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Inspection on 20/10/05 for Penmeneth House

Also see our care home review for Penmeneth House for more information

This inspection was carried out on 20th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides an environment that is comfortable, clean and homely. The building is well maintained and decorated to a good standard. Residents said the staff are caring and they are well looked after. Meals are nutritious with fresh fruit and vegetables included; the residents appreciate the homemade cakes.

What has improved since the last inspection?

Staff have received training in the safe handling of medicines and infection control. Staff said they are enrolled to attend adult protection and dementia training.

What the care home could do better:

The areas for improvement remain for the most part the same as before. The staff could not access the office so most of the records and policies could not be inspected and requirements are therefore re-notified. Records must be available for inspection. The statement of purpose must be updated and a copy sent to the Commission for Social Care Inspection. Although basic care needs seem to be met it is not apparent that the total care is individualised. Care plans must be much more detailed to include all of the individual`s health, personal and social care needs, expected outcomes and how individual needs will be met. The care plans should be agreed and signed by the service user or their representative. It is recommended that a written life history of each service user be on file. Relevant risk assessments must be on file for each service user. The Registered Provider should liase with other health professionals or seek training in respect of writing care plans that guide and direct her staff. Any handwriting of medicines onto the MAR charts must be witnessed and dated with two signatures recorded. The home`s policy for dealing with dying and death must be reviewed to take into account individual wishes, cultural and religious beliefs. Service users should be able to choose their meals from the menu. All service users spoken with said they have no choice at mealtimes and that they all have the same meal, some felt they may be able to have something different but did not like to ask. Service users feel the need for more activities in the home. Several said they just sit all day and with the television or music playing, both selected by the staff. The Registered Providers must gather information as to what activities service users would like and then compile a programme of suitable activities and entertainment. Complaints must be dealt with in 28 days in accordance with legislation and the home`s policy and there must be a method for recording complaints and the action taken. The Registered Providers must update their Adult Protection policy. The whistle-blowing policy must allow for reporting to outside agencies including the CSCI and give the contact details. The home should have an equal opportunities policy. There should be a sluice with a washer disinfector in the home for cleaning the commode pots and bedpans. A more robust recruitment system must be put in place with all of the required documentation kept on file.There should be a policy in place for the safekeeping of service users money. It is recommended that the service user or their representative sign an agreement allowing the home to deal with their money. Risk assessments should be undertaken for the use of cot-sides or any other form of restraint used in the home. Cot-sides or any form of restraint should only be used following consultation with the service users family, District Nurse, Social Worker and General Practitioner. Written consent should be obtained prior to use of the restraint.

CARE HOMES FOR OLDER PEOPLE Penmeneth House 16 Penpol Avenue Hayle Cornwall TR27 4NQ Lead Inspector Diana Penrose Unannounced Inspection 20th October 2005 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 Penmeneth House DS0000009128.V257678.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. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Penmeneth House Address 16 Penpol Avenue Hayle Cornwall TR27 4NQ 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) 01736 752359 Mr Philip John Richards Mrs Felicity Ann Richards Care Home 14 Category(ies) of Dementia - over 65 years of age (1), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (14) Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th May 2005 Brief Description of the Service: Penmeneth Care Home is situated in the town of Hayle, in West Cornwall. The property is a Grade 2, listed building that has been adapted to accommodate 14 service users. There is a small garden to the front of the home and a courtyard at the back with bench seating. There is roadside car parking; which is limited. The home offers residential care for up to fourteen elderly people, one of whom may have dementia and one a mental disorder. Accommodation is provided on two floors, the first floor can be accessed by a stair lift. There are three smoke free lounges; there is also a small seated area for the few smokers in the home. Meals are cooked in a well-equipped kitchen and served in the dining room, which is an extension of one lounge. The home is very clean, tidy, well furbished and maintained. The homeowners live nearby and are in control of the day-to-day running of the home. Care staff provide personal care within a happy, friendly, relaxed atmosphere. There are opportunities for socialising and visitors are openly encouraged. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited Penmeneth Care Home on the 20 October 2005 and spent four hours and fifty minutes at the home. This was an unannounced visit. The purpose of the inspection was to gain an update on the progress of compliance to the requirements that were identified in the last inspection report dated 19.05.05. It was not possible to check all of these as the registered providers were away on holiday and staff could not access the office, many requirements are therefore re-notified. There were 14 requirements and 20 recommendations identified at the last inspection and most of these do not appear to have been addressed. There are 21 requirements and 19 recommendations served at this inspection. The outstanding requirements must be addressed as a matter of urgency to avoid legal action being taken. The inspector focused on the following key areas of care: assessment and care planning, health care, leisure, some of the environment and staffing. On the day of inspection 13 service users were resident in the home; one was receiving respite care. The methods used to undertake the inspection were to meet with a number of residents and staff to gain their views on the services that Penmeneth offers. Records and documentation were examined and the inspector toured the building. This report summarises the findings of this inspection. What the service does well: What has improved since the last inspection? Staff have received training in the safe handling of medicines and infection control. Staff said they are enrolled to attend adult protection and dementia training. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 6 What they could do better: The areas for improvement remain for the most part the same as before. The staff could not access the office so most of the records and policies could not be inspected and requirements are therefore re-notified. Records must be available for inspection. The statement of purpose must be updated and a copy sent to the Commission for Social Care Inspection. Although basic care needs seem to be met it is not apparent that the total care is individualised. Care plans must be much more detailed to include all of the individual’s health, personal and social care needs, expected outcomes and how individual needs will be met. The care plans should be agreed and signed by the service user or their representative. It is recommended that a written life history of each service user be on file. Relevant risk assessments must be on file for each service user. The Registered Provider should liase with other health professionals or seek training in respect of writing care plans that guide and direct her staff. Any handwriting of medicines onto the MAR charts must be witnessed and dated with two signatures recorded. The home’s policy for dealing with dying and death must be reviewed to take into account individual wishes, cultural and religious beliefs. Service users should be able to choose their meals from the menu. All service users spoken with said they have no choice at mealtimes and that they all have the same meal, some felt they may be able to have something different but did not like to ask. Service users feel the need for more activities in the home. Several said they just sit all day and with the television or music playing, both selected by the staff. The Registered Providers must gather information as to what activities service users would like and then compile a programme of suitable activities and entertainment. Complaints must be dealt with in 28 days in accordance with legislation and the home’s policy and there must be a method for recording complaints and the action taken. The Registered Providers must update their Adult Protection policy. The whistle-blowing policy must allow for reporting to outside agencies including the CSCI and give the contact details. The home should have an equal opportunities policy. There should be a sluice with a washer disinfector in the home for cleaning the commode pots and bedpans. A more robust recruitment system must be put in place with all of the required documentation kept on file. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 7 There should be a policy in place for the safekeeping of service users money. It is recommended that the service user or their representative sign an agreement allowing the home to deal with their money. Risk assessments should be undertaken for the use of cot-sides or any other form of restraint used in the home. Cot-sides or any form of restraint should only be used following consultation with the service users family, District Nurse, Social Worker and General Practitioner. Written consent should be obtained prior to use of the restraint. 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. Penmeneth House DS0000009128.V257678.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 Penmeneth House DS0000009128.V257678.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): 3 Service users are admitted to the home following an assessment of their needs; this process must be expanded and details included as to who are involved in the assessment to ensure the home can provide adequate care. EVIDENCE: There are assessment sheets in the resident’s files, one for a recent admission had not been completed and several lacked detail. There are Social Services assessments also on file. Staff said the registered provider undertakes all preadmission assessments; there is no evidence as to who else is involved in the process. It is stated in one resident’s records that the registered provider visited her at home. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Not all service users have a written care plan; care plans in place do not fully inform and direct the staff in care provision. Service users have access to health care services as necessary to ensure their assessed needs are met. There is a system in place for dealing with service users medicines; some extra vigilance in record keeping and more involvement of the staff will help to ensure service users safety. Systems are in place to ensure that service users privacy is upheld. EVIDENCE: There are hand-written care plans for most residents but they lack detail and do not guide and direct the staff in the care to be provided. There should be more information included regarding the activities of daily living, social and emotional needs. The care assistants said they do not get involved with the care plans, they are written by the registered provider. One resident receiving respite care had no documentation from the home only Social Services and NHS records. There is no evidence that the service user or their representative are involved with the compilation or review of the care plan. Reviews take place approximately six monthly. There are photographs on file for most residents but not those admitted since July. Other documents include Waterlow scoring, lifting and handling, BMI and body maps; many of the forms have not Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 11 been completed. The daily records are maintained in a diary allocated per room. The records for previous occupants were still in the diaries dating back to January 2005. Staff said that the registered provider usually removes these; they must be removed and filed appropriately. Residents are registered with a GP. District nurses and other specialist nurses visit when required to ensure that health needs are met. The home has a hoist and slide sheet for moving and handling purposes. The district nurses supply pressure relieving equipment. There is no evidence that continence assessments have been undertaken. Staff said that residents are not weighed regularly unless there is a problem. There was no medicines policy available for inspection; this must be available to staff at all times. There is a monitored dosage system (MDS) in place for medication administration. Staff said they have received training in the safe handling of medicines but are not involved with the ordering or disposal of medicines. Staff should know how to order and dispose of medicines to cover in the registered providers absence. Any transcribing of medicines onto the MAR charts must be witnessed and dated with two signatures recorded. The administration records and medicines received were complete but the disposal records were not available. The Patient information leaflets are kept but medicine reference books are over two years old. It is recommended that the reference books be renewed annually. Service users privacy and dignity were observed to be respected during the inspection. Telephone arrangements allow for privacy and screens are provided in the shared bedroom Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 15 Limited social activities take place, it is not apparent that these are suited to individual preferences. Service users maintain contact with family and friends and can go out according to their wishes and ability. Dietary needs of residents are catered for with a varied selection of food provided; although a choice is written on the menu very limited choice is available to service users. EVIDENCE: Staff said they try to provide activities but service users are reluctant to join in. There are audio and videotapes for residents use. One resident has a large book to draw and write in. Staff said a man comes in sometimes to play the organ and the residents like this. They said the residents went out for a coastal drive in the summer and went to see the local carnival; one resident said she enjoyed the carnival. Televisions were on in two lounges and music was playing in the lounge diner, during the inspection. Residents said there is nothing to do but sit all day, some said it is difficult to converse with other residents and the staff are busy. Service users said they would appreciate more activities and would like to go out more. Service users social interests must be gained and actively pursued. Participation in activities must be recorded; this has lapsed since February 2005. Visitors are welcome in the home and records are kept. Service users said they can go out with their relatives and friends and some go to the day centre regularly. Suitable telephone arrangements are in place. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 13 The care staff are responsible for cooking the residents’ meals. There is a 4week menu, in the kitchen with choices included. This menu is not readily available to the residents and residents spoken with said they have no choice of meals and they do not know what they are having until it is served up. One resident said “there could probably be something different if I asked but I tend just to eat what I can and leave what I don’t like”. One member of staff said that residents would forget what they ordered if a choice was available. Homemade cakes are provided each afternoon and fresh fruit and vegetables were in stock. Staff said that a party is organised for birthdays and a special cake is baked. Residents said the meals are usually good and there is enough to eat. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 There is no evidence of a vulnerable adults procedure that ensures a proper response to any suspicion or allegation of abuse EVIDENCE: There were no policies or procedures available for inspection. Staff said there is a whistle-blowing policy but it must be in the office and they could not access it. Staff also said that one member of staff had attended adult protection training and that other staff are due to attend in January 2006. They said the registered provider would deal with any abuse issues. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 15 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, 20, 25 and 26 The home and grounds are well maintained providing a safe environment for service users, staff and visitors, further measures need to be in place in respect of the hot water temperature. There is sufficient indoor and outdoor communal space for service users to be comfortable and choose where they would like to be. The home was clean and free from offensive odours making it a pleasant place to live in. EVIDENCE: The home was warm, comfortable and clean, with no unpleasant odours on the day of the inspection. The grounds are tidy with colourful flowers; a family of squirrels were entertaining the residents in the lounge diner. A porch is being built outside the front door. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 16 There are two comfortable smoke free lounges and a smoke free lounge diner. There is a smoking area, which is not a separate facility so the smoke does drift into the other lounges. There is suitable lighting and ventilation in the home and window restrictors are fitted where necessary. Radiators are guarded but the water temperature in the hand basins is not controlled to 43ºC. There are notices warning that the water is hot, however there is no evidence of any risk assessments in respect of the water temperature. The laundry facilities are suitable with one washer and one drier; the care staff are responsible for the laundry. Data sheets for COSHH purposes are available to staff. There are hand-washing facilities for staff with liquid soap and paper towels in dispensers in some areas; alcohol gel hand rub is also provided. Plastic gloves were being used during the inspection. Staff said they have attended infection control training. It is recommended that there be a sluice with a washer disinfector in the home. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, and 30 Staffing levels meet the needs of residents and staff morale appears to be good. Care staff said they are provided with some training appropriate to their roles, access to the training files would enable inspectors to evidence that training promotes skills and competency. EVIDENCE: There are always two care staff on duty, at night one is a sleep in. the staff on duty said there are enough staff employed. There is one part time vacancy. The care staff are responsible for the cooking and washing as well as care duties. A domestic is employed to do the cleaning. Residents said the staff look after them well but they are busy and there is not much time for chatting. The training files were not accessible on the day of the inspection. Staff said they have attended infection control training and medication training. They said that abuse training was starting in January 2006 and dementia training was imminent. Neither of the care staff on duty had undertaken NVQ training but they said some of their colleagues had and two have achieved level 3. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 There are no policies and procedures available to staff and no access to records in the absence of the registered providers, this does not ensure that the residents rights and interests are safeguarded EVIDENCE: Staff cannot access the office in the absence of the registered providers therefore many of the records could not be inspected and requirements remain unchanged. The inspectors must have access to all records at any time. There were no policies or procedures available to staff. Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 19 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 3 3 X X X X 2 3 STAFFING Standard No Score 27 3 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X 1 X Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 20 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 2 3 Standard OP1 OP1 OP3 Regulation 4 (1) (c) 4 (2) 14 Requirement The statement of purpose must include all of the information listed in Schedule 1. A copy of the statement of purpose must be sent to the CSCI There must be a thorough assessment of all service users before they move into the home which must be reviewed Care plans must be more detailed to include all of the individual’s needs and how they will be met A specific risk assessment must be undertaken for all service users at risk of falling. Transcribing of medicines onto the MAR charts must be witnessed and dated with two signatures recorded Service users social interests must be gained and actively pursued. Participation in activities must be recorded The complaints procedure must be reviewed and updated There must be a record kept of all complaints and the action DS0000009128.V257678.R01.S.doc Timescale for action 12/01/06 12/01/06 20/10/05 4 OP7 15,12(1) (a)(b) 13 (b,c) 13(2) 17(1)a Sch 3 16(2)(m) (n) 22(1) (2) 17(2) Sch 14 (11) 12/01/06 5 6 OP7 OP9 12/01/06 20/10/05 7 OP12 05/12/05 8 9 OP16 OP16 12/01/06 20/10/05 Penmeneth House Version 5.0 Page 21 10 11 12 OP16 OP18 OP18 22(4) 13(6) 21 13 OP38 12(1)13(4 )(6)23(5) Sch 2 19 (1)(4)(5) 19(1)(a) Sch 2 (6) 14 15 OP29 OP29 16 17 OP29 OP33 12(1) (a)13 (6) 24 (2) 18 OP36 12, 13 19 20 21 OP37 OP37 OP15 17(3) (b) 17 (1)(a) Sch 3 (2) 17(2), Sch 4 (13) taken Complaints must be dealt with within 28 days The adult protection policy must be reviewed and updated in line with the “No Secrets” document The whistle-blowing policy must allow for reporting to outside agencies including the CSCI and give the contact details Where the water temperature is not regulated to 43°C a comprehensive risk assessment must be undertaken Two satisfactory references must be obtained prior to commencement of employment. Evidence must be obtained to show that prospective employees are physically and mentally fit for the work they are to perform The Registered Providers must develop and implement a thorough recruitment policy A copy of any quality survey results must be sent to the Commission for Social Care Inspection. Policies and procedures must be available and implemented to ensure the safety and welfare of service users The inspector must be able to access the homes’ records at any time There must be a photograph of each service user on file There must be a record of the food provided in sufficient detail to determine that the diet is satisfactory in relation to nutrition and otherwise, and of any special diets prepared for individuals 20/10/05 12/01/06 12/01/06 05/12/05 20/10/05 20/10/05 12/01/06 12/01/06 20/10/05 30/10/05 04/12/05 30/10/05 Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Refer to Standard OP7 OP7 OP7 OP7 OP11 OP15 OP7 OP12 OP35 OP29 OP24 OP26 OP28 OP35 OP38 Good Practice Recommendations The care plans should be agreed and signed by the service user / representative, it should be documented if this is not possible The full name of each service user should be recorded on each document relating to them. A written life history of each service user should be on file Relevant risk assessments should be undertaken for each service user The policy for dying and death should be a more formal document and expanded to consider religious needs Service users should be given a choice of food at mealtimes The Registered Provider should liase with other health professionals or seek training in respect of writing care plans that guide and direct her staff The Registered Providers should undertake a survey of service users individual preferences and subsequently implement a programme of suitable activities. There should be a policy in place for the safekeeping of service users money The home should have an equal opportunities policy The Registered Providers should undertake individual risk assessments for service users in respect of the provision of a key to their room There should be a sluice with a washer disinfector in the home. 50 of care staff should be trained to NVQ level 2 or equivalent by December 2005 The service user or their representative should sign an agreement allowing the home to deal with their money Risk assessments should be undertaken for the use of cotsides or any other form of restraint used in the home and consultation should be sought and written consent should be obtained A record of employment interviews should be maintained At least one member of staff responsible for cooking food should undertake the intermediate level food hygiene certificate DS0000009128.V257678.R01.S.doc Version 5.0 Page 23 16 17 OP29 OP38 Penmeneth House 18 19 OP36 OP29 Discussion at staff meetings should be recorded A job application form should be completed by all prospective employees Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Penmeneth House DS0000009128.V257678.R01.S.doc Version 5.0 Page 25 - 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!