CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE
Rodney House 4-6 Canning Street Liverpool Merseyside L8 7NP Lead Inspector
Les Hill Announced Inspection 25th October 2005 09:30 X10029.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 Rodney House DS0000038483.V251979.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 and Care Homes for Adults 18 – 65*. 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. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Rodney House Address 4-6 Canning Street Liverpool Merseyside L8 7NP 0151 709 3883 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) EBS Services Ltd Linda Ellen Shore Care Home 56 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (28), Old age, not falling within any of places other category (53), Physical disability (2) Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 2 named males and 1 named female service user under 52 years of age within the overall number of 56 No more than 56 persons shall be accommodated at any one time. One named service user in the category Mental Disorder, excluding learning disability or dementia under 52 years old may be accommodated 17th June 2005 Date of last inspection Brief Description of the Service: Rodney House is a large former hotel, situated in a conservation area close to Liverpool city centre. Both of Liverpool’s cathedrals, shops, libraries and museums are within walking distance of the home. Accommodation is provided in single rooms (56), on three floors with lift and stair access. Some of the rooms are large enough to accommodate a married couple or friends who wish to share. There are spacious communal rooms, but little outside garden space. On street parking is limited. The home provides accommodation for residents over the age of 50 years who have a range of needs. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This announced inspection took place on Tuesday 25th October 2005 over a period of 6 hours. It involved the examination of some records, a tour of the building and discussions with 8 residents. The manager had earlier provided written information about the home, staffing and the needs of residents. The inspection was carried out as part of the Commission’s responsibility to visit and report on each registered care home on two occasions each year. What the service does well: What has improved since the last inspection? What they could do better:
The registered person has been asked to attend to some outstanding repairs and to ensure that TV reception in resident’s bedrooms can be improved.
Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 6 The registered person has been advised to identify what constitutes a complaint so that records of complaints can be made more appropriately. A recommendation has been made for all staff to be provided with one-to-one supervision at least six times each year. 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. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 and 6 Prospective residents have the information they need to make a choice about the home. Full pre-admission assessments were being carried out. EVIDENCE: The homes statement of purpose and service users guide contain all matters identified in Schedule 1 and Standard 1.2 of the National Minimum Standards, Care Homes for Older People. The documents have been updated. Outcomes from a recent quality assurance questionnaire to residents are also included. Care records for four of the residents were examined during the inspection. A pre-admission assessment had been completed and was located on each of the files. The assessment contained full information about their health and
Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 9 personal care needs and the manger completing the assessment had made a decision about whether Rodney House could meet those needs. Prospective residents and their relatives and friends have the opportunity to visit the home before making a decision to move in and are able to spend some time there before making the decision to stay. The home is not contracted to provide intermediate care. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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 Improvements had been made to the care planning and review processes that confirmed the continuing appropriateness of the placement. EVIDENCE: Individual care plans were in place and were being maintained through regular reviews. Staff have improved the care plans of residents who have been in the home for some time to bring them all up to the same standard. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 11 Risk assessments were also in place where necessary and the manager had followed through the recommendation for risk assessments to be undertaken where residents smoke in their own bedrooms. Residents have agreed that they will not smoke in their own rooms after 10:00pm. GP’s and the district nursing service provide good support. The home also receives positive support from Community Psychiatric Nurses, the continence advisor, a local optician and a local dentist. Chiropody services are funded by the home. The homes arrangements for storing and managing medicines were examined and found to be in good order. The home recently reported the loss of one prescribed medicine to CSCI and to the police. Two of the current residents manage their own PRN medicines and there are some others who manage their own inhalers. Risk assessments have been completed to confirm they are being managed safely. All of the residents who spoke with the inspector were complimentary about the care provided in Rodney House. Additionally eight residents had completed a pre-inspection questionnaire provided by CSCI. All except one said that they liked living in the home, they felt well cared for and the staff treated them well. They also said the staff respected their privacy and they felt safe in Rodney House. The resident who provided some negative responses has indicated a wish to move to another home. Policies and procedures to support residents in the latter stages of their life are in place. The manager has recorded the wishes of some residents to ensure appropriate arrangements are carried out at the time of their death and will need to ensure that information is in place for all of them. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Residents are able to exercise choice and control over their life. EVIDENCE: Six of the eight residents who completed the CSCI questionnaire said that the home provided suitable activities. A record is kept in the home of the activities undertaken and the residents who participate. Recent trips out have been made to An Old Time Music Hall, Southport, New Brighton, The Albert Dock, the Blue Planet Aquarium and to musical evenings at Harry Ramsden’s. The home has its own mini bus.
Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 13 The home provides television, radio music and DVD facilities in communal areas of the home. A number of residents have their own TV and music systems. TV reception in resident’s own rooms is often poor. The matter has been raised in previous inspection reports and the homeowner told the inspector that she would address the matter. Many of the residents are able to go out from the home on their own. Some will bring back items of shopping for other residents who cannot get out quite so easily. Regular resident’s meetings are held in the home. The inspector saw the minutes from a meeting held on 29th September. A range of matters was discussed and the manager’s responses recorded in the text. One of the residents also takes minutes that he types up using the home’s computer. Few of the resident’s have regular visitors. A resident from another care home was at Rodney House during this inspection to visit one of the residents who is her friend. It was evident that she is a regular visitor to the home and that staff make her welcome. Residents who spoke with the inspector and those who responded to the CSCI questionnaire (except one) said that they liked the food provided at the home. Sample menus had been provided for the inspector and these showed that a varied diet was being offered with a choice of food at each sitting. Residents can have a coked breakfast a main meal at lunchtime and soups with hot or cold food in the evening. A sweet course is offered at both the lunch and evening mealtimes. Residents who don’t wish to take either of the meals prepared or who have special dietary needs are offered further choices. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 14 Complaints and Protection
The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) 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 and 18 Complaints were being taken seriously. Resident’s legal rights and their safety were being protected. EVIDENCE: The home has a complaints policy and procedures that are made available to residents and to their relatives and contains information about the role of CSCI in following through any complaints that are not resolved to the satisfaction of the complainant. In her pre-inspection questionnaire response the home’s manager reported that 11 complaints had been recorded. When examining the log of complaints during the inspection it was clear that 5 minor complaints had been made about the home all of which had been dealt with appropriately. The other complaints were either complaints about other services not provided by the home or comments by residents that had been recorded as a complaint. The homeowner and manager should be clear about what is a complaint and amend their processes accordingly. All of the residents are listed on the Electoral Register and are eligible to vote in national and local elections.
Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 15 The home has adult protection and “Whistle blowing” policies and procedures in place that are supported by Liverpool City Council’s procedures. Adult protection matters are discussed at induction, through NVQ training and at staff meetings. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 16 Environment
The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) 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 and 26. Residents live in a safe environment that is being upgraded to improve standards of accommodation. EVIDENCE: Rodney House is a former hotel that has accommodation for residents on three floors. It is located near to the city centre with all the amenities that this can bring. There are no outside recreation areas.
Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 17 The programme of refurbishment is progressing with new decoration and carpeting to the ground, first and third floor corridors. A programme to provide new floor coverings and redecoration in bedrooms is also underway. The manager is replacing bedding, towels and cutlery. A new motor and doors are being installed in the lift. Improvements have been made to the standards of cleaning and a set of quality standards for the cleanliness and maintenance of the home have been prepared. Applications have been received for the position of housekeeper. During a tour of the building it was noted that some of the bedroom/bathroom doors did not close fully onto their rebated frames, that some wardrobe doors did not stay closed, that several toilet seats should be replaced, that a radiator cover to the first floor corridor was broken and that some light bulbs were not working. However the redecoration and re-carpeting work has had a significant effect on the appearance of the building and the homeliness of the environment. Some of the residents are reluctant to allow domestic staff to move their possessions whist their bedroom is being cleaned. The homeowner and manager are to work with them to ensure staff can maintain standards of cleanliness throughout the home. Domestic staff have worked hard to eradicate any offensive odours in the home. Infection control policies and procedures are in place. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 18 Staffing
The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the 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. Residents are protected by the homes recruitment and selection procedures and by the numbers of trained staff. EVIDENCE: Staff recruitment procedures were examined and found to be in good order. Staff rotas were provided prior to the inspection and showed that a senior carer and four other care staff work each day until 2:00pm after which there is a senior carer and three staff on duty. At night there is a senior carer and two care staff on duty at the home. The day shifts are from 8:00am until 8:00pm and the night shift runs from 8:00pm until 8:00am. The manager’s hours are identified separately to the care staff rotas. The homeowner has given assurances to the Commission that staff hours (particularly at night) are kept under review and that additional workers are used whenever the needs of residents identify that this is necessary.
Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 19 The home employs 25 care staff, 14 of which have an award at NVQ level 2 in care. Other staff are employed as Chefs, kitchen assistants, domestic assistants, a laundress, a handyman and an administrator. Over the past twelve months the home has provided training for staff in First Aid, Basic Food Hygiene, Health and Safety, Diabetic Blood Sugar Levels, Mental Health Awareness, Parkinson’s Awareness, Epilepsy Awareness, Essential Life Skills, Adult Protection and Medication. Additional training is being provided on the management of challenging behaviour. The homes manager maintains a matrix record of the training provided and any certificates gained are kept on the individual member of staff’s file. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) 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, 34, 35, 36, 37 and 38. The home is run in the best interests of residents. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 21 EVIDENCE: The registered manager has considerable experience in residential care and has achieved the Registered managers Award. A deputy manager is also in post. During the course of the inspection staff were observed to get on with their work without constant reference to either of the managers. The home’s manager has begun the practice of holding one-to-one supervision sessions with staff but the arrangements need to be developed to ensure all staff can receive this form of support at least six times each year. Most of the residents living in Rodney House would not settle easily into more traditionally run homes for older people. Many of them have experienced mental health problems and some have been homeless. All of the residents who spoke with the inspector were complimentary about the care and support provided by staff in the home. The home’s manager carries out regular quality assurance surveys amongst the residents asking for their opinions about a range of services provided. The responses had been received shortly before this inspection and had been collated by the manager. A report sheet identifying the outcome had been prepared and was being kept with the statement of purpose. In many areas of work the home had received positive responses of over 90 . The Commission is not aware of any financial matters that would affect the continued operation of the home. The administrator manages small amounts of money on behalf of some residents at the home. The accounting procedures were examined during the CSCI inspection on 17 June 2005 and found to be in good order. None of the residents has savings at a level that would benefit from investment. The home’s manager provided information about the required maintenance checks. All of the matters that need to be formally checked on a regular basis were up to date. A recent electrical safety check had identified some matters that did not render the premises unsafe but were being addressed. Contracts were in place for the disposal of soiled waste and sharps. Regular testing of the fire alarm system, the emergency lighting and the temperature of hot water delivered to resident’s bathrooms are undertaken and recorded. The chefs also record the temperature of fridges and freezers and of food being cooked, on a daily basis and maintain a cleaning schedule for the kitchens. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 3 ENVIRONMENT Standard No Score 19 2 20 3 21 3 22 3 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 4 34 3 35 3 36 2 37 3 38 3 Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 19 Regulation 13(4) Requirement The registered person must ensure that the maintenance matters identified in this inspection report are addressed. Timescale for action 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard 13 16 36 Good Practice Recommendations The registered person should ensure that residents who have a TV in their own room have adequate aerial signals to provide clear pictures on screen. The registered person should ensure that a definition of what constitutes a complaint is agreed within the home. The registered manager should ensure that all staff receive one-to-one supervision at least six times each year. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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. Rodney House DS0000038483.V251979.R01.S.doc Version 5.0 Page 25 - 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!