Inspection on 21/09/05 for Rose Cottage Nursing Home

This inspection was carried out on 21st September 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

Rose Cottage Nursing Home 24/08/06

Rose Cottage Nursing Home 20/12/05

Rose Cottage Nursing Home 16/03/05

Rose Cottage Nursing Home 23/06/04

Rose Cottage Nursing Home 09/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 Rose Cottage Nursing Home Station Road Halfway Sheffield South Yorkshire S20 3GS Lead Inspector Mrs Debbie Foster Unannounced Inspection 21st September 2005 08:00 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 Rose Cottage Nursing Home DS0000021802.V251818.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. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rose Cottage Nursing Home Address Station Road Halfway Sheffield South Yorkshire S20 3GS 0114 251 0595 0114 251 0595 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 RC Developments Limited Mrs Elizabeth Helena Hodson Care Home Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 4 No. of places registered (if applicable) 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 5 SERVICE INFORMATION Conditions of registration: 1. 2. 13 OP Old Age, not falling within any other category, PC (Personal Care) beds. 16 OP Old Age, not falling within any category, N (Nursing Care) beds Date of last inspection 16th March 2005 Brief Description of the Service: Rose Cottage is a care home providing personal and nursing care for twentynine older people, having sixteen nursing beds and thirteen personal care beds. The home is privately owned. Rose Cottage is situated at Halfway in a residential area with good access to public services and amenities (e.g. super tram, bus services, shops, libraries etc). The accommodation is over three floors accessed by a lift. The home is well decorated, with a majority of single rooms and one double. The home has an appropriate number of lounges and dining rooms. The gardens are landscaped and there is a car park. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over one day. The registered manager, 7 staff, four relatives and 9 service users spoke with the inspector during this time. Aspects of certain records were checked. Interaction between the staff and the service users were observed. Aspects of the environment were inspected. The inspection started at 8:00 a.m. until 17:15 p.m. Feedback on the inspection was given to the registered manager. What the service does well: What has improved since the last inspection? The manager said that work had started to update care plans and other areas of the service users records. Relatives had been involved in the care plans more. The office area was being reorganised and obsolete information removed. More nurses were being recruited to ensure the manager could cover all her duties fully, working less on the direct care of the service users to work towards meeting more of the National minimum Standards and the Regulations. Some of the previous requirements had been implemented and some were in the process of being actioned. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 7 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. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None were checked. EVIDENCE: These standards will be checked on the next inspection Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. The service users plans were incomplete and did not record in full the needs of the service users health, personal and social care to ensure the staff were informed and aware of the care they required. In the main healthcare of the service users was promoted. However this area had not been adequately monitored and recorded to ensure all healthcare needs were met in full. The administration and storage arrangements for Medication were satisfactory to meet the needs of service users. Service users were treated with respect and their right to privacy was upheld. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 11 EVIDENCE: Aspects of two service user care plans were checked in relation to requirements made on the last inspection. The care plans had been reviewed on a monthly basis. The service user plans included aspects of health and personal care needs and some detail of the action taken by staff to meet the needs identified. The risk assessments had been completed and updated. The relatives of the service users had signed to review the care plan with staff. Service users were not aware of who their keyworker was or about their care plans. Formal reviews had not taken place or were recorded in full. Daily recordings did not fully reflect the care plan. Contracts were not on all files. Other deficiencies were found. The manager said that since the last inspection work had started to review and update the care plans and daily recordings. Service users and relatives said that the staff attended to their personal care needs and medical assistance provided when needed. Service users said that they were happy in the home and said, “when I ask they always help” and ‘I’m happy here” “ I enjoy a laugh and a joke with staff “. Two relatives said they were “very satisfied” with the care delivered by staff. The service user plans checked recorded the majority of health care needs and professionals visiting the service users. However, omissions were found. Dental check ups were not recorded as taking place. The detail for pressure sore care in the plan checked was not detailed enough in the treatment required and the progress made. The daily recordings did not always detail all the care given to reflect the service user individual plan. A service user and a relative commented that although drinks were given at regular intervals they would like more. The relative said her mum appeared thirsty at times. A service user said he was thirsty at times. The cups provided held 150 millilitres and 6/7 drinks were provided throughout the day at meal times and in between. This fell short of the recommended amount. Previous requirements made on medication were checked. Medication was stored securely. Although, dental cleaning tablets were found insecurely stored in one room. The prescribed medication checked had pharmacy labels in place. Risk assessment had been completed for anyone storing dental cleaning tablets in their room, however, the manager had not been monitoring that this was been carried out in practice. The staff were able to explain how they would respect the service users privacy. They were seen knocking on bedrooms doors and waiting before entering. The service users and relatives said that the staff were polite and helpful when attending to their personal care and these duties were carried out in private. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 15. Service users said they made choices about their daily routines and social activities within the home, which enabled them to make their own lifestyle choices. Further development in the scope of activities available in the home for service users would be beneficial to enhance the service users quality of life further. Service users maintained contact with family and friends to enable them to continue community links. Service users were offered a choice of meals, including healthy options to promote a healthy eating and a balanced diet. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 13 EVIDENCE: Some service users said that they could participate in activities arranged. One service user was seen reading. The home had a good supply of large print books to choose from. A church service was held monthly at the home. Staff said outings were organised at regular intervals using the homes mini bus. Some service users said they would like further activities or for staff to be able to sit and chat with them. There were board games and jigsaws for service users activities. Frail service users who were bed bound needed social contact on a more frequent basis. Service users did say they made decisions on a daily basis about their daily routine, rising and retiring times. Service users said that they were able to maintain contact with their family and friends. Relatives said they were always made to feel welcome when they visited. A number of service users had a newspapers delivered to inform them of events locally and nationally. Service users said the quality of food served was good and that “there was always a choice”. Menus offered a choice of food at each mealtime. Service users said that they enjoyed their breakfast and lunch. Drinks were taken around the home in between meals. The meal times were unhurried and a relaxed atmosphere was noted. One service user was seen being assisted to feed appropriately by staff. Staff were aware of service users on special diets. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18. Service users were not protected fully from abuse due to the staff not being trained in the protection of vulnerable adults. EVIDENCE: Aspects of standard 18 were checked. This was in relation to a previous requirement made. Staff interviewed said they had not yet received training the protection of vulnerable adults and the records checked confirmed this. The manager said that a distance learning course for staff had been ordered and that this training would be given in the near future. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25 & 26 In the main the service users environment was safe and well maintained. Service users had access to safe indoor and outdoor communal facilities to assist and enhance their daily lives. There were sufficient and suitable toilets and washing facilities to allow service users to use them when required. Service users had specialist equipment available to maximise their independence. In the main bedrooms were equipped with suitable furnishings to ensure the service users were comfortable. Not all lighting was working to ensure the environment for service users was always safe. The home provided a clean and hygienic environment for the service users to live in. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 16 EVIDENCE: Previous requirements made at the last inspection were checked relating to the environment only. The home was found to be clean and fresh smell and decorated to a satisfactory standard. The home had a routine maintenance and redecoration programme in the main this was carried out by an employed handy person. Since the last inspection the manager said the squeaky flooring on the first and second levels of the home and one bedroom had been repaired and new carpeting put in place. Equipment was not found stored in communal areas or on corridors during the inspection. All fire exits were clear and no fire doors were observed wedged open. Clocks around the home were working and set at the correct time. One service user said that her/his bedroom easy chair was not comfortable and he/she spent a lot of time sat in their room. The manager was informed of this on the day of the inspection. The office door was left unlocked when not in use which meant that confidential records were accessible. During the inspection some service users were seen enjoying the garden sat outside in the sun chatting with each other and relatives. Bathrooms and toilets which were checked were clean and in good working order and were accessible to service users. The manager said the home did have a shortage of storage areas. This meant that one bedroom stored a hoist for that service user who used this equipment. When the service user was using their bedroom the hoist was stored in a bathroom over night when not in use. The lighting fitted over the sink in an ensuite was found not to be working. Clinical and general waste was disposed of and stored safety on the day of the inspection. The kitchens bin was in good repair to ensure waste materials could be stored safety and maintain a hygienic environment. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Service users needs were not fully met by the numbers and skill mix of staff. Service users were cared for by a work force that had achieved the minimum ratio of staff being trained to the National Vocational Qualification level two or equivalent which meant in the main satisfactory standards of care were given to service users. The recruitment information obtained for staff was insufficient to adequately protect the welfare of residents who lived at the home. Staff, were not fully trained and up to date in all areas to carry out duties competently to ensure service users were safe at all times. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 18 EVIDENCE: The inspector checked the staff rota for the current and sampled a previous week. These confirmed that the previously agreed minimum staffing levels were being maintained by the home. The staff rota did record the actual hours being worked by all staff. However the inspector was concerned that this had been achieved as a result of the manager continuing to cover regularly on direct care shifts each week. Although the number of shifts covered by the manager had reduced in number since the last inspection (3). The manager did explain that she had recruited two more nurses and was waiting for references and Criminal Record bureau checks to be completed before they commenced work. The inspector informed the manager that this situation needed to be remedied at the earliest opportunity to enable the service to fully meet a number of National minimum standards and Regulations. A previous requirement made in relation to this issue has therefore been carried forward with a short timescale. The Staff said they did have some training opportunities. Care workers said they had NVQ level 2 in care or were undertaking NVQ training. The manager said the home had achieved the target set of 50 for its work force achieving this qualification or equivalent. The recruitment information obtained for staff in the main was sufficient to adequately protect the welfare of residents who lived at the home. The staff files contained references but the registered provider had not ensured that they all included one from the last employer. All the files checked had a current Criminal Record Bureau check. Gaps in an employment history were not always explained and recorded. This was discussed with the manager at the time of feedback. Since the last inspection the manager said that staff had received a copy of the GSCC code of conduct and practice and copies were seen during the inspection. The training records for three staff were checked. The care staff had received refresher training in moving and handling, fire and food hygiene during 2005. However other mandatory training such as first aid had been undertaken over two years ago and was in need of updating. There was no record of induction or health and safety training. Other training needs identified are mentioned in standard 18 & 38. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 36, 37 & 38. A person of good character manages the home although the discharge of her duties is not always appropriate to role and position to ensure the home is well managed and that all service users needs are met and their lives are enhanced fully. Staff were not appropriately supervised to ensure care practices were being monitored and maintained to meet service users needs. The homes record keeping did not fully safeguarded Service users best interests. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 20 EVIDENCE: The registered manager had over nine years experience in senior management and in the care of the elderly in a care setting. She was in the process of completing NVQ level 4 training in management and care and confirmed that she hoped to complete this before the end of 2005. The management of the home continues to be an issue in relation to the amount of time she regularly spends covering on direct care with service users and reference has been made to this under standard 27 and generally in being able to meet the National minimum Standards and Regulations. Staff interviewed confirmed that they were aware of the lines of accountability within the home and that the manager was approachable and supportive. The manager and staff interviewed confirmed that supervision not being had taken place at the required frequency. However this had improved since the time of the last inspection. Some had received two supervision sessions during 2005, whilst others had not. The staff interviewed were not clear about what formal supervision was. A previous requirement made in relation to this issue has therefore been carried forward with short timescales. Care staff confirmed that staff meetings were not held on a regular basis and that there was no set pattern for when one would be organised, the records confirmed this. There had been one staff meeting held since the last inspection, this did not include the details of who had attended. The records checked in relation to requirements made on the last inspection had not all been actioned and have been reported on in several sections of this report, standards 7, 29 & 36. There had been no service users meetings held in 2005 or surveys carried with them to get their views on the service or how it could improve further. The office had undergone some restructuring and further cupboards had been installed to store more effectively relevant records and files. The manager said this was still on going. The written monthly reports from the registered provider visits still did not meet and cover the areas stipulated in regulation 26. Since the last inspection the home had reported a number of notifiable incidents to the Commission for Social Care Inspection. Aspects of Health and Safety were checked. The staff interviewed and the records checked confirmed that in the main they had received fire instruction training in the last six months. Appropriate checks and Fire drills had been carried out and recorded. However, one new member of care staff had not received fire instruction training on his first day at work. The registered manager was instructed to undertake this training and record it during the inspection and this was carried out. In other sections of the report health and safety issues have been highlighted. These can be found in standards 9,18, 30. Risk assessment had been undertaken but a review date and risk category had not been identified. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 2 2 3 3 3 x 3 2 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 x x x x 2 2 2 Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15, 17 & 18 Requirement Daily records must include details of the action taken by staff to facilitate each service users needs as identified within their care plan. Service users plans of care must be discussed with them. Minutes from formal care plan reviews must be retained on individual files. Service users must be aware of the staff allocated to them as key worker and details of this must be recorded in the care plan. Care staff must be aware of the content of care plans and must work consistently towards facilitating each individuals needs. All sections of the care plan must be kept up to date. The healthcare section must include details of the name, address and contact number of each health care practitioner. Timescale for action 28/11/05 Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 23 Care plans must contain all of the required information to ensure that this can be accessed when required and to ensure that all aspects of an individuals care are reviewed on a regular basis. Files must contain an up to date copy of the individual’s contract/statement of terms and conditions. This requirement had been carried forward from March 2005. 2 OP8 12 The intake of fluids must be increased to meet the dailyrecommended amount of 1.5 litres. The care plan must detail pressure sore care. It must be specific in detail on what, when, how the care is provided. This must be monitored regularly and recorded. The daily recordings must detail the care given. 3 OP38OP9 13 Dental cleaning tablets must be securely stored at all times. The manager must check that the risk assessments on the safe storage of dental cleaning tablets are implemented in full. 4 OP30OP18 13 & 18 All staff must complete training on adult protection. This requirement had been carried forward from March 2005. 5 OP38OP19 12, 13 & 23 The office door must be locked when the office is left unattended. All records, substances and equipment must be safely stored as required. This requirement had been carried forward from March Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 24 28/10/05 22/09/05 28/10/05 22/09/05 2005. 6 OP24 23 A comfortable chair must be provided for the service user in room 23. The faulty strip lights fitted above sinks in service users ensuites must be repaired. All lights must be regularly checked to ensure that they are in good working order. This requirement had been carried forward from March 2005. 8 OP31OP27 18 28/10/05 There must be at all times suitably qualified, competent and experienced staff in sufficient numbers, on duty to meet the assessed needs of the service users. The registered manager hours must be over and above the hours for the direct care of the service users. This requirement had been carried forward from March 2004. 9 OP29 19 Staff files must include evidence to confirm that any gaps in the CV have been checked. Full details relating to this must be retained on individual files. This requirement had been carried forward from March 2005. 10 11 OP29 OP30 19 18 & 13 28/10/05 28/12/05 28/12/05 28/10/05 7 OP25 25 28/11/05 One reference must be from the person’s last employer. Staff must receive all statutory training. Including; induction, first aid and health and safety DS0000021802.V251818.R01.S.doc Rose Cottage Nursing Home Version 5.0 Page 25 training appropriate to their role and duties. A rolling programme must be started. Records of staff training undertaken must be kept. 28/01/06 This requirement had been carried forward from March 2005. 12 OP36 18 All staff must receive supervision at least six times per year. Records of these sessions must be maintained. This requirement had been carried forward from March 2005. 13 OP37OP36 18 & 12 Staff meetings must be held regularly and all staff must be provided with the opportunity to attend. Minutes of these meetings must be available. This requirement had been carried forward from March 2005. 14 OP36 18 Staff must be aware of the content and purpose of formal supervision and the frequency it must be provided. This requirement had been carried forward from March 2005. 15 OP37 17 The minutes of service user meetings must be available within the home. This requirement had been carried forward from March 2005. 28/11/05 28/11/05 28/01/06 28/12/05 16 OP38OP37 17 Systems must be developed to ensure there is an effective DS0000021802.V251818.R01.S.doc 28/12/05 Rose Cottage Nursing Home Version 5.0 Page 26 system for the storage of, and access to, the required records in the main office. This requirement had been carried forward from March 2005 17 OP37 26 & 17 28/12/05 The regulation 26 reports must include all of the required information. This requirement had been carried forward from March 2005. 18 OP38 12, 13 & 18 Hazardous substances must be securely stored. This requirement had been carried forward from March 2005. 22/09/05 19 OP38 23 The manager must check the records to ensure that all staff have received fire instruction on their first shift at work and take appropriate action to rectify any omissions. All staff must received fire instruction training at suitable intervals and this must be recorded. 22/09/05 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 Refer to Standard OP30 Good Practice Recommendations Refresher training in the mandatory areas such as Health and safety, first aid, food hygiene and Adult Protection should be carried out at regular intervals to ensure that DS0000021802.V251818.R01.S.doc Version 5.0 Page 27 Rose Cottage Nursing Home 2 OP31 practices are current and in line with legislation. The registered manager must achieve a NVQ level 4 in management and care or equivalent by 2005. Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Rose Cottage Nursing Home DS0000021802.V251818.R01.S.doc Version 5.0 Page 29 - 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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