilee Unit, an additional visit was made to the home on 8 December 2005 and a number of additional requirements were made. The inspector spent time with a senior staff member on the unit going through these requirements, which mainly related to one service user, but other care plans and documents were also examined. A turning chart for one service user has completed daily and reviewed, except on one night where a gap was identified. Daily progress notes are kept up to date and checked. Staff were spoken to and had a good understanding of how moving and handling scores are calculated and documented. In the case of one Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 12 at risk service user, fifteen minute checks have been out in place at night, but these are not documented. This was discussed with the senior staff member, who will ensure that these are recorded. Medical and healthcare appointments have been correctly documented, including the referral of one specific service user subject to a requirement. Any unaccounted for injuries or marks have been documented correctly. The inspector checked medication and MAR sheets in two units and they were all in order. All staff have now received medication training. In discussion with staff about the handling of MRSA, they indicated that they have not received recent infection control training and this is required under Standard Thirty. The inspector observed interactions between staff and service users, which were respectful of the service users’ dignity and privacy. Six service users spoken to indicated that they were happy at the home. Relatives and a visiting social worker confirmed that the standard of care was good. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 13 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 and 15 Service users are supported to maintain their independence where possible, to maintain contact with their families and friends and to lead a lifestyle where they can make choices for themselves. Recording of food eaten has been improved to enable inspectors to further assess the quality of meals on offer to those with different cultural needs and those on special diets. EVIDENCE: Six service users indicated to the inspector that they were happy living at Parkview House. The inspector spoke briefly with several other service users but communication difficulties limited the usefulness of these conversations. Five care plans indicated that service users’ wishes, interests, cultural and religious needs were being addressed. Appropriate recording of meals, including culturally appropriate foods, is now in place. What the service users’ eat daily is recorded in their notes and it is noted if this is different from the daily menu. The kitchens were inspected in each unit and were well supplied. The meal provided on the day of the inspection appeared healthy and nutritious. There was a good selection of activities on offer in the home, including games, painting, music, reminiscence, beauty care, flower arranging and regular parties. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 14 Four relatives spoken to were all positive about the care provided to their relatives, the way they were kept informed and involved, and about the quality of the activities, food and the bedrooms. They said that they can visit whenever they wish. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 15 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 and 18 There is a suitable written procedure for service users and their representatives to follow if they wish to make a complaint. Senior staff have received some adult protection training but the home must ensure that all staff are trained and knowledgeable about what constitutes abuse and neglect, and are able to follow appropriate procedures. EVIDENCE: The home has a satisfactory complaints procedure. The complaints record was inspected and those complaints recorded had been handled in an appropriate manner, with evidence of investigation and follow-up. Staff have been trained in working with people who have dementia so know how to listen to their views. Relatives spoken to said that the home actively involved them in the care of their families, that they were listened to and actions taken if they required. An adult protection investigation and final strategy meeting was completed just prior to the inspection. It concerned unexplained injuries sustained by a service user on Jubilee Unit. The investigation identified that the injuries were consistent with a fall from bed but did not find evidence of the fall. Since the incident occurred last October, improved procedures outlined under Standards Seven and Eight have put in place and the safety of the service users protected. Some staff discussed adult protection training that they have received. Staff spoken to had a satisfactory understanding of adult protection procedures. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 16 There is a current procedure for staff to familiarise themselves with new policies and procedures, including adult protection, but there has been no systematic adult protection training in the home, which is required. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Service users live in a home which is designed to meet their needs, is well maintained, clean and safe and offers a choice of communal and private spaces. EVIDENCE: Durrants, Grovelands, Pymmes and Jubilee Units were inspected. The corridors connecting the units, the communal rooms, toilets, bathrooms, laundry, sluice rooms and five bedrooms on Montague, Jubilee and Pymmes Units were inspected. These were generally in good condition and well maintained. The home was redecorated prior to the last inspection. The gardens are designed for the service users. There is a vegetable allotment garden with raised beds and a sensory garden with lights, water and herbs. Service users can take part in gardening, walk around safely or sit and relax. The clusters/units are designed so that service users can walk around without getting lost and do not have to be accompanied by staff members all the time. There is a selection of communal rooms to sit in. As well as a lift, there is a sloping walkway from the ground to the first floor instead of a staircase. This Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 18 is safer and also enables people who cannot use stairs to walk around the home safely. A bath and bath chair on Montague Unit has been repaired. The unrestricted access to the ground floor top windows has yet to be made secure and there are no risk assessments in place for this. A requirement given at previous inspections are restated. The home was clean and in good order on the day of the inspection. The one exception was a small amount of excrement from one of the home’s cats on a walkway. However, this was clearly accidental and not indicative of the overall standard of cleanliness. Several service users were positive about the benefits of having animals in the home. Montague Unit was not inspected on this occasion, except to check compliance with the above requirement. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Staffing levels may not be sufficient to meet the service users’ needs and require review. Service users’ are generally protected by the home’s recruitment policy and procedures and would be better protected by improvements in staff training. EVIDENCE: On the day of the inspection, there were two staff on duty in each unit, looking after nine people in each unit. However, the staff composition was made up of four permanent staff, two bank staff and four agency staff. The deputy manager and other staff explained that current staff shortages have been caused by the departure of some staff and the migration of other permanent staff to the home’s staff bank. Staff rotas were examined and indicated the relatively high use of agency and bank staff. There are a number of vacancies for care officers (similar to team leaders); for assistant managers and for permanent care staff. While the home has advertised and recruited widely, this is a concern. One staff member said that the staffing levels were at their lowest ebb for a long time and that “the management team was particularly depleted”. At the previous inspection, it was identified that senior staff have had their management time reduced and spend most of their time on the care rota. While the home indicated that this change was the consequence of a staffing review in 2004, staffing levels and current demands on management staff were highlighted by most staff spoken to. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 20 A previous requirement is restated that staffing levels be maintained at a sufficient level at all times to allow senior staff to carry out their management duties, including staff supervision and administration, without reducing staff hours available to service users and ensuring that there are always sufficient staff on duty in each unit. A copy of the review should be provided to the CSCI. Particular attention should be paid to staffing levels on Jubilee Unit, which all staff identified as having the highest dependency level among service users and workload for staff in the home. It is on this unit that the recent adult protection investigation has taken place. A management staffing review should also demonstrate to CSCI that there is adequate management cover in place if senior and other management staff are for example, called away to another unit, doing medication rounds and undertaking other responsibilities required by their role. Staff also clean the service users’ rooms and do activities. They said that it is difficult to do activities in the morning because they are busy meeting the service users’ personal care needs, serving breakfast and cleaning, particularly on Jubilee Unit. The records of five staff, including new and long term staff, were inspected. They contained all required pre-employment checks, including references and CRBs. Induction checklists for new staff were completed and signed. One new staff member’s file, however, did not have documentary evidence of a right to work in this country, which is required. The staff files also contained completed supervision records and training records. The training records were inspected. There was evidence that staff had received medication training. In the second half of 2005, staff received training in first aid, dementia care, manual handling, food hygiene and bereavement. There were some significant gaps and some inconsistency in training in certain statutory areas. For example, some staff said they had not received medication training or manual handling annually. One staff member’s training records showed that a gap in manual handling training from 2001 to 2005. Another record showed a gap for medication training and food hygiene training over a similar period. The home is making a concerted effort in this period to bring all staff up to date with medication and manual handling training. Supervisions and appraisals are used to identify training needs but, because of the gaps in some staff members’ training files, it was apparent that this information is not systematically reviewed to ensure that staff receive statutory training in a timely fashion. This is required. Staff have not received training in managing challenging behaviour, despite working with a number of service users who regularly exhibit challenging behaviour nor in infection control. Training in these areas are also required. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 21 There was some evidence that staff have been updated on adult protection training through reading the computerised policies and procedures. One senior staff member discussed how some training had been done on a one to one basis but there was no other evidence that other staff have received this training, which is required. The inspector discussed with the Administrator the work she is doing to upgrade the orderliness of the staff files. The Administrator showed the inspector samples of the restructured files, which were good. A new computerised system for 2Care has just been implemented and staff have received training in its use. It requires staff to log in daily at the start of a shift and to read and acknowledge any new policies and procedures. The Deputy Manager and the Administrator also described the plan to have specific day and night teams after 1st April 2006. Up until now, the staff have worked generically across all shifts. The degree of dependency on agency staff raised the issue about the how the home checks on agency staff. The Administrator said that information supplied by the agency must include reference checks and that copies of enhanced Criminal Records Bureau checks must be sighted before the agency staff member is allowed to start work. She said that all agency staff must undertake an induction that includes manual handling. The inspector spoke to agency staff. They confirmed that they had received an induction but one agency staff member did not have adult protection or up to date food handling training, despite working regularly at the home for several years. The home must ensure that agency staff employed are trained and competent to do the job and have means of checking that their training is up to date. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 22 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, 32, 36 and 38 The health and safety of service users and staff is generally promoted by good practice in supervision and attention to the safety of the building. They would be better protected by improvements such as supervision of bank staff and better management of fire and security risks. EVIDENCE: The current manager, who had applied to be registered by the Commission for Social Care Inspection, is due to leave the home in April 2006. The Administrator said that interviews were taking place for a new manager at the time of the inspection. After a requirement was made at the December 2005 additional visit, weekly unannounced visits were made by the 2Care Care Services Director and detailed Regulation Twenty Six reports were sent to the CSCI. These demonstrated many of the improvements made under Standards Seven and Eight and provided sound information of how care was reviewed and quality maintained. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 23 A requirement to ensure senior staff have sufficient time to undertake their supervision of support staff and other management duties was made at the previous inspection. Supervision records were checked this time and found to be in very good order. Supervision is held regularly and topics, actions and outcomes are detailed. Senior staff described the process and structure of the supervision programme, indicating that time and effort has been put into this area. However, on talking to staff and inspecting records, it became clear that many bank staff have worked close to full time over long periods and have a similar need for supervision as permanent staff. It is required that bank staff who fall into this category be provided with regular supervision. The possibility that the home could be entered through ground floor top windows remains. Although this was due to be done on the day of the inspection, it was not done and the requirement is restated to take action on this risk. The last fire drill was held in July 2005. It is required that the home undertake four fire drills per year. Some fire doors were found propped open and a requirement is made that proper fire door safety procedures be observed. Fire equipment, alarms and emergency lights had been regularly checked, complying with health and safety requirements. One fire extinguisher was found not secured to the wall in Durrants Unit and a requirement is given. Water temperature readings were also checked regularly, but on two occasions, shower temperatures were over 43 degrees. It is required that the temperatures be maintained at the correct level to protect the health and safety of the service users. The building is designed to be safe for older people with dementia and is well maintained. There is an environmental and fire risk assessment in place. The gardens are also designed specifically for the residents of the home and safe. Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 24 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 2 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 2 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 X X X 2 X 3 Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 25 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 OP7OP3 Regulation 14 (1,2) Requirement Timescale for action 30/04/06 2. OP27 18(1)a The registered persons must ensure that the communication needs of two service users whose first languages are not English are reviewed with the assistance of an interpreter. The registered persons must 30/04/06 ensure that staffing levels are sufficient enough at all times to allow senior staff to carry out their management duties, including staff supervision and administration, without reducing staff hours available to residents. The registered persons must 30/04/06 ensure that copies of evidence of new staff member’s right to work are obtained and kept on file. The registered persons must 30/05/06 ensure that all staff receive adult protection training and evidence of this training is sent to CSCI. The registered persons must 30/04/06 ensure that agency staff training records are checked to ensure that they have been adequately and regularly trained for the role. DS0000010566.V271831.R01.S.doc Version 5.0 3. OP30 17 (2), Sch. 4 18(1) 4. OP30 5. OP30 18(1) Parkview House Page 26 6. 7. 8. OP30 OP30 OP30 9. 10. OP36 OP38 11. 12. 13. 14. OP38 OP38 OP38 OP38 The registered persons must ensure that all staff are trained in infection control. 18(1) The registered persons must ensure that all staff are trained managing challenging behaviour. 18(1) The registered persons must ensure that there are effective systems in place to check that staff receive statutory training as regularly as required by law. 18 (2) The registered persons must ensure that regularly used bank staff receive supervision. 12 (1) The registered persons must ensure that water temperatures are maintained below 43 degrees. 12 (1); 13 The registered persons must (4) ensure that fire drills are held four times per year. 12 (1); The registered persons must 13(4) ensure that fire doors are not propped open. 12(1); The registered persons must 13 (4) ensure that all fire extinguishers are secured to the wall. 13(4)(c) The registered persons must take action to ensure that unauthorised people are unable to gain access to the home. A risk assessment must be carried out regarding ground floor windows and restrictors must be fitted to them, unless the risk assessment indicates that there is no risk of anybody entering through the window. 23/12/05 18(1) 30/05/06 30/05/06 30/04/06 30/04/06 30/04/06 30/04/06 30/04/06 30/04/06 30/04/06 Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Parkview House DS0000010566.V271831.R01.S.doc Version 5.0 Page 29 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!