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Inspection on 24/05/05 for Rose Martha Care Centre

Also see our care home review for Rose Martha Care Centre for more information

This inspection was carried out on 24th May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Food provided to residents was good. Visitors to the home are encouraged and made to feel welcome. Residents stated that they liked living at Rose Martha Care Centre and felt members of the staff team were kind and caring. The home is homely, clean and decorated nicely. Some members of care staff were seen to spend time talking with residents.

What has improved since the last inspection?

Since the last inspection the care managers have spent a lot of time improving the home`s care records. The person who provides activities to residents has received training in dealing with people who have dementia. Comments from residents relating to the home`s food were better.

What the care home could do better:

The manager must ensure that staff are supported and feel confident to raise concerns. The manager must ensure that she meets regularly with members of her management team.The home must ensure that all residents have things available to keep them occupied, both within the care home and within the local community. The home must ensure that recruitment and selection processes for staff working at the care home are safe. All staff working within the care home must receive training, which meets the needs of residents. Care records and assessments for residents must be detailed and written clearly. All staff working at the care home must receive supervision. There must be enough members of staff on duty 24 hours a day. Some members of care staff need to be reminded of their role and that it is to provide care and support to residents living at Rose Martha Care Centre i.e. some staff interaction with residents was poor.

CARE HOMES FOR OLDER PEOPLE Rose Martha Care Centre 64 Leigh Road Leigh-on-Sea Essex SS9 1LF Lead Inspector Michelle Love Unannounced 24th May 2005 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 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 Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Rose Martha Care Centre Address 64 Leigh Road Leigh-on-Sea Essex SS9 1LF 01702 482252 01702 716887 info@ashbourne.co.uk Ashbourne (Eton) Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Karen Johnson CRH 76 Category(ies) of Old Age (OP) 76 registration, with number Dementia Over 65 (DE(E)) 76 of places Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Number of service users for whom personal care is to be provided shall not exceed 76. (Total number not to exceed seventy six) Personal care to be provided to no more than seventy six service users over the age of 65 years. (Total number not to exceed 76). Personal care to be provided to no more than seventy six service users with dementia over the age of 65 years. (Total number not to exceed 76). The Registered Manager to undertake additional dementia training, which enables her to cascade training to all members of the staff team at Rose Martha Court, within three months. (by 22nd March 2005). . Date of last inspection 5th February 2005 Brief Description of the Service: Rose Martha Care Centre is a purpose built establishment situated in Leigh on Sea. The home is close to local amenities and access to local bus and train routes is good.The home provides residential care for up to seventy six older people. The registration category also permits the home to provide care for older people who have dementia. The home also offers `Step Down,`a scheme whereby arrangements exist with the local hospital where beds are contracted for those patients who are assessed as suitable for residential care. All bedrooms have en-suite facilities for residents. The communal areas consist of two lounge and dining areas on both the ground and first floors. The home also provides a designated smoking area, visitors/hairdressing room and an activities room. Access to the first floor is via a passenger lift. The gardens are well maintained. The home offers parking to the front of the property. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out by two inspectors, Michelle Love and Carolyn Delaney. The inspection took place over eleven hours. At this visit a tour of the premises took place and some care records and staff employment files were inspected. At the time of the visit the registered manager was attending a training course. Both inspectors were assisted by the home’s two care managers and nine members of staff, seven residents and one visitor were spoken with. What the service does well: What has improved since the last inspection? What they could do better: The manager must ensure that staff are supported and feel confident to raise concerns. The manager must ensure that she meets regularly with members of her management team. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 6 The home must ensure that all residents have things available to keep them occupied, both within the care home and within the local community. The home must ensure that recruitment and selection processes for staff working at the care home are safe. All staff working within the care home must receive training, which meets the needs of residents. Care records and assessments for residents must be detailed and written clearly. All staff working at the care home must receive supervision. There must be enough members of staff on duty 24 hours a day. Some members of care staff need to be reminded of their role and that it is to provide care and support to residents living at Rose Martha Care Centre i.e. some staff interaction with residents was poor. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 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 standard(s) 1, 2, 3, 4, 5 and 6 It is unclear as to whether prospective residents are given information and have the opportunity to visit the home prior to admission so as to make an informed choice as to whether or not Rose Martha Care Centre is a care home they wish to live in. Although arrangements have been made to ensure that residents are assessed prior to admission, some assessments were poorly completed. EVIDENCE: Pre Admission Assessments were completed for the newest residents to be admitted. Two resident’s Pre Admission Assessments could not be located at the time of the inspection. Some Pre Admission Assessments lacked specific detail and clarity. No formal `dependency tool` to determine whether or not the home was able to meet the residents needs was available. One resident was unsure as to whether or not they received a copy of the homes Service Users Guide prior to admission. Two residents were unable to visit the home prior to admission as they were admitted from hospital. Although one resident was unable to visit the home prior to admission, family members visited the home on their behalf. Residents within the home had received a copy of the Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 9 home’s Service Users Guide. Residents had a signed and dated Statement of Terms and Conditions. The Statement of Purpose does not reflect that the numbers of residents receiving `step down` have increased from four to six. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 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 standard(s) 7, 8, 10 and 11 The care planning process remains inconsistent in some cases within the home. Care plans which have been reviewed since the last inspection, were much improved and provide a good basis for care to be delivered to residents. The systems for resident consultation are poor with little evidence to indicate that resident’s views are sought and acted upon. EVIDENCE: Since the last inspection some individual care plans and risk assessments sampled were much improved and detailed, and included evidence of residents health, personal, emotional and social care needs. Inconsistencies within the care planning process were seen for those residents who receive `step down`. No `short term` and `long term` needs were detailed within some care plans. Some elements of individual’s care plans were not completed. One care plan detailed that one resident did not wish to be involved with the care planning process. The resident confirmed that she was not asked if she wished to be involved. Key worker details were not recorded within individual care plans and some residents were not aware of who their key worker was. Some staff demonstrated a good awareness of resident’s needs and expectations of the key worker role. Information related to healthcare issues, visits and professionals involved were documented. Currently no residents have pressure sores. Interaction between some members of staff and residents remains poor Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 11 and inadequate. Risk assessments were not devised for all areas of identified risk. Information pertaining to funeral arrangements for residents were clearly detailed within the care plan. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 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 standard(s) 12, 13, 14 and 15 Activities within the local community are fairly limited and activities for those residents with complex needs/dementia have not been devised or implemented. The meals are good offering both choice and variety. EVIDENCE: The home has two activities co-ordinators, one employed for 27.5 hours five days a week and one employed for 10 hours two days per week. This remains inadequate for the numbers and needs of residents at Rose Martha Care Centre. Residents have the opportunity to participate within activities such as quizzes, bingo, exercises, manicures etc. Some activities recorded were not an activity e.g. “ MP David Amess visited”, “ nothing from sweet trolley”, “ had a chat” and “ didn’t want to do exercises”. An activities programme was displayed within the main reception area. A hairdresser visits the care home twice weekly. Several residents did not wish to participate in activities provided at the care home. The activities co-ordinator has recently received specific training relating to dementia. No activities have been devised or implemented for those residents with complex/dementia needs. The home has a small monthly budget to fund materials and other items required. In general there is insufficient funds for external entertainers as these can be quite costly. Some care plans did not detail residents personal preferences or likes and dislikes relating to recreation/social activities. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 13 The home has an `open visiting policy` whereby residents are free to receive their visitors at any reasonable time in the privacy of their own room or within the visitor’s room. The relative of one resident commented that the care at Rose Martha Care Centre “ appears to be good and staff are pretty good”. It was positive to note that residents are actively encouraged to maintain contact with family members and friends i.e. one resident regularly visits friends in Shoebury at the weekend. The home operates a four week rotational menu, which is varied and offers a range of choices at breakfast, lunch and teatime. Food provided to residents looked appealing and plentiful, and residents commented that the food in general is good. Not all residents were aware of the day’s menu and this was not displayed within the main lounges/dining areas until quite late in the morning. Care staff provided appropriate care, support and sensitivity to residents during the lunchtime meal. Items such as grapefruit and prunes are not always readily available for residents at breakfast time. This was confirmed by one resident during the inspection. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 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 standard(s) 16, 17 and 18 The home’s Complaint and Adult Protection policies and procedures were appropriate so as to ensure that residents are protected from harm or abuse. Staff have knowledge and understanding of Adult Protection issues which protects residents from abuse. EVIDENCE: The home’s complaints procedure was displayed within the main reception area, but was written in small print. Residents felt they could raise concerns with staff at the home, and their concerns would be listened to. Since the last inspection the home has received two complaints. In general terms records detailing the nature of the complaint, the investigation, action taken and outcomes were available. No record of a response to one complainant was available. As part of staff’s induction, records confirm that staff receive Residents Welfare training. No evidence was available to indicate that staff had received training to deal with residents aggression and/or inappropriate behaviours. Some staff had received Southend Borough Councils Protection of Vulnerable Adults training and a copy of Essex County Councils Adult Protection Committee Policy for Protecting Vulnerable Adults. Residents were enabled to vote at the recent General Election. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 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 standard(s) 19, 21, 22, 24, 25 and 26 The standard of the environment within this home is good, providing residents with an attractive and homely place to live. EVIDENCE: The home is well maintained and decorated for residents needs. The majority of bedrooms are single and all bedrooms have en-suite facilities. All bedrooms were personalised and individualised, and resident’s comments relating to their private space were positive. The home has a designated smoking area for residents and a visitor’s lounge. The home has sufficient communal space for residents (lounges/dining areas and activities lounge). Residents have sufficient toilet, washing and bathing facilities. Not all bedrooms had hand towels available for residents. A random sample of hot water temperatures were tested from residents wash hand basins and baths and these were appropriate. Residents have access to a range of specialist equipment such as walking frames, wheelchairs, bedrails and protective covers, hoists and slings. The home has a maintenance programme to ensure that equipment is serviced and maintained to a safe standard. The registered provider has altered some of Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 16 the timescales and this in some instances is inappropriate and requires rethinking i.e. bedrails were serviced/checked bi monthly and now it is proposed that this will be undertaken six monthly. Call alarm cords were not easily accessible for all residents. A strong smell of urine was evident within one double bedroom. A soiled incontinence pad was found on the floor within one resident’s bedroom. All other areas of the home were cleaned to an appropriate standard and smelled pleasant and odour free. The homes laundry area was well organised. One member of staff stated that information/availability of procedures relating to MRSA are not readily available. No health and safety issues were identified at this inspection. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 Since the last inspection the standard of vetting and recruitment practices has not improved with appropriate checks not being carried out and potentially leaving residents at risk. Staffing levels remain inadequate for the numbers of residents. Staff training for the specific needs of residents remains poor. EVIDENCE: Staff rotas showed that agreed staffing levels are not being maintained and the Commission has not been advised e.g. care staff are leaving the premises early both on the late and night shifts. The staff rotas are unclear and difficult to decipher and the specific hours worked by staff are not detailed. Some members of staff are working up to 56 hours per week with only one `off duty` day. Recruitment practices remain poor with little evidence to indicate that all staff have a satisfactory Criminal Record Bureau check, a recent photograph, two written references and no evidence that one member of staff was eligible to work in the United Kingdom. Some records of induction were not available on the day of inspection. Staff have received mandatory training/updates, but little specialist training which meets the specific needs of residents. The majority of the induction training is provided on one or two days. The induction format does not cater for those newly appointed members of staff who have little or no previous care experience. Personal training and development records for staff are not up to Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 18 date. The home has two `in house` trainers for care staff. Twenty members of staff have completed NVQ Level 2 training and are awaiting their certificates. It is hoped that funding will be available for those members of staff who wish to pursue NVQ Level 3. Rapport between some members of staff and residents was good, whilst other’s interactions were poor. At 4.15 p.m. in lounge 3, one member of staff was asked as to where the television’s remote control was located. They stated, “ it is kept away from residents so that they cannot keep changing channels”. No residents appeared interested in the cartoons shown on the television. Over a fifteen minute period the member of staff did not speak to residents. There were seven residents in the lounge at the time. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 36 and 38 The management arrangements at Rose Martha Care Centre are of concern. Staff are not appropriately supervised and staff do not feel they are supported or managed by the registered manager. EVIDENCE: Since the last inspection no management changes have been made at the care home. On the day of inspection the registered manager was attending a training course. Several members of staff expressed concern that the registered manager is absent from the care home on lots of occasions and that they do not feel supported, listened to or that she demonstrates clear direction and leadership on occasions. It was also felt on occasions when the registered manager was absent from the care home that some staff took advantage of her absence i.e. spent more time sitting in the smoking room and not working. No management meetings are held at Rose Martha Care Centre between the registered manager and care managers. Formal supervision for care staff is Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 20 limited and neither of the care managers had received supervision from the registered manager. Care managers have received training relating to supervision, however since receiving this training they are very unclear and confused as to how this can be achieved and delivered to seniors/care staff. Staff meetings for staff are infrequent and it was unclear as to how often the registered manager meets with night staff. A random sample of records as required by regulation were inspected. Accident records were satisfactory in general, some attention is required to document `follow up` actions and interventions by care staff. Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 2 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 1 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 1 1 x x x 1 3 x Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 22 Yes 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 OP1 Regulation 6(a)(b) Requirement The registered person must ensure that the homes Statement of Purpose is kept under review and the Commission is notified of any such changes. This refers specifically to the increase of `step down` beds. Ensure that comprehensive and detailed assessments are compiled which determine that the home can meet the needs of residents. This is a third repeat requirement The registered person must ensure that all staff at the care home undertake appropriate training to the work they perform and have the necessary skills and expertise to meet the specialist needs of residents. This is a third repeat requirement Ensure that comprehensive and detailed care plans are devised for all residents. This is a fourth repeat Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 23 Timescale for action 01.07.05 2. OP3 14(1) 14.06.05 3. OP4 and OP30 18(1)(a) and 18(1)(c) 01.10.05 4. OP7 15(1) 01.07.05 requirement 5. OP7 13(4) Ensure that risks to residents are 01.07.05 identified and as far as possible eliminated. Risk assessments must be detailed and comprehensive and reviewed regularly to reflect changes. This is a second repeat requirement The registered person must ensure that residents are enabled to make choices and that they are consulted. Ensure that residents have access to a range of activities of their choice and opportunities to access the local community. Ensure that activities are provided to those residents who have complex needs/dementia. This is a third repeat requirement The registered person must ensure that residents are offered and provided with a varied diet. This specifically refers to residents breakfast and in some cases their choice to have grapefruit/prunes. This is a third repeat requirement The registered person must ensure that suitable arrangements are made for maintaining satisfactory standards of hygiene. This refers specifically to paper towels and hand towels being available for residents. Also to soiled incontinence pads being disposed of appropriately. This is a repeat requirement Ensure that suitable 6. OP7 12(2)(3) and 12(5)(b) 16(2)(m) and (n) 14.06.05 7. OP12 01.08.05 8. OP15 16(2)(i) 01.07.05 9. OP21 and OP26 16(2)(j) 14.06.05 10. OP26 13(3) and 14.06.05 Version 1.20 Page 24 Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc 16(2)(j) arrangements are made to prevent the spread of infection and ensure satisfactory standards of hygiene are maintained. Ensure that all staff receive infection control information and procedures are readily available. This refers specifically to MRSA. This is a repeat requirement The registered person must 21.06.05 ensure that at all times there are suitable qualified, competent and experienced persons working at the care home in such numbers as are appropriate for the health and welfare of residents. This is a third repeat requirement The registered person must ensure that recruitment records contain all information as required by regulation. This is a repeat requirement The registered manager must manage the care home with sufficient care, competence and skill and that staff members feel listened to and valued. This is a repeat requirement Ensure that all staff receive supervision. This is a repeat requirement 11. OP27 18(1)(A) 12. OP29 13. OP31 17(2), schedule 4 and 19(1), schedule 2 10(1) 01.07.05 14.06.05 14. OP36 18(2) 01.07.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 25 Rose Martha Care Centre 1. OP5 Ensure that evidence is recorded depicting clearly whether or not residents visited the home prior to admission/offered trial visits/tea visits. This is a repeat recommendation Ensure that call alarm cords are easily accessible for residents. This is a repeat recommendation Ensure that the homes quality assurance system clearly evidences how outcomes were reached. Not inspected on this occasion. Carried forward to next inspection. Ensure that monetary records are available for inspection and accessible to residents at all times. Not inspected on this occasion. Carried forward to next inspection. 2. OP24 3. OP33 4. OP35 Rose Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 Page 26 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend On Sea Essex SS2 6BG 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 Martha Care Centre I56-I06 S15465 Rose Martha V225372 240505 Stage 4.doc Version 1.20 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. 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!