Inspection on 03/04/06 for Redcote House Residential Care Home

This inspection was carried out on 3rd April 2006.

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 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

Redcote House Residential Care... 11/06/07

Redcote House Residential Care... 29/01/07

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 Redcote House Residential Care Home Redcote Drive Lincoln Lincolnshire LN6 7HQ Lead Inspector Elisabeth Pinder Unannounced Inspection 3rd April 2006 09:00 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 Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 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. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Redcote House Residential Care Home Address Redcote Drive Lincoln Lincolnshire LN6 7HQ 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) 01522 500796 1st Care (UK) Limited Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories: Old Age, not falling within any other category (OP) 18 An application for a Manager must be received by CSCI within 3 months of the date of registration. Mr Bhandal must submit confirmation of the management arrangements for the home in the absence of a Registered Manager within one week of becoming the Registered Provider. Mr Bhandal must comply with his Action Plan and the agreed timescales. 3. Date of last inspection 25th May 2005 Brief Description of the Service: Redcote House is situated in a quiet residential area to the south of the city of Lincoln. The home is within walking distance of local shops and close to a bus route into the city centre. The home is a large detached house, which has been adapted to provide accommodation for up to 18 people over the age of 65 years requiring personal care. There is a porch running the length of the front of the home, which provides outside seating for residents. Car parking facilities are to the rear of the property. The home has two floors and a stair lift to the bedrooms on the first floor. Ten of the bedrooms are single, three of them have an ensuite toilet. The current fee range for this service is £330£415 per week. Additional costs are to be paid for hairdressing, chiropody and escorting residents to hospital. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made to the home to form part of a key inspection. It started at 09:30 and lasted 7.5 hours. The home changed ownership in January 2006 and this was the first visit since this change. The visit focused on the key inspection standards and checking whether requirements from previous inspections had been met. The main method used for this was “case tracking” a sample of three residents with a range of needs via their records, discussion with them and two staff on duty during the visit. One relative and an auxiliary community nurse were spoken to. The acting manager, who spent time discussing many issues that arise in the running of a care home, facilitated this inspection. What the service does well: What has improved since the last inspection? Since the previous inspection four additional visits have been made to monitor action taken to address the number of outstanding requirements. The ownership of the home changed in January ’06 and prior to this a meeting was held with the new provider regarding the number of outstanding requirements and a subsequent action plan was drawn up and agreed to by the Commission. The new provider is making progress in addressing the outstanding requirements, however, he is having difficulty in the recruitment of a manager. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 6 Progress has been made in relation to the overall cleanliness of the home and health and safety matters. Thermostatic control valves have been fitted to water outlets, a ‘Stand-aid’ has been ordered to assist staff when moving and handling residents and staff are currently undertaking health and safety courses. A fire risk assessment has been completed and the provider is now asked to liaise with the fire officer to ensure this complies with fire legislation. Some progress has been made in relation to care plans, however, more work is needed to ensure care staff know what action to take to meet the needs of residents currently accommodated. 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. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 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 Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 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 Standard 6 is not applicable in this service Information about the service is not readily available and robust procedures are not in place to ensure residents are only admitted into the home after a full needs assessment has been carried out. EVIDENCE: The admission procedure is not adequate to guide staff on the actions to be taken to ensure that the needs of new residents are properly assessed and planned for. Two residents ‘case tracked’ had been admitted recently and there was no documentation to evidence that a full needs assessment had been carried out for one of them. The only information on file was a short letter from the resident’s social worker and this did not provide sufficient information to establish the care needs of the resident. There were no letters on files to demonstrate that it had been confirmed with residents after assessment that the home could meet their needs. A Statement of Purpose has been written and is available for residents and visitors to access in the reception area of the home. The Service User Guide Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 9 was given to residents during the visit. There was no evidence to support that residents entering the home are given a written contract or statement of terms and conditions within the home. A telephone call was held with the provider who said that these documents are with him and it is recommended that these are kept in individual files in the home. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 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 Further work needs to be done to ensure that records are completed in sufficient detail to ensure that residents’ health and care needs are fully met and which demonstrate residents’ involvement with their development. EVIDENCE: Care plans were not considered to contain enough detail to inform staff how to manage the care needs of residents. For example, records indicated that a service user in the home can occasionally be verbally aggressive/abusive, however, there was no risk assessment detailing how this is to be managed. The mobility needs of this resident were also written with insufficient detail to ensure staff know what action to take to meet these needs. Another resident who had been assessed as high risk regarding tissue viability did not have details of preventative measures to be taken. Significant events in the home had not been recorded in detail and daily entries in case records gave little indication of the actual care given. This was particularly evident for one resident who had fallen, which resulted in a fracture but there were no details of preventative measures to be taken or risk assessment. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 11 One resident admitted in February did not have a written care plan and there was no evidence to support that another resident who has been living in the care home for a number of years had been involved in his plan of care since 2002. However, records available detailed appointments to visit the dentist, opticians and chiropodists. During the visit an auxiliary community nurse visiting the home said she felt the care given is good. Three residents were spoken with about the care they receive at this home and all said that they felt that their current needs were being met, although they said that they were unaware of any written care plan. One relative spoken to said he was quite satisfied with the care provided although does not manage to visit very often. Residents also said that they felt their privacy and dignity are respected, specific comments were ‘staff knock on doors’ and ‘staff speak respectfully to me’. Residents said that they are happy with the arrangements for receiving medication and those spoken to said they have chosen for staff to administer this. They also said that it is always given at the correct time and they have never been given incorrect medication. One resident who self-administers insulin medication did not have a risk assessment relating to this and this medication is currently being stored in the kitchen fridge. During the visit the acting manager contacted the home’s pharmacist and was informed that this medication must be stored in a drugs refrigerator to ensure appropriate and safe keeping. On inspection of the ‘Mar’ sheets, gaps were noted on the 1st April and this was brought to the attention of the acting manager who agreed to address this. Staff are currently undertaking a distance learning course in Safe Handling of Medicines. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Residents interests are generally accommodated and this has improved since the last inspection. Meals provided are good and take into account individual preferences and special dietary needs. Visitors are made welcome at the home and residents have choices as to how they lead their lives. EVIDENCE: Activities are currently organised by the acting manager who has introduced a programme of activities and visits from external entertainers. She has also registered with the local library and regular changes of books and puzzles are made. One resident said that she really enjoyed playing dominoes and board games whilst another resident said they were looking forward to going out in the better weather. One resident said that they did not want to join in with any activities and was pleased that staff respect this. Residents gave examples of having choices as to how they live their lives in the home. One resident said he chose when he wanted to go to bed and where he ate his meals. Another resident said she had been given the choice to attend a local community church service. Visitors were observed to come and go throughout the day and a good rapport was noticed between staff and visitors. One resident expressed a wish to have Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 13 an advocate and this was brought to the attention of the acting manager who agreed to action this. Comments about the food were generally positive. Residents said that there is a choice of two main meals and plenty of variety. However, one resident said that since the change of ownership menus had changed and at times did not feel as if sufficient food was offered at tea times. This was discussed with the acting manager and it is recommended that regular meetings are held with residents and the cook to discuss this. Minutes should be taken and made available for inspection. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home takes the issue of addressing complaints very seriously and residents are confident that their concerns will be listened to and acted upon. However, robust procedures are not in place to protect residents from abuse. EVIDENCE: A copy of the homes complaints procedure is incorporated in the Service User Guide available in the reception area of the home. Residents said that they feel comfortable to raise any concerns and would speak to one of the staff. The acting manager stated that one complaint has been made to the provider since the change of ownership, however, records of the action taken and the outcome of the complaint were not available. No complaints have been received by the CSCI since the last inspection. Although the home has a policy regarding adult protection it does not mention the correct reporting process and the acting manager was unsure of the correct action to take should an allegation of abuse be made. It is recommended that the provider contact social services and request an up to date copy of Safe Guarding Adults procedure and ensure through training that all staff are familiar with the action to take should they suspect abuse has occurred. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 15 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 & 26 Residents living in this home live in a clean, well maintained environment. EVIDENCE: The home was clean and well decorated. All furnishings are of a domestic nature and residents said they like the home and are happy with their bedrooms and felt that they are kept clean. One resident’s bedroom was seen, and this was individually decorated and furnished. Staff said they felt they worked in a safe environment and confirmed that maintenance of the home is carried out promptly by the provider’s brother. Whilst there was not a full tour of the premises on this occasion, those areas of the home seen which included the lounges, conservatory, dining area and one bedroom were clean, tidy and comfortably furnished. No unpleasant odours were noted. The Environmental Health Officer visited the home on 02/03/06 and the report highlighted several issues: a) A hazard analysis must be completed Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 16 b) A fly screen must be provided c) Window restrictors must be fitted to first floor windows. The acting manager confirmed that window restrictors have been fitted, a fly screen has been ordered and the provider is currently completing a hazard analysis. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 17 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, 28, 29 & 30 The deployment and number of staff on duty is sufficient to meet the needs of the residents. Staff training must continue to be a priority and training must be relevant to the needs of residents. EVIDENCE: Duty rota’s examined showed that there were always two staff on duty between the hours of 08:00 – 22:00, one staff on wakeful night duty and one sleep-in. The acting manager hours are supernumerary, however, there have been occasions where she has been the second carer on duty due to sickness. In addition there is a cook working Monday – Friday 7:30 – 13:30. Staff undertake catering duties when she is not on duty and all are currently enrolled on a refresher course in basic food hygiene. The home’s cleaner left on Friday and a new member of staff is due to commence on Wednesday 12/04/06. There has been a small turnover of staff since the change of ownership, however, staff files were not available in the home for inspection. The acting manager said that two new carers have been employed, one of whom is a male carer, and both have been recruited in accordance with current legislation and a telephone conversation was held with the provider who said staff records will be available by the end of the week (07/04/06). Comments from residents were positive about the staff, who were described as kind and helpful. Residents said that staff always had time for them and they were “easy to get on with”. One female resident was asked how she felt about a male carer looking after her and she said she had ‘no problems at all with Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 18 this’ and felt he was ‘very good at his job’. Comments from staff indicated they felt staffing levels were sufficient to meet the needs of residents currently living in the home. Progress has been made in staff training opportunities and staff are currently undertaking distance learning courses in health and safety, first-aid, medication and infection control. However, one member of staff who transferred from another home owned by the provider said she had not had any induction or supernumerary shifts when she commenced working in the home. Staff must undertake fire training to ensure safe procedures are followed in the event of fire. The acting manager said that there are currently two staff with NVQ (National Vocational Qualification) training, however, plans are in place for other staff to commence NVQ level two training. Individual training records were not available for inspection but as already highlighted these will be in the home by the end of the week. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 19 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 & 38 There must be clear leadership giving staff guidance and direction to ensure residents needs are met. Evidence should be available to show that residents are actively involved in the decisions about the day to day running of the home. EVIDENCE: There is no registered manager and this was the case prior to the new owner taking over in January of this year. It is a condition of registration that an application for a Manager must be received by CSCI within 3 months of providers registration. To date this has not been actioned, however, the provider explained that he is having difficulty in recruiting a manager and has recently been let down by a candidate. Therefore he has recruited an acting manager who has eight years care experience and has worked for him for a number of years. She has an NVQ level 3 qualification and is exploring the possibility of commencing level 4 or the registered managers award. Staff spoken to stated that they feel supported by the acting manager and residents Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 20 knew who was in charge although one expressed concern over the recent changes and would appreciate more time with the provider. Inspection of records indicated that regular fire tests have not been carried out since December ’05 and new staff including the acting manager have not had fire drills or instruction and this was confirmed by the staff members spoken to. Accident records showed that a serious accident had not been notified to the Commission and this was discussed with the acting manager who said she was unsure of what necessitated notification. Inspection of residents finances held on their behalf noted two shortfalls, one of 20 pence and another of £10, (a further £1.20 was found loose in the safe and this was added to the shortfall of £10. This was discussed with the acting manager who agreed to address this immediately. It is recommended that meetings are held with residents where they are able to make decisions about the day to day running of the home. For example, the home is currently fund raising and the acting manager said she is planning to take residents out for a day in the summer, however, there was no evidence to support residents have been involved in this decision. The provider has developed a quality assurance questionnaire and this has been sent to relatives, however, one resident said that they would like to be involved in the process and this was discussed with the acting manager who agreed to address this. It is also recommended that, where necessary, responses are followed up and action taken is recorded. Some records required to be kept for regulation purposes to ensure the health and welfare of residents were not available for inspection, these related to records held of complaints and staff training including induction. No photographs of residents were available for those residents ‘case tracked’. Thermostatic control valves have been fitted to bathrooms and wash handbasins and records are kept of water temperatures. Staff confirmed that they have sufficient supplies of latex gloves, aprons and incontinence pads for residents. Staff also confirmed that safe procedures are now in place for the disposal of incontinence aids Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 21 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 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 2 X 3 X 2 X X 3 Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14[d] Requirement Confirmation in writing must be given to residents after assessment, as to whether the home is suitable to meet residents needs in respect of their health and welfare or not. The registered provider must ensure that residents receive a full needs assessment before any decision is made for admission. (Previous timescale not met). Care plans must contain more detailed information about the needs of residents and risk assessments must be written. Care plans must demonstrate the involvement and agreement of residents or their relatives/representatives. Records must also contain a photograph of the resident. (Previous timescale not met) Arrangements must be made for the safe- keeping of insulin medication and ‘Mar’ sheets must be completed using the appropriate coding system where necessary. The registered provider must DS0000065539.V288005.R01.S.doc Timescale for action 30/04/06 2 OP3 14 30/04/06 3 OP7 15(1)&(2) 17(1) Sch 3 31/05/06 4 OP9 13[2] 31/05/06 5 OP18 13[6] 31/05/06 Page 23 Redcote House Residential Care Home Version 5.1 6 OP30 18 7 OP31 8 8 8 OP35 OP37 16[2][l] 17 make arrangements to prevent residents from being at risk of harm and abuse. Up to date procedures must be available for all staff to ensure any allegations of an adult abuse are reported using the appropriate referral procedures of the Local Authority. All new staff should complete a recognised induction programme and this should include fire safety procedures. The registered provider must recruit a manager and an application for the registration of the manager must be received by the Commission. The registered provider must ensure the safe keeping and recording of residents finances A copy of all persons employed at the home including all information as set out in Schedule 4 of the regulations must be in the home available for inspection at all times. The provider has stated these will be in the home by 07/05/06. The registered person must notify the Commission of any significant events which affect the well-being of residents. 31/05/06 31/05/06 30/04/06 07/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations The registered provider must amend the service user guide to include the terms and conditions of residency/contract and inform readers where they can DS0000065539.V288005.R01.S.doc Version 5.1 Page 24 Redcote House Residential Care Home 2 3 4 5 OP3 OP15 OP19 OP29 access a full copy of the last inspection report. Residents terms and conditions/contracts should be kept in their individual files. The registered provider must update the admission procedure in accordance with the National Minimun Standards. It is recommended that regular meetings are held with residents and the cook to discuss menus. Minutes should be taken and be available for inspection. The registered provider should liaise with his fire officer to ensure the home’s fire risk assessment complies with legislation. It is recommended that staff exit interviews are held to monitor the reasons staff leave their employment. Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Redcote House Residential Care Home DS0000065539.V288005.R01.S.doc Version 5.1 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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