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Inspection on 07/07/05 for Red House Residential Home

Also see our care home review for Red House Residential Home for more information

This inspection was carried out on 7th July 2005.

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

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

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

What the care home does well

Service users were particularly complementary about the way in which staff treat them, and the knowledge that staff have of their needs.

What has improved since the last inspection?

There was proof of identity on staff files, and regular formal supervision was in place.

What the care home could do better:

A Service User Guide that meets the regulation has not been provided. The home does not have a foundation training programme, and a number of staff are waiting to receive this.

CARE HOMES FOR OLDER PEOPLE Red House Residential Home Meadow Lane Sudbury Suffolk CO10 2TD Lead Inspector Mary Jeffries Announced Inspection 7th July 2005 10:00 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 Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Red House Residential Home Address Meadow Lane Sudbury Suffolk CO10 2TD 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) 01787 372948 The Red House Welfare and Housing Society Mrs Heather Jean Choat Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th February 2005 Brief Description of the Service: The Red House is registered as a care home for 34 older people. The Red House Welfare and Housing Society was founded after the Second World War by a group of local religious, civic and business people on a non-profit making basis, to provide communal accommodation to meet the needs of older people. The home was opened in 1950 and has been extended over the years. The original house is 18th century and set in its own gardens enclosed by an unusual ‘crinkle-crankle’ brick wall. The grounds are very well maintained and provide a pleasant and substantial area for service users to take short walks. The home is sited very close to the centre of Sudbury and there is a range of local facilities within walking distance for the more able. Bedroom sizes vary although all are designed for single occupancy. Within the home there are three ‘flatlets’. One of these, known as the Matron’s Flat, is not currently occupied, pending a decision as to whether to convert this area into two rooms and apply for a variation for one more person. Communal space is located on the ground floor and there is a shaft lift to carry service users to the first floor. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during one day in July, and lasted 8 and a quarter hours. Thirty service users were living at The Red House at the time of the inspection, and four of these were in hospital. Eight service users and nine relatives provided pre inspection questionnaires. The inspector had lunch with two service users, and also spoke individually with these service users and four others. One relative was spoken with. Five service users were tracked. The manager facilitated the inspection, and the administrator, a member of the care staff and a member of the kitchen staff participated. At the time of the inspection, the Meadow flat was occupied, on a temporary basis by a local person whose own home had suffered a fire. This person was not receiving personal care from the home. What the service does well: What has improved since the last inspection? What they could do better: A Service User Guide that meets the regulation has not been provided. The home does not have a foundation training programme, and a number of staff are waiting to receive this. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 6 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. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 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 Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 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 the following standard(s): 1,3,5 Service users are welcome to visit the home before deciding to live there, and can expect to be assessed to establish whether the home can meet their needs prior to admission. Service Users do not have easily accessible key information in the form of a Service User Guide to assist them make their choice. EVIDENCE: A Statement of Purpose that meets the standard and the regulations had previously been provided. A Service User Guide that meets the standard and the regulation had not been provided and must be. Service users are invited to visit the home before deciding to live there, one of those spoken to had done so, but a number advised that they already knew the home or that their relatives had visited. Comments included: - Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 9 I didn’t visit; I knew what it was like. I used to come and visit someone here. I was given 6 weeks to make up my mind, and I decided to stay.” “Everybody knows about it. I think my daughter came to look at Red House.” “…I didn’t visit, my daughter came to have a look. ” This service user’s daughter advised, “My brother came to the review to confirm the placement” Pre-admission assessments were in place on all files inspected. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Service users can expect the home to have a good understanding of their individual needs, and to be treated with respect and regard. EVIDENCE: Five service users files seen all included appropriate care plans that had been reviewed, and which identified goals in the various areas of care. A carer spoken with was aware of the service users goals and needs as detailed in the plans. One service user commented; “Their corporate memory seems very good. All of them know all about you all of the time.” Two service users, one of which was in hospital at the time of the inspection, had been referred to be assessed for dementia. A district nurse was visiting one of the service users tracked, twice a week. All eight service users providing a pre inspection survey response confirmed that their privacy was respected, and all nine relatives/ friends replying confirmed they could see their relative or friend in private. All eight service users confirmed that they thought the staff treated them well, and all nine relatives were satisfied with the overall care provided. One of eight service Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 11 users spoken to in some depth was not happy at the home. In discussion with staff and through examination of their care plan, it was clear that was recognised by the home, and some actions to address this had been put in place, including medication and an occasional volunteer visitor. This service user was visited by a relative, but spoke of not knowing whether they had been. Medication records were checked for all service users for a three day period prior to the inspection and were found to be correct. A spot check was done on returns for one service user, and the medical administration record (MARS Sheet) was found to tally with the returns book entry. A requirement was made at the last inspection that staff administering medication must observe they have been taken. The home advised that this was an oversight, and regular reminders are given at staff meetings. Observation made during the lunchtime medication administration confirmed this was happening. Some medicinal creams for service users are kept in their rooms. The member of staff administering medication advised that some service users do their own creams, others have it administered by carers. One service user had a PRN cream, and this was not signed off, another had a cream that was prescribed to be regularly administered but there was no record to show that this had been administered. Some service users self medicate, some times, for example a service user who prefers to take their own medication at tea time, and a service user who was going out for the day, but there were no risk assessments to demonstrate the considerations given to this and safeguards in place. A service user spoken with said that medication was always remarkably prompt. Service users described the manner of the care staff as being very good indeed. Comments included: “They bath me, they wash me, and they dress me. They have a very nice manner, absolutely perfect.” “A relative who visits another service users frequently said, “the care is very good, there really is no fault to find.” “They always knock on the door, sometimes it will be when they are on their way in, but they are always very careful.” “She draws the curtains so the sun won’t get in my eyes, and has a bit of a laugh with me, she’s very nice.” One relative provided the written comment, “ Caring and considerate staff who treat ………… with courtesy, respect and dignity.” Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 12 Service users did identify some problems with the laundry service. “When the girls undress you of an evening they put all your clothes to wash. They come back the next day all nice and clean – it’s an incredible service. Unfortunately you do loose things some times, not very often. Washing never builds up, and the beds are changed regularly.” “Sometimes I’ve missed things, nothing very expensive.” “I’ve not lost anything, but I’ve got a floral nightdress back that’s not mine.” “There is a bag for dirty washing and the helpers take it away every day. I haven’t lost anything, my daughter had it all labelled, but I very often get back stuff that isn’t mine.” “The laundry service isn’t quite as good as I’d expected. I was waiting 3 days for a nightie, you’ve got to keep asking. I get other people’s things in my bag; I had someone else’s skirt, not labelled. Everybody grumbles about it.” One service user who had recently died was a close friend of another service user, and the remaining friend spoke very highly of the understanding and consideration given to them subsequently. They had attended the funeral with staff from the home. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Service users can expect to enjoy a good standard of living, in a pleasant, respectful atmosphere where they can exercise a good degree of choice. Service users who do not have regular family contact may find there are less social activities than they would like. EVIDENCE: The area of least satisfaction, as indicated by the pre inspection surveys provided by service users, was activities. Three out of eight thought the home provided suitable activities, four thought that they sometimes did, and one thought that they did not. A service user advised that they had a two different types of singer who visited the home to entertain each month. On the day of the inspection there was a magic show. The Abbey Gate Concert Band were due to play on 20TH July, and the home were arranging a strawberry tea for that occasion. One service user, whose interest was detailed as gardening in their care plan advised, “I’ve got some begonias in”. Another said that they were a member of the library. The service user who thought there were not enough suitable activities was spoken with, they particularly missed male company, although others confirmed that a group of men did meet to chat regularly in the afternoons. One service user said, “Physically we are looked after as well as we possibly can be, personally I’d like to see some more activities.” Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 14 A number of the service users spoken with said that they got out regularly, some with their relatives, and one spoke of a member of the care staff taking them out. All nine relatives replying to the pre inspection survey confirmed that they were welcome into the home at any time, one relative spoken with said that they were welcome at more or less anytime and could not fault the home on this. Eight friends or relatives confirmed they were kept informed of important matters affecting their relative; seven confirmed they were consulted if their friend or relative was not able to make a decision about their care. Information on the pre inspection questionnaires indicated that four of eight service users liked the food, and four sometimes did. The day’s lunch menu was displayed, along with a notice that service users could have an alternative. Service users spoken with commented on the meals. Comments included: “Food is very good, I often have a second helping, I really enjoy it.” “Food is wonderful, its very well cooked. I used to cook for a living, so I’m a decent judge.” “I said to the cook today how good it was. Generally its alright, to please everybody all the time is practically impossible.” “The food is fair. The only personal grumble I have is that I like flavour, you don’t know if its beef, mutton, lamb. We don’t get hungry enough to enjoy it.” “Friday’s fish day. You could ask for something else, I know I do. I like green vegetables; they always give me second on that. In the kitchen, they are very helpful. I don’t like the coffee they serve – it’s instant.” The service user who did not like the coffee provided went on to speak about the shopping service provided by the home. “They say buy your own coffee if you don’t want instant. I was able to do that, I went through the shopping lady. She takes your money and your requirements, and always writes it down. She goes once a week, it’s a wonderful service.” They went on to say that the opportunity to buy clothes is provided, twice a year, by a visiting service. One service user said that having risen early all of their life, they had decided that they would like to lie in. They explained that breakfast arrives on a tray every morning just before eight, and they do not get up until quarter to 10. Another service user confirmed that they had their evening meal in their room, as they preferred this. Another service user made a more general comment: “I’ve never been in a place like this before and I’m very happy here. The (helpers) are ever so kind and helpful every one of them. I’ve got no worries what so ever.” Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Service users felt they would be able to raise any concerns or complaints, and that their comments are listened to. EVIDENCE: The home has an appropriate complaints policy. No complaints had been received by the home. Eight of nine relatives replying to the pre inspection survey confirmed that they were aware of the complaints procedure, and only one of these had ever had to make a complaint. Service users spoken to about how they could complain were clear that they could complain if they needed to, but also that their comments and requests were generally listened to, and they were unlikely to need to complain. Their comments included; “Oh I think I could complain, but I haven’t wanted to. There hasn’t been anything I’ve needed to complain about.” “If anyone upset me I’d go to Heather or David.” “I’d speak to the staff first, any of them would help, and if necessary I could go the head lady. In my opinion it’s what it says it is here, a home.” “I’m well satisfied but I expect I could speak to someone if I needed to. I wouldn’t be worried about bringing anything up with them.” Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 23, 24, 25, 26 Service users can expect to live in a clean and attractive home that is maintained to a good standard. EVIDENCE: The homes gardens were attractive and well maintained. The home was found to be clean and homely throughout, with no unpleasant odours. A wheelchair user admitted prior to the last inspection had been moved to a more suitable room. A number of individual rooms were seen and all were well equipped and personalised. One service user commented, “I wanted to move for a view of the garden and they did it, I had to wait, but they did it.” The kitchen was clean and tidy, and evidence of checks being made and recorded on fridge and freezer temperatures and meat temperatures was in place. A requirement had been made by the Environmental Health Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 17 Department, to pest proof the window to the cellar was seen to have been met. Items in the refrigerator were covered and dated. “It’s impeccably clean – only thing I’ve ever found not clean was a dessert spoon, once, the washer doesn’t always take it off.” The programme of covering radiators was still in progress, two uncovered radiators were noted, one was behind a chair, and reflected the home’s plan of covering these in order of priority based on risk. One relative provided a written comment; “The only criticism that I can sensibly put forward is that maintenance, of a routine nature, might be achieved more expeditiously, otherwise I am delighted with this excellent home.” One service user advised that when they first came to the home they fell over ramp in dining room. “Its on the left when you come in, now I avoid it – I’m nearly always taken in a wheel chair.” The dining room floor was checked: there is a small rise in the floor level just inside the door that could be overlooked and cause a problem of a service user did not raise their feet sufficiently. The fire escape on the first floor was found to be locked, and no key available. A key on a chain was provided during the day of the inspection. Planks of wood and paraffin were found to be stored on the fire escape steps: these were removed immediately when brought to the manager’s attention. The flat roof at the top of the fire escape had an open area, with a drop down to the ground level, where a gate had been removed. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29,30 A number of staff had not received foundation training as required. At the time of the inspection this was not resulting in any obvious shortfalls of care, and may well be compensated for by the fact that there is a well-established core group of staff who have been at the home for many years. Service users can expect to be carers who have a good understanding of their individual needs. EVIDENCE: Six of nine relatives replying to the pre inspection survey indicated that they thought there were always enough staff on duty; two though sometimes there were not. There were sufficient staff on duty on the day of the inspection, with four care staff on duty during the morning and three during the afternoon. Service users spoken with all said that they thought there were enough staff, although one commented that they seemed very rushed at times. The employment file for a recently recruited member of staff was checked and found to have two references, and proof of identity. A list of CRB checks for all staff employed since the last inspection was provided and checked. Medication training, fire training, vulnerable adults training had taken place in the last twelve months. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 19 Updating training for kitchen staff, in food handling, was being arranged but had not yet taken place. Moving and handling training, and fire training had also been planned. Evidence of induction training was seen in staff files, but a number had not received Foundation training. The manager advised that 6 or 7 staff were waiting for induction training, that they were still working on the programme, but hoped to start this in September. The home provides its own induction and foundation training. The manager advised that the home was still working on the requirement made at the last inspection, to demonstrate that these meet ToPSS standards. Since March 2005 ToPSS standards have been under review, and the training programme being devised must meet guidelines in accordance with Skills for Care guidance. The home has an experienced stable staff group; and the Pre inspection questionnaire stated that 33 of care staff had NVQ2. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37, 38 Service users satisfaction was generally very high, supporting a view that the home is run in the best interests of the service users, however, the benefit of a service user survey in ensuring the home remains alert to service users current concerns, and in informing planning, are likely to be diminished if the results are not available in a timely way. EVIDENCE: The Registered Manager had started undertaking their Registered Manager’s award. The home advised that a recommendation made at the last inspection to disseminate the results of a service user survey carried out at the end of September 2004 would be implemented by 30th September 2005. Service Users were aware the inspection would be happening, and participated freely. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 21 Personal finances held were checked for three service users. Amounts logged tallied with amounts held and correct receipts were in evidence. The home had advised in the action plan, following the last inspection, that regular formal supervision was in place. Staff spoken with confirmed that regular formal supervision was now taking place on a six weekly basis. A spot check confirmed this. The home’s Pre Inspection questionnaire indicated that all routine maintenance checks had been carried out in a timely fashion, and a random check on two of these, servicing of wheelchairs and fire extinguisher half yearly checks was made and found to be in order. All eight of the service users who sent in a pre inspection survey indicated that they felt safe living at Red House. One of the service users living at the home, only, did not like living there, but they were spoken with and they too confirmed that, “this feels like a safe place.” No fire doors were seen to be propped open. Some of the doors to service users rooms are on automatic closures, others are on closures not linked to the fire system. The fire escape from the matron’s room, however, was found not to be accessible or properly maintained on the day of the inspection. These problems were immediately rectified. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 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 Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 2 3 x x 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 3 2 Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 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 OP1 Regulation 5 Requirement The Registered Persons must forward a copy of a Service User Guide which meets the regulation. Risk assessments must be in place for all service users who self medicate. Records must be maintained for the application of prescribed creams. There is a small rise in the floor level just inside the dining room door, where one service user had fallen. This would benefit from being marked in someway to ensure service users notice it. The homes must have foundation and induction training programmes which comply with standards. A copy of the training programmes must be forwarded to CSCI. This is a repeat requirement from the last inspection. Appropriate foundation training must be provided for new staff within 6 months of employment. The Registered Persons must ensure that all kitchen staff have DS0000024477.V257162.R01.S.doc Timescale for action 30/04/06 2 3 4 OP9 OP9 OP19 13(4)(b) 13(4)(c) 13(4) (a)(c) 15/11/05 31/10/05 15/11/05 5 OP30 18(1) (c)(i) 30/11/05 6 7 OP30 OP30 18(1) (c)(i) 18(1)(c) (ii) 30/11/05 30/11/05 Red House Residential Home Version 5.0 Page 24 8 9 OP38 OP3838 13(4) 23(2)(b) appropriate food handling training. The fire escape must be kept free of obstructions. The boundary to the flat roof at the top of the fire escape must be made good. 07/07/05 31/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP7 OP12 OP10 OP30 OP33 Good Practice Recommendations An aide memoir should be set up to record when a relative visits, for a service user who forgets this and gets distressed. The activities provision should be reviewed. The laundry system should be reviewed to prevent clothes being returned to the wrong service user. The percentage pf staff with NVQ 2 or above should be developed. A service user survey had been carried out at the end of September 2004. The results of this should be disseminated, and future surveys used whilst they are still contemporary to influence development planning for the home. Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Red House Residential Home DS0000024477.V257162.R01.S.doc Version 5.0 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. 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