Inspection on 17/11/06 for Redhouse Nursing Home

This inspection was carried out on 17th November 2006.

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

Redhouse Nursing Home 04/11/05

Redhouse Nursing Home 11/07/05

Redhouse Nursing Home 24/01/05

Redhouse Nursing Home 16/09/04

Redhouse Nursing Home 29/10/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Redhouse Nursing Home 55 Redhouse Street Walsall West Midlands WS1 4BQ Lead Inspector Mrs Mandy Beck Key Unannounced Inspection 17th November 2006 08:00 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 Redhouse Nursing Home DS0000020793.V319358.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. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redhouse Nursing Home Address 55 Redhouse Street Walsall West Midlands WS1 4BQ 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) 01922 616364 01922 616364 Mr Sukhdev Singh Sidhu Mrs Wendy Marie Morgan Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can admit frail residents requiring nursing care over the age of 50 years. 4th November 2005 Date of last inspection Brief Description of the Service: Redhouse Nursing Home is a small, friendly and homely service, providing a service to the immediate community for older persons of the area and employing staff also from the local population. The home is situated close to local amenities and is conveniently served by public transport. The Home has a clear philosophy, aims and objectives and these are included in the statement of purpose, which provides a comprehensive document, which is available to prospective and current service users. The current mission statement identifies a commitment to staff training and updating. The Home provides in-house catering and laundry services and all grades of staff are encouraged to relate on a personal level to the service users, enhancing the feeling of homeliness. The home currently charges between £456.99 and £515.91 per week for residency, items not covered by this fee are newspapers, hairdressing and chiropody. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection of the service. The inspection began at 08:00hrs and ended at 15:00hrs. The judgements made in this report have been reached by reviewing evidence provided to the Commission in the form of a pre inspection questionnaire, by talking to staff and service users, touring the building and reviewing the service user questionnaires that the Commission invited service users to comment on. In addition to this staff files were examined to ensure the home is continuing to recruit people in a satisfactory manner and service users plans were seen as part of the case tracking process to determine whether the home is continuing to meet the needs of the service users. The inspector would like to thank all of the staff and service users at the home for their kindness and hospitality throughout the day. What the service does well: What has improved since the last inspection? Since the last inspection the home has taken steps to meet all of the previous requirements. The kitchen has now been fitted with fitted with fly screens to prevent unwanted pests and insects entering the room where food is prepared. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 6 The home has also formalised their menus and these are displayed on the kitchen door for service users to be able to view, most of the service users spoken to say that they enjoyed the meals and the food was tasty. There has been some improvement made to the environment with the provision of new carpets for service users bedrooms, new pressure relieving equipment with plans for more in the future. 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. Redhouse Nursing Home DS0000020793.V319358.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 Redhouse Nursing Home DS0000020793.V319358.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): 3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that if they choose to live at Redhouse Nursing Home their individual needs will be assessed in full. They will be encouraged to spend time at the home prior to agreeing to move and experienced and welltrained staff will care them for. EVIDENCE: Every service user who makes the decision to live at Redhouse has their needs assessed by the manager before they enter the home. The assessment is comprehensive and details service users needs. Service users and their families confirmed that they were involved in this process and comments received included “Wendy came to see her and we knew straight away that this would be the place for her”, “I remember them asking questions about what I liked and they asked me if I wanted to bring anything from home with me”. In addition to the home completing their own assessment service users are also involved in the Single Assessment Process with the local Primary Care Trust. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 9 Every service user is given the opportunity to visit the home before they agree to move in, although in some circumstances this has not been possible and one service user said, “my daughter came to see it, I think she made a very good choice”. The manager will write to the service users once her assessment is completed to inform them that the home is able to meet their needs. The home provides nursing care and can demonstrate its capacity to meet all of the service users needs. The staff have the knowledge and skills to care for the service users but in order to build upon these existing skills refresher training in specialist subjects such as Dementia, Diabetes and Stroke would be advantageous. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that they will have an individual plan that sets out their needs in detail. Service users are involved in all aspects of their health care and are given appropriate assistance to maintain their health. Medication is administered safely but storage and policy guidance could be improved Service users feel confident that at all times they will be treated with respect and their right to privacy upheld. EVIDENCE: Three service users files were seen as part of the case tracking process, this means that files were examined to see if the home is meeting the needs of the people who live there. All of the service users have their own individual plan that details their care needs and how they will be met or managed by the home. In addition to this the home completes risk assessments for falls prevention, moving and Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 11 handling, pressure sore risk development and nutritional screening for all service users. It was pleasing to see that where issues had been identified the staff had planned care to resolve them, for instance one service user had lost weight, the care staff took steps to address this problem by arranging for the doctor and the dietician to review their care, as a result the service user has now gained 10kg in weight and is no longer considered to be at risk. Another service user had developed pressure damage, the nursing staff had identified this and again taken steps to resolve the issue, as a result this service users pressure damage has been healed. Service users were pleased with the level of care they receive from the staff, “do you know I don’t know what I’d do without them”, “they are very helpful”, “sometimes you have to wait for the loo but there’s bound to be a queue we all want to go isn’t there”. When asked if they received medical attention promptly “oh yes dear whenever I’m ill the doctor comes”, “of course we do”, “all I know is when I’m bad they look after me”. Qualified nurses who are registered with the Nursing and Midwifery Council (NMC) administer medication. The home has good systems in place for the ordering, receipt and disposal of unused medication. The storage of medicines could be improved; the trolley is not large enough to safely store individual service users liquid medication, which is transported around the home underneath the trolley. Other improvements must include recording the treatment room temperature on a daily basis to ensure that medicines are being stored at the recommended temperatures, and the review of the medication policy. These improvements would further safeguard service users. All of the service users spoken to said they are treated respectfully and in some cases where intimate care is required care staff help to reduce the embarrassment they feel. “They make me laugh to take my mind of it”. Throughout the day staff were heard talking, singing and telling jokes with service users. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users will be encouraged to stay active and maintain their social contacts. Families and friends are welcomed at any time of the day. Meals are wholesome and balanced generally meet service users requirements. EVIDENCE: Service users agree that the staff try hard to keep them occupied, relatives said “they are always doing something, games, reading or chatting”. When asked if there could be any improvements one service user said “the lights would be good” (Walsall illuminations), “we could go to the shops”. Family and friends are welcomed at anytime during the day but are asked to give consideration to service users needs if visiting late at night. Relatives said that they are always kept in touch with changes in their relative’s condition, “the doctor even rang me at home to let me know my mother was ok”. Service users also have pets at the home, Topsy and Milly the cat and a chipmunk and budgies; service users assist in the care of the animals but also enjoy their company. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 13 Service users bedrooms were seen as part of a tour of the building, it was pleasing to see that they were personalised with their own belongings, the manager confirmed that if service users wanted to bring their own furniture into the home this is usually done prior to admission. When the inspector arrived at the home breakfast was being served, the smell of bacon and eggs filled the home, Service users said, “we have this every day”, “I couldn’t get by without my bacon sandwich”. Each breakfast is freshly prepared when the service user enters the dining room this ensures that the food is always hot and fresh when they eat it. The menu’s have been updated since the last inspection and are now displayed in the dining room so that service users can see what is available. There is only one choice at lunchtime and at times due to limited storage in the kitchen, the choice on the menu may not be available and service users have something similar. For instance, if fish and chips are on the menu, there is no fish, fish fingers are made available. Other comments form service users included “I really love the breakfast and puddings I have a sweet tooth” Meal times are relaxed and service users are not rushed into finishing their meals, they are given assistance in a discreet and sensitive manner. The home employs kitchen staff that prepares all of the meals and do the cooking, they are also responsible for the cleaning of the kitchen. A brief inspection of the kitchen was undertaken, the kitchen is well equipped although there are storage issues because space is so limited, shopping for food cannot be completed for one week because there is no room to store it. The kitchen requires a deep clean; it is not as clean as it should be. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can feel confident that their complaints will be listened to and acted upon. Service users will also be protected from abuse; staff training will protect them further. EVIDENCE: The home has received no complaints since the last inspection. Discussion with the manager indicated that the home reacts positively to any concerns, complaints service users or relatives have. The manager attempts to solve issues before they escalate. The home has a complaints policy and procedure that is also included in the homes service users guide. To further develop the homes commitment in resolving issues the manager should consider providing the complaints policy in different formats such as large print or pictorial for those service users who have difficulty reading smaller print or reading. The manager has recently secured a copy of the local authority guidance for Protecting Vulnerable Adults; this must be shared with the rest of the staff so that they are all aware of its contents. In order to safeguard service users further all staff must receive training in Adult Abuse Awareness so that they are clear of their roles and responsibilities in protecting the service users they care for. There have been no allegations of abuse at the home since the last inspection. All the staff who work at the home have the required checks in place that safeguard service users. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a home that could be improved but is pleasant and safe for their needs. EVIDENCE: The home is in need of refurbishment and redecoration; this was discussed with the manager at the time of the inspection. The registered provider is currently awaiting a decision about an extension to the property to provide new bedrooms with en suite facilities, this decision is expected in the near future and once this has been received the registered provider will begin planning the much needed refurbishment of the existing home. There have been improvements to the environment for instance service users have had all of their bedrooms re carpeted, the home has also provided new Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 16 pressure relieving equipment for some service users to reduce their risk of pressure sore development. The home has laundry facilities located on the ground floor and the ironing room on the first floor. There are gloves provided for workers to use to reduce the risk of cross infection but the home should also provide aprons to further protect staff. The policies and procedures regarding the handling of soiled linen and cleanliness of the laundry need to be updated to reflect current good practice. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that staff are employed in sufficient numbers to meet service user needs. Staff are recruited safely and are trained and skilled to ensure that service users interests are protected. EVIDENCE: There are sufficient numbers of staff on duty to meet service users needs, the home provides nursing care and there is always a registered nurse on duty to oversee service users care. In addition to the caring staff the home employs kitchen staff, domestic and laundry staff to ensure that the home runs smoothly. Staff do receive training and at present the home has a large number of its staff with an NVQ level 2 in care, whilst others are working towards its completion. The home also supports volunteer workers from Age Concern and Steps to Work. Staff files were examined to ensure that the home is continuing to employ new workers in a satisfactory manner. All of the files seen contained the majority of information required with only minor shortfalls noted, for example missing Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 18 photographs of employees. All relevant checks were in place to make sure that service users are safeguarded i.e. PoVA and CRB disclosures. New employees do receive an induction programme to help them settle into working at Redhouse and providing care to service users, one of the files seen did not contain any written record of induction but the manager was able to discuss how this employee had been introduced to the home and supported during their first weeks with training and shadowing other workers. The manager must ensure that all induction programmes meet the Skills for Care standards and that all aspects of it are recorded and signed by both parties. Service users were very positive about the staff and commented, “the entire staff care very welcoming and the attention given is A1, I am very pleased they really do care for the residents”, “the care and support they give is excellent”. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A manager who is both competent and experienced runs the home. Service users can be assured that the home is run in their best interests and they will be consulted about changes. The health and welfare of service users and staff is promoted and protected. EVIDENCE: The homes manager is Mrs Wendy Morgan, who is both qualified and competent. Service users speak highly of her and feel that they can approach her at anytime if they have cause to do so. The manager keeps herself updated with current good practice and then passes this onto the staff team. At present Mrs Morgan only has one day where she is supernumery this is the day that she “manages” the home and reviews policy and procedures, however Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 20 it is recommended that this be reviewed and increased to give the manager more time to develop the home and underpin the good practice with sound and robust policy documentation. The quality assurance systems in place are aimed at seeking service users views; the home currently does not seek the views of relatives or other interested stakeholders in the community. This should be expanded so that the home can be sure that they are acted in the service users best interests at all times. Once the results of these surveys are received the results should be published along with any resulting action plan. The home does not manage any of their service users money but does hold “pocket money” for them so that they can pay for their newspapers and hairdressing etc. There are no policies in place to guide staff when dealing with money for service users and whilst the bookkeeping records were up to date there were no receipts for some transactions i.e. hairdressing. This was discussed with the manager during the inspection and this will be rectified. Safe working practices within the home are generally good, maintenance of the building is ongoing and all necessary checks and safety certificates were in place. Staff do receive mandatory training but to ensure that all staff receive this training on time the formulation of a training matrix is recommended so that all staff training would be readily identifiable and would not lapse. Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 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 X X 3 2 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 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X X 2 Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 22 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 OP4 Regulation 18 (1) (c) (i) Requirement The registered person must ensure that all staff receive refresher training in specialist subjects such as dementia, diabetes and stroke. There must be individual bed rail risk assessments for those service users who require them. Bed rails must be supplied in pairs and records kept of all maintenance checks. The receipt of all medication must be documented onto the MAR charts and any balances of medicines carried over onto a MAR chart are recorded The medicine policy must be reviewed and updated to reflect how medicines are controlled and handled and include covert administration of medication. A ‘Homely Remedy’ procedure must be available that has been agreed by the GP’s. Medication that is prescribed “when needed” but is being Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 23 Timescale for action 01/02/07 2 OP7 13(4)(b) 01/02/07 3 OP9 13(2) 01/02/07 administered regularly by nursing staff must be reviewed by the GP The temperature of the treatment room must be recorded on a daily basis to ensure that medication is being stored at the correct temperature; the temperature must not exceed 25oC. The medicine trolley must be replaced for a bigger one to ensure that all medicines including liquids are stored safely. Until a new trolley can be provided all medicines which are transported on the medicine trolley must be locked and secure. The registered person must 01/02/07 ensure that all staff have training in Adult Abuse Awareness. The homes policy on vulnerable adults must include details of the Protection of Vulnerable Adults register. The registered provider must produce a planned programme for the refurbishment and redecoration of the property that demonstrates forward planning and timescales for completion of works. This must include the redecoration of the corridors, lounge area and dining room. The repair or replacement of furniture that is damaged or worn out. 4 OP18 13(6) 5 OP19 23(2)(b) 01/02/07 Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 24 6 OP26 13(3), 23(2)(d) The planned programme must be forwarded to the CSCI There must be a cleaning 01/02/07 schedule for the laundry which will include Floors being mopped daily Mop heads to be laundered daily at disinfection temperatures. There must be COSHH information in the laundry and COSHH products must be kept in a locked cupboard. The registered manager must devise and display a laundry procedure and guidelines in the laundry area. The kitchen cleaning schedule must be expanded to include the frequency of tasks, and products to be used and must be signed by kitchen staff upon completion. There must be a deep clean of the Kitchen. The manager must complete an audit of all staff files to ensure that all of the required information is obtained. All records of induction and foundation training must be recorded and kept with the new workers file. Induction programmes must meet Skills for Care standards The registered manager must expand the homes quality assurance systems to include the views of relatives and other interested stakeholders. A report of all surveys undertaken must be published with an action plan to meet any issues arising. 7 OP29 19 sch 2, sch 4 18,17 01/02/07 8 OP30 01/02/07 9 OP33 24 01/02/07 Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 25 The registered manager must ensure that policies are updated to reflect current legislation and good practice. The registered person must visit the home unannounced at least on a monthly basis and compile a written report as per Regulation 26.A copy of these reports must be forwarded to the CSCI The registered manager must 01/02/07 ensure that receipts are obtained for all transactions i.e. hairdressing services for service users. There must be a policy for dealing with service users money. The registered provider/manager 01/02/07 must ensure that all staff receive training in Infection control Food hygiene First aid Moving and handling 10 OP35 17 (2) sch 4 11 OP38 13 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 OP19 OP30 OP31 Good Practice Recommendations It is strongly recommended that consideration is given to storage when planning the extension to the home It is recommended that the registered manager keep a training matrix to enable her to readily identify when refresher training is due. It is recommended that the registered manager’s supernumery hours are increased Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Redhouse Nursing Home DS0000020793.V319358.R01.S.doc Version 5.2 Page 27 - 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!