Inspection on 27/06/05 for Richden Park

This inspection was carried out on 27th June 2005.

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

Other inspections for this house

Richden Park 07/12/06

Richden Park 26/01/06

Richden Park 14/03/05

Richden Park 15/09/04

Richden Park 27/02/04

Richden Park 13/11/03

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Richden Park Care home 37-43 Old Brumby Street Scunthorpe North Lincs DN16 2AJ Lead Inspector Kate Emmerson Unannounced 27th June 2005 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 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. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Richden Park Care Home Address 37-43 Old Brumby Street Scunthorpe North Lincs DN16 2AJ 01724 280587 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Bondcare Group Position Vacant Care Home 52 Category(ies) of OP (52) registration, with number of places Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14 February 2005 Brief Description of the Service: Richden Park is a purpose built residential home. Accommodation is provided over two floors and there are two lifts to access the first floor. The home is registered for fifty-two service users under the category of old age. There is a small car park to the front of the building. Richden Park is close to the bus route into Scunthorpe centre, and Ashby. It is also close to local shops and churches. The home is also in short walking distance to the town centre. Nursing care is not provided in the home and this is identified in the statement of purpose Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two days in June 2005. To find out how the home was run and if the people who lived there were pleased with the care they got the inspector spoke to the manager and 4 of the staff working in the home at the time of the inspection. The inspector also spoke to 5 people who lived in the home and 1 visitor. Some of the records kept in the home were checked. This was to see how the people who lived in the home were being cared for, that staff were safe to work in the home and that they had been trained to their job safely and to make sure that the home and the things used in it were safe and were checked regularly. The home was checked to see if it was kept clean and tidy. What the service does well: What has improved since the last inspection? All the things that needed to be done to make the home more comfortable and safe had been done since the last inspection, such as buying new bedding, dinning chairs and equipment to move people. There were more staff working in the home and checks to make sure that staff were safe to work in the home were now being done. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 6 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. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 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 standard(s) 1, 2 and 3 The home had developed a service users guide and statement of purpose to give information to prospective service users. Whilst these were informative they did not include all the information required to meet the National Minimum Standards or Care Home Regulations 2001. A contract/statement of terms and conditions was provided but the document did not include all the information required to meet the National Minimum Standards. Detailed assessments of need were completed before service users were admitted to the home. Although informed verbally that their needs would met at the home this was not confirmed in writing as required in the Care Home Regulations 2001. EVIDENCE: Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 9 There was a statement of purpose and service users guide available in the home and the manager stated these were provided in each bedroom and at the reception area together with associated polices and procedures. The statement of purpose required some inclusions to meet the Regulation 4 and Schedule 1 of the Care Home Regulations 2001. The registered person must refer to the regulation and schedule for all the required inclusions but these include the qualifications and experience of the Registered Provider, arrangements for contact with family and friends and arrangements to review care plans. Other areas, such as the range of needs that can be met in the home should be further expanded. The document is not user friendly and lacks detail, tending towards listing polices and procedures applicable to each area rather than a summary of the homes procedures in areas such as fire procedures and arrangements for respecting the privacy and dignity of the service users. To meet the standard the service users guide must include the qualifications of the manager and responsible individual. Number of places provided, a copy of the most recent inspection report, service users views of the home and the Commissions new address. A contract/statement of terms and conditions was provided to service users. However the format in place did not include all the elements listed in this standard, for example who is responsible for payment of fees rights and obligations of the service user and the provider and who is liable if there is a breach of contract. The administrator showed the inspector a contract that had been developed and implemented by the home to meet this requirement, but stated this had been withdrawn by the clinical manager as the home had to use the groups standard contract/terms and conditions. There was an improvement in the assessment of need of the service users. A detailed assessment format was in place and this identified all health, personal and welfare needs and associated risks. These were completed in all the care files examined and assessments and care plans form the placing Authority had been obtained. Although service users were informed verbally that their need s could be met at the home the home did not write to confirm this. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 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 standard(s) 7, 8 and 9 The quality of risk assessment, care planning, evaluation and review was variable and this may put the service users at risk of their health, personal and welfare needs not being adequately met or monitored. Service users had not always agreed and signed their care plan. Policies and procedures for medication were adhered to and clear records were maintained. EVIDENCE: A random selection of five care plans was examined. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 11 The quality of care planning was varied and only two of the five service users spoken with were aware that they had a care plan. There was some evidence that care plans had been developed from improved and detailed assessments of need, however care plans had not been developed for two service users admitted since April 2005 one of which had very complex needs. Two care plans were reasonably developed and had been evaluated monthly and there was evidence that reviews had been completed. There was also evidence that these care plans had been agreed and signed. One care plan lacked detail and some areas had not been completed. There was no evidence that the service user had seen and agreed to the care plan or that the care plan had been evaluated or reviewed. Where one service user was identified as at risk of falls there was no care plan to minimise this risk and mobility risk assessments had not been completed. Service users health needs although identified at assessment were not always translated into plans of care. For example: Tissue viability risk assessments were completed although on a mix of old and new formats, which could lead to confusion especially where both of these had been completed in one file. There was little evidence of care planning to reduce the risks of pressure sore development even where service users had been identified as medium or high risk. The manager stated that none of the service users had pressure sores at the time of the inspection. A care plan had not been developed for a service user where catheter care was required There was some evidence that nutritional screening was completed and evaluated regularly and weights were recorded. However in one case, a care plan had not been developed where nutritional support was required due to the service user being identified as frail and very thin. Records of the receipt, administration and disposal of medication, including controlled drugs, were clearly maintained. Controlled drug patches were not being appropriately disposed of and the staff were advised to return these to the pharmacist. The staff member assisting the inspector had completed the safe handling of medication course and demonstrated good knowledge of the homes procedures and medications in general. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 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 standard(s) 12 and 14 Service users stated that they were able to exercise choice in daily routines, meals and activities. Information regarding access to records was not provided to service users. EVIDENCE: Although there wasn’t an organised activities programme the manager and service users described the range of activities available to them and stated that they met their needs although one service users stated he would like to have the opportunity to draw or paint. The home employed an activities coordinator but at the time of the inspection she was assisting in the kitchen to cover staff sickness. The manager stated that her input into the actives was approximately an hour per day. The service users interests were recorded but there was little in the way of care planning. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 13 Information was displayed in the home regarding access to advocacy services but information regarding access to records was not provided. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 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 standard(s) 18 The home had systems in place to protect service users from abuse but staff hadn’t had training in restraint and Dementia. EVIDENCE: The home had policies and procedures for the protection of vulnerable adults, and it makes reference to the reporting systems to the local authority, and the Commission. A copy of the local authorities policies and procedures for the protection of vulnerable adults was available in the home. Staff training files inspected contained signed agreement that they had received a copy of the homes policy on the Protection of Vulnerable Adults. Some of the staff had received formal training for the protection of vulnerable adults since the last inspection and further training was planned. Staff had not received training in challenging behaviour, restraint and care of those with dementia. Staff stated that the home did not have any service users who displayed challenging behaviour at the time of this inspection. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 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 standard(s) 19, 22, 24, 25 and 26 The home was generally clean and tidy, comfortable and reasonably well maintained. The registered persons and the manager had addressed issues from the previous inspection. EVIDENCE: A partial tour of the building was undertaken and requirements from the previous inspection report relating to the above standards were checked for compliance. The requirements relating to bedsides, bathing facilities, dining chairs, fire doors, moving and handling equipment, bed linen and hot water temperatures had all been adequately addressed. Some new furniture had been purchased and the manager stated some more had been ordered. There was one bedroom that was odorous and one that was dusty. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 16 There was no evidence that the home complied with the Water Supply (Water fittings) Regulations 1999. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 The manager had been working hard to increase the numbers of staff available to work in the home and had some success in improving staffing levels. Staff levels must be consistently maintained and if the manager is unable to support the rota she must not admit any further service users. The Registered person has done little to address the recruitment and staff turnover issues. At current training levels the home will not met the standard that 50 of the staff will be qualified to NVQ level 2 by the end off 2005. Staff recruitment practises showed improvement. Staff training was not adequate to ensure that all the mandatory training had been kept up to date. This could put staff at risk of not having their needs adequately and safely met. The manager was aware of the issues and some training had been arranged to address the issues. Induction and foundation training was not adequate to ensure staff were adequately trained for their role. EVIDENCE: Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 18 The manager stated that there were 42 service users in the home at the time of the inspection. For 31 to 40 there must be 5 care staff, for 41 to 50 service users there must be at least 6 care staff on duty during the day shifts 7am – 9am and for 51 to 60 there must be at least 7 staff on duty. The home had had ongoing problems with recruitment and this had impacted on the consistency of staffing levels, which the Commission had been monitoring. The manager had worked hard to resolve this and had been constantly interviewing staff since she took up her post. Agency staff was being used to assist in maintaining the staff rota. The company had also recruited staff from abroad to work in the home. Evidence provided to the Commission would indicate that there has been some improvement in staffing levels and deficiencies were not so frequent. However the staff had varying opinions regarding staffing levels. They stated that in some cases the staffing levels had improved but in other cases the staffing levels were too low. They stated that this also impacted on the new starters, as the work was very heavy when the home was short staffed and this put people off and 4 new staff left after only 2 or 3 days. Service users stated that the home was sometimes short staffed and they had to wait to go to the toilet or for their bell to be answered. Visitors stated that the home appeared short staffed at times and stated they had noticed people had to wait to go to the toilet at times. The registered person has been strongly advised to review staff turnover and the homes difficulty in recruiting and put plans in place to reduce the staff turnover following the last two inspections but there was little evidence of any action having been taken in this area. Unless this is completed the home is going to have ongoing problems in the future. The Commission requests evidence from the Registered Person that positive action has been taken to address these issues. Two staff have achieved NVQ level 2 and five have registered to commence training. There was evidence that the recruitment practises had improved since the inspectors previous meeting with the manager in terms of ensuring the required checks were in place prior to employment of care staff. TOPPS induction training had been introduced to the home but of three staff records checked none had completed the induction within six weeks of employment. Three other staff files could not be checked as the manager stated that they had their own files. Staff stated that the induction they had received had not been adequate. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 19 At the last inspection the previous manager had identified training that was required and had arranged for moving and handling, fire safety and care plan training to be completed in March 2005. This had not taken place and further training sessions had also been cancelled by the trainer. By the end of the inspection the manager had confirmed that moving and handling training would take place the next week and the Fire officer was booked to complete fire training over two dates in July and August 2005. Other areas that the previous manager had identified were food hygiene, infection control, and health and safety, which were to be arranged. The new manager had identified that only 4 staff had received first aid training, which was insufficient to ensure one trained staff member on each shift and training must be arranged to address this. Discussions with staff showed motivation to attend training had improved and most described their individual training needs. The registered person must ensure that all new staff receive induction training within six weeks of employment, foundation training within six months and mandatory training with appropriate refresher training as an ongoing programme. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36 and 38 The manager had been in post for just 3 months prior to the inspection and had had a positive effect in some areas of the home. The remoteness of the manager’s office reduces the impact and accessibility of management in the home. Staff were not appropriately supervised. The quality of the service will not be monitored until the manager has had training in the companies systems. This has been arranged. The manager has been proactive in meeting the health and safety requirements identified at the last inspection. Staff training had not been provided in mandatory areas at the time of inspection and this may put service users and staff at risk of needs not being safely met or of injury. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 21 EVIDENCE: The manager Bridget Simpson has been in post since April 2005. Mrs Simpson stated she is an experienced manager who has worked in the care industry for many years. At the time of the inspection the Commission was still waiting for Mrs Simpson’s application to be the Registered Manager. The manager’s office is to the rear of the home situated in a separate building in the garden. The remoteness of the building limits the managers ability to supervise staff and the general care provision and it is not easily accessible to service users and visitors. Staff supervision has not been implemented in the home as the manager has identified that the senior staff will require training to assist her in this role and the deputy manager who was assisting in supervision has recently left the home. North Lincolnshire Council has been approached for training and interviews for a new deputy manager have taken place. A format for quality monitoring is available but the manager requires training in the system from the company’s clinical manager before this can be implemented and this is arranged for end of July 2005. There were some deficiencies in health and safety this area. The manager had identified training requirements and had booked training to address the most urgent areas such as moving and handling and fire safety. The health and safety issues below identified at the last inspection had been addressed. • Insufficient moving and handling equipment available in the home for the first floor. • Hot water temperature in 3 bathrooms above 43°C. • Fire risk assessment required updating. • Two of the bedrooms had TV’s and other items stored on top of the wardrobes and there were trailing wires in one bedroom that were a potential trip hazard. • Fire doors were wedged open. • Cleaning and linen store cupboards were not locked. • Environmental risk assessment could not be found. The manager was aware of the deficiencies in mandatory training in areas relating to health and safety such as moving and handling, first aid, and fire training. Moving and handling and fire training had been booked. Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 22 There were some issues arising at this inspection in relation to health and safety: • There was evidence that portable electrical appliances had not been safety tested for the past two years. The maintenance man had been for training to do this but was waiting for equipment to be provided by the company before this could be completed the manager confirmed that the equipment would be delivered that week. Fire drills had been held in October 2004 and February 2005. It is recommended that these are completed monthly to ensure a wide selection of staff can be involved. New starter since the last inspection should take part in a fire drill. • Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 23 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 2 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 2 15 x COMPLAINTS AND PROTECTION 3 x x 3 x 3 x 2 STAFFING Standard No Score 27 2 28 1 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 2 x 1 x x 1 x 2 Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 24 yes 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 OP1 Regulation 4 Requirement The registered person must ensure that the statement of purpose includes all the information as listed in Schedule 1 of the Care Home Regulations 2001 The registered person must include all the information listed in Standard 1 and Reulation 5 of the Care Home Regulations 2001. The registered person must further develop the terms and conditions to include who is responsible for payment of fees rights and obligations of the service user and the provider and who is liable if there is a breach of contract. (Previous timescale 1 February 2005) The registered person must ensure that the care plan details all care requirements to meet the needs identified in the assessment and ensure that the service user agrees and signs the care plan and risk assessment. (The previous timescale - with immediate effect -was not met) J54 Richden 2889 UI V233887 27 June 2005.doc Timescale for action 1 October 2005 2. OP1 5 1 October 2005 3. OP2 5 1 October 2005 4. OP7,8 and 12 15 With immediate effect Richden Park Care home Version 1.30 Page 25 5. OP14 12(5) 6. OP18 13(7) 7. OP27 18(1)(a) 8. OP27 18(1) 9. 10. OP28 OP30 18(1) 18(1) 11. OP36 18(2) The registered person must ensure that service users are provided with information regarding access to records in accordance with the Data Protection Act 1998. The registered person must ensure that staff training is provided to all staff in the protection of restraint. (The previous timescale - 1 January and 1 June 2005 -was not met) The registered person must ensure that minimum guidelines re staffing levels are met at all times. (The previous timescale – with immediate effect-was not met) The registered person must review the reasons for staff turnover and recruitment issues and put plans in place to reduce this. A report of the findings and an action plan must be provided to the Commission. The registered person should ensure that 50 of the staff in the home have achieved NVQ 2. The registered person must ensure that all new staff receive induction training within six weeks of employment foundation training within six months of employment and mandatory training with appropriate refresher training as an ongoing programme (The previous timescale – with immediate effect-was not met). The registered person must ensure that staff receive a minimum of six formal recorded supervision sessions per year. (The previous timescale - 1st January an 1 June 2005-was not met) 1 October 2005 1 September 2005 with immediate effect 1 September 2005 31 December 2005 With immediate effect 1 October 2005 Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 26 12. OP36 35 13. OP38 13(4) 14. 15. OP38 OP26 13(4) 13(3) The registered person must ensure that there is an effective quality assurance and quality monitoring system in the home that includes an action plan and publication. (The previous timescale - 1 January 2005 -was not met) The registered person must ensure that there is a member of staff on each shift who has has training in first aid. The registered personm must ensure that all prtable electical equipment is safety tested. The registered person must ensure that home complies with the Water Supply (Water fittings) Regulations 1999.and provide evidence of this. 1 October 2005 1 October 2005 with immediate effect 1 October 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP31 OP38 Good Practice Recommendations The registered person should make arrangements for the manager to have an office within the home. The registered person should ensure that all staff employed since April 2005 take part in a fire drill Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 27 Commission for Social Care Inspection Unit 3, Hesslewood Country Office Park Ferriby Road Hessle East Yorkshire HU13 0QF 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 Richden Park Care home J54 Richden 2889 UI V233887 27 June 2005.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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