Inspection on 09/11/05 for Riddlesden Rest Home

This inspection was carried out on 9th November 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

Riddlesden Rest Home 17/01/08

Riddlesden Rest Home 14/03/07

Riddlesden Rest Home 28/06/06

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 Sughra Nazir Unannounced Inspection 09/11/05 10:40 am 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.V262564.R01.S.doc Version 5.0 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.V262564.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Riddlesden Rest Home Address Carr Lane Riddlesden Keighley West Yorkshire BD20 5HQ 01535 604504 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.V262564.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider must undertake and complete the registered manager`s award by 31 March 2005 26th April 2005 Date of last inspection 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. Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over the morning and afternoon of 9th November 2005. This was the second inspection for this year. The first inspection was unannounced. Copies of reports for this and previous inspections are available either from the home or from the CSCI website. This inspection focused on the care records, discussions with service users and staff. For the purposes of this report service users in the home will be referred to as residents to reflect their preference. What the service does well: What has improved since the last inspection? What they could do better: Improvements are needed to implement more detailed care plans for all residents and to ensure safer handling and administration of medication. Some work is required to ensure that residents live in a safe environment that affords them privacy Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 6 The home needs to ensure it promotes more choice and more stimulation for residents. Improvement to record-keeping, management and administration of the home would support the good quality of care being provided. 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.V262564.R01.S.doc Version 5.0 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.V262564.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: These standards were not assessed on this occasion. Progress against requirements made by the last inspection was checked and some action is needed to address those areas. Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Residents’ health and personal care needs are well looked after but this is not reflected in the documentation and this may lead to needs not being met. EVIDENCE: Following the last inspection, the home now has access to care plan documentation that allows information to be recorded in a detailed format. Only one care plan has been completed in this new format and this is only partially complete. The remaining care plans are in the old format and do not provide carers with a detailed picture of how to provide care. The home is currently recording baths on a centralised bath list and information about several residents on daily record sheets. All information about individuals should be recorded on their care plans or personal files. The home should have photographs of all residents on file together with consent. Care plans should be fully completed in all cases and provide evidence of regular reviews. Either residents and or their relatives should agree the content of care plans. The home should document any decisions not to use call Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 10 bells and state alternatives. Service users should be issued with keys to their bedrooms unless there is a documented reason for not doing so. No nutritional screening is taking place on admission. Weight gain or loss is not recorded and no nutritional risk assessments are in place. One resident was shaved in the lounge. Personal care should be provided in privacy. A number of bedrooms doors contain large glass panels. This is mostly frosted glass and should be covered to afford the residents greater privacy. The bedroom situated off the second lounge has a clear glass panel that is only partly obscured by a cardboard sign. This resident’s privacy is compromised and the home should take steps to remedy this. Medication is stored in a locked cabinet, some items were seen in an unlocked filing cabinet in the lounge. Medication labelled with the name of a resident who has left the home was still stored. Medication records were not completed in all cases, and the medication listed on the bottom of one Nomad cassette box was tippexed out. The home should follow RPS (Royal Pharmaceutical Society of Great Britain) guidelines for the storage, administration and disposal of medication Residents’ wishes in respect of death and dying should be established and recorded. Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Residents enjoy good meals but need more activities. EVIDENCE: There is no programme of activities and no details of activities are displayed for residents. A social history is compiled which in some cases details leisure interests prior to admission but this is not followed up. Board games are available if residents would like to play with them. During the inspection, residents were sitting in the lounge; the tv was not switched on. Staff stated that residents preferred to watch tv in the afternoon and read in the morning. In the afternoon the tv was not on, a c.d. was being played. Staff stated that a couple of residents had newspapers delivered. Two service users said that they could ask to go for a walk if they wanted to but could not recall when this had last happened. Whilst it is acknowledged that care staff may have reduced time to engage in promoting leisure and recreational activities residents would benefit from such stimulation. Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 12 Residents enjoy an infrequent visit from a local minister. The service user guide and residents confirm that visitors may visit as they wish. Residents may see visitors in their own rooms if they choose. Other choices are limited. No residents meetings are held. Menus are drawn up by the senior carer or manager and no evidence was available to confirm that residents were involved in making decisions, about food, activities or their environment. Lunch was observed. The meal was served at a formal dining table with some residents needing assistance to sit up to the table. The table was set but no menu was displayed. Portion sizes were varied in accordance with need. One resident needing assistance received this help in a separate lounge, staff stated that this was the resident’s preference. Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 13 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, 17, 18 The rights of residents to vote are upheld but the home needs to do more to make sure that residents and their representatives know how to complain. Staff need to know more about Adult protection EVIDENCE: The complaints policy is summarised in the service user guide. The guide is held centrally and it is unclear how the information contained within it, is made available to residents and their representatives. A very limited amount of information is displayed around the home. Information about who to complain and the timescales for a response should be clearly displayed for residents and visitors to the home. Staff and residents confirmed that arrangements were in place to ensure that residents either voted in person or received postal votes. Contact details for advocacy and information services are included in the service user guide. Not all staff have had training on adult protection issues. It was unclear whether the adult protection policy has been revised in line with local procedures. Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 14 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, 20, 21, 22, 23, 24, 25, 26 The home is clean with no unpleasant smells. Not all residents have access to a bedroom that is private. EVIDENCE: All residents’ bedrooms were inspected and all were found to be clean and free from odour. One bedroom did not have a wardrobe. Lockable facilities are not provided. Access to electrical sockets is limited. Call bell cords were not accessible in all bedrooms and not available in all communal spaces. Residents’ bedrooms do not contain all the items specified in the standards for example, tables, 2 chairs, bedside lighting. A number of bedrooms have lighting that is operated by a switch outside the bedroom door. Residents should have easy access to lighting that they can switch on safely during the night without risk of falls and be able to exercise Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 15 choice in relation to when they want lights on and off. The provision of bedside lighting would address this issue. 2 bedside cabinets were covered with surface protection material that slipped under pressure. This could present a health and safety risk for residents using bedside cabinets to help themselves out of bed. Some bedrooms had doors containing frosted glass panels – this glass should be covered to ensure that residents’ privacy is not compromised. One bedroom leading off a communal area has a clear glass panelled door – this requires urgent action to promote privacy. Of the two bathrooms available only one is currently in use by residents, staff and visitors. To avoid the risk of infection the home was advised that they should remove the hand soap and towel seen in the bathroom and encourage all staff to wear protective gloves when assisting with personal care. The home should encourage residents and staff and visitors to use disposable hand towels and liquid soap to prevent the spread of infection. The sun lounge is used for the storage of wheelchairs and other aids; an alternative storage area that does not contravene fire safety regulations is required. The laundry and cleaning is carried out by care staff on duty. Again staff should take care to ensure that they adhere to requirements for protective clothing and make use of gloves to protect themselves and residents from infection. The home uses red bags for soiled linen but none were available on the day of inspection. Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 16 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 Staff are caring and the home is improving its practices to ensure that they are trained and supported. EVIDENCE: Of the 4 members of staff on the rota for the day of inspection, three were on duty. The manager was listed but not available. Care staff undertake cleaning cooking and laundry which does limit the level of time available for interaction with residents. However, residents stated they were happy with the current arrangements and felt able to ask to go for an accompanied walk or play board games etc. The home currently has one member of staff on duty at night with the manager or senior carer available on standby if the need arises. These arrangements will require review if the dependency levels of residents increases. Staff confirmed that they have undertaken training on medication. A training programme was displayed for all staff showing upcoming training. Staff are undertaking NVQ2 training. Three staff files were examined and found to be incomplete. The manager should ensure that all documentation specified in the regulations is stored at Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 17 the home including a completed application form, two written references and a photograph of each member of staff. Staff now have regular team meetings. The manager ensures the safety of care by observing direct practice on a day-to-day basis. This is good practice. Training available to staff has improved significantly and a comprehensive range of courses is made available to all staff. Two members of staff were seen to provide very good support to a distressed resident and some training on dementia care will ensure that these skills are developed further. Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 36, 37, 38 Residents main care needs are met but the home needs to improve its business management practices including having a business plan and maintaining up-to-date records. EVIDENCE: No evidence was seen to confirm that the manager has completed a recognised qualification in management. The manager was not present on the day of inspection but was able to give some information by telephone to assist the inspection. A list was displayed in the kitchen that outlined work to be carried out to meet fire safety requirements. The manager is responding to requirements from statutory agencies and is mindful of the budget available to her for carrying out the work. A full audit of works is required and an action plan is yet to be Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 19 submitted to the Commission for works planned to address the requirements of previous inspections or fire safety surveys. It is clear that the manager and staff work hard and the home operates as an informal unit with a warm caring attitude evident from staff towards the residents. No business plan was available for inspection. A recognised system of quality assurance is not employed and more work needs to be done to consult residents to make sure decisions are made in their best interests. The manager spends considerable time delivering hands-on care and is wellplaced to observe care staff practice. However formal staff supervision is yet to be established. This would give both the manager and staff member an opportunity through a regular confidential one-to-one meeting to discuss their role and any development training needs. Record-keeping in relation to residents, staff recruitment and training needs to improve significantly. Some records were stated to be kept at the manager’s home and were therefore not available for inspection. COSHH and risk assessments in relation the environment are not in place. Fire safety requirements in relation to ensuring unobstructed exit routes have not been implemented. A record of all visitors in and out of the building is not maintained. Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 20 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 2 2 3 3 2 3 2 2 2 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 2 2 2 2 2 2 Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 Page 21 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 statement of purpose must be kept under review and contain up-to-date information about accommodation and facilities available and contain service users views. Information with regard to how service users are consulted about the operation of the home and how to access a copy of the most recent inspection report must be added to the Service User Guide. A service user plan of care must be formulated from all relevant assessments, with the involvement of the service user and their representatives. The care plans must clearly evidence how service users physical, medical and social needs will be met. The care plans must be reviewed monthly. (It was agreed to extend the previous timescale of 30.6.05 for meeting this requirement) Nutritional screening must be introduced with screening on admission. A record must be kept of nutrition and weight loss and gain and follow up action DS0000051070.V262564.R01.S.doc Timescale for action 31/03/06 2 OP7 15 31/03/06 3 OP8 14 31/01/06 Riddlesden Rest Home Version 5.0 Page 22 4 OP9 13 17 (1) (a) 5 OP10 12 (4)(a) 6 OP11 12(1) 15(1) 14(1(a) 7 OP12 4(1)(a) 8 OP15 12(2) (3) 9 OP16 22 (1)-(6) 10 OP19 23 must be recorded. All medication must be stored in accordance with RPS guidelines. Medication for previous residents must be destroyed. Tippex must not be used on records. All medication administration records must be completed. All personal care must be carried out in bedrooms and the glass in bedroom doors should be obscured to ensure such care is received in privacy. The wishes of residents in relation to death and dying should be established and recorded. Service users interests must be recorded and opportunities provided for stimulation through leisure and recreational activities that meet the needs abilities and preferences of service users. Up-to-date information about activities must be circulated to all service users in formats suited to their capabilities. The manager must ensure that there is a menu (changed regularly) offering a choice of meals in written or other formats to suit the capacities of service users. The complaints policy must be displayed or made available to all residents in a format that suits their needs. The requirements of the fire safety survey carried out in January 2004 must be implemented and an action plan showing how this will be done must be forwarded to the CSCI. A full audit of all maintenance and repair work must be carried out and timescales set as to when these works will be completed. A copy of this must DS0000051070.V262564.R01.S.doc 31/01/06 31/01/06 31/03/06 31/03/06 31/03/06 31/01/06 31/03/06 Riddlesden Rest Home Version 5.0 Page 23 11 OP22 23 be forwarded to the CSCI. Storage areas must be provided for aids and equipment including wheelchairs. This action is also needed to comply with Fire safety survey recommendations. The call system/ emergency alarms must be made available to service users unless there is a risk assessment specifying alternatives in place. 31/03/06 12 OP24 23 Suitable furniture must be made available for the storage of clothes and provision of other furniture as required by this standard. The home should ensure that any surface protection materials used on bedside cabinets is made safe Residents must have access to at least one double electrical socket in their rooms Residents should be provided with keys unless there is a risk assessment is in place 30/06/06 16 (2) (i) Lockable storage facilities must be made available in all bedrooms and residents supplied with keys. Bedside lighting must be made available to all residents. This would also address the difficulty presented to some residents by having light switches outside their bedroom doors. The laundry walls must be refinished to ensure that these surfaces are readily cleanable. DS0000051070.V262564.R01.S.doc 13 OP24 OP25 23 31/03/06 14 OP26 13 (3) 31/01/06 Riddlesden Rest Home Version 5.0 Page 24 15 16 17 OP27 OP28 OP29 18 18 19 18 OP31 8,9 19 OP32 20 20 OP33 25 21 22 OP33 OP34 10(1)(2) 12(1)(a) (b) 25 (1) Red bags for soiled should be made available at all times. The home must provide and ensure that protective clothing is worn when serving food to prevent the spread of infection. Powder – free gloves must be made available to staff with allergies. The staff rota must provide an accurate record of staff on duty and in what capacity. The home must continue implementing the NVQ training programme The registered person must ensure that written references and confirmation of satisfactory enhanced CRB disclosure and POVA checks are in place before offering employment to prospective staff. The manager must have a recognised management qualification, equivalent to NVQ level 4 by 2005. (It was agreed to extend this timescale to 30.7.06) The manager must introduce strategies for enabling service users and other stakeholders to affect the way in which the service is delivered. Management planning must improve to ensure statutory requirements are met. The quality assurance policy must be implemented and a system of obtaining comments and feedback from the service users and other stakeholders must be developed. The results of these must be made available to interested parties. Action required to implement CSCI requirements must be taken to agreed timescales. A business plan must be put in place, which must be reviewed DS0000051070.V262564.R01.S.doc 31/01/06 30/06/06 31/01/06 30/07/06 31/03/06 31/03/06 31/01/06 31/03/06 Page 25 Riddlesden Rest Home Version 5.0 23 24 OP35 OP36 23 18(2) 25 OP37 17 26 OP38 12,13 annually. Secure facilities should be provided for the storage of valuables Care staff must be formally supervised at least 6 times a year. Supervision should cover all aspects of practice, the philosophy of care in the home and career development needs. Records should be maintained and development plans formulated for individual members of staff. The manager must ensure that all required records are kept by the home and that they are up to date. Risk and COSHH assessments must be carried out in order to make proper provision for the health and welfare of service users and staff. Records of these must be available. (This standard was not assessed. It was agreed to extend the timescale to 30.9.05) The manager must ensure safe working practices including the implementation of appropriate fire procedures. 31/03/06 31/01/06 31/01/06 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP1 OP3 Good Practice Recommendations The service user guide should provide details of the views of service users. (This standard was not assessed and the recommendation has been carried forward.) The registered person should ensure that the pre admission assessment contains information on medication DS0000051070.V262564.R01.S.doc Version 5.0 Page 26 Riddlesden Rest Home 3 4 OP7 OP14 5 6 7 OP18 OP28 OP29 usage and personal safety and risk. (This standard was not assessed and the recommendation has been carried forward.) Training should be accessed for staff with regard to record keeping and care planning in particular. Residents’ preferences in relation to social activities, food and their environment should be established. Residents should be consulted and involved in decisions about their home. The registered person should ensure that training around adult protection is made available to staff. The home should continue implementing the NVQ training programme to ensure that 50 of staff are qualified to level 2 by 2005. 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 all training taking place. The visitors signing in and out book recommended by fire safety survey should be maintained for the safety of service users, visitors and staff. 8 OP30 9 OP37 Riddlesden Rest Home DS0000051070.V262564.R01.S.doc Version 5.0 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.V262564.R01.S.doc Version 5.0 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!