Inspection on 15/05/07 for Ravenscroft

This inspection was carried out on 15th May 2007.

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 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

Ravenscroft 30/10/07

Ravenscroft 15/06/06

Ravenscroft 28/10/05

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Ravenscroft Ravenscroft Hilperton Road Trowbridge Wiltshire BA14 7JQ Lead Inspector Karen Mandle Unannounced Inspection 15th May 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ravenscroft DS0000065178.V336644.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. Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ravenscroft Address Ravenscroft Hilperton Road Trowbridge Wiltshire BA14 7JQ 01225 752087 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) www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Vacant Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (45), Physical disability (1), Terminally ill (3) of places Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Room 27 is not registered for nursing care as overall ceiling height is too low. No more than 40 persons in receipt of nursing care at any one time. One named male service user under the age of 65 years can be accommodated. 15th June 2006 Date of last inspection Brief Description of the Service: Ravenscroft Nursing Home is registered to provide nursing care for 40 older people and personal care for 6 older people. The home is an older building, which has been extended over the years offering a range of single rooms and shared rooms. Two communal rooms are situated on the ground floor linked by a conservatory, which is also combined as part of the dining room. The gardens are to the rear of the building, which are well maintained. Ravenscroft is situated on the outskirts of Trowbridge. Southern Cross Healthcare owns the home. The home is currently without a registered manager. The head of care, Drew Paraad is acting manager. The fees range from £442.00 per week for nursing care to £650.00. Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place on May 15th 2007. The inspection commenced at 9.30am and was completed at 3.48pm. The acting manager Drew Paraad was not available on the day of the inspection. Karen Kennedy a qualified nurse was in charge of the home. The inspector visited with service users, discussing with them the service provided at the home. A tour of the building took place and six members of staff spoke with the inspector. Various records were reviewed such as care plans, medication records and procedure, accident records, and cleaning schedules. During the latter part of the morning, 13 service users left the home for a day trip to Longleat Safari Park. The inspector was able to speak with service users before they left, to gains their views of the home. Comments received were. . . . . I like living here and have settled well. The staff help me and are kind. The food is good here. I enjoy the activities. Prior to the inspection taking place twenty surveys were sent to the home, seven were returned. The administrator of the home and senior housekeeper helped the inspector through out the day. The Operations Manager, Susan Hobbs is supporting the home and is currently in the recruitment process of appointing a new manager. Ten requirements were made as a result of this inspection and three good practice recommendations. The judgments contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experience of people using the service. What the service does well: The home supports and encourages frail service users to participate in home life, by providing appropriate, specialist chairs catering for the service users needs, ensuring that they can then spend time in one of the communal rooms with other service users and participate or observe the activities provided. The activities programme is varied and enjoyed by the service users. A choice of two meals is provided and service users reported the food as good. The medication procedure is safe. The bedrooms are personalised. Ravenscroft DS0000065178.V336644.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. Ravenscroft DS0000065178.V336644.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 Ravenscroft DS0000065178.V336644.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 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. An admission procedure is in place and a full pre admission assessment takes place for all prospective service users. The home is not registered to provide intermediate care. EVIDENCE: All prospective service users are fully assessed by a qualified nurse prior to admission to Ravenscroft Nursing Home to ensure that, through the assessment process the home is able to meet the nursing care needs and social needs of the service user. Three pre admission assessments were seen which provided information relating to long-term health care needs and current health care needs. The manager will support the assessment where possible by obtaining information from care manager’s families. A record of the assessment is kept on the service users’ file and used towards implementing a care plan. A service user who had recently moved into the home said “I looked around the area at several homes and choose to come here and I’ve settled very well.” Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 9 The home is not registered to provide intermediate care therefore Standard 6 is not applicable to this service. Ravenscroft DS0000065178.V336644.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 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health care needs of the service users are monitored and appropriate action taken when health care needs change. Nutritional needs were not always met. The care records do not fully address all aspects of care. The care team support the dignity of the service users. EVIDENCE: Four care plans were reviewed. The current format is clear and easy to follow. All care needs of the service users had been identified and care plans were in place to support care needs. Appropriate risk assessments such as falls risk assessments and pressure damage assessments were in place, which were reviewed monthly. The night care needs of a service user had changed following a fall, however the night care plan had not been reviewed to address the changes in care. A pressure damage risk assessment indicated that a Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 11 service user was at high risk of pressure break down and stated that an air mattress was in use to prevent pressure damage from occurring, however an air mattress was not in use. A service user who spoke with the inspector said “I do get some pain in my back”; this had not been addressed in the care records however analgesia had been prescribed. Internal 6 monthly care reviews take place for all service users, which the family or next of kin are invited too attend and where applicable care managers are involved. A service user recently admitted to the home had a detailed care plan in place. All service users are registered with a local GP. A record of the GP visits was seen in the care records. Health care needs are monitored and records were maintained when other health care professionals such as the Tissue Viability Nurse were contacted for support and advice. Service users who were able to communicate were complimentary of the care provided. Comments were received such as “The nurses help me a lot” and “They call my doctor if I’m not well”. A service user who had just returned from hospital said, “I was glad to get back here where they look after me”. The surveys returned indicated that service users were satisfied with the medical support provided. Service users with higher care needs were fully supported by the care staff to be up and spent time in the communal lounges. A service user with some communication difficulties told the inspector that “Sometimes I am still hungry after my meals and would like to be offered more food”. The service users’ nutritional risk assessment indicated that weight loss had been previously identified and the service user was to be weighed weekly but did not indicate what measure was in place to avoid further weight lose. However the service user did maintain her weight. The service user is currently being weighed monthly but had lost 1 Kilogram during the last month, which had not been addressed. The care staff should ensure that they can fully communicate with the service user and always offered more food. The inspector spoke with the chef who was aware that the service user required larger meals and showed the inspector the service users’ lunchtime meal. The medication procedure was seen which was assessed as safe. The medication records were complete and up to date. All medication was stored correctly. The qualified nurses are responsible for the administration of medications. The controlled drug register was correct. The disposal of medication procedure was in line with current legislation. Four service users confirmed with the inspector that all nursing and personal care was provided in the privacy of their bedroom or the bathroom. This was also observed taking place whilst the inspector toured the home. The care staff were observed and heard interacting with the service users in a friendly but respectful manner with service users being addressed by their preferred name, as recorded in their care records. Service users were well groomed indicating that personal care needs are met. Whilst visiting with a service user who was in bed, it was seen that the call bell was disconnected. The service said, “They Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 12 came in and pulled it out because I was ringing it”. Therefore the service user was unable to call for assistance. Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The activities programme provided meets the social care needs of the service users and are enjoyed. Service users are supported to retain links with family and friends. Service users are provided with choice and control over their lives as far as possible within the framework of a nursing home. Service users were complimentary of the standard of food provided. EVIDENCE: The activities co-ordinator is employed for 32 hours per week and provides a range of daily activities. Group activities take place most afternoons. For those service users who do not wish to take part in-group activities, one to one visits take place with the activities co-ordinator. On the day of the inspection, 13 service users went to Longleat Safari Park for the day with a team of carers. Staff were observed asking service users who had declined to go on the trip if Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 14 they were sure and given encouragement to go. Service users who remained at the home were watching a DVD, which the activities person had made when an outside music entertainer had recently visited. A notice of the weekly activities is displayed around the home. A service user said “I’m really looking forward to our trip today” and another said, “I don’t want to go on the trip but I do like the activities we do here”. Service users are supported by the home to maintain links with family and friends. The visitor’s book showed visits taking place throughout the day. A service user informed the inspector “I came here to be near my son and the home support me to visit him”. A family visit was taking place, and whilst they were generally satisfied with the care provided, they felt that possibly a little more attention to detail could improve things. A choice of two main meals is available at lunchtime. Service users are asked the day before which meal they would like. The lunchtime meal was observed which was well presented. Service users were generally complimentary of the food saying “The food is really good here” and another said, “We always have a choice and they ask us the day before what we would like.” The home provides two dining areas. All service users were seen having their main meal in one of the two dining rooms. The home has worked hard to improve meals times for service users, which now would be considered to be a more social occasion for service users. The care staff were observed supporting service users where needed on a one to one basis. The nutritional needs of the service users are monitored through a nutritional risk assessment, however as reported under Standard 8 of this report, a service user had lost weight and complained of sometimes being hungry. Service users were observed through out the day of the inspection being encouraged by the care staff to drink plenty of fluids. The kitchen was seen which was clean and organised, however the flooring under the dishwasher could no longer be cleaned and could pose a risk of infection. Ravenscroft DS0000065178.V336644.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 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A complaints policy and procedure are in place. The staff had received training in “Abuse Awareness” however lacked knowledge in the local vulnerable adults procedure. EVIDENCE: An organisational complaints policy and procedure is in place. The complaints policy is openly displayed in the entrance hall to the home. A serious complaint was been received by the Social Services Department in January 2007, which was investigated through the Vulnerable Adults procedure. The outcome of the complaint was unresolved but lead to the service user not returning to the home. All staff have had training in “Abuse Awareness”, however through conversation with two members of staff, it was evident that knowledge regarding the local vulnerable adults procedure and how to make a referral was lacking. However the Operations Manager has stated that a senior member of staff would make the referral if an allegation of abuse were reported. The staff will be required to have further training in the vulnerable adults procedure to ensure that service users are protected. Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 24 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Ravenscroft is generally well maintained, apart from some of the flooring in the communal toilets and bathrooms. The kitchenette used for the preparation of breakfasts and hot drinks on the ground floor is poor. The refurbishment of the communal areas has greatly improved the living environment for service users. The home is clean throughout and infection control measures are in place. EVIDENCE: Ravenscroft is a large older building, which has been extended overtime. The ground floor communal areas and corridors have been refurbished with new carpeting and all areas are now freshly painted. The communal rooms now appear light and spacious. The re-decoration of these communal areas had Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 17 greatly improved the living environment for service users, providing a clean and homely living space. The communal rooms over look the well-maintained large garden to the rear of the home. The home is generally well maintained, apart from the flooring in the downstairs communal toilet and an assisted bathroom located on the 1st floor, which is poor and will need replacing. The kitchenette located on the ground floor is poor, with kitchen units broken which can no longer be cleaned. A full time maintenance person is employed. The staff room was seen which is in a poor state and does not provide a pleasant working environment for staff. As stated under Standard 10 of this report, a service users’ call bell had been disconnected therefore the service user was unable to call for assistance. Many of the bedrooms were visited which were personalised, homely and provide a satisfactory standard of accommodation. A service user said “I like my room and they even painted it for me before I got here”. Another service user was pleased to have a ground floor room as she was mobile and said “Its good because I can walk to my room from the lounge and keep some independence”. The housekeeping staff continue to work hard to maintain a good standard of cleanliness throughout the home. This is an old building, which has lacked investment from previous providers and maintaining a good level of hygiene is a big task. The communal bathrooms were clean. Cleaning schedules for all areas of the home are in place. The care staff should ensure that regular cleaning of wheelchairs takes place as several wheelchairs were seen, which were not clean. Infection control measures were in place, with clinical waste dealt with appropriately. However dirty laundry was seen on the floor of a communal bathroom, which could pose a risk of cross infection. The laundry facility was clean and organised. Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff provided can meet the nursing and personal care needs of the service users. The procedures for the recruitment of staff are robust and provide the necessary safeguards to offer protection to the service users. All staff had been provided with mandatory training. EVIDENCE: The home was providing care for 29 service users at the time of the inspection. The staffing levels operating were for 30 service users in line with the Staffing Notice. Two qualified nurses are on duty at all times day and night. A team of 4 carers supported the qualified nurses. Three domestic staff and a laundry person were on duty, which is a good increase to these staffing levels from the previous inspection. Two kitchen staff was provided for the preparation of lunch and suppers. The inspector spoke with 4 members of staff during the course of the inspection, they spoke positively about working at the home. Four employment files were reviewed all of which contained an application form, two references and appropriate police checks. Two references had been supplied by, staff members of the home, which could be considered as a conflict of interest and not fully objective to the persons’ suitability to the job applied for. All files contained proof of the persons’ identification. The same Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 19 employees training files were seen which provided evidence of all mandatory training being provided. 71 of staff had obtained NVQ Level 2. A member of staff said, “The training is fine, I enjoy it” and wishes to commence NVQ Level 3 as soon as possible. As reported under Standard 18 of this report, the staff need further training in understanding the local vulnerable adults procedure. Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is being managed by the acting manager Drew Paraad. The financial systems in place protect the service users. Quality assurance systems are in place. The homes risk assessments had not been reviewed and service users were being placed at risk by the use of wheelchairs with no footplates. EVIDENCE: The home is without a manager, the previous manager left approximately 7 weeks ago. Southern Cross is currently seeking to appoint an experienced manager for this home. Whilst this is taking place the Head Of Care, Drew Paraad, is acting manager who is being supported by the operations manager, Susan Hobbs. Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 21 Service users personal money is held in a bank account with a record of all transactions kept in the home. The administrator and acting manager make regular audits of the account ensuring that the service users personal money is safeguarded by the audit trail. Quality assurance systems are in place throughout the organisation and service users/relatives surveys had recently been sent out to appropriate people. The home also holds regular “Clients and Families” meetings, which is an opportunity for any concerns or complaints to be raised between the management of the home and families of the service users. The fire record indicated that all appropriate testing of the fire alarm system was taking place and staff had received fire training. Accidents had been recorded as to how the accident had taken place and what action had been taken by the home following the accident. The homes risk assessments of the building had not been reviewed during the last 12 months, ensuring that the home remains safe and any risk to service users is reduced as much as possible. Three wheelchairs were observed being used without footplates, again posing a risk to service users safety whilst being transferred. It was observed that an inappropriate bed was being used for a service user with high care needs; the bed had no wheels which posed a high risk to the staff when moving the bed to care for the service user. The staff therefore had left the bed in the middle of the room but had not readjusted the other furnishings to ensure the room remained homely. Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 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 Standard No 1 2 3 4 5 6 Score ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 Score X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X 2 X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Version 5.2 Page 23 Ravenscroft DS0000065178.V336644.R01.S.doc Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(2b) Requirement The manager will ensure that the care plans are reviewed when the care needs of the service users’ change, ensuring that all care needs are identified and met. The manager will ensure that what is documented in the care plan’s is put into practice. The manager will ensure that all nutritional needs are fully met and that if weight loss occurs this is addressed. The flooring in the communal toilets and bathrooms will be audited and replaced where necessary. Service users will have a call bell available to them at all times. The manager will ensure that the care staff are fully informed of the homes’ infection control policy relating to soiled laundry. The manager will ensure that service users are not transferred in wheelchairs, which do not have footplates. The manager will ensure that the beds provided meet the care DS0000065178.V336644.R01.S.doc Timescale for action 21/06/07 2 3 OP7 OP8 15 12(1a) 21/06/07 21/06/07 4 OP19 23(2b) 21/07/07 5 6 OP22 OP26 12(1a) 13(3) 15/05/07 21/06/07 7 OP38 13(5) 21/06/07 8 OP38 13(4c) 21/06/07 Ravenscroft Version 5.2 Page 24 9 OP30 18(1c) 10 OP19 23(2b) needs of the service users. All staff will be provided with further training in the local vulnerable adults procedure to ensure that service users are protected. The kitchenette on the ground floor will be refurbished. 21/07/07 21/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP29 OP19 OP8 Good Practice Recommendations The recruitment process should not include references from staff already employed at the home. The company should consider refurbishing the staff room to provide an improved working environment for the staff. The staff should ensure that they have systems in place to communicate with all service users. Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Ravenscroft DS0000065178.V336644.R01.S.doc Version 5.2 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!