Inspection on 16/09/08 for Pinehurst Rest Home

This inspection was carried out on 16th September 2008.

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

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

Other inspections for this house

Pinehurst Rest Home 22/09/09

Pinehurst Rest Home 08/11/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/12/2008.

CARE HOMES FOR OLDER PEOPLE Pinehurst Rest Home 4 Harvey Road Boscombe Bournemouth Dorset BH5 2AD Lead Inspector Martin Bayne Unannounced Inspection 16th September 2008 9:15 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 Pinehurst Rest Home DS0000066757.V372536.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. Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pinehurst Rest Home Address 4 Harvey Road Boscombe Bournemouth Dorset BH5 2AD 01202 418744 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) Mrs Debra Christine Curtis Mrs Caroline Anne Michelle Rose Brooks Mrs Debra Christine Curtis Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mrs Debra Curtis must obtain an NVQ4 in management and care within 18 months of registration. 8th November 2006 Date of last inspection Brief Description of the Service: Pinehurst is a family run home that is registered to accommodate up to 12 older persons. The home is situated in a residential area of Boscombe and is close to the shops and other local amenities. There are 10 single rooms and one room registered for double occupancy. Residents share communal areas of a lounge, dining room and two conservatories, both of which lead into a wellmaintained, enclosed garden area. The current owners were registered in 2006, however in July of that year, the home was struck by lightning resulting in a fire, which severely damaged the building. In May 2008 the home was reopened and this was the first key inspection since the new owners took over in 2006. Fees for the home range from £452 to £550 per week. Any additional charges are detailed within the home’s Terms and Conditions of Residence. Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We, the Commission, carried out a key inspection of the home on the 16th of September between 9:15am and 1:45pm. The aim of the inspection was to evaluate the home against the key National Minimum Standards. Mrs Curtis and Mrs Brooks, the Registered Providers assisted us throughout the inspection. During the inspection we spoke with all of the four residents who were accommodated at the home at the time. We viewed care plans and other records that the home is required to keep by regulation. We also carried out a tour of the premises. Generally, residents told us that they experienced good outcomes, however to ensure that residents live in a well-run and safe care environment, action must be taken to address the issues identified in the main text of the report. What the service does well: Generally we found that residents’ health needs were being met at the home and there was positive feedback from residents about the care they received. Residents were satisfied with activities arranged within the home and also with the standard of food provided. The home was found to be clean, in good decorative order and provides a ‘homely’ environment for residents. Residents told us that the staff were kind and courteous in meeting their needs. Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: An assessment of need must be undertaken and recorded for each resident who wishes to move to the home, to ensure that his or her needs can be met. Should a decision be made to admit a person, they must be informed in writing that the home is able to meet their needs. To make it is easier to track how residents’ health needs have been met, a separate sheet should be used to record each person’s health care appointments. A bound controlled drugs register should be purchased to record administration of controlled drugs. A maximum and minimum thermometer should be purchased to monitor the temperature of the fridge used for storing medications requiring refrigeration. Known allergies or’ not known’, should be recorded at the top of medication administration records All staff who administer medication to residents must have had training in safe administration of medication. The home must have relevant policies and procedures relating to the protection of vulnerable adults and staff must receive training in adult protection. The home does not have a sluicing area and we recommend that there is a written procedure for the staff concerning cleaning of commodes. A duty roster must be maintained and also a record of who has worked each particular shift. The staff application form should be changed to request; a full employment history from applicants in which they explained gaps in their employment history and provide reasons why they left care positions. Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 7 We found that staff had been provided with some in-house training on moving and handling, however this training should be provided by an accredited trainer. We also found that not all the staff had received core training in such areas as safe handling and administration of medication, moving and handling, basic food hygiene, health and safety, first laid, fire safety, and infection control. The home is required to ensure that staff receive training in these core areas. 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. Pinehurst Rest Home DS0000066757.V372536.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 Pinehurst Rest Home DS0000066757.V372536.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): 36 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Improvements could be made through better recording of pre-admission assessments of needs for prospective residents and through informing people who wish to move to the home by letter that their needs can be met at the home following their assessment. EVIDENCE: Throughout the inspection we tracked the personal files for two residents, viewing the records that the home is required to keep up to date, as evidence of the care provided in the home. One of these residents moved to the home for respite care and the care manager who arranged the placement provided a copy of the care management assessment and care plan. Mrs Curtis told us Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 10 that a relative of this resident had visited the home when the placement was being arranged, at which time they had been provided with a copy of the home’s Service User Guide. Concerning the other resident tracked through the inspection, their placement had also been arranged through care management arrangements. Mrs Curtis informed that she had visited the person in hospital to carry out an assessment of the person’s needs; however she had not completed a written assessment following this visit. Mrs Curtis told us that she was still awaiting a copy of the care management assessment and care plan. There was therefore no written assessment of this person’s needs. Before the placement was agreed the resident had visited the home with a relative to assist them in choosing a suitable home. We looked at how the home was planning to record assessments of need. We found that initially a form was being used that was largely a tick box form. Mrs Curtis showed us a different form that the home was intending to use, which provided more scope for recording assessment information. It was agreed that this form would be used to record all future assessment of need. Following an assessment of need, should the home be able to meet the person’s needs, a letter must be sent to the prospective resident informing that their needs can be met with a formal offer of a placement at the home. Pinehurst Rest Home DS0000066757.V372536.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 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from their health needs being met through care planning, although care planning could be developed further to better inform the staff on how to meet needs of residents. Medication practices could be improved and provide better safety for residents through adopting good practice guidelines and ensuring that all staff have received training in safe medication administration. EVIDENCE: Mrs Curtis told us that she was made aware at a recent contract monitoring visit from the local council, that the home should develop their own care plan based on the care plan provided by the care manager, setting out how the home would meet the care needs identified from the person’s assessments of Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 12 need. Prior to the contract monitoring visit, the home had relied solely on the care plan provided by the care manager. We looked at the care plans for the two residents we tracked through the inspection. Mrs Curtis told us that she was being assisted by a person registered as a manager of another care service and we saw that progress was being made in developing care plans with residents. The two care plans that we saw identified desired outcomes for residents with action required by staff in order to meet these. We saw that relatives or the resident concerned had been involved in this process by their signing their care plans. We also saw that there was consideration of risks that should be taken into account with action required by the staff on how to minimise the risk of harm to residents when carrying out the care plan. Within one care plan that we saw an appropriate referral had been made to the GP to assist a person who suffered from diabetes, although this has yet to be resolved. In the case of another resident, the home was working with the local community mental health team in order to meet the person’s needs. We saw that each resident was registered with a GP and arrangements had been made to meet chiropody, dentistry and eye care needs. We saw that visits from health professionals were recorded in the daily notes and we recommend that a separate sheet records each person’s health care appointments, so it is easier to track how residents’ health needs have been met. During the inspection we spoke with all of the residents. They gave very positive feedback about it what it was like for them to live in the home. They told us that the staff treated them with respect and dignity and none had any adverse comments to make about the home. One resident told us, ‘10 out of 10 for the way I am looked after’. Another told us, ‘I am looked after very well, the staff are very kind’. We looked at the way medication is managed and administered within the home. Concerning storage of medication, the home currently uses a locked cabinet in the kitchen. Mrs Curtis informed that she was planning to provide individual lockable cabinets within each resident’s bedroom for the storage of their medication. This would be preferable to medication being stored in the kitchen, as the kitchen is not the best environment for storing medication. The home does not have a cabinet that complies with current standards of storing controlled medications, should these be prescribed. The home is required to purchase a controlled drugs cabinet and we recommend that a bound controlled drugs register is also purchased. We saw that the home had purchased a small fridge for storing medications that require refrigeration. We recommend that a maximum and minimum thermometer is purchased to monitor the temperature of this fridge to ensure that these medicines are stored at the correct temperature. We looked at the medication administration records and found that these were being completed correctly with no gaps within the records. We do recommend however, that where the Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 13 hand entries are made to the medication records a second person signs to inform that the entry has been recorded correctly. We further recommend that any known allergies or’ not known’, be recorded at the top of medication administration records. We found that some of the members of staff had been trained in safe medication administration but not all of the staff. We require that this training be provided for all of the staff. Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their social and recreational needs being met and being provided with a good standard of food. EVIDENCE: The residents of Pinehurst told us that they were satisfied with the level of activities and stimulation provided within the home. We were told the daily papers are delivered to the home each day and that some group activities are arranged with the staff, such as games and quizzes. We were told the residents are escorted out of the home for walks and that friends and relatives were made welcome when visiting the home. There are no restrictions on visiting times. Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 15 Concerning the food provided within the home, there was generally positive feedback from residents about the standard of food. We saw that residents weight was being monitored and recorded. Through discussion with Mrs Curtis, we found that she was aware of nutritional assessment tools to be used should there be cause for concern about a resident’s weight. We saw that part of the assessment was to establish food likes and dislikes of residents. The home has a four weekly menu and records are maintained of what each resident had eaten. Pinehurst Rest Home DS0000066757.V372536.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): 16 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents would be better protected by the home having copies of local ‘No Secrets’ procedures and through all staff being trained in adult protection. EVIDENCE: Mrs Curtis told us that there have been no complaints brought to her attention since the home re-opened. The home has a complaint’s log for the recording of complaints, should one be made. The complaints procedure is detailed within the Terms and Conditions of Residence and also within the Service User Guide. We saw that the home had a ‘whistle blowing’ policy, however Mrs Curtis could not locate copies of local ‘No Secrets’ procedures. The home must have copies of this document to ensure that any suspicions of abuse are handled in line with local protocols. We found that not all the staff have received training in adult protection other than limited training provided ‘in house’ and a requirement was made that all staff have such training. Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 17 Pinehurst Rest Home DS0000066757.V372536.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 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well maintained ‘homely’ environment. EVIDENCE: The home is situated in a quiet residential road but is within a short distance of local shops and amenities. We found the home to be clean, well-decorated and furniture and fittings in a good state of repair. The home does not have a hoist. Mrs Curtis told us that should a hoist be required, one would be purchased. The home has the facility of a shaft lift to access the first floor of the home. The home has radiators of a low surface temperature type that protect residents from getting burnt from hot surfaces. Thermostatic mixer Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 19 valves have been fitted to hot water outlets to protect residents from scalding water. We saw that residents were able to bring their own furniture and possessions to personalise their rooms. Mrs Curtis told us that she maintained an inventory of possessions and things of value residents brought into the home. The home has laundry facilities that are separate from food preparation areas and are adequate to meet the laundry needs of the home, with washable wall surfaces and hand washing facilities provided. We saw that staff are provided with gloves and aprons in the interests of infection control. The home does not have a sluicing area and we recommend that there is a written procedure for the staff concerning cleaning of commodes. Pinehurst Rest Home DS0000066757.V372536.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 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Safety and protection of residents could be improved by tightening recruitment practices and ensuring that staff have received all the necessary training commensurate with their role as carer. EVIDENCE: When we arrived at the home there were two members of staff on duty. Mrs Curtis and Mrs Brooks arrived later to assist with the inspection. We found that no written staff duty roster was being maintained. A requirement was made that a duty roster is maintained and also a record of who has worked in each particular shift. We were told that there are always two carers on duty between 8am and 10pm. During the night time period there is one awake member of staff and one member of staff who carries out its sleep in duty. The current staffing levels meet the numbers of residents accommodated. We were told that Mrs Curtis lives on site and that either Mrs Curtis or Mrs Brooks carries out the awake night duty. Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 21 We looked at the recruitment records for the two members of the care staff team. We saw that for each person; there was proof of their identity, including a recent photograph, a criminal record bureau check had been carried out as well as a check against the register of adults deemed unsuitable to work with vulnerable adults (POVAFirst). We saw that the staff did not start work at the home until the return of the check against the POVA register. We saw that each member of staff on their application form had signed a health declaration. Improvements, however could be made in the recruitment procedures. In the case of one of the staff there was a record of a telephone reference but no second reference. Mrs Curtis explained that the home where the person had previously worked had now closed and they were having difficulties obtaining a reference. Mrs Curtis told us that she had worked with this person in the past and was confident of their abilities as a carer. We recommend that the staff application form be changed to request a full employment history from applicants in which they explain gaps in their employment history and provide reasons why they left care positions. Concerning training Mrs Curtis was aware that there needed to be improvements and some core training had already been arranged for the staff. We found that staff had been provided with some in-house training on moving and handling, however this training should be provided by an accredited trainer. We found that not all the staff had received core training in such areas as safe handling and administration of medication, moving and handling, basic food hygiene, health and safety, first laid, fire safety, and infection control. The home is required to ensure that staff receive training in these core areas. Pinehurst Rest Home DS0000066757.V372536.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 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management of the home could be improved through management training and ensuring that issues identified at this inspection are acted upon. EVIDENCE: At the point of registration in 2006, a condition of registration was made that Mrs Curtis, the person responsible for the management of the home must complete the registered managers award within 18 months of registration. Mrs Curtis informed that she had been unable to complete this training as a home Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 23 had been closed due to the fire in July 2006. Mrs Curtis informed at this inspection that she was considering appointing a part-time manager of the home. It was agreed that Mrs Curtis would keep the Commission informed of the management arrangements for the home and should a manager not be appointed, Mrs Curtis must complete an NVQ4 in management and care. We found at this inspection that there could be improvements in the management of the home concerning staff training, record-keeping and staff recruitment. The feedback from the residents was very positive and there was evidence that the home is generally run in the best interests of the residents. We were told that residents manage their own money and the home does not hold any money on the half of residents. We looked at the fire logbook and found the tests and inspections of the fire safety system were taking place to the required timescales. We saw that the home had a current employer’s liability insurance certificate. We saw the electrical wiring certificate for the home and also for the servicing of the boilers. There were no hazards identified during the inspection. Pinehurst Rest Home DS0000066757.V372536.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 1 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 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 1 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Pinehurst Rest Home DS0000066757.V372536.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 OP3 Regulation 14 Requirement Timescale for action 14/10/08 2. OP9 13 (2) 3. OP18 13 (6) 4. OP27 Schedule 4 (7) You are required to carry out an assessment of need for each resident and to confirm in writing to the service user that the home is suitable in meeting their needs in respect of health and welfare. 14/10/08 You are required: • To purchase a controlled drugs cabinet that complies with the Misuse of Drugs (safe Custody) Regulations 1973. • To ensure that all staff who administer medication have received training in safe administration of medication. You are required to ensure that 14/10/08 the home has all relevant policies and procedures relating to the protection of vulnerable adults and to ensure that staff receive training an adult protection. You are required to maintain a 14/10/08 duty roster and also a record of who has worked each particular shift. DS0000066757.V372536.R01.S.doc Version 5.2 Pinehurst Rest Home Page 26 5. OP27 Schedule 2 (3) 18 (c) 10(3) 6. 7. OP30 OP31 You are required to ensure that two written references are taken up for all new staff recruited to work in the home. You are required to provide staff with training appropriate to the work they are to perform. Should Mrs Curtis continue to manage the home, she must complete NVQ level 4 training in management and care. 14/10/08 14/10/08 01/02/09 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 OP7 OP9 Good Practice Recommendations We recommend that a separate sheet records each person’s health care appointments, so it is easier to track how residents’ health needs have been met Concerning medication storage and administration: • We recommend that a bound controlled drugs register be also purchased for the recording of controlled drugs. • We recommend that a maximum and minimum thermometer is purchased to monitor the temperature of this fridge. • We do recommend however, that where the hand entries are made to the medication records a second person signs to inform that the entry has been recorded correctly. • We recommend that any known allergies or’ not known’, be recorded at the top of medication administration records. We recommend that there is a written procedure for the staff concerning cleaning of commodes. We recommend that the staff application form be changed to request a full employment history from applicants in which they explained gaps in their employment history DS0000066757.V372536.R01.S.doc Version 5.2 Page 27 3. 4. OP26 OP29 Pinehurst Rest Home and provided reasons why they left care positions. Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pinehurst Rest Home DS0000066757.V372536.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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