Inspection on 22/06/05 for Polebank Hall

This inspection was carried out on 22nd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Polebank Hall 18/07/07

Polebank Hall 16/05/06

Polebank Hall 13/12/05

Polebank Hall 21/01/05

Polebank Hall 19/08/04

Polebank Hall 24/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Polebank Hall Stockport Road Gee Cross Hyde SK14 5EZ Lead Inspector Janet Ranson Unannounced 22 & 23 June 2005 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 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. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Polebank Hall Address Stockport Road, Gee Cross, Hyde, SK14 5EZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 368 2171 Polebank Residential Care Home Limited Ms M Powell CRH - Care Home 29 Category(ies) of DE(E) Dementia - over 65 (24) registration, with number MD(E) Mental Disorder -over 65 (29) of places OP Old Age (29) PD(E) Physical Disability - over 65 (16) SI(E) Sensory Impairment over 65 (3) Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users up to 24 (DE) (E); up to 3 (SI) (E); up to 29 (MD) (E); up to 29 (OP) and up to 16 (PD) (E) Date of last inspection 12th May 2005 Brief Description of the Service: Polebank Hall is a large detached property situated in the centre of a public park. Formerly a mill owners house, it now has listed building status. The building is in a poor state of repair. The property has been adapted and extended over the years to provide accommodation on three floors in 25 rooms, 11 of which have en-suite facilities, and two shared rooms both with en-suite facilities. The lounges and dining room are on the ground floor. There is also a large conservatory to the side of the building. This area is waiting for listed planning permission to be upgraded and made comfortable for all the residents. Although Polebank Hall is located within a public park, it does not have a secure garden space dedicated for the residents. It would appear this does not have a detrimental effect on the residents who take great delight in watching the comings and goings of the pubic who also use the area. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Polebank Hall provides personal care for up to 25 residents over 65 years of age. The company also owns Laurel Bank residential care home. This was an unannounced inspection, carried out over two days: a total of 15 hours. At the time of the inspection there were three residents in hospital and one vacancy. In total 25 residents were being accommodated. The newly appointed manager was present throughout the inspection. Three individual care plans were examined as part of the inspection process. The plans selected concerned a person who had lived at Polebank Hall for a long time, somebody with a diagnosis of dementia and a person who had been recently admitted. A total of six residents spoke with the inspector about their experiences whilst living at the home. The inspector also observed staff practice and interaction with the residents and their colleagues. One visitor assisted the inspector with her views of the service. Two staff discussed their roles and responsibilities, in addition to the registered owner and the financial director. The inspector also took the opportunity to speak with the district nurse and a work placement supervisor. Polebank Hall is going through a period of change as a result of the long established registered manager and her deputy resigning their posts. There have been several changes of staff in the senior team, the kitchen and care staff. The senior team was carrying a vacancy at the time of the inspection. This has inevitably led to feelings of insecurity for the residents and resulted in some staff challenging the manager’s authority. The building, both internally and externally, continues to deteriorate. The registered person stated he is in discussion with the local authority and others to ascertain responsibility for any building works. The condition of the building has been reported to the registered person at each inspection with little reaction. The conditions concerning the decor in the communal areas also remain unaddressed. A resident stated that she felt ashamed when visitors came to the home. An area of serious concern was noted in respect of the soffits of the office door, which was only held in place at the bottom hinge. The registered person was required to immediately address this matter at the time of the inspection. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 6 The last inspection (May 2005) focused on issues raised by two anonymous telephone callers. As a result of this visit, requirements concerning general maintenance, staff attitude and training were made. Compliance with these and other requirements made at the previous inspection were examined. What the service does well: What has improved since the last inspection? 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. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 & 5 Systems are in place to ensure the assessed needs of the residents can be fully met at the home. Prospective residents and their representatives are enabled to visit the home before they consider admission. EVIDENCE: Initial assessments were contained within the three examined care files, having been completed by social workers or healthcare professionals. In addition, the home has devised a system of assessment that is also carried out by a senior member of staff. By completing their own assessment, the home identifies the individual needs and can reassure the prospective resident that the home would be suitable for them. As part of the home’s assessment process and wherever possible, prospective residents and their representatives are invited to look around the home. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 9 A resident confirmed she had visited other homes before deciding to make Polebank Hall her permanent address. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 & 10 Residents’ care needs are clearly identified within the care plan and fully met. All healthcare needs are identified and addressed by the appropriate services. Systems are in place to safely handle medication. The residents and their families are treated with respect. EVIDENCE: Three care plans were examined during the inspection, they clearly documented the residents’ assessed needs. The details were clearly documented and observed. Two residents and a relative who spoke with the inspector were aware of the care planning system. The key workers are responsible for reviewing the plans at regular intervals and for inviting comments and observations from the resident’s family. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 11 Where identified, the residents’ healthcare needs are met by the appropriate personnel. The district nurse was in attendance during the inspection she confirmed she attended the home twice a day to provide an insulin injection. The home has a medication policy and procedure. Three medication administration records were examined and found to be completed in the approved manner. The manager stated she was planning to request medication reviews from the individual general practitioners. Care files document where medication had been reviewed and changed. All carers who are responsible for the administration of medication have received the appropriate training and are to have refresher courses. Two residents explained their drug regime to the inspector, confirming they are responsible for self-administration. The interviewed staff demonstrated respect towards the residents and understanding of the need for privacy and dignity. The staff were observed to knock and wait for a response before entering residents’ rooms. The residents’ representatives confirmed that their privacy was respected at all times. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 & 15 The residents’ individual lifestyles are respected and promoted by the actions of the carers and the home’s ethos. Visitors are welcomed and encouraged to remain in contact with the residents. Systems are in place to enable residents to exercise control over their financial affairs. Meal times are flexible and relaxed. Choice is provided at each mealtime but did not reflect the season or the warm weather. EVIDENCE: The individual care plans briefly document the resident’s social history. The carers, in discussion, understood the implication of this information when caring for the individual. They were able to recount the daily routine that made allowances for those residents who wished to have a lie in or retire at a later time. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 13 It was apparent at the time of the inspection that some residents had chosen to remain in their rooms and this was respected by the carers. The residents who spoke with the inspector felt they retained control over their lives. Several were able to leave the building, either alone or with friends or family. It was apparent that the residents could also remain in bed in the morning until they were ready to get up. Visitors were to be seen in the home on both days of the inspection. The staff greeted them in a friendly relaxed manner. A resident’s visitor said she was a regular visitor and confirmed the staff were respectful and caring. The inspector spoke with the cook on duty on the second day of the inspection. She was unable to provide a weekly menu but could show the daily records of individual choices made by the residents for each meal. There was evidence of fresh fruit and vegetables in the pantry and home produced confectionary. The residents stated that, in general, the quality of food was good. There is a chef newly in post. The residents stated they could tell from the meals who was responsible for the cooking at any one time. It would be beneficial for all concerned that the cooks sought the residents’ comments regarding the meals on a regular basis. The weather on both inspection days was very hot. At least one resident said she would have preferred a salad for her evening meal to reflect the warm weather and season. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 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 standard(s) 16 & 18 The residents were confident that their complaints would be addressed. The absence of formal training in the Protection of Vulnerable Adults could result in a resident being put at risk. EVIDENCE: The complaints procedure was available in the service user guide. The residents and their representatives who spoke with the inspector were unable to recall having seen the complaints procedure but were able to tell the inspector how and to whom they would voice their concerns, either to family members or staff. They were confident their concerns would be handled sympathetically. A record is retained documenting complaints and their outcomes, in addition to compliments from relatives. The home has a policy and procedure to respond to allegations of abuse. In discussion, the carers demonstrated their intuitive awareness of abuse and described how they would report concerns to the manager or registered provider. The care staff have not received formal training in the Protection of Vulnerable Adults (POVA) as required. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 15 At the inspection in May 2005 allegations made anonymously to the Commission for Social Care Inspection were investigated. The outlines of the allegations are as follows: The electric fire in the side lounge was inoperative Lack of staff at a previous weekend Medications left lying about Some residents look as though they require nursing care The residents are unhappy There was nobody around to make a complaint to The office door is always closed The residents pay “a lot” of money and are receiving a poor service The outcome of the investigations were: The fire in the side lounge had not been functional for some time. A requirement was made concerning this issue. The timescale for the fire to be repaired was set at 1st July 2005. There had been a staffing problem but senior staff working additional hours had addressed this problem caused by unreliable staff and holiday commitments. The inspector was unable to ascertain further details concerning the allegation that medications were left “lying around.” This was found not to be the case during this inspection. The residents’ needs were being reviewed and assessed at regular intervals. Several residents voiced their dissatisfaction with the heavily stained and shabby decoration in the side lounge. They also complained that many light bulbs in the wall lights were not working. Requirements were made concerning these issues and a timescale was set at 1st July 2005. The inspector observed poor hygiene practices by staff who were handling food and drink. There was also a lack of appropriate crockery and serving equipment. A requirement regarding food hygiene training and crockery was made with a timescale of 1st July 2005 for compliance. A hole was noticed in the ceiling of the corridor outside the office with a requirement that the hole be repaired by 1st July 2005. The details were sent to the registered provider with a request for a plan of action detailing the action to be taken in response to the requirements, and future plans for addressing them. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 22 & 26 The residents do not live in a safe well maintained environment. The decoration in the communal areas of the home is in a poor state Access to and from the home for residents with a disability is unsafe. The home is clean with a good standard of hygiene and free from offensive odours. EVIDENCE: The residents and relatives voiced their satisfaction with their private accommodation. Many rooms are nicely personalised with pictures and small pieces of furniture. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 17 The home is not well maintained and an immediate action was required to repair the office door, as it was hanging by the bottom hinge and held in place by the magnetic closure. The hole in the ceiling noted at the inspection in May and subject to a requirement for completion by 1st July 2005 had not been addressed. The communal areas of the home require redecoration. One resident said she was ashamed to invite people to visit. Other residents commented on the condition of the décor and the furnishings. The registered provider stated that a corridor was to be decorated within the next two weeks and he was taking advice about the other areas. Rainwater had penetrated the (very ornate) ceiling in the dining room. Access to the garden is via the front door. There are no dedicated grounds but at the time of the inspection the area around the front of the home was well used by the more able residents. The area is also used as a car park for the general public and is in a poor state of repair with large potholes. This situation is unsafe for those less able residents who may require greater security and could be at risk of falling. Access for residents with a disability is via a portable ramp, a permanent one requires planning consent. The portable ramp has been damaged and does not have handrails. This situation has been brought to the registered owner’s attention at previous inspections. The residents complained to the inspector about the lack of functioning lighting in the side lounge. It is understood that an electrician was at the home assessing the problem during the inspection. A team of domestic staff are employed in addition to kitchen and laundry personnel. The people who spoke with the inspector all stated the home is clean (“spotless”) and were very satisfied with the quality of laundry. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 The home employs staff in sufficient numbers to meet the assessed needs of the residents. The organisation’s recruitment policy and procedure provides protection to the residents from potential abuse. The staff are not competent to carry out their roles. EVIDENCE: The rota was available for inspection. It documented adequate numbers of staff at any one time to meet the assessed needs of the residents. The inspector was advised that some staff were working long hours to maintain the levels and to cover for absences and holidays. New staff had commenced their programme of induction. The carers complained they did not have the skills and knowledge to operate the hoist and, as a result, were confrontational in the presence of the inspector and manager. This situation was immediately addressed by the manager who arranged for the training in the use of the hoist. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 19 One carer who had worked at the home for several years stated she had received moving and handling training but this was now out of date. She could not bring to mind any training other than fire awareness and some health and safety. The manager has sought training, including National Vocational Qualifications at level 2, from the local college and is in the planning process. All mandatory training is now required and this must be given priority. Recruitment is carried out according to the home’s written policies. The staff who spoke with the inspector confirmed they had provided referees and had applied for CRB clearance. The staff files contained the required documentation. All staff vacancies are advertised and applications short-listed. The manager and the financial director were interviewing a person for a senior post at the time of the inspection. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35, 37 & 38 The residents are involved in the running of the home and can effect change. Systems are in place to protect the resident’s financial interests. Failure to provide mandatory training could affect the health, safety and welfare of residents, visitor and staff. EVIDENCE: The newly appointed manager was present throughout the inspection. She has the appropriate skills, qualifications and experience to manage the home. The manager has made several changes to practices carried out in the home. It is however too early to assess the impact of these changes. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 21 Whilst in the presence of the inspector, challenges were directly made to the manager’s authority by a group of carers. This situation was handled well, but could be indicative of the changes. The manager should now have a period of consolidation before driving forward further change. The manager is now required to make application to CSCI for registration. There have been meetings with the residents and their relatives held by the manager as a means of introducing herself and explaining the changes. Staff meetings have also been held at regular intervals. This is considered to be a good start and appreciated by the residents but the manager should be wary of promising too much and not being able to deliver. The director of finance discussed the requirement made during several inspections, for a business plan to be made available for inspection. By drawing up such a plan, the manager could be involved with the various priorities and issues concerning redecoration and maintenance could be seen to be accounted for. Small amounts of monies are retained for safekeeping. Individual receipts and expenditure are retained in the approved manner. The financial director inspects the records at regular intervals. The Regulation 26 visits were being carried out during the inspection. Documentation concerning the visits must be forwarded to the Commission for Social Care Inspection. Documentation concerning incidents and accidents are not being completed within the required period. When and until the staff have received all the mandatory training concerning health and safety, manual handling, food and hygiene and the protection of vulnerable adults, the welfare of the residents and staff cannot be guaranteed. Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 1 1 x 1 x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 2 x 3 2 3 x 2 2 Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 15 Regulation 12(2)(3) Requirement The registered person must ensure a written menu offering choice is provided and made available to the residents. The registered person must ensure the staff receive training in the Protection of Vulnerable Adults. The registered person must ensure the home is maintained in a good state of repair, both internally and externally. . The registered person must ensure that the communal areas of the home are redecorated and a programme of redecoration for the other areas is provided to CSCI. (Previous timescale of 01/02/05 not met). The registered person must ensure that the portable ramp to the front of the building is repaired or replaced. (Previous timescale 01/02/05 not met). The registered person must ensure all light bulbs are functioning. The registered person must ensure the area to the front of the building is maintained in a safe condition. Timescale for action 01/10/05 2. 18 12(1) 01/10/05 3. 19 23(2) 01/10/05 4. 19 23(2)(d) 01/09/05 5. 22 23(2)(n) 01/08/05 6. 7. 19 19 16(2)(c)2 3(2)(p) 23(2)(o) 01/07/05 01/10/05 Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 24 8. 9. 30 31 10. 34 11. 37 12. 37 13. 38 The registered person must ensure all staff receive training appropriate to their role. 9(1)(2)(a) The registered person must (b)(i)(ii) ensure that the newly appointed (c) manager applies to the CSCI to be registered as a fit person. 25(1) The registered person must ensure that a business and financial plan is available for inspection. (Previous timescale of 01/02/05 not met). 26 The registered person must ensure compliance with Regulation 26 of the Care Homes Regulations 2001. (Previous timescale of 01/03/03 not met). 37(1) The registered person must ensure that any accidents and serious incidents are reported to the CSCI in writing without delay. 13(5) The registered person must 23(4)(d) ensure that all staff receive 13(4) mandatory training in health and 16(2) safety; safe lifting techniques; first aid; fire awareness; infection control and food hygiene. 18(1)(c) 01/10/05 01/08/05 01/10/05 01/08/05 01/08/05 01/10/05 14. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne OL7 0QD 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 Polebank Hall F54 F04 polebank hall U s5576 v234588 220605 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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