Inspection on 14/03/07 for Riddlesden Rest Home

This inspection was carried out on 14th March 2007.

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

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

Other inspections for this house

Riddlesden Rest Home 17/01/08

Riddlesden Rest Home 28/06/06

Riddlesden Rest Home 09/11/05

Riddlesden Rest Home 23/11/04

Riddlesden Rest Home 03/06/04

Similar services:

Abbey The

Snydale Care Home

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 Riddlesden Rest Home Carr Lane Riddlesden Keighley West Yorkshire BD20 5HQ Lead Inspector Nadia Jejna Unannounced Inspection 10:30 14 March 2007 th 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 Riddlesden Rest Home DS0000051070.V307904.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. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riddlesden Rest Home Address Carr Lane Riddlesden Keighley West Yorkshire BD20 5HQ 01535 604504 F-P 01535 604504 N/A 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) Mrs Helen Leach Mrs Helen Leach Care Home 10 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (10) of places Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2006 Brief Description of the Service: Riddlesden Rest Home is situated on the outskirts of Keighley. The home is a single storey adapted building, providing ten single bedrooms. There is car parking to the front of the building and good wheelchair access. The home does not have gardens, but there is a fenced patio with a raised flowerbed at the back of the building that provides good views over the valley. The home is registered to provide personal and social care for up to ten people of either sex over the age of 65, the home can also provide care for up to three people over 65 with dementia. The weekly fees range from £332.50- £342.50, this information was provided by the manager at inspection on 28th June 2006. Information about the services provided by the home can be obtained on request from the manager in the Service User Guide. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two visits were made on 14th and 19th March 2007. The home did not know that this was going to happen. Feedback was given to the manager during and at the end of the visits. This was the third visit since 1st April 2006. A full inspection carried out in June 2006 highlighted areas of concern. The main problems were around: * Staff had not been given enough appropriate training to properly understand and meet residents’ health and specialist care needs, for example dementia. * Not enough written information for staff about residents care needs and how to meet them. * Poor progress in meeting requirements, many of which had been in place since 2002. The manager was made aware of these concerns and told to forward an improvement plan showing how they would meet the twenty-five requirements that had been made. The second visit in September 2006 was to look at particular areas of health and personal care following information received by CSCI. The areas of concern raised were not substantiated but it was found that little progress had been made toward meeting requirements in place after the June 2006 visit. The manager met with the CSCI in September 2006 and gave reassurances that improvements had and would continue to be made. The manager had further discussions with CSCI in December 2006. She talked about what changes had been made and said that an improvement plan would be sent to CSCI. The purpose of this visit was to look at what improvements had been made, what requirements had been met and make sure that the home was being managed for the benefit and well being of the residents. During the visit residents’ and staff were spoken to. Other records in the home were looked at such as staff files, complaints and accident records. What the service does well: The home provides care to residents in pleasant and homely surroundings. The home is kept clean and tidy. Residents said that they were satisfied with the care provided and that staff in the home are kind, caring and could not do Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 6 any more for them. It was clear that staff have a good understanding of the residents as individuals and how to meet their needs. The manager and staff work closely with the residents GP’s and will contact them or the district nurses for advice and support as and when needed. The home is friendly and visitors are welcomed at any time. There are good relationships between staff, residents and their visitors and it is clear that it is a home with an intimate ‘family’ atmosphere. The residents were happy with the lifestyle provided by the home and it met their expectations. What has improved since the last inspection? What they could do better: The good progress made on meeting requirements must be continued so that the remaining requirements will be met in a timely fashion. These can be found at the end of the report. The main area where improvement must continue is around the record keeping and documentation. The manager is aware that the systems for maintaining Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 7 residents and staff records must be changed. This is to make sure that all required records are kept and that the information is accessible to those who need to use or see it. The work started on care plans must continue to make sure that staff have detailed guidance on how to meet residents needs. This must then be regularly evaluated and updated as changes happen. Wherever possible the resident and or their relatives must be involved with this process. The increased training for staff must continue. The manager must make sure that all staff receive training that helps them to maintain the health, safety and well being of residents and themselves, including the specialist care needs of residents such as dementia and updates as needed for health and safety related training. The manager must make sure that new staff receive induction training that is to Skills for Care common induction standards. 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. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 8 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 Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 9 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 and 3, standard 6 is not applicable to this home. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed before they move into the home to make sure that they can be met. EVIDENCE: The Statement of Purpose and Service User Guide file has been in place since 2003. The manager has made some handwritten alterations and signed to state it has been reviewed each year. She said that she will review and retype the existing document. When people come to look round the home they are given a copy of the Service User Guide. The manager said she takes one with her when she goes to do a pre admission assessment. The pre admission assessment for a resident who came to live at the home in December 2006 had enough information for the manager to know that the home would be able to meet their needs. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 10 The manager said that she is making application to revise the homes registration categories to be able to look after more residents with dementia. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 11 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 and 10. Quality in this outcome area is adequate. . This judgement has been made using available evidence including a visit to this service. Residents care needs are met but this is not fully evidenced in the care plans. EVIDENCE: The home is small and intimate and staff have a very good knowledge and understanding of the residents, their needs and how to meet them. It was clear that there were good relationships between residents and staff and that resident’s privacy and dignity as individuals was respected. The manager has been working on the care plans. Files are now in place for each resident containing: • The pre admission assessment. • A life history where the residents and their relatives have provided the information. • An assessment of the individuals needs, strengths and abilities. This will be used to put more detailed care plans in place. At the time of the visit two of the residents had detailed care plans. The manager said that she Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 12 • • • • • • would make sure the more detailed individual care plans are put in place for all residents. A general risk assessment. A falls risk assessment. A mealor pressure sore risk assessment. A nutritional risk assessment and a record of the resident’s weight, which is checked monthly. A record of visits by the GP, district nurse and other healthcare professionals. Daily records, which are very, detailed about what care has been given to the resident, any changes and how they have spent their day. Where a risk is identified the manager said that the GP or district nurse is contacted for advice and support. One of the resident’s physical condition had deteriorated and the manager had a full review with the family, social worker and district nurses. It was agreed that the resident would stay at the home and specialist equipment has been provided to help staff meet the residents needs, such as a height adjustable profiling bed, an alternating air cell pressure relieving mattress and a hoist. The manager has made sure that most of the care plans are in place for this resident providing staff with guidance about how to meet their care needs. She was advised to make sure that plans are put in place about the residents moving and handling needs and for checking the bedrails that were supplied with bed. Three staff are involved with giving residents medications. They have all done appropriate training. The carer giving residents their tablets during the visit followed safe practice and made sure they had taken their tablets. The manager was advised to revise the medication policy to make sure that it is in line with the Royal Pharmaceutical Guidelines for the administration of medicines in care homes. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle provided in the home matches residents social expectations and preferences. EVIDENCE: Some of the residents were still having their breakfast at 10.00am. Staff said that this was their choice and that they could choose when to get up and when to go to bed. Residents decide where they wish to spend their time and can sit in one of the communal lounges or their own room. It was quiet in the main communal area and some of the residents were sat reading newspapers and magazines. Staff said that this was how the residents prefer to spend the morning and that in the afternoons they will watch television or listen to music. Activities are not planned but take place on a regular basis according to residents wishes, these can include going out for a walk, board games, cards, dominoes, sing a longs and one to one chats. Staff said that they are able to spend quality time with residents when their duties were completed and they had a good insight of each individual’s abilities and preferences for social stimulation. After lunch two residents sat at the dining table playing card games. Participation in activities is documented in the daily reports. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 14 The manager has arranged for a physiotherapist to come in to the home every week to do exercise sessions with residents. These sessions are geared towards helping residents to maintain good posture and mobility. Records are kept in individual resident care files. At the request of residents the home has rescued a dog from an animal shelter. The dog has become part of the family and it was clear that residents were fond of him. The manager said that menus were planned on a weekly basis and that resident’s requests and preferences are taken into account. At lunchtime there were two choices of main course and staff showed the residents pictures of the food so they could choose what they wanted. Alternatives can be given if the residents do want it what is offered. Staff said that the meal plans are put together after talking to residents about likes and dislikes. The manager said that staff are aware of ways of enriching food and meals for people at risk of losing weight and that she would contact the dietician for more advice. The table was nicely set at lunchtime and meals attractively served. The meal was relaxed, unhurried and a nice social occasion for the residents. They were chatting to each other and staff. Where help was needed it was given in a discreet way. Visitors can come to the home at any time. Some called in during the visit and it was clear that they were welcomed and had good relationships with the staff. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse. EVIDENCE: The complaints procedure is included in the Service User Guide. It is easy to understand. The manager said that she would make a copy and put it on display in the home so that it is accessible to all. There have been two unsubstantiated complaints about care related issues since the last inspection. Staff said that they had attended training around adult protection and abuse. They said that they would not hesitate to report actual or suspected abuse. The manager said that she has attended a one day training course for managers around adult protection so that she can provide this training to staff. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 24 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and comfortable home that is suitable to their needs. EVIDENCE: The home was clean and tidy and there were no smells. The carers carry out domestic and laundry duties when residents needs have been attended to. The bedrooms seen were clean and tidy and showed that residents had brought personal items with them. For some of the rooms the main overhead light switches are located outside bedroom doors, but all rooms have a light over the sink unit and some residents have been provided with bedside lamps. The manager said that other residents were at risk of injury if lamps were provided. This should be included as part of the general risk assessments. The manager said that if residents needed lockable facilities in their rooms, she had bought some small lockable petty cash type boxes to use as and when needed. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 17 The manager continues to make improvements to the home. Since the last inspection the following work has been done: • A new kitchen floor and non-slip covering has been put down. • One of the residents rooms floor has been replaced. • Nearly all the sink units in resident’s rooms have been replaced. • The bathroom is being refurbished and a new walk in shower fitted that is accessible to people of all abilities. • The unused bathroom has been stripped out and will be used as a staff sleepover room. This does mean that the home no longer has a sluice for cleaning commodes. The manager said commodes are being properly cleaned and disinfected. • A washing machine with a sluicing cycle has been fitted in the laundry. • Staff have been provided with disposable aprons and gloves, to improve infection control practices. The manager said that the laundry walls were going to be covered with the same waterproof, washable wall covering that was in the shower room. This would be done when other works were completed. Residents’ clothes were nicely laundered. The staff now have the red soluble bags for keeping soiled/infected linen separate from general laundry. The manager said that there had been a visit from the fire safety officer in the last six months and they were satisfied with the works done and agreed what further work needed to be done over the next twelve months. The manager said she has sent a copy of her maintenance plan to the CSCI. She will update it to reflect what has been done so far and what still needs to be done. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by staff who are trained and competent to do their jobs. EVIDENCE: There were two care staff on duty and the manager, but she was called away on the first day of the visit. A senior carer came in to replace her. One of the care workers was cooking the lunch, but there were still two carers to attend to residents. Staff said that they had enough time to meet the needs of residents as well as do extra duties such as the cleaning and meal preparation when needed. They said that there is normally an extra member of staff on duty who is allocated to do the cooking. They said that they liked working at the home because they could spend quality time with the residents. The staff rotas are done at least a week in advance. Copies of old rotas are kept which show what hours staff worked. The manager said that when she calls in to the home to check that all is well she signs in and out of the visitor’s book. The manager said that since the last inspection a lot of training had been Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 19 provided. This was confirmed by staff. Training sessions attended included: • Falls prevention training. • Distance learning course about nutrition. • Distance learning course about dementia. • Abuse. • Palliative care. • Moving and handling updates. The manager was advised that a distance learning course about equality and diversity is now available and would be useful to the staff. She said she would consider this but was very aware staff had and still were doing a lot extra work as a result of the courses they were still doing. Staff said that the training had been interesting and was helping them with their roles. Most of the staff have enrolled on or completed NVQ (National Vocational Qualification) level 2 training and the manager anticipates that within twelve months over 50 of staff will have this qualification. The records for the most recent employee were looked at. This showed that the pre employment checks were in place before she started to work in the home. The application form needs to be revised so that a full employment history from leaving school is requested along with the reasons for any gaps in employment. Since the new carer started in October 2006 she had done the falls prevention, palliative care and abuse awareness training sessions. Records seen did not show if she had done induction training to the Skills for Care common induction standards. The manager was advised to make sure that all new starters do this training within twelve weeks of employment. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is managed and run in the best interests of residents but the records kept do not evidence this. EVIDENCE: The registered manager is also the homeowner and has been at the home for over twenty-one years. She successfully completed a diploma in health and social care management course. Staff said that the manager was approachable and supportive. They felt that residents received very good care because the staff team worked together and supported each other. They said that communication systems were good and they all knew what changes had taken place. They were given a ‘handover’ at Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 21 the change of every shift and were involved about talking about changes and plans for the home. The manager said that she is hoping to set up a relatives committee and a system of helping relatives to keep in touch with each other. She has approached some of the relatives who were positive about being involved with this. She hopes that they will be able to discuss issues and ideas that will help to improve services provided in the home. The manager said that quality questionnaires have been given out to relatives and visitors. She is waiting for them to be returned so that she can analyse the information and make it available to interested parties. The manager said that all staff had received formal supervision before the end of December 2006. This was seen in the staff files looked at confirmed by staff spoken to. The manager must now make sure that it is provided at least six times a year. The manager said she is in the process of putting new fire safety risk assessments in place. The fire records were looked at. These showed that the weekly fire alarm tests had not been done for some time. The manager was told that these must be done weekly and records kept. There was a false fire alarm during the visit which staff dealt with very properly and calmly. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 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 2 17 X 18 3 2 X 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X X 2 X 2 Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4,5,6 Requirement The manager must make sure that the handwritten changes made to the Statement of Purpose and Service User Guide are typed in when she produces the new documents. The manager must make sure that the work started on making sure detailed individual care plans are in place for each resident continues until all residents have one. The manager must make sure that moving and handling assessments are in place for residents with these needs and that the care plans provide staff with detailed guidance how to meet them. The manager must review the medication policies and procedures to make sure they are in line with the Royal Pharmaceutical Guidelines for the administration of medications in care homes. DS0000051070.V307904.R01.S.doc Timescale for action 30/08/07 2. OP7 15 30/08/07 3. OP8 13 30/08/07 4. OP9 13 31/08/07 Riddlesden Rest Home Version 5.2 Page 24 5. OP19 23 The manager must forward an updated plan outlining when maintenance and repair works will be carried out. This must include the proposed date for making repairs to the laundry walls and when the works to the bathroom will be completed. The home must continue implementing the NVQ training programme. The application forms must be revised to request a full employment history from leaving school and the reasons for any gaps in employment. The manager must make sure all staff receive training that helps them to maintain the health, safety and well being of residents and themselves, including the specialist care needs of residents and updates as needed for health and safety related training. This must include induction training that is to Skills for Care common induction standards. Records must be kept. 31/08/07 6. OP28 18 31/03/08 7. OP29 19 31/08/07 8. OP30 18 31/12/07 9. OP33 24 The results of the quality assurance survey must be made available to interested parties when available. A copy of the updated business plan must be forwarded to the CSCI. The manager must make sure that the programme of providing formal supervision to staff continues so that it is provided at least six times a year. DS0000051070.V307904.R01.S.doc 31/08/07 10. OP34 25 30/06/07 11. OP36 18 30/09/07 Riddlesden Rest Home Version 5.2 Page 25 12. OP38 12,13 Risk assessments around the use 31/08/07 and safety checks of bedrails must be put in place. Records must be kept. The manager must make sure that temperature checks of hot water outlets are carried out at regular intervals and records kept. 13. OP38 23 The manager must make sure that weekly checks of the fire safety systems are carried out and records kept. The manager must forward a plan to the CSCI showing what action will be taken to meet the requirements of this report. Timescales must be included. 30/04/07 14. RQN 24A 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP1 OP7 OP29 Good Practice Recommendations The service user guide should provide details of the views of service users. Training should be accessed for staff with regard to record keeping and care planning in particular. The registered person should ensure that written records are kept of verbal references obtained. All staff should be issued with the GSCC code of conduct booklet Training and development plans should be put in place for each member of staff. An overall programme for all training would assist the home to plan, monitor and record DS0000051070.V307904.R01.S.doc Version 5.2 Page 26 4. OP30 Riddlesden Rest Home all training taking place. Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Riddlesden Rest Home DS0000051070.V307904.R01.S.doc Version 5.2 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. 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!