Inspection on 12/06/07 for Rosebank

This inspection was carried out on 12th June 2007.

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

Rosebank 17/07/08

Rosebank 07/02/06

Rosebank 10/10/05

Rosebank 09/02/05

Rosebank 10/08/04

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Hawkhills

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosebank 48 Lyons Road Sheffield South Yorkshire S4 7EL Lead Inspector Mrs Caroline Long Key Unannounced Inspection 08:45 12th June 2007 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 Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 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. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosebank Address 48 Lyons Road Sheffield South Yorkshire S4 7EL 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) 0114 261 8618 0114 261 8618 none None Silver Healthcare Limited Mrs Sharon Breeze Care Home 26 Category(ies) of Dementia - over 65 years of age (21), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (21), Old age, not falling within any other category (5) Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user, under the age of 65, whose details are specified on the Variation to Registration application dated 12.03.03 may be resident at the home. One other service user who was under the age of 65 on 01.04.02 and who was living at the home may remain resident at the home. 7th February 2006 Date of last inspection Brief Description of the Service: Rosebank is a purpose built home for twenty-six older people who have dementia. The home is a two-storey building and has 20 single and 3 double rooms, which are all accessible by a passenger lift. Sufficient communal space and bathing facilities are provided. The home has small landscaped gardens and a car park is available. The home is situated in a residential area of Sheffield with good access to public services and amenities. The weekly fees on the 12th June 2007 range from £334 to £375 and do not include costs for hairdressing and chiropody. This information was supplied to the Commission For Social Care Inspection via the pre-inspection questionnaire received in March 2007. Inspection reports are available by request from the home. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • • • A review of the information held on the homes file since its last inspection. Information submitted by the registered manager in the pre inspection questionnaire. Surveys received from four people who use the service, three relatives, five staff and three health professionals. An unannounced visit by an inspector to the home lasting over six hours. This visit included a tour of the premises, examination of records, talking to people who use the service, care staff, and management. Also observing staff working. Looking at four peoples care files in detail. • What the service does well: What has improved since the last inspection? Following the last inspection, areas of the home have been made safer for people. The carpet on the first floor has been renewed and the fire escape has been cleaned. Staff have attended first aid training, this makes sure if a person has a accident they receive prompt and appropriate help. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 6 Staff are receiving more regular supervision, this makes sure staff are given the support and help they need to carry out their work. 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. The summary of this inspection report can be made available in other formats on request. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 only. People who use the service experience good quality outcomes in this area. People are provided with information about the home and their personal needs are identified and planned for before moving in, this make sure the Rosebank is the right place for them to live. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The responses in the surveys showed people are provided with enough information to help them make a choice about living at Rosebank. Positive comments made by relatives were:- . ‘We visited twice. The staff was very accommodating and happy to show us all around the home and answer any question on our checklist.’ And ‘We were offered the opportunity to visit for a day before we decide, which was very influential in the final choice.’ Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 9 A relative commented staff were always ready to listen and act upon any queries, giving an example of when someone was moved from the first floor to the ground floor to help them settle more easily. The registered manager and deputy manager explained they usually visit prospective residents in their homes and complete an assessment. This is to make sure staff at the home will be able to provide a service that will meet the person’s needs. Following this people are encourage to spend a day at the home to provide them with the opportunity to meet everyone and to get a feel for the home before they decide whether they want to stay permanently. When people are accepted into Rosebank the managers gather information from the care manager, health professionals, the general practitioner and the relatives and use this information to write an assessment of the persons needs, when they first come into the home and for the persons care plan. Two records looked at where the people were recently admitted, both contained an assessment of the persons individual needs which was carried out before they had come into the home and assessments from the local social services and health authority. These were detailed and provided enough information for the home to be sure it could meet the persons needs. Also, both had life histories completed which gave insight into their lifestyle before moving into the home. During the site visit, a relative of a prospective resident was observed being taken around the home and receiving information from staff. Although the registered manager explained the statement of purpose and service user guide were given to people before they moved into the home, it was difficult to evidence these were being routinely handed out. People from the home who responded to the surveys stated they had not received a contract. The home is not registered for intermediate care. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 7,8,9, & 10. People who use the service experience good quality outcomes in this area. Although people’s physical health care needs are promoted, their mental health needs are not always fully met. We have made this judgement using a range of evidence, including a visit to this service.. EVIDENCE: The responses from the relatives about the care offered to people in the home were generally positive, comments made were: ‘I have been satisfied with Rosebank on every issue and occasion. The staff are always pleasant, helpful and informative. So I have no complaints only praise for Rosebank and its staff.’ And ‘Staff are friendly and residents are kept clean. They take good care over health issues. Staff do seem to genuinely care.’ Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 11 During the site visit staff were observed to be warm, friendly and respectful to people in the home, they knew them well and were aware of their personal preferences, although these were not always documented in the care plans. The registered manager explained the home had recently moved to a new system for recording the needs of people in the home. Four of these case records were looked at in order to check that a plan had been formulated which would help staff provide support to people according to their needs and wishes. The record forms completed contained general information such as the persons GP, care manager and next of kin. There was life history general physical and mental assessment, and where it was believed there was a need for care, a detailed a care plan had been produced which gave a step by step guide of how to provide for people needs. These all covered areas such as personal hygiene, mobility and nutrition and were also supported by risk assessments especially for falls and mobility. It was difficult to establish if these had been reviewed regularly as they had only recently been introduced and the old records had been removed. The registered and deputy manager had completed all the plans and all contained a similar amount of information. However, the care plans all lacked the peoples personal preferences and all the plans would have benefited from the actions the staff needed to take to maintain and improve a person’s mental health and social skills. General terms were used such as gives assistance, which does not describe the personal needs of the people involved. Also one person’s notes did show they were receiving treatment from the district nurse Also, there was no evidence people living in the home or their representatives were involved in the planning or choice of their personal care needs and surveys showed care plans are not read or used by care staff. Care plans and life histories for people who have dementia should be person centred, detailed and need to contain the actions to be taken to maintain their life skills and social confidence, as they are often unable to easily communicate their needs coherently themselves. This provides information and guidance for care staff, where they have had limited experience to care for this client group. Although people appeared clean and well presented, the home had an unpleasant odor and a relative had commented in a survey that sometimes people were unshaven and this would not have been their choice. Evidence from the surveys shows the home does promotes and maintains peoples health care needs. Positive comments have been made such as: • Impressed with frequency of professional visits. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 12 During the site visit the GP was visiting, she explained she visits the home weekly and attends to any of the identified needs; she also carries out a annual review of their medical health, where the relatives are invited and the district nurse. Medication is stored in a locked trolley. A monitored dosage system was in use with proper procedures in place for the receipt, storage, administration, recording and return of medicines. It is usual that only senior members of staff administer medication and staff receive accredited medication training before they are permitted to do so. The records showed and the staff verbally confirmed they have access to training in health care matters. Lunchtime medication administration was observed; this was carried out during the lunch. It is poor practice to give out medication during lunch; people often do not like to take medication during their meals, as it can be unpleasant. Also, medication was left on the table for people to take later, which is unsafe. The registered manager must review the way the home gives out the medication. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. People who use the service experience poor quality outcomes in this area. The home provides a comfortable relaxed environment, with a varied diet, where visitors are welcomed, however some people in the home require a more stimulating environment to enable them to lead a fulfilling life. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The deputy manager has been given the role of activities co-ordinator, and staff were able to give a list of daily activities in reception. These were bingo, chair areobics, hairdressing, beauty day, kittles and bowls and sing a long. They also said people went on days out. The atmosphere was one of calm and relaxed pace However there was little evidence people experience a stimulating lifestyle at Rosebank. During the morning of the site visit people remained mainly in the lounges watching the television, when people were asked about the television programme two said they could not see it. A game was started in the late afternoon by the deputy manager in the ground floor lounge. Also staff only Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 14 seemed to talk to people when a task needed to be carried out and did not generally encourage any conversation between people. Although the assessments did record peoples preferred social activities, there was little evidence in the records of social activities being carried out , apart from relative visits and chair areobics. Also, on the four case records looked at there was no care plans developed for social activities. Comments made by relatives also confirmed this was the norm, implying there was little stimulation for people in the home, and stating people normally sat in front of the TV and said the lack of outings. Activities for people with dementia need to maintain their life skills, and suit their individual needs and capacities. To enable this to happen activities often need to be on an individual basis, where interests and life histories, which are recorded are acted upon. People need to be encouraged to interact with others to help them maintain their social skills. Although people could make a choice of when to rise and when to retire, there was little evidence of them being promoted to or given the opportunity to make many lifestyle choices. Staff explained they knew what a person wanted through experience. However, on two separate occasions choices were made for people by staff without asking them. People who were active were able to walk around, others however those who couldn’t without assistance sat in the lounge/dining area for most of the day. On two separate occasions, staff entered the room. During the site visit people received visitors in the home. The surveys and records also confirmed that people do visit regularly and are made welcome. During the site visit most people ate in the different lounge/dining rooms. The meal for the day was shepherds pie, peas, carrots and gravy followed by tined fruit. Although the staff and chef explained there was a choice, everyone was eating the same meal. The meal was made of fresh ingredients and looked appetising. Members of staff were observed helping people with their food, one was helping using a spoon, and another suggested the use of a tablespoon for the shepherd’s pie. The meal was not a occasion and staff did not really talk to them and people were not encouraged to talk to each other. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. People who use the service experience good quality outcomes in this area. People’s complaints are listened to and responded to by the manager of Rosebank. However, the protection of people from abuse is compromised by a poor recruitment procedure. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has a complaints procedure, which is displayed in the office and in reception and is part of the service user guide. The surveys returned by people who use the service indicated they were aware of whom to make a complaint to. The manager deals with general day-to-day complaints and anything more serious is passed to the organisation’s area manager to investigate. The Registered Manager explained the home has received one complaint since the last inspection, which was about a loss of personal possessions; this had been recorded and responded to by the registered manager appropriately and within the set time scales. The home has the local procedure from social services for safe guarding adults, and the registered manager and the deputy manager were aware of the actions to take to protect people. Staff spoken to were also aware of how to follow the procedure. Staff said they had received training on how to protect vulnerable adults. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 16 However, staff were unaware of the importance of following appropriate recruitment procedures, such as appropriate references, protection of vulnerable adults and criminal records bureau (CRB) checks, and this puts people in the home at risk of abuse. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience adequate quality outcomes in this area. The home provides a well-maintained and comfortable place for people to live but inadequate cleaning of the premises compromises this. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There is a first and second floor each with a lounge/dining room. There are twenty-two single bedrooms and three double rooms some are en-suite. . There is a small-enclosed area at the front of the building for people to sit out. All the people in the home stated it was usually fresh and clean. However, on the day of the site visit this was not found to be the case, the communal areas were of a poor standard and there were unpleasant odours. This was discussed with the manager who said she had identified the problem and had intended to resolve it that day. To prevent people from becoming ill good standards of hygiene should always be maintained. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 18 However the home was well maintained, and the two bedrooms looked had their own door locks to promote peoples privacy if required and both were decorated to a high standard and clean and contained many of the individuals personal possessions. During the site visit bedrooms were being refurbished, however a risk assessment had not been carried out and equipment had been left in the corridor which could have put people at risk. This was brought to the attention of the registered manager who agreed to make the environment safe immediately. The home has a handyman who visits the home weekly, during the site visit the garden area which was used was being cleaned. Following requirements made at the last inspection the carpet on the upstairs corridor had been replaced and the leaves were no longer on the fire escape. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience poor quality outcomes in this area. Staff are aware of their duties and meet the needs of the people. However the recruitment procedure puts people at risk. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Three files were looked at in detail for staff who had been employed in the home following the last inspection. Although the criminal record bureau checks are kept at the head office, the registered manager had details of when they had been applied for and the outcomes. These showed all the staff had commenced work before a Criminal Record Bureau Check or Protection of Vulnerable Adult Check was carried out. One of the files contained only one reference, and another where a member of staff had previously worked in nursing homes, no written references or reasons for leaving had been sought. To protect people it is essential a robust recruitment procedure is followed and all staff have a completed criminal bureau record check to make sure they are suitable. This must include a application form which gives details of all previous employers, including the reasons for any gaps in employment, two references particularly from where the applicant may have worked with vulnerable adults, and all the necessary police checks. All this information must be sought before the person starts work. Where it is not possible for a criminal record bureau check to be carried out a protection of vulnerable adult check must be made and the person must be supervised in their work. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 20 All of the people surveyed said staff listened and acted upon what was said and were always available, positive comments were made such as:‘Staff are very accommodating and friendly and make it clear that this is the residents home. This has been shown to us several times when staff have gone that little bit further for example birthdays, and holiday times. There is a welcoming feeling of extended family.’ Speaking with staff and looking at the records confirmed staff have had a range of training, half of the staff have completed their National Vocational Qualification level two or above in care. Certificates on the reception wall evidenced staff had received training in infection control, mobility assistance, food hygiene, first aid, health and safety etc. The deputy manager explained she supervises induction, which is video based and this is followed up by further mandatory training courses by independent trainers. Also, people responded on the surveys that staff generally appeared to have the skills and experience necessary to care for the people in the home. Staff said there are normally two staff on each floor, a team leader and a care assistant, all staff spoken to said this was usually enough to meet the needs of the people in the home. Although, this did depend upon the level of help people required and this often changed. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. The management arrangements in Rosebank are appropriate, however people who lived in the home would benefit further if their view were sought. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The registered manager was appointed in 2006, she is presently taking her National qualification in Registered Managers Award (RMA) and explained she has had previous experience in dementia care. She is supported by a deputy manager who has worked at the home for twelve years and who is also taking her RMA. All the staff who returned their surveys stated they felt supported by the management in the home Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 22 The home carries out a quality assurance system, where the manager and deputy review areas of work weekly. Quality questionnaires are sent to relatives following a person coming into the home and then six monthly, the sample looked at during inspection all contained positive responses and health professionals are also asked their opinions of the service annually. Where there had been any issues raised these would be responded to. However, there did not appear to be a process from finding out the views of the people living in the home and although a requirement was made at the previous inspection, the results of the surveys are not published. Following a previous requirement staff said and the records confirmed staff were receiving the necessary supervision and felt adequately supported to carry out their duties. Although all said there were regular staff meetings, the records showed the last meeting was in May 2006. Financial records were examined. Details of all debits and credits were recorded, and receipts were kept. People in the home received interest on their accounts. The fire procedure is prominently displayed throughout the home and fire detection and fire-fighting equipment is tested and maintained regularly. Following a previous requirement staff are trained and able to administer first aid should a person get injured or require immediate treatment for a minor injury. Accidents were recorded on the persons file and in a log which the manager used to track any trends. The pre assessment questionnaire states all health and safety contracts are up to date. Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 23 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 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 Score X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 10 11 3 X X X X X X 1 STAFFING Standard No Score 27 28 29 30 2 3 X 3 3 1 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 1 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 24 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 2 Standard OP9 OP12 Regulation 13 (2) 16(2) (m) and (n) Requirement Staff must ensure people are given their medication safely and at an appropriate time. The registered persons must arrange for people in the home, appropriate activities, which will help them, maintain their life skills and provide them with a fulfilling lifestyle. To provide people with a comfortable home it must be kept clean and free from offensive odours at all times To protect people from risk of abuse. The registered person is required to have in place for all new staff A completed application form, • Two written references • Evidence that a satisfactory CRB and POVA first check has been. This must be carried out before their employment. 5 OP33 24 People in the home must be encouraged to and given the DS0000003007.V329448.R01.S.doc Timescale for action 12/06/07 01/08/07 3 OP26 23 (2) (d) 12/06/07 4 OP29 19 12/06/07 • 01/08/07 Rosebank Version 5.2 Page 25 opportunity to view their views about the home and the results of all surveys must be published and made available to people who use the service or are interested in the service. Previous requirement of 30/04/06 not met RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP14 Good Practice Recommendations Peoples care plans should include information about how their mental health and social needs can be met. To improve and maintain peoples mental capacity people need to be given the opportunity to make choices about their daily life, such as meals, washing, watching television programmes, etc. To improve and maintain peoples social skills, meal times should be an occasion, where people are encouraged talk, and use the appropriate cutlery, tables are set to a high standard and the food is well presented. To protect people from risk of harm, risk assessments must be carried out and actions taken to minimise risk when external contractors are working in the home. 3 OP15 4 OP38 Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Rosebank DS0000003007.V329448.R01.S.doc Version 5.2 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!