CARE HOMES FOR OLDER PEOPLE
Peacemills Care Home Perry Road Sherwood Nottingham NG3 3AQ Lead Inspector
Steve Benson Key Unannounced Inspection 31st January 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Peacemills Care Home DS0000002298.V327953.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. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Peacemills Care Home Address Perry Road Sherwood Nottingham NG3 3AQ 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) 0115 960 2539 0115 985 6616 peacemills@btconnect.com Community Care Plus Ltd Anna Baldwin Care Home 40 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (40) of places Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Community Care Plus Limited is registered to provide accommodation and personal care for service users of both sexes whose primary needs fall within the following categories: 1. Dementia over 65 years DE(E) up to 40 2. Dementia (DE) up to 5 3. Service users in the category DE to be aged 50 years and above. The maximum number of service users to be accommodated at Peacemills Care Home is 40. 12th January 2006 2. Date of last inspection Brief Description of the Service: Peacemills is a care home providing personal care and accommodation for 40 older people. The home is located on the outskirts of Sherwood, a residential district in Nottingham approximately 3 miles from the city centre. There are a small number of local community shops near to the home and Sherwood itself has many other amenities including shops, pubs and restaurants, and a community centre. The home, which is owned by Community Care Plus Limited, was opened in 1991 and consists of a two-storey purpose built building. There are 36 single bedrooms (35 with en-suites) and two double bedrooms (with en-suites). There is a car park to the rear of the property and a small garden. The deputy manager said on 31/01/07 that the fees for the service range from £2767.24 - £352.08 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2006 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The site visit was carried out by 2 inspectors and lasted for 5 ½ hours. The main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, the deputy manager, staff on duty and care practices were observed. A visitor was spoken with during the visit. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. Survey forms sent to the home by The Commission for Social Care Inspection had been completed by the majority of residents and/or their relatives were seen. What the service does well:
An assessment is carried out of any prospective new resident’s needs before they come to the home. Staff are made aware of the needs of any new resident. Residents said they visited the home before moving in. The evidence shows that new residents are assessed before they come to live at the home. Residents well being is monitored and they are able to see a doctor if needed. There are arrangements in place to provide routine healthcare checks such as dentist and optician check ups. Residents said they can see a doctor when they wish to. The evidence shows that residents’ health care needs are fully met. Residents are assessed to see if they are able to self medicate. Senior staff are responsible for giving out medication and have been trained to do so. Residents said that staff ensure they have taken their medication. The evidence shows that residents are protected by the homes procedures for dealing with medicines Staff were aware of good practices in maintaining residents privacy and dignity. Residents feel they are treated with respect. The evidence shows that residents’ privacy and dignity are promoted. An activities coordinator prepares an activities programme, which includes entertainers coming to the home. Residents are enjoying painting pictures to
Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 6 be displayed around the home. The evidence shows that resident’s lifestyle matches their expectations. Visitors said they are made welcome when they visit. Residents are able to go to a local pub and other trips out are organised. The evidence shows that residents maintain contact with family, friends and the local community. Residents are given opportunities to make choices and residents said staff assist them with choices. The evidence shows that residents have control over their lives. Residents have a choice at each meal and alternatives are available. A record is made of any special dietary requirements, and of residents’ likes and dislikes. The evidence shows that residents receive a wholesome appealing balanced diet. The home has a complaints procedure and residents knew how to make a complaint. The evidence shows that residents are confident that their complaints will be listened to. The home employs staff who are responsible for cleaning the home. The home was clean and smelt fresh. Staff have been training in infection control and protective clothing and equipment is provided. The evidence shows that the home is clean, pleasant and hygienic. Staff are required to gain a recognised qualification in their area of work and all staff have either achieved this or are working towards it. The evidence shows that residents are in safe hands at all times. The manager of the home has been registered as fit to hold the position by The Commission for Social Care Inspection and has previous experience of working with older people. Residents spoke positively about the manager and how the home is run. The evidence shows that there is a suitable manager employed to run the home. Residents are able to express their views through meetings and questionnaires. The evidence shows that residents express their views on how the home is run. Regular safety checks and tests are carried out and there are contracts in place for servicing equipment. The evidence shows that the health, safety and welfare of residents are protected. What has improved since the last inspection?
Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 7 There were male and female staff employed of varying ages and different cultures. An additional 21 care hours have been added to the rota since the lat inspection. Residents felt staff attended to them in good time. The evidence shows that residents’ needs are met by the numbers and skill mix of staff. The home was well maintained and there is a system for reporting any repairs. Some areas of the home, which had been identified as looking shabby, have been decorated. Residents were happy with how the building was looked after. The evidence shows that residents live in a safe, well-maintained environment. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. Assessments would be improved by including more information. The home does not offer an intermediate care service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The most recent person admitted to the home was in an emergency. There was an assessment completed by the manager in the morning and the resident moved into the home in the afternoon. The assessment continued after the resident moved into the home. The information recorded on the assessment form was brief and would be improved if it contained more detail. The manager said that either she or the deputy manager go to asses any prospective resident to see if their needs can be met within the home.
Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 10 Assessments included details of any specialist assistance a resident requires. The manager said that anyone is welcome to apply for a place providing they fall within the registration category for the home. Staff said that they are told about new residents before they move in, normally in a handover, but they don’t see the assessment in advance. Residents spoken with could not remember what happened when they moved into the home so were not able to comment. There is no arrangement made for the home to provide an intermediate care service. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. Residents’ health, personal and social needs are not written in sufficient detail in their plan of care. Residents’ health care needs are fully met. Residents are protected by the homes procedures for dealing with medicines. Residents are treated with respect and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that care plans have been rewritten since the last inspection, however those seen would be improved by giving clearer details of the assistance residents need, and how this should be provided. There was a social assessment that had not been completed and not all residents had signed to show they were in agreement with their care plans.
Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 12 Care plans did not include sufficient details of resident’s gender, ethnic origin, religious beliefs and any disability. Staff said that the manager completes care plans as part of the admission process involving residents, relatives and social workers. Staff said changes are made to these according the residents’ changing needs. There were examples seen of where plans had been changed. Staff said they refer to care plans to check whether they are doing things right for residents and whether there have been any changes made. Residents could not remember whether they had discussed their care plans. There was a record made in the care plan of any healthcare received by residents, with the exception of visits by a district nurse. The reason for this was explained as being because records are kept by the district nurses, however it is advisable for the home to keep their own record. Staff were seen following correct procedures when moving residents, including ensuring that wheelchairs had footplates fitted, although staff said they had not had training in moving and handling. The manager said residents are able to choose which of the local doctors surgeries they register with. Staff said they keep an eye on residents to notice if they are feeling unwell and will ask residents how they are feeling. A resident said, “You see a doctor very quickly if you ask to see one”. There is a form available to assess whether residents are able to self medicate, there are not any residents who are currently assessed as being able to do so. Staff said that only senior staff give out medication and they have been trained to do so by the pharmacist. A resident said, “Staff give me my medication, I never run out of tablets. If I want to go to bed early I have to take my tablets first”. There were entries seen in care plans stating that staff must maintain residents’ privacy and dignity, however as referred to previously these did not detail how this should be done. Staff described good practices in maintaining residents privacy and dignity, including closing doors and drawing curtains when providing personal care. A resident said, “Staff treat me with respect” and another resident said, “I have said I don’t want to have a male carer”. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Residents find the lifestyle experienced in the home matches their expectations. Residents maintain contact with family and friends and the local community. Residents are helped to exercise choice and control over their lives. Residents receive a wholesome and balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One resident is assessed as being able to go out on her own and there are appropriate measures taken to ensure her safety. The home employs an activities coordinator who is responsible for preparing an activities programme. The coordinator was seen going round trying different activities with residents. The coordinator had a group of residents painting some pictures on canvas, which they were very pleased with, one saying “I
Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 14 have never done anything like this before, I wouldn’t sell it for a million pounds!” They activities coordinator said that she comes to the home five days a week and as well as arranging in house entertainment such as bingo and flower arranging she books monthly motivation to music sessions and an organist. Use of the garden is made during good weather. The activities coordinator also provides a hairdressing service in the home, which is not part of her employment, and residents pay for this service. The manager said that all Christian festivals are celebrated and a monthly in house church service will be starting next month. A resident said, “It is very good here, we are always doing things, we do all sorts. We are doing some pictures which are going to be hung up around the home”. Comments made in the survey sent out to residents by the Commission for Social Care Inspection showed residents feel they have plenty of opportunity to take part in activities and included the comment, “I don’t want to join in the activities, but the activities coordinator takes me out for a walk”. The manager said that trips are arranged for residents to go to a local pub and some boat trips have been booked for the summer. Staff said that visitors are able to see residents in their own rooms or in communal areas. A visitor said that she is always made welcome when she visits. A resident said, “My daughter comes to visit me and my sister came this morning”. There were entries seen in care plans stating that residents are able to choose their own clothing and one stated that the resident wished to do their own ironing. The manager said that residents are given choices about anything and everything and gave examples of some residents choosing to have breakfast in their rooms and some choosing to eat in the lounge. Staff said that residents have opportunities to make a variety of choices including when they get up in the morning and whether they want to join in the activities. A resident said, “We are able to choose for ourselves, staff never refuse us”. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 15 The home has a four week menu, which provides a choice at each meal. There is a kitchen notification from where any likes, dislikes and dietary requirements are recorded. Staff aid they take a daily list of choices round to residents and if they don’t fancy what is on offer they can have an alternative. A resident said, “We get more than enough to eat, I enjoy what I have. We always have a nice pudding. Comments made in the survey sent out to residents by the Commission for Social Care Inspection showed residents are happy with their meals and included the comment, “Good on the whole and varied well.” Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Residents are confident that their complaints will be listened to, taken seriously and acted upon. Measures are not in place to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure, which is displayed on a notice board and a complaints log. There have not been any recent complaints recorded, but there is one complaint currently under investigation. Staff said they would pass any concerns that they could not sort out to the manager. A resident said, “If something isn’t right staff will sort it out”. Comments made in the survey sent out to residents by the Commission for Social Care Inspection showed residents know how to raise a complaint and included the comment, “I would complain to the manager if I had a complaint, but have not needed to.” Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 17 There is one recent incident currently being investigated through the Adult Protection procedures where a resident left the home undetected and later died. The manager said she was not clear on the Adult Protection Procedures and had booked herself a place on a Safeguarding Adults course in March, and was looking to get further places for staff. Staff said they had not had any safeguarding adults training, but they had never seen any mistreatment. Staff were not clear of the procedures they should follow in the event of any allegation of abuse and did not know about the home’s whistle blowing policy, although they were clear they would rise any concerns they had about how a resident was treated. A resident said, “I feel safe, the security of the home is looked after”. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 18 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 and 26 Quality in this outcome area is good. Residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well laid out and has wide corridors and everywhere is accessible to wheelchair users. Ramps have been fitted to the external doors, however these have not been risk assessed and it is recommended that this is done. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 19 Staff said that the building is suitable for the jobs they have to do, and repairs are attended to promptly by the handyman. If staff notice anything needing to be done they write it on a board in the office. A resident said, “The home is kept nicely”. The home employs designated domestic staff. All area of the home visited were clean, tidy and fresh. A visitor said that the home always smells nice. Staff said they have had training in infection control and they have protective clothing and hand wash jell available A resident said, “Every inch is cleaned daily”. Comments made in the survey sent out to residents by the Commission for Social Care Inspection showed residents think the home is always kept clean and included the comment, “They are always cleaning the home.” Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 20 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 and 30 Quality in this outcome area is good. Residents’ needs are met by the numbers and skill mix of staff. Residents are in safe hands at all times. Residents are not being fully supported and protected by the home’s recruitment policy and practices. Staff have not had all the required training to do their jobs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs male and female staff and they are of varying ages and from differing ethnic backgrounds. The rota showed that there is always a senior member of staff on duty, with three care staff throughout the day and two in the evening. There are three awake staff at night. They manager said that the staffing complement has been increased by 21 hours since the last inspection.
Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 21 Staff said that the staffing levels seem to be sufficient for them to complete their duties. A resident said, “Staff come to see us quickly if we ring the buzzer”. Comments made in the survey sent out to residents by the Commission for Social Care Inspection showed residents think staff are always or usually available when they need them and included the comment, “To the best of their ability.” All staff have completed or are currently working towards a National Vocational Qualification in the area of work they are involved in, with the exception of new starters who will be enrolled as soon as places are available. Staff files seen showed that the correct recruitment practices are being followed, with the exception of obtaining full details of the applicant’s previous employment. Criminal Records Bureau checks and references were received before staff started to work in the home. All new staff undergo a 12 week induction course when they start work in the home. Training records showed that whilst the majority of mandatory training has been provided there are some staff who have not had all the required training. Staff said they have been on various training courses, but had not done moving and handling. The manager said that she was trying to arrange this course for April. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. There is a suitable manager employed to run the home. Residents express their views on how the home is run. Residents’ are restricted when they can have access to their money. The health, safety and welfare of residents are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager was registered to manage this home in August 2006 having worked at the home since December 2001, and has previous experience of
Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 23 working with the elderly. The manager is currently studying for the Registered Manager’s Award, which she is due to complete in February 2007. Residents knew the manager and said they could approach her if they needed to. Residents were asked to complete survey forms sent by the Commission for Social Care Inspection as part of the inspection process and 15 completed forms were returned. The manager said that residents are encouraged to express their views in residents meetings and showed some survey forms that have been sent to residents and relatives. These forms would be of greater benefit if they were more detailed. Staff said that they ask residents how things are and can take any suggestions made to the manager. Residents said, “We have meetings together which are interesting”. The home will hold money for residents to pay for hairdressing, chiropody and other incidentals. A record is made of each transaction, which is signed and witnessed. Receipts are kept when available. However residents can only access their money when the manager or deputy manager are on duty, and they should be able to do so at any time they wish. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Dates of tests were recorded in the pre inspection questionnaire showing they are regularly carried out. A sample of these were looked at and found to be correct. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 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 2 X X 3 Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement The registered person must ensure that care plans provide clear details of residents’ needs and how these are to be met. The registered person must ensure that a full previous employment history is obtained when recruiting new staff. The registered person must ensure that staff have received all the mandatory training. The registered person must ensure that residents can have access to their money at any time. Timescale for action 01/05/07 2 OP29 19 01/03/07 3. 4. OP30 OP35 18 12 01/05/07 01/03/07 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. Refer to Standard OP3 OP8 Good Practice Recommendations The registered person should ensure that assessments of new residents contain sufficient detail The registered person should record when a resident is
DS0000002298.V327953.R01.S.doc Version 5.2 Page 26 Peacemills Care Home 3 OP19 seen by a district nurse. The registered person should risk asess the ramps fitted to external doors. Peacemills Care Home DS0000002298.V327953.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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