Inspection on 11/12/07 for Radiant Home

This inspection was carried out on 11th December 2007.

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.

Other inspections for this house

Radiant Home 05/07/07

Radiant Home 05/07/06

Radiant Home 17/11/05

Radiant Home 03/02/05

Radiant Home 26/08/04

Radiant Home 07/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Radiant Home 30 Sextant Road Leicester Leicestershire LE5 2JA Lead Inspector Keith Charlton Unannounced Inspection 09:30 11 December 2007 th 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 Radiant Home DS0000006382.V354106.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. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Radiant Home Address 30 Sextant Road Leicester Leicestershire LE5 2JA 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) 0116 241 9898 0116 241 0354 derrol@radianthome.co.uk Mrs L Hopewell Mr Derrol Paul Hopewell Mr Derrol Paul Hopewell Care Home 6 Category(ies) of Dementia (6), Old age, not falling within any registration, with number other category (6) of places Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 6. 5th July 2007 2. Date of last inspection Brief Description of the Service: Radiant House is a small home registered to accommodate up to 6 service users within the categories of older people and dementia. The home is situated in a residential area with parking available on the street. There are four single en-suite bedrooms on the ground floor and one double en-suite bedroom located on the first floor, which can be accessed by the stair lift. Radiant House has a large lounge with dining area and a quiet room for residents to relax in which has specialised lighting. There is a fresh water fish tank in the lounge for residents to look at. Both lounges face the garden at the rear, which has a lawn and is surrounded by mature plants and shrubs. There is seating for residents, which can be accessed by a ramp or steps. The weekly fees are £386 to £405 per week. The Registered Manager at the inspection provided this information. There are additional costs for hairdressing, dry cleaning, chiropody and toiletries. A Statement of Purpose regarding the services the home offers is displayed in the hall opposite the office with a copy of the last Inspection Report so that this information is accessible to residents and visitors. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection, conducted with the Registered Manager. Planning for the Inspection included checking on the notifications of significant events sent to the Commission for Social Care Inspection and reading the last Inspection Report. There have been no complaints made to the Commission for Social Care Inspection since the last inspection. The Inspection took place between 9.20 and 16.25 and included a selected tour of the home, inspection of records and indirect observation of care practices. The Inspector spoke with three residents (though this was limited owing to the difficulty with communicating with residents with a high level of memory loss) two staff members, and the Registered Manager. What the service does well: Residents said that staff were friendly towards them, said that staff welcome visitors. Staff were observed to be friendly towards residents. The home was clean and tidy throughout. Colour pictorial signs identify different rooms and aid residents to find their way around. A staff member thought she was supported in the performance of her job by the management. Residents said they liked the food. The main meal included four vegetables plus potatoes, thereby offering healthy food choices. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The admission process is managed but needs to be more detailed to meet the needs of residents. EVIDENCE: The Statement of Purpose and the summary of the last Inspection Report is displayed in the hallway and therefore easily noticed and accessible to current and prospective residents and their representatives so they can judge whether the home is suitable for them. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 9 The Statement of Purpose has been revised to include more information regarding the home’s services though there is no reference to whether nursing care is provided. The Statement of Purpose includes information regarding pre admission visits to residents. There was evidence of assessments undertaken by the Registered Manager available on the residents files examined by the inspector, which covered their needs, medical conditions etc. It covers important issues though not all National Minimum Standard issues are covered regarding social and emotional issues, medical checks etc so the Registered Manager is again recommended to use the list of issues contained in National Minimum Standard to ensure that all relevant issues were included. The home does not offer intermediate care facilities. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Care plans identify care needs but do not always prescribe action to ensure residents needs are fully met. Residents health needs are not always met. Residents do not always receive prescribed medication. EVIDENCE: No Care Plan seen by the inspector had a signature of a resident/representative agreeing to its contents – this needs to be followed up. Care plans inspected were found to contain relevant information regarding residents needs. However some areas of need are not specific enough – e.g. no referral to medical authorities regarding continence needs or how often a resident was Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 11 assessed as needing to go to the toilet, stating that a resident needed glasses though the resident was not wearing them when the inspector spoke to her, no evidence of the last appointments regarding medical checks for the optician, dentist and chiropodist. Another record noted that a resident’s hearing was not good but did not indicate any reference to Medical Services to obtain a hearing test. It stated that a hearing aid should be worn if the resident had one but did not indicate whether the resident had an aid. The Registered Manager needs to review Care Plans to ensure that they are up to date and all necessary medical checks have been carried out. If a need is identified there needs to be a plan of action to assist staff to deliver care. There was evidence this had been done for some identified needs but not all. A staff member said she was asked to read Care Plans by the Registered Manager to ensure she was aware of residents needs. Monthly reviews of plans had been fully carried out on all sections of the Plan to ensure it was still relevant to the resident’s needs. It is still recommended that there is a record of residents normal routines, capabilities/requirements, getting up and going to bed routines etc and that all residents have full personal histories compiled so that they can be seen as individuals with a valued history (some but not all residents have these histories on file). A resident had to go to hospital recently but there had been no referral to Medical Services when the resident had complained of pain for the previous two days. Accident records were viewed. A resident had fallen on two occasions within 65 minutes on one day in September 2007 and had hit her head on both occasions. There had been no referral to medical authorities. This situation mirrors the last Inspection Report in that the home’s diary reported that a resident was in pain over the course of a night time shift in June 2007 but staff did not refer to medical authorities. Medicine records were in generally up to date though one record for a resident had not been signed for on the morning of the inspection. Another medication had not been supplied. The Registered Manager said this was not now prescribed for the resident but the pharmacist had not removed this from the sheet. However there was nothing on the medication sheet to indicate this was the case. Another medication (Paracetomol) was prescribed four times daily but had only been supplied three timed per day. Staff members said they had in-house training on medication. It is strongly recommended that a recognised approved trainer be used to train staff. Medication was kept securely in a locked cabinet. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 12 It was observed that a staff member assisted a resident in the toilet with the door open which compromised this resident’s dignity and privacy. There was a reference in the last Inspection Report regarding this same issue. Staff were generally friendly in their dealings with residents though did not always seek permission from the resident when performing a task, e.g. to change the clothes of a resident the resident was told ‘you are wet and need to have your clothes changed’, rather than making this a more positive experience by offering to take the resident to have a clean set of clothes, and a resident said to a Care Assistant not to rush her when being taken to the toilet, without explaining how she was helping her. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have opportunities to exercise some choices in their lifestyles, though this needs to be reviewed to provide a meaningful Activities Programme. Food choices are limited though healthy choices are provided. EVIDENCE: Residents were seen to listening to the radio, which they said they liked. Residents again expressed no preferences regarding activities, which is not surprising as all residents have dementia. One resident said she would like to see a Methodist minister, as she has always been religious. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 14 A staff member said that residents play games and catch softball, like singing, do crafts and discuss newspaper headlines. The Deputy Manager was seen to be doing a craft activity with residents, which they appeared to be enjoying. It is still recommended that memory boxes, containing valued items, be set up for residents, so as to provide valuable reminiscence material and that staff need training on providing suitable activities for residents with dementia. A residents/relatives meeting has now been set up which can help inform management as to suggestions/quality of life issues for residents. The staff member spoken to confirmed that visitors were made welcome and relatives took residents out and said there were no rules in general and there was free choice regarding getting up and going to bed. Inspection of residents accommodation again demonstrated that they were able to bring in to the home their personal possessions. Some residents said they enjoyed the food. Food records were generally complete though menus did not offer a choice of main meal. A resident was seen to be receiving assistance from staff to eat her food. It is also recommended that a menu board be displayed to supply information to residents. The food was tasted and was again found to have flavour, though the meat was slightly tough, with four vegetables served with mashed potato, thereby offering a healthy choice of diet. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. Complaints follow up is not sufficient for complainants to always feel they have been properly listened to. Staff have a generally good level of understanding regarding the prevention of abuse. EVIDENCE: The Complaints book was viewed where there were no complaints recorded since the last inspection. However the care notes of a resident contained detail of relatives dissatisfaction regarding no staff accompanying the resident to hospital. The Registered Manager said he was not aware of this but agreed it should have been recorded as a complaint and then fully investigated. The adult protection policy and procedure is in place in the office to assist with proper reporting of any incidents. There is a Complaints Procedure in the residents contract which generally complied with the National Minimum Standard, though this had not been altered in the Statement of Purpose, which the Registered Manager acknowledged needed to occur. The Registered Manager is to add that the local Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 16 Social Service Department is now the Lead Agency for complaints investigations. A staff member was asked about the understanding of the adult protection procedures, and demonstrated a generally good understanding. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is kept clean by staff; facilities need some further improvement. EVIDENCE: Residents said they liked their bedrooms though one resident said she was not always warm enough and another said she did not like sharing a room. The inspector viewed residents bedrooms, which were homely, and contained residents possessions – pictures, photos, ornaments, TV, radio etc. A double bedroom had been decorated and its appearance much improved. The main lounge was clean and furnished with homely fittings and ornaments and a large fish tank for residents to enjoy viewing the fish. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 18 A large homemade calendar and clock was displayed. Colour pictorial signs identify different rooms and aid residents with dementia. A small lounge is available for residents to relax in with a specialist lighting to assist them to do this. It does not have heating and this is needed. Facilities are beginning to look worn, e.g. some easy chairs and some carpets and décor, though four easy chairs have been replaced in the lounge. The Registered Manager needs to continue to review and upgrade, as per the intention in the Annual Quality Assurance Assessment. Bathroom door locks have now been installed and now operate properly to preserve privacy. A bathroom still had mops and buckets in it, which looked institutional. The Deputy Manager said that the Registered Manager had ordered a metal cupboard to provide storage for these items. There are no radiator covers to prevent scalding or a written Risk Assessment to indicate whether residents are at risk. The Registered Manager said that he had ordered radiator covers and these were due to be fitted shortly. All other parts of the home were clean with no odours. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28.29,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels do not meet all residents needs. Recruitment processes are in place to ensure the protection of residents from unsuitable staff. A staff training system needs to be fully in place to ensure staff are fully aware of all of residents needs. EVIDENCE: The staffing rota showed two staff are on duty from 8am to 8pm. There is one staff on duty at night with the Registered Provider sleeping in, though this is still a sleeping in staff member. Considering the high level of residents activity on some nights as recorded in the home’s diary the Registered Provider/Manager needs to look at the need for wakeful night staff to ensure residents health and safety is protected at all times. Staff recruitment files confirmed that proper recruitment procedures have been followed as files were sampled and generally contained the required information though there was references from two friends for one staff Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 20 member, not from the last employer who would provide a more independent reference. As regards essential training for staff the staff member spoken to said that she had received in house training on a number of issues - Moving and Handling, Infection Control, and Food Hygiene. There was no indication that all staff had received training on a range of essential care issues – e.g. health and safety, fire, dementia, residents health conditions – stroke, parkinsons disease, diabetes, hearing and sight impairment, residents rights, how to deal with people with dementia etc, which is necessary for staff to have a better understanding of these conditions and so be better able to assist residents. However the timescale for this to be achieved from the last Inspection Report has not yet been reached. It is recommended that the Registered Manager set up a Training Matrix to quickly show which staff have received training in which issue. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 21 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 poor. This judgement has been made using available evidence including a visit to this service. Systems are not in place to fully protect the health and safety of residents. EVIDENCE: From comments received from staff there was satisfaction with the performance of the management in carrying out their duties. However it was clear that due to residents care not being fully protected as stated earlier in this report, the current system of the Registered Manager delegating the management of the service to the Deputy Manager has not Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 22 safeguarded residents care. The Registered Manager recognised this and stated that he would be spending more time as the manager as the home, to monitor that care practices always protect residents health and dignity. The current Registered Manager does not draw up Care Plans for residents of supervise staff. He said it was very hard for him to get staff to do what they were supposed to do to always provide proper care for residents. Staff are now offered regular formal supervision and this was evidenced in files, which should help to ensure consistency of care practice. There was evidence of a recent Staff Meeting, which should be useful to promote teamwork and consistency and ask staff if they would like to add items to the agenda. A Residents/Relatives Meetings has now been arranged so that all concerned have the opportunity to air their views on the running of the home. A Quality Assurance system has now been put into place with Questionnaires supplied to residents/relatives to gauge views as to the services the home provides. It is recommended that an Action Plan be drawn up to improve services and put into the Statement of Purpose so this information is available to all interested parties. There is a Health and Safety folder with Risk Assessments for safe working practices with relevant issues covered, though radiators are still awaiting covers to protect residents from burn injuries. The Registered Manager does not keep records of residents monies, as he stated that these are dealt with by residents or their relatives. Fire Precautions: System testing was on weekly schedules for fire bell testing, regular fire drills had been carried out, regular monthly checks are carried out for emergency lighting, and there was a completed fire risk assessment in place. A staff member was asked about the fire procedure and was aware of what to do in the event of a fire. Fire extinguishers had been serviced in 2007. Hot water temperatures are checked on a weekly basis to ensure this is kept to 43c, the National Minimum Standard, to ensure that residents are not at risk from scalding water. The inspector observed that staff members were just about to lift a resident instead of using proper Moving and Handling techniques. It was only when they observed the inspector coming into the lounge did they cease in this action. Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 23 . Radiant Home DS0000006382.V354106.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 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 1 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X N/A 3 X 1 Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 7 Requirement Resident’s needs must be outlined in detail in residents Care Plans and followed to deliver all assessed care. The Registered Providers must promote and maintain residents health and ensure access to Medical Services. Medication must always be supplied as prescribed and recorded properly. Residents privacy and dignity must be respected at all times. Complaints must be recorded in detail and promptly dealt with. Timescale for action 11/01/08 2. OP8 13 11/12/07 3. OP9 13 11/12/08 4. OP10 12 11/12/07 5. 6. OP16 OP27 22 18 11/01/08 Staffing must be such to ensure 11/01/08 the needs of residents are met at all times, including night time periods. The staff training programme DS0000006382.V354106.R01.S.doc 7. OP30 18 05/02/08 Page 26 Radiant Home Version 5.2 must continue to be delivered to provide all relevant training to staff. 8. OP31 10 The Registered Manager must ensure that staff deliver appropriate care to residents based on their needs and rights. Health and Safety Risk Assessments must ensure that all identified risks are controlled, e.g. scalding from hot radiators, proper Moving and Handling of residents etc. 11/01/08 9. OP38 13 11/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP3 OP12 Good Practice Recommendations A full assessment of residents needs is needed to ensure all relevant care identification supplied to residents. It is recommended that a staff member attend a specialised training course to provide appropriate activities for residents with dementia. Facilities need to continue to be upgraded to ensure they are kept in a good state. 3. OP19 Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Radiant Home DS0000006382.V354106.R01.S.doc Version 5.2 Page 28 - 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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