Inspection on 17/01/08 for Riddlesden Rest Home

This inspection was carried out on 17th January 2008.

CSCI found this care home to be providing an Adequate service.

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 14/03/07

Riddlesden Rest Home 28/06/06

Riddlesden Rest Home 09/11/05

Riddlesden Rest Home 23/11/04

Riddlesden Rest Home 03/06/04

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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 Key Unannounced Inspection 17th January 2008 10:30 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.V358410.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.V358410.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 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.V358410.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th March 2007 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 any gardens, but there is a fenced patio area at the back of the building that provides good views over the valley. The home is registered to provide care for up to ten service users of either sex over the age of 65, the home can also provide care for up to three service users over 65 with dementia. The weekly fees are £364.70 – this information was provided by the manager at inspection on 17th January 2008. Information about the services provided by the home can be obtained on request from the manager in the Service User Guide. The manager said that a copy of the most recent inspection report is available in the office and will be given to people to read on request. Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The visit took place on 17th January 2008. It lasted seven hours and was unannounced. Feedback was given to the manager during and at the end of the visit. The purpose of this visit was to: • Make sure that the home was being managed for the benefit and well being of the people using the service. • Look at progress made meeting requirements in place from previous inspections. People living in the home and staff were spoken to. The daily routines of the home and staff interactions with people were observed. Records were looked at such as staff files, complaints and accidents records. Before the visit was planned the provider was asked to complete an annual quality assurance assessment (AQAA) of the service. This asks them to look at what they do well, what was in place to prove this, what improvements had been made over the last twelve months and what was planned for the year ahead. Other information asked for included what policies and procedures are in place, when they were last reviewed and when maintenance and safety checks were carried out. Questionnaires were sent to people living in the home, their relatives and healthcare professionals before the visit took place. These people were selected using information provided in the AQAA. At the time of the visit only one survey had been returned from a member of staff. What the service does well: Care is provided to people in pleasant and homely surroundings. Staff keep the home clean and tidy. People said that: • They were satisfied with the care and lifestyle provided. • That staff in the home are kind, caring and could not do any more for them. • They enjoyed their meals. Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 6 Staff have a good understanding of people, treated them as individuals and knew how to meet their needs. The manager and staff work closely with the residents GPs and will contact them or the district nurses for advice and support as and when needed. The home has an intimate ‘family’ atmosphere and visitors are welcomed at any time. What has improved since the last inspection? 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. Riddlesden Rest Home DS0000051070.V358410.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 Riddlesden Rest Home DS0000051070.V358410.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): 1 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s 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. When people come to look round the home they are given a copy of the altered Service User Guide. The manager said she takes one with her when she goes to do a pre admission assessment. She has contacted the company who provided the document but it will be very expensive to alter the template. She is going to review and retype the existing document. The manager said that no new residents have been admitted in the last twelve months. The pre admission assessment for the last person who came to live at the home was looked at. It had enough information for the manager to know that they would be able to meet their needs at that time. The manager said that wherever possible copies of assessments by social workers and other Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 9 healthcare professionals are requested to support and inform the pre admission assessment. The manager has purchased a care planning system and documents. It includes a full needs assessment document that can be used pre admission and at regular intervals after the person has been admitted as part of the care review process. Riddlesden Rest Home DS0000051070.V358410.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 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People’s health and personal care needs are met but this is not fully evidenced in the care plans. EVIDENCE: The home is small and intimate; therefore staff have a good knowledge and understanding of the people living in the home, their needs and what needs to be done to meet them. It was clear that there were good relationships between them and that people’s privacy and dignity as individuals is respected. Care files are in place for each person living in the home. The manager said she has purchased a care planning/recording system that will be used instead of the existing care files. She intends to get all staff involved with planning and writing the care plans. This is because she has been doing all this work and as she also works ‘hands on’ in the home it is difficult to keep the plans up to date all the time. She feels the new system will be easier for all staff to use and that it will become a more useful working document. We talked about making sure that the good individualised information in the care files was not lost when transferring details across to the new documents. For example the Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 11 life history and assessment of the individual’s strengths and abilities as well as their needs. Two care files were looked at during the visit. They contained most of the information and guidance staff needed to meet the individual’s needs. One of the care files was being altered across to the new system. The original care files contained a life story for the individual and assessments of people’s healthcare needs, including: • A moving and handling assessment. This showed that the person needed to be transferred using a mobile hoist. There was a care plan with guidance for staff about how to move them safely and identifying the specialist equipment to be used and how to use it. • Falls risk assessment • Nutritional risk assessment • An assessment around the risk of developing pressure sores Where people have healthcare needs staff will contact the person’s own doctor and the district nurses for support and advice. A visiting healthcare professional said that staff called them in appropriately if people needed extra support and followed guidance given. One person’s physical and healthcare needs had increased but the family wanted them to continue living at the home. With support from other healthcare professionals and provision of a height adjustable bed, a specialist pressure relieving mattress and a mobile hoist the staff in the home are able to support the individual and meet their needs in surroundings that have been familiar to them for many years. The home is now using a monitored dosage system that supplies most tablets in individual monthly blister packs. The manager has purchased a mobile metal medication trolley to store medications. The carer giving people their tablets during the visit followed safe practice and made sure they had taken their tablets. The medication records were signed after medication had been given. The records looked at had not been completed to who had received and checked that the medications received were what the pharmacy said they had supplied. The manager has not yet revised the medication policy to make sure that it is in line with the Royal Pharmaceutical Guidelines for the administration of medicines in care homes. She was advised that these guidelines have now been updated and told how to access a copy from the Internet. Riddlesden Rest Home DS0000051070.V358410.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 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 people’s social expectations and preferences. EVIDENCE: When the visit started some people were still having their breakfast and others were sitting at the dining table chatting with them. Staff said that people choose when they want to get up, go to bed and where to spend their time. Most people spend the day in the large lounge/dining room and some prefer the smaller lounge. In the morning most people were sitting looking at newspapers and magazines. Staff said that this was how they prefer to spend the morning and that in the afternoons they will watch television or listen to music. That afternoon the hairdresser was in and all the ladies enjoyed getting their hair done, sitting under the hairdryers and chatting. Activities are not planned but take place on a regular basis according to people’s wishes, these can include board games, cards, dominoes, sing-alongs 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 one Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 13 of the carers sat with one person talking about a photograph of them when they were younger and a box of keepsakes they had brought in to the home with them. The person has got dementia and usually spends most of the day walking around the home. They responded well to the informal reminiscence session and talked a little about some of the objects. Participation in activities is documented in the daily reports. The manager said that she intends to put a formal planned activity plan together that will take peoples preferences and abilities into account. At the request of people living in the home a dog was ‘rescued’ from an animal shelter. The dog has been part of the home for over a year and he has become part of the family. It was clear that people were fond of him. 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. People said they had enjoyed their lunch. The manager said that the meal plans are put together after talking to people about their likes and dislikes. Even though the meals take into account peoples likes and dislikes they will be offered alternatives if they do not want what is offered that day. After lunch the cook spoke to people to find out which of two options they wanted to choose for tea. Visitors can come to the home at any time. Riddlesden Rest Home DS0000051070.V358410.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to protect people living in the home and staff have received appropriate training. 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. In the AQAA the manager said that there have been two complaints made in the last twelve months that were responded to and dealt with within twentyeight days. The home has got a copy of the local authority adult protection procedures. All staff have attended training about adult protection. The manager said she has attended a course about adult protection for social care managers in the past. She said she would check if it was the same content as the two-day course now being provided by the local authority adult protection unit. Riddlesden Rest Home DS0000051070.V358410.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 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a clean and comfortable home that is suitable to their needs. EVIDENCE: The carers carry out domestic and laundry duties when people’s needs have been attended to. The communal areas and bedrooms seen were clean, tidy and there were no smells. Most people had brought personal items with them which made the rooms more homely and ‘theirs’. The main overhead light switches are located outside some of the bedrooms. But all rooms have a light over the sink unit and some people have been provided with bedside lamps. The manager said that other people were at risk of injury if lamps were provided. This should be included as part of the general risk assessments. Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 16 The manager said that if people or their relatives asked for lockable facilities in their rooms small lockable petty cash type boxes where available to use as and when needed. The manager continues to make improvements to the home. Since the last inspection the following work has been done: • The communal areas have been painted in colours chosen by people living in the home. • Some of the bedrooms have been redecorated. • Most of the bedrooms have been fitted with new hand washbasins and vanity units. The manager is still looking at ways of protecting the laundry walls, which do not hold paint well, and it peels away. One option of fitting waterproof panels has proved too expensive and she is considering other alternatives such as tiling the room. Residents’ clothes were nicely laundered. Red water-soluble bags for keeping soiled/infected linen separate from general laundry have been provided. In the AQAA the manager said the home has got an infection control policy but the Department of Health guidance about ‘Essential Steps to infection control’ had not been used. Advice on how to get this information was given to the manager. Riddlesden Rest Home DS0000051070.V358410.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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are enough trained and competent staff to meet people’s needs. The recruitment procedures must be made more robust in order to protect people living in the home. EVIDENCE: The home was full with ten people living there on a permanent basis. The manager, two care staff and a carer allocated as cook for the day were on duty. 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. The records for three people employed since the last inspection were looked at. They showed that the pre employment checks, such as written references, Protection of Vulnerable Adults first checks were in place before they started to work in the home. In one case the person was from overseas but the proof that they were eligible to work in the United Kingdom was not seen. The manager was also advised to make sure that at least one reference was requested was from the current or most recent employer and this should mean contacting the manager or owner rather than other staff in the organisation. This was because in one file the employer reference was not from a senior of member of staff. Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 18 The application form has not been revised yet and still does not request a full employment history from leaving school along with the reasons for any gaps in employment. The manager said that this is now discussed at interview and a written record kept; this was seen for the last person recruited. In the AQAA the manager said that all staff had attended an intensive two-day course that covered the Skills for Care common induction standards. Staff files confirmed this except for one person who not attended due to extenuating circumstances. The course included certificated training around: Moving and handling Health and safety Adult protection First aid Care Values Fire safety Infection control Basic food hygiene training was not included in the course and the manager said she would make sure it was arranged for those who needed it. Four out of the seven staff employed have successfully completed a National Vocational Qualification in care to level 2 or higher. Some of the staff have completed training courses around diet and nutrition, falls and palliative care. The manager is hoping to arrange training around dementia and the Mental Capacity Act 2005 in the near future. She was advised to make sure the home had a copy of the Code of Conduct for The Mental Capacity Act and given information on how to get it. Riddlesden Rest Home DS0000051070.V358410.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 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. The manager is very ‘hands on’, she is in the home most days, often works with care staff to provide care and support to people and speaks to relatives/visitors. This means that she is in touch with what peoples needs are, what is changing and what is happening in the home. However it also means that she does not always get the time to keep make sure that all required recording systems are up to date. She is aware that this is an area of work that needs time spending on it and gave reassurances that it would be dealt with over the next few months. Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 20 Information provided by her in the AQAA said that: • Maintenance and safety checks are carried out – but dates were given for 2006 when the hoist, fire alarm system and gas appliances were last serviced. • Policies and procedures are in place and most were reviewed during 2007. • Control of Substances Hazardous to Health (COSHH) risk assessments are in place. The fire safety records were looked at. These showed that the fire alarm tests were being carried out every week. Small amounts of money are held in safekeeping for people to be used to pay for hairdressing or if they want any shopping. Records of monies received, paid out and returned are kept. A survey to find out what the views of people living in the home, their relatives and other visitors has not been carried out. The manager said questionnaires were sent out last year but nothing has been done with those that were returned. Riddlesden Rest Home DS0000051070.V358410.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 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X 2 3 Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 15 Requirement The manager must make sure that each person living in the home has a detailed individual care plans that has been put together using information about the person’s needs. They must provide staff with detailed guidance about how the person’s physical, medical and social needs will be met. Wherever possible the individual and or their relatives must be involved with care planning process. The care plans must be reviewed monthly. Previous timescales of 30th June 2005, 31st March 2006 and 30th August 2007 have not been met. 2. 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. DS0000051070.V358410.R01.S.doc Timescale for action 30/06/08 30/03/08 Riddlesden Rest Home Version 5.2 Page 23 3. OP29 19 The manager must make sure that: • The application forms are revised to request a full employment history from leaving school. • The reasons for any gaps in employments are explored and records kept. • Evidence that the person is eligible to work in the United Kingdom is obtained. • That the reference from the current or most recent employer is requested from the owner or manager of the organisation rather than another work colleague. The quality assurance policy must be implemented and a system of obtaining comments and feedback from people living in the home, their relatives/visitors and other stakeholders must be developed. The results of these must be made available to interested parties. Previous timescales of 30th June 2005, 31st March 2006, 31st December 2006 and 31st August 2007 have not been met. 30/03/08 4. OP33 25 30/04/08 Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP1 Good Practice Recommendations The statement of purpose should be kept under review and contain up-to-date information about accommodation, facilities available and the views of people living in the home. Information about how people are consulted about the operation of the home and how to access a copy of the most recent inspection report should be added to the Service User Guide. (Previous report timescales of 31st March 2005 and 31st March 2006 and 30th August 2007 have not been met) 2. OP9 The manager should make sure that the medication policies and procedures are reviewed in line with Royal Pharmaceutical Guidelines for The Safe handling of Medication in Social care Settings. The manager should look at implementing a regular programme of activities in the home that takes into account peoples abilities and preferences for social and leisure activities. The manager should continue to make sure that all staff receive training that helps them to maintain the health, safety and well being of people living in the home and themselves, including the specialist care needs of people such as dementia. Training updates must be provided as needed for health and safety related training. Training and development plans should be put in place for each member of staff. An overall training programme would help the manager to plan, monitor and record all training taking place. 3. OP12 4. OP30 Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 25 5. OP37 The manager should make sure that records required by regulation for the protection of people living in the home and for the effective and efficient running of the business are in place, maintained, up to date and accurate. Riddlesden Rest Home DS0000051070.V358410.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Riddlesden Rest Home DS0000051070.V358410.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. 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