CARE HOMES FOR OLDER PEOPLE
Rosemead 49 School Lane Bidston Wirral CH43 7RE Lead Inspector
Natalie Charnley Unannounced Inspection 2nd May 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Rosemead Address 49 School Lane Bidston Wirral CH43 7RE 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) 0151 652 3824 Mrs Mavis Jones Mrs Johanne Huntington-Jones Mrs Mavis Jones Care Home 14 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (14) of places Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The service may accommodate one service user under the category of Dementia (E). Date of last inspection Brief Description of the Service: Rosemead is a home located in the Bidston area of the Wirral, within a quiet road, close to local shops and transport links. Car parking is available at the front of the building. The home can accommodate up to 14 residents and provides personal care, a recent variation has been given to the home to allow them to accommodate up to one resident who has dementia. Rosemead is a three story building which has a variety of communal and private areas. A lift is available to take residents between floors. There are eight bedrooms, one of which is ensuite. Three of the bedrooms are shared rooms. The homeowners, one of whom is the registered manager, have a flat on the upper floor to which residents don’t have access. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was carried out over a period of one day. The inspector arrived at the home at 10:00 and left at 15:00 .The inspector spoke with 3 staff, one of which was the co-owner and 7 residents. No visitors were available at the time of the inspection. The home was asked to provide a selection of pre inspection information, however this did not arrive until after the field visit. Comment cards were left at the home for residents and visitors to complete. The person in charged was also given an ‘inspection feedback’ card to complete regarding the inspection process. No cultural or diversity issues were identified during this visit. The inspector completed the inspection by looking at the homes records, a tour of the building, formal and informal interviews and information from previous inspection reports. The inspector followed an inspection plan written before the start of the inspection using all information held on file at Commission for Social Care Inspection regarding the home, to ensure that all areas that needed covering were done so. Feedback was given to the person in charge during and at the end of the inspection. Some requirements from the last inspection have not been met and are highlighted at the end of the report along with additional requirements and recommendations. The home was issued an enforcement notice on 15th March 2006 regarding the storage, recording and administration of medication. A compliance visit was undertaken, along with a specialist pharmacy inspector on 31st march 2006 which found that all aspects of the notice had been complied with. What the service does well:
Residents especially enjoy the food at the home. Portions are generous and food is well presented, tasty and nutritious. A menu board is now available in the hallway to let residents know what is being offered on a particular day. Activities are simple but enjoyed by the residents. Whilst residents commented that they would enjoy more organised outings, records showed that individual are taken out by the home on a regular basis. Residents commented favourable about the staff at the home. One resident stated “ It doesn’t feel like I am in a home, just that I am at home”. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better:
A number of requirements remain outstanding from previous inspections, which is concerning. The manager must ensure that the improvement plan submitted clearly outlines how the home is to meet these standards. For this reason, timescales given to meet the majority of standards are short. 1. Meeting Needs (standard 3) Residents at the home that have been identified by staff as having dementia/confusion must have a re-assessment by a qualified person, that will look at their needs and decide if Rosemead is a suitable home for them to live in. 2. Contracts (standard 2) Contracts must be made clear as to what a resident is to receive from the home and fees they are to pay. Residents and their representatives must then sign this contract to say that they agree to the terms. 3. Service user plan (standard 7) Residents and their families must be involved in planning their care plans. 4. Risk Assessments (standard 8) All risk assessments that show a resident to be at risk must have documented what the home intend to do about that particular problem. This should be clearly written into the care plan. 5. Complaints (standard 16)
Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 7 Residents must be made aware of how and whom they could make a complaint to if needed, currently they do not have access to this information. 6. Protection (standard 18) All staff working at the home must have appropriate checks in place to ensure they are suitable to work with vulnerable people. The manager and staff must make sure they are aware of the local policies and procedures with regard to adult protection and undertake some form of training in this area to comply with Regulation 13(6) Care Homes Regulations 2001 6.Premesis (standard 19) A number of refurbishments and replacements need to be undertaken to ensure the home remains a safe place to live. The kitchen area must be kept clean at all times. 7.Infection control (standard 26) A policy must be available for staff with clear guidance to follow. Staff must also receive training to keep their skills in this area up to date. 8.Staffing (standard 27) Staffing rotas must reflect the exact number of staff that are on duty. Staffing levels must always be maintained to ensure the safety of the residents. 9.Staff training (standard 30) In order for staff to care for residents appropriately, a wide range of training must be given to staff. Those administering medication need specialist training and an assessment of competence, as well as staff needing support with the core areas and abuse awareness. 10.Quality assurance (standard 33) Residents must be consulted at the home and able to freely express their views. A system to make sure that a good service is provided by the home must be devised and put in place. 11.Financial procedures (standard 34) The home must produce a business plan to demonstrate how the home will address areas such as training, environmental repairs and recruitment. The plan must demonstrate that the home is financially viability. 12. Safe working practice (standard 38) All health and safety records must be available at all times for inspection. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 8 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. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 9 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 Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 10 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): 2 and 3 Quality outcome in this area is poor Residents currently living at the home may not be in the correct type of care environment and may not be having they’re needs met. Not all residents have contracts and therefore are not aware of their rights. EVIDENCE: During an inspection in November 2005, staff at the home identified ten of the fourteen residents as being potentially out of the category of the home. This means that they may have needs that staff cannot attend to effectively. Since the inspection, the home have had seven residents assessed by a social worker, however there is no written confirmation regarding any decisions that were made. The home must chase this up as matter or urgency along with the three remaining outstanding assessments. Contracts also remain outstanding and have not been updated to reflect the current status of the Commission for Social Care Inspection. This means that residents do not know who and where to contact the commission or other outside agencies. Contracts sampled also did not reflect the monthly cost of living at the home and resident questionnaires and interviews showed that not all residents have a contract detailing their rights.
Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 11 Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 12 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 and10 Quality outcome in the area is adequate. Residents feel they are treated with respect and have their privacy maintained at all times. Care plans have improved but need to be done along side residents. The home must ensure all risks are appropriately followed up. Medication practices have significantly improved and maintain the safety of the residents. EVIDENCE: Residents care plans have continued to be developed at the home and now show clear instruction as to the exact care an individual needs. These plans are then reviewed every month. Staff feel that they are now more confident in planning care and have training planned for the near future. Care plans now need to be formulated along side the residents and their families to make sure they have an input into how and what care they need. Risk assessments are in place to monitor falls, nutrition and manual handling, however one nutritional risk assessment sampled showed a score indicating a resident was at ‘high risk’. The home had not done anything about this risk and no reference was made to the risk in the care plan. This was highlighted to the staff during the inspection. Residents confirmed that they see a variety of other health professionals such as nurses, chiropodists and opticians. Records held by the home also confirmed this.
Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 13 Medication records at the home were well recorded and had significantly improved since the last inspection. Only one error regarding the recording of a drug with a variable dose was identified. Storage areas were clean and tidy and training was planned for later in the day. One resident was identified as being prescribed 1mg of Lorazepam as and when they needed it. There was no indication in the care plan or within medication records to help staff make the decision as to when the drug was needed. A protocol must be made in collaboration with medical advice to ensure staff are clear as when to administer the drug. Residents confirmed that they now receive their medication in the correct way (straight from the blister packs) and that staff sign the drug records in front of them. Residents spoken with stated that they felt respected at all times and that their privacy was always maintained. One resident commented “we are left alone to get on with things but know that the staff are always there if we need them” and another commented”, another stated “staff knock on my door before they come in”. Staff were observed speaking to residents in an appropriate way and knocking on bedroom doors before entering. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 14 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): 12,13,14 and 15 Quality outcomes in this area are good. Activities are fulfilling the wishes and needs of residents. Residents are encouraged to make daily choices and keep control over their lives, and they have a tasty and balanced diet. EVIDENCE: Residents spoken with stated that they are satisfied with the “simple” activities that are offered and gave examples such as “ carpet bowls”, “sing a long” “quizzes” and “dominos”. Some of the residents stated that they would like to have more tips out organised, however records showed that individuals are taken out on local trips on a regular basis. Residents also assist the staff in doing household tasks such as washing dishes and setting the table, which they enjoy. Residents also confirmed that visitors can come to the home at anytime and were not restricted in any way. Details are on display in the hallway of how to contact local advocacy groups and residents stated that they felt supported by staff to make a range of decisions about their everyday lives. Residents were observed having their lunch at 11am. Choices of the daily meals were on display in the main hallway and residents were able to explain what was on offer. Staff also go to individuals on a daily basis to ask what they want to eat on that particular day to make sure that every resident is aware of the meals on offer. The meal served was wholesome and nutritious. Portions were large and the food was well presented and hot. Residents commented
Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 15 “the food here is fantastic, I can’t fault it”, “the quality of the food is excellent” and “no one here leaves any food on their plates”. Staff explained that one resident has a low fat diet and were able to detail how this was carried out. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 16 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): 16 and 18 Quality outcomes in this area are poor. Residents are not aware of how to contact outside agencies and staff do not have the appropriate skills or information to keep the residents safe from harm. EVIDENCE: Despite being a requirement of the last two inspections, the home still do not have a copy of the local council “ Safeguarding Adults” policy. Staff would need to use this and be aware of its details if an allegation of abuse was made at the home. Three members of staff interviewed, had received no training in this area and were not aware of the policy and its importance. This must now be addressed as a matter of urgency. Two residents were asked if they were aware of how to make a complaint. Both knew how to complain within the home, however neither were aware that the home has a complaints policy or of how to contact the Commission for Social Care Inspection. This was also evidenced on residents questionnaires that were received. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality outcomes in this area are poor Some areas of the home are not safe for residents as they present a health and safety risk. Infection control procedures at the home are not known by staff and leave residents at risk. EVIDENCE: The home is well maintained in the majority of areas and pleasantly decorated, which creates a homely atmosphere for residents. Residents commented that they liked the decor at the home and that they were happy with their environment. Bathroom 1 had a cupboard below the sink that had the doors hanging from the hinges, which could cause a potential danger to residents safety. The conservatory area was found to have no flooring down, only a wooden base that had recently been laid, as the floor was uneven. A selection of bedrooms were checked with the permission of the residents. These areas were pleasant and warm, and room 1 was identified as needing a replacement carpet as the current one is warn in places. One resident commented, “The home is always clean and tidy. The cleaner comes into our rooms and does a great job”.
Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 18 The kitchen and laundry areas were looked at. Areas of the kitchen were found to be unclean and many of the kitchen draws had residue of old food within them. The fridge had unlabeled food which had not been dated when opened, meaning that staff could not be sure if it was still safe to eat. Freezers were in urgent need of defrosting and had not been checked to see if they were storing food at a correct temperature. Food temperature checks on cooked foods, that should be completed before serving food to residents, had not been completed over the last month, which could leave the residents at risk. It was recommended to the staff in charge to obtain a copy of the new guidance issued by the food standards agency for use in the home. As a result of the concerns, the environmental health officer was contacted for advice. The laundry area was clean and tidy, however as highlighted on previous reports, is in need of modernisation. No policy in relation to infection control was available at the home for staff to follow and staff had not undertaken specialist training in this area. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality outcomes in this area are poor 40 of care staff hold a specialist qualification, and training is being planned by the manager on other subjects. Staffing rotas do not reflect the staff that are on duty, which may leave residents at risk. Recruitment practices need to be adopted to cover all staff working at the home. EVIDENCE: Staffing rotas were checked for the day of the inspection and the previous week. The rota did not reflect the actual staff on duty and showed staff that were on holiday as working on a shift. Staff confirmed that there had been a lot of sickness recently and that sometimes covering shifts at the last minute was difficult. One member of staff went off duty on the day of the inspection at 12.30 and was to be the only member of staff on duty that night from 10pm until the following morning. There was also no allocated cook for the day of the inspection, meaning that this fell to one of the care staff, taking them away from caring directly for residents. Residents commented that they felt that were enough staff always available to care for them, commenting “staff here are especially good when you are not well” and “staff here are so kind and considerate”. Staff commented that they felt training had improved over the last few months and were able to give examples of courses that they had attended. Examples were given of food hygiene, dementia, manual handling and first aid, however some mandatory subjects still remain outstanding. Training records were on display in the kitchen area, however it was recommended that they be held on individual staff files to maintain confidentiality. The home employ a total of 10
Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 20 care staff, 40 of which hold a NVQ specialist qualification in a care related subject, this is a little short of the required 50 . A selection of 3 staff files were checked, two of which were for newly employed staff. It was identified that the cleaner who has worked at the home for several years had no staff records or appropriate character checks. This must be addressed as a matter of urgency. Other files showed that checks had been completed and that reference checks had been carried out. Staff spoken to confirmed that they had been issued with conditions of employment. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality outcomes in this area are poor. The home cannot demonstrate how they intend to develop the skills of the staff and environment of the home to ensure residents continue to be well cared for. Financial records could not be checked to ensure that they safeguard residents and allow them to use money independently. Health and safety checks at the home were not available and could leave residents at risk from harm. EVIDENCE: The home manager was not available on the day of the site visit and it was noted that the co-owner who was in charge, did not have access or knowledge of where paperwork was stored, financial records and health and safety records could not be checked for this reason. The home still do not have a business plan showing how the home is to be developed and to demonstrate that it is financially viable, this remains outstanding from the previous inspection. This information is important to ensure the safe running of the
Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 22 home on a daily basis and should be made available for inspection at any time. Staff confirmed that no checks are carried out on the quality of care given by the home and residents stated that they were not asked their views about the home very often. This remains outstanding from the previous inspection and must be addressed. Accident records are now being stored confidentially and are completed to a good standard. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 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 Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 1 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score N/A X 1 X 1 X X 1 Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 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. Standard OP2 Regulation 14 Requirement The registered person must ensure that all residents have an up to date contract issued that clearly outlines their rights. The registered person must ensure that all residents identified during the previous inspections receive an assessment to make sure they are in the correct home that can meet their needs. Details of the assessment outcomes for the residents who have had this undertaken must be forwarded to the inspector. (remains outstanding from previous reports due 31.3.06) The registered person must ensure all residents have a clear and comprehensive plan of care that they are involved with developing (remains outstanding from previous reports due 1.12.04 ,1.4.05, 1.1.06 and 01.03.06) The registered person must ensure that all risks assessments completed have action taken
DS0000018933.V290821.R01.S.doc Timescale for action 01/06/06 2. OP4 14 01/06/06 3. OP7 15(1) 01/06/06 4 OP8 13(4)(a) 01/06/06 Rosemead Version 5.1 Page 25 5 OP9 13(2) 6 OP16 22 7 OP18 18(1) 8 OP19 23(1)(2) 9 OP26 18(1) 10 OP27 18 11 OP29 18 against them if needed. This must then be recorded in the plan of care. The registered person must ensure a protocol is put in place for staff to follow when administering ‘when required’ medication’. The registered provider must ensure that all residents know how to make a complaint and contact outside agencies. The registered provider must ensure all staff are trained on dealing with abuse and that a copy of the local adult protection guidelines are obtained (remains outstanding from the previous inspection:due 30.3.06) The registered provider must ensure that: 1. The conservatory has an appropriate flooring put in place 2. The bedroom carpet in room 1 is replaced 3. The cupboard in bathroom 1 is repaired or replaced. The registered person must ensure that staff are trained in infection control procedures and that a single policy is in place and available to staff (remains outstanding from previous report:due 30.3.06) The registered person must ensure that staffing rotas show the accurate numbers of staff that are on duty. The registered person must ensure there are enough staff on duty at all times to meet the needs of the residents The registered person must ensure that all staff working at the home have an up to date staff file, CRB and POVA check in
DS0000018933.V290821.R01.S.doc 01/06/06 01/06/06 01/06/06 01/07/06 01/06/06 01/06/06 01/07/06 Rosemead Version 5.1 Page 26 12 OP30 18(1)(a) 13 OP33 16(2)(m) 14 OP31 9(1)(2) 15 OP35 25 16 OP38 13 place. The registered person must ensure all staff receives mandatory training and that training records are kept up to date. (outstanding from previous report: due 1.4.06) The registered person must ensure that quality assurance monitoring takes place within the home. (remains outstanding from previous report:due 1.4.06) The registered manager must be able to demonstrate that she is competent to manage the needs of the residents safely. The registered person must provide Commission for Social Care Inspection with an up to date business plan that shows the financial viability of the home. (remains outstanding from previous report: due 01.04.06) The registered person must ensure that all health and safety certificates are forwarded to the Commission for Social Care Inspection for checking 01/06/06 01/07/06 01/06/06 01/06/06 01/06/06 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 OP19 OP26 Good Practice Recommendations The registered person may wish to look into re covering the driveway area and repairing the torn seat in the lounge. The registered person may wish to consider modernising the laundry area
DS0000018933.V290821.R01.S.doc Version 5.1 Page 27 Rosemead 3 4 OP28 OP38 The registered person may wish to continue to encourage staff to participate in NVQ training so as to meet the 50 required target The manager may wish to keep a record of food temperatures and fridge/freezer temperatures as an example of good practice. Rosemead DS0000018933.V290821.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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