Inspection on 14/03/06 for Robert Harvey House

This inspection was carried out on 14th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Robert Harvey House 18/03/09

Robert Harvey House 11/04/07

Robert Harvey House 28/06/06

Robert Harvey House 22/07/05

Robert Harvey House 06/01/05

Robert Harvey House 25/08/04

Robert Harvey House 11/03/04

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

CARE HOMES FOR OLDER PEOPLE Robert Harvey House Hawthorne Park Drive Handsworth Wood Birmingham West Midlands B20 1AD Lead Inspector Elizabeth Mackle Unannounced Inspection 14th March 2006 10.00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Robert Harvey House Address Hawthorne Park Drive Handsworth Wood Birmingham West Midlands B20 1AD 0121 554 8964 0121 554 3351 robertharvey.housecop.org.uk 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) Broadening Choices for Older People Mrs Margaret Diane Matthews Care Home 42 Category(ies) of Dementia - over 65 years of age (42), registration, with number Terminally ill over 65 years of age (42) of places Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd July 2005 Brief Description of the Service: Robert Harvey House is a large 2-storey purpose built care home that provides 42 beds for service users aged 65 years and above. The home is set in a quiet residential area of Handsworth Wood, within easy access to bus routes. There is a car park to the front of the home and a secure, private garden to the rear of the building. The home is owned and operated by Broadening Choices for Older People, a local charity whose head office is based in Harborne, Birmingham. Robert Harvey House offers 32 single en-suite rooms, 2 double en-suite rooms and a 6 bedded high dependency ward area. The home has communal a lounge and dining area. There is a passenger lift for access to the upper level. The home is decorated to a very high standard and is well maintained throughout. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the second of the two statutory inspections for the year 2006/7 and was carried out by two inspectors over the course of one day. Information for the report was gathered from a number of sources including: a tour of the home, brief discussion with four residents and one relative, discussion with four members of staff in addition to management staff, a review of a range of documentation including health care records, and both direct and indirect observation. This report is to be read in conjunction with the report of the inspection carried out on 22/07/05. What the service does well: What has improved since the last inspection? In response to a suggestion made at a relatives meeting, the home had recently made available within the home a small beverage kitchen where visitors can have “time out” and make drinks and snacks. Relatives are involved in the planning of care, and are invited to regular reviews. Staff work closely with tissue viability nurses in the management of pressure ulcers and dressings. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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 Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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: Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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, 8,10 The planning of care needs to be more robust, comprehensive and specific to the individual resident, to ensure that staff have all the information needed to meet the care needs of residents. EVIDENCE: The care records of four residents were viewed. There was a care plan index to structure information relating to the resident’s care needs. In some of the care plans sampled there was no pre-admission assessment documentation. In one resident’s file sampled the pre-admission assessment identified specific dietary likes and dislikes, and information about hobbies and interests. However, this information was not reflected in the care plan. The nursing assessments did not include information on the resident’s social needs, or of the psychological well-being. Pre-printed “generic” care plans were in use and there was little evidence that the plan had been personalized to the individual resident. In the case of one resident one element of the pre-printed care plan in relation to spiritual needs was not appropriate to the person’s religion. A number of care plans viewed lacked detail as to the specific nature of the care or nursing need, and also lacked detail about how care needs were to be met. A number of the care plans had been drawn up several years ago, and Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 10 although there was some evidence that they had been reviewed on a fairly regular basis, not all care needs identified were up to date. There was evidence that a number of appropriate measurement tools had been used, for example, risk assessments had been carried out, such as falls risk assessment, moving and handling risk assessment, and pressure area risk assessment (Waterlow). It was therefore disappointing that for one resident who had lost weight no nutritional risk assessment had been carried out and no weight recorded since August 2005. In another person’s file there was no evidence that nutritional screening had been done, and no weight recorded since November 2004, when the resident weighed only 53.5 kg. Moving and handling risk assessments did not specify the type of hoist or sling to be used for the individual resident. Daily notes were made in respect of each resident, and although there was evidence that residents were seen frequently by a General Practitioner, there was no detail in relation to this in the individual resident’s file. Residents had access to a range of external professionals such as chiropodist and there was evidence that staff worked closely with the tissue viability nurse in the management of pressure ulcers and dressings. It was positive that there was evidence of the involvement of relatives in the planning of care, and a review of care involving a relative took place every six months where possible. A payphone is available for the use of residents in private. When sampling the care records it was noted that each folder contained the care records for two residents, and these were identified by room number rather than the name of the resident. This practice does not facilitate confidentiality or respect the individuality or dignity of each individual resident. Care staff were observed to be generally treating residents with respect and courtesy throughout the visit. The inspectors would question the degree of privacy and dignity that could be afforded to residents in “the ward” due to its layout and lack of space. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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, 15 The range of activities needs to be increased in order to ensure that all residents can benefit from leisure interests and activities. The home offers a good choice of menu at each mealtime; this could be improved by extending the rolling programme to ensure that meals do not become repetitious. EVIDENCE: The home offers residents some opportunities to take part in leisure activities. The home had the services of an activities organiser two days a week, and was hoping to increase the availability of activities by assigning another staff member to work an additional 15 hours per week in the near future. It was the intention that the additional hours would be used particularly to work with individuals who were unable to join in group activities. Music and movement sessions are held on Fridays, and Craft/Activities are held two mornings a week. Church services are held once a month, and a Sister from the Roman Catholic Church brings Communion to residents in their rooms once a week on request. There did not appear to be any undue restrictions on visitors and relatives were observed to be coming and going in a relaxed fashion. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 12 It was observed that the lunchtime meal was being plated at 10.15am. The meals were then stored in a bain marie until they were served to residents between 12.15 – 12.30pm. The inspectors were informed that meals are always temperature probed before being served to residents. Menus operate on a two week rolling programme. Residents are offered a choice of meals, both at lunch and teatime and a cooked breakfast is available one day a week. The menus viewed demonstrated choice and variety but this could be further improved by extending the rolling programme of menus from two weeks to three or four weeks. A snack supper such as milky drink, cheese, biscuits, bread, butter and jam, is served in the evening, and drinks and snacks are available throughout the night on request. During the lunchtime meal it was concerning to note that one member of staff was seen to be offering assistance with eating to two residents at the same time. Another staff member was observed standing up whilst assisting a resident with eating. This is poor practice and must cease. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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): These standards were not inspected on this occasion. EVIDENCE: Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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, 23, 24, 26 The multi-occupancy dormitory does not afford residents the space, privacy and comfort to ensure a good quality of life. The lack of communal space within the home may result in residents having fewer opportunities to socialise. EVIDENCE: There is limited communal space within the home, with an open plan lounge/dining room, which could not comfortably have accommodated all residents at one time. On the day of the inspection there was seating for 12 residents in the lounge, and for 27 residents in the dining room. One resident said “I am well looked after, but there are too many people here now”. There were a number of small, comfortable, quiet areas with seating within the home. A landing area on the first floor was being used for a small number of residents to sit in during the day to watch television and have their meals. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 15 The bedrooms of a number of residents were viewed. These were found to be comfortable and spacious, with large en suite facilities. Residents had personalised their rooms with family photographs and soft furnishings. The majority of bedrooms viewed lacked any carpeted area. Resident had access to a small lockable safe within the bedroom, but this was situated at floor level and would not be accessible to all older adults who may have difficulties with mobility. The siting of these should be reviewed. Six residents who have been assessed by staff as “high dependency” share a 6-bedded dormitory, which is constantly staffed by at least one staff member. One relative expressed a high level of satisfaction with the care provided by staff. This multi-occupancy room was found to be institutional in nature and lacking in adequate space, homeliness and privacy for the residents who spend all of their time in this area. Although each resident had a chair beside the bed, there was a lack of comfortable seating. As previously stated, the limited space resulted in a lack of comfort and privacy for both residents and their visitors, and lack of space for personal possessions. Stimulation for residents was limited, although the dormitory contained a small television. Residents have the use of a bathroom/toilet adjacent to the 6 bed dormitory. There were no soap or disposable towels available in this bathroom for staff hand washing. Bath cleaner and disinfectant had not been locked away out of reach of residents. It was observed that noise levels in many areas used by residents were excessive. This was due to shrill bells and buzzers associated with the front door, telephone and nurse call system ringing loudly at regular intervals and were not conducive to a restful environment for residents. The home had recently created a small beverage kitchen within the home where relatives could spend quiet time, and make drinks and snacks. This was viewed as a positive development that had arisen from acting upon the views of relatives. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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, 30 Recruitment practices within the home are robust and help ensure that residents are protected. All staff must receive mandatory training at appropriate intervals to ensure the welfare of residents at all times. Staffing levels were adequate to meet the needs and number of residents. EVIDENCE: On the day of the inspection there were two registered nurses and seven care assistants working in the morning and two registered nurses and five care assistants in the afternoon/evening. One registered nurse and three care assistants were rostered for night duty. The home currently had one part-time registered nurse vacancy, and this had recently been advertised. There was a good system in place for the checking of periodic registration of nurses with the Nursing and Midwifery Council, and these were found to be in order. The staff register was well maintained, up to date and contained all relevant information about employees in the home. Four staff files were sampled. These were well maintained and comprehensive. The files contained photographic evidence of identity, copy of birth certificate, two references (one from last employer), New Starter Form, a copy of Terms and conditions of employment, a copy of application form and interview form. Ten care assistants had achieved NVQ level 3, and one had achieved NVQ level 4. One staff nurse in the home was a qualified trainer for Moving and Handling. A training matrix detailed at a glance the training staff had received. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 17 This demonstrated that some staff had not received any training in first aid and moving and handling, and that others had not received fire training and Moving and Handling training for more than one year. It is a requirement of this inspection that this is addressed, to ensure all staff have the skills to meet the needs of individual residents. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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, 32, 33, 38 EVIDENCE: The senior management team ensured the smooth running of the home in a competent manner. The Registered Manager is a Registered Nurse with many years experience in the management of care homes. She is supported by the assistant manager who is responsible for the administration of the home. The home does not currently have a formal quality assurance system in place and is awaiting the outcome of a Quality pilot study at their sister home Neville Williams House. Staff at the home regularly undertake audits in relation to medication and health and safety issues. The home produces a regular Newsletter for residents, staff and visitors; this includes information such as future events, introducing new residents and staff, photographs of interest, and other news. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 19 Meetings between staff and residents/relatives take place quarterly, with informative minutes kept. Some aspects of service provision were observed to be institutional and clinical in nature, and not in keeping with providing a comfortable and homely environment, which promotes the individuality and independence of residents. Examples of this include the shared six bed dormitory and noise levels. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 X 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 2 X X 2 2 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X X X X 2 Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 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 OP3 Regulation 14 (1) Requirement Timescale for action 01/06/06 2 OP7 15 (1) (2) 3 OP7 15 (1) (2) 4 OP8 15 (1) (2) The Registered Person must ensure that all residents have a pre admission assessment completed by a competent person and this is retained on their file. This requirement (timescale 30/12/05) was not assessed for compliance on this occasion. 01/06/06 In respect of care plans, the Registered Person must ensure: - That the care plan reflects information from the assessment such as dietary likes and dislikes, and hobbies and interests. - That care plans are comprehensive, up to date and specify the nature of the care or nursing need; they must specify how the needs are to be met. The Registered Person must 01/06/06 ensure that where “generic” preprinted care plans are used these are tailored to reflect the individual resident. The Registered Person must 01/06/06 ensure that nursing assessments include social and psychological aspects of care. DS0000024882.V281983.R01.S.doc Version 5.1 Robert Harvey House Page 22 5 OP8 12 (1) 6 OP8 12 (1) 7 OP8 13 (5) 8 OP8 12 (1) (a) 9 OP8 13 (1) (b) 10 OP9 13 (2) 11 OP9 13 (2) 12 OP10 17 (1) The Registered Person must ensure that residents have a nutritional screening undertaken on admission and subsequently on a periodic basis, and records are maintained of this. The Registered Person must ensure that the weight of residents is monitored, recorded and appropriate action taken as necessary. The Registered Person must ensure that care records specify the type of sling or hoist to be used in the moving and handling of a resident. The Registered Person must ensure that the outcomes of any visits to residents by doctors are fully documented in care records. The Registered Person must ensure that all service users are given access to a dentist and a record of this must be kept on the residents file. This requirement (timescale 30/01/06) was not assessed for compliance on this occasion. The Registered Person must ensure that medication is safely stored. This requirement (timescale 15/11/05) was not assessed for compliance on this occasion. The Registered Person must ensure that all prescription creams are dated on opening and discarded after 28 days to reduce the risk of microbial contamination and used only on the named resident. This requirement (timescale 15/11/05) was not assessed for compliance on this occasion. The Registered Person must ensure that care records of residents are appropriately DS0000024882.V281983.R01.S.doc 01/06/06 01/05/06 01/06/06 01/06/06 30/05/06 30/05/06 01/07/06 01/06/06 Robert Harvey House Version 5.1 Page 23 13 OP10 12 (4) (a) 14 OP15 16 (2)(i) 15 OP16 22 16 OP18 13 (6) 17 OP38OP19 13 (4) (c) 18 OP23OP20 12 (4) (a) 19 OP24 12 (4) (a) stored in order to safeguard confidentiality and promote the individuality of residents. The Registered Person must ensure that residents’ clothing is stored separately and appropriately. This requirement (timescale 30/11/05) was not assessed for compliance on this occasion. The Registered Person must ensure that residents are assisted sensitively and individually at meal times. This is an outstanding requirement from the previous inspection. The Registered Person must ensure that the complaints procedure is comprehensive to ensure that complaints are dealt with promptly and effectively. This requirement (timescale 30/11/05 was not assessed for compliance on this occasion. The Registered Person must ensure that staff are trained in adult protection and management of challenging behaviour. This requirement (timescale 30/01/06) was not assessed for compliance on this occasion. The Registered Person must ensure that substances that may be hazardous to health are kept securely locked away. The Registered Person must undertake a review of the use of space within the home to include the use of the multi-occupancy dormitory and with a view to increasing the communal space available to residents. The Registered Person must review the siting of lockable facilities within the bedrooms to ensure that residents can easily DS0000024882.V281983.R01.S.doc 30/05/06 15/05/06 01/07/06 01/08/06 12/05/06 01/09/06 01/08/06 Robert Harvey House Version 5.1 Page 24 20 OP24OP1 21 OP26 22 OP26OP38 23 OP28 24 OP30 25 OP30 26 OP33 27 OP36 access these. The Registered Person must discuss with residents the provision of all furniture stated in standard 24 and a record of this discussion is held on their file. Those rooms identified as being unable to accommodate all the furniture must be reflected in the Statement of Purpose. This requirement (timescale 30/11/05) was not assessed for compliance on this occasion. 13 (4) (c) The Registered Person must ensure that soap and towels for staff hand washing are provided in all bathrooms. 12 (1) (a) The Registered Person must undertake a review of noise levels within the home with a view to achieving a substantial reduction of noise in areas of the home used by residents. 18 (1) (a) The Registered Person must ensure that a minimum of 50 of care staff are qualified to NVQ level 2 or equivalent. 18 (c) (i) The Registered Person must ensure that all staff receive statutory training within six weeks of taking up post, and subsequently at the appropriate intervals. 18 (c) (i) The Registered Person must audit staff training in relation to dementia and ensure that training in relation to dementia care takes place. This requirement (timescale 30/01/06) was not assessed for compliance on this occasion. 24(1)(a,b) The Registered Manager must ensure that effective quality assurance and quality monitoring systems are implemented in the home. 18(1)(c)i The Registered Person must ensure that all staff receive 16 (2) (c) DS0000024882.V281983.R01.S.doc 01/07/06 30/05/06 01/09/06 01/11/06 01/08/06 01/08/06 01/09/06 30/05/06 Page 25 Robert Harvey House Version 5.1 28 OP38 23 (4)(c) 29 OP38 16 (2)(j) 30 OP38 18 (1)(c) supervision that is recorded and takes place a minimum of six times a year. This requirement (timescale 30/01/06 was not assessed for compliance on this occasion. The Registered Person must 01/06/06 ensure that emergency lighting is tested on a monthly basis. This requirement (timescale 30/11/05) was not assessed for compliance on this occasion. The Registered Person must 01/06/06 ensure that the kitchen is kept clean at all times and a cleaning schedule is implemented. This requirement (timescale 30/11/05) was not assessed for compliance on this occasion. The Registered Person must 01/06/06 ensure that staff are not put at risk from unnecessary manual handling tasks. Manual handling risk assessments must be carried out in relation to any identified lifting procedures. This requirement (timescale 30/11/05) was not assessed for compliance on this occasion. 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 OP37 Good Practice Recommendations The Registered Person should extend the rolling programme of menus to a three or four week period to ensure that meals do not become repetitive. Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Robert Harvey House DS0000024882.V281983.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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