Inspection on 10/12/07 for Rosewood House Care Home

This inspection was carried out on 10th December 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rosewood House Care Home 21/05/08

Rosewood House Care Home 31/01/07

Rosewood House Care Home 03/05/06

Rosewood House Care Home 23/11/04

Rosewood House Care Home 17/08/04

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

CARE HOMES FOR OLDER PEOPLE Rosewood House Care Home 84a Main Road Radcliffe on Trent Nottingham NG12 2BQ Lead Inspector Stephen Benson Unannounced Inspection 09:30 10 December 2007 th 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 Rosewood House Care Home DS0000008796.V354275.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. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood House Care Home Address 84a Main Road Radcliffe on Trent Nottingham NG12 2BQ 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) 0115 933 4717 0115 933 2510 sherryseetul@btinternet.com Mr Mukesh Seetul Mrs Valerie Oliver Care Home 17 Category(ies) of Dementia - over 65 years of age (17) registration, with number of places Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users shall be within category DE/E, 1 Named service user shall be within category DE 31st January 2007 Date of last inspection Brief Description of the Service: Rosewood House is an adapted and extended property sitting in the heart of a residential area of the village of Radcliffe on Trent. The home is registered to provide residential care for up to 17 service users who have Dementia and particular needs associated with their diagnosis. The accommodation spans two floors and there is a vertical lift to facilitate access between these floors for service users. Gardens are to the side and rear of the property and there is a car park to the front. The village of Radcliffe on Trent is a couple of minutes away by car and provides a range of facilities including shops, churches, restaurants, pubs and public transport. The manager said on 10/10/07 that the fees for the service range from £290 £344 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. Further information about the home is available in the brochure and service user guide. The provider welcomes any telephone enquiries and a copy of the latest inspection report is available in the office and can be seen upon request. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2007 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. The visit centred on looking at the key National Minimum Standards for older people. The site visit lasted for 6 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the provider, staff on duty and care practices were observed. A visitor was spoken with during the visit. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the service does well: Staff will contact healthcare professionals to see to the healthcare needs of residents and their health is monitored through observation and regular health checks. Care is provided in a way that promotes the privacy and dignity of residents. Residents are able to take part in organised activities and individual activities can be arranged. Visitors are welcome and can take residents out. Residents are able to choose how they spend their time and are supported by staff to make choices where they are able so that residents remain in control of their lives as much as they are able. There is a varied menu providing a choice at each meal and food is well presented. This means that residents have a nutritious and balanced diet. The home has a complaints procedure, which is available for residents and relatives to use. This has been used to raise things they are not happy about, which are then resolved. The home is well maintained and kept clean and tidy which means residents live in a comfortable environment. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 6 The home provides 3 staff on duty during the day and two staff at night. There are staff who work in the kitchen and keep the home clean. This ensures that staff are available to see to residents needs. Regular checks and tests are carried out on the building and equipment, including the fire alarm and water storage system. This ensures that the health and safety of residents is protected. What has improved since the last inspection? What they could do better: The assessment of new residents should include details of their ethnic origin and the opportunity to include any significant relationships they have had. Information collected as part of the assessment process for new residents must be available to staff, so they know what their needs are. Staff must be able to understand the care planning system in use and care plans must clearly describe how resident needs are to be met and where a need is identified a care plan must be written for this so that staff know how to meet residents’ needs. A record must be made when administering medication to make sure that residents receive their correct medicine. They needs and abilities of people with dementia should be taken into account when planning the menu. Staff must be aware of the procedures for making complaints and safeguarding adults. There must be suitably trained staff on duty to meet the needs of all the residents. The home must be managed by someone who has been through the registration process to be come a registered manager. Residents must have opportunities to express their views on how the home is run. This will ensure that residents can have a say in how the home is run. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 7 All financial transactions made on behalf of residents must be signed and witnessed. 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. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. More could be done to make sure that residents’ needs are known before they move in to the home. The home does not offer an intermediate care service. EVIDENCE: The most recently admitted resident came to the home on 3/12/07. There was not any assessment information on the resident’s care file, however the provider was able to show an assessment that had been undertaken which was in the office. The assessment information did not include obtaining details regarding residents’ ethnic origin and only asked whether the person was married or Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 10 single, and did not allow for anyone to refer to any significant relationship they have or had. The home did not have a copy of the assessment carried out by the local authority, which was obtained the following day. There were local authority assessments seen on the care files of other residents. The provider said that she had been to assess the new resident in another care home to establish whether her needs could be met at the home and had decided that they could. Staff said that they are told about new residents in handover by a senior member of staff but they do not see any assessment information. A resident said, “A gentleman came to see me and asked a lot of questions”. There is no arrangement made for the home to provide an intermediate care service. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 11 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): 7, 8, 9 and 10 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff do not understand the care planning system. The arrangements for administering medication are unsuitable and place residents at risk. Residents’ healthcare needs are met and they are treated with respect. EVIDENCE: A sample of three care files were looked at. The care planning system in use is a combination of a pre prepared booklet and handwritten care plans. There were dates recorded showing they had been updated, however dates seen were 26/04/07 and 17/06/07. There were care plans seen for a variety of needs including managing incontinence, mobility, and personal hygiene. One instruction in a personal hygiene care plan stated that the resident had never shaved his moustache Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 12 and the family had requested that this continued. The resident was seen with a moustache. The pre prepared assessment and care planning booklets were not fully completed and handwritten care plans were prepared on the basis of some needs identified by the assessments. The provider said this was because staff found it easier to use the handwritten care plans. The daily notes for one resident showed a sudden decline in health and the resident was now confined to bed and staff were providing an increased level of care including offering and encouraging fluid intake and recording this but the care plans had not been adjusted to take this into account. There were some needs highlighted by the assessments completed in the assessment and care planning booklets, however some of these did not have care plans for them. There was a risk assessment for a resident at risk of falls that had not been added up correctly resulting in them being deemed a low rather than a high risk. Staff were asked for their views on the care planning system and differing opinions were expressed, however they were not able to explain how the assessments are carried out and what they mean. When the provider was told about some of the views of staff about the care plans she said she would be looking to see how she can make the care plans more useful for staff. A resident said, “I am happy with the care I get here”. There was a record made in the daily notes of any healthcare had by residents and there were optical statements showing residents had their eyesight tested seen in care files. The provider said routine health appointments including chiropody and sight checks are arranged. Staff said that they observe residents for any signs about changes in their health, talk to them about how they are feeling and make a note in the daily diary of any changes noted to pass over at handover. A resident said, “One of the girls cleans my glasses for me” and another said, “They get the doctor when we want one”. The morning medication was being given out at 10.30 am and this as the first day of a new cycle. There were no Medicine Administration Records to record the medication given, as they had not arrived from the pharmacist. A senior Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 13 member of staff was seen copying the records out and the provider went to the chemist to arrange for the records to be provided. The provider said she was not happy with the service provided by the pharmacist and was in the process of changing over to a new chemist. Staff described the correct practices of administering medication. A resident said, “I am on regular medication, I am given it every morning”. The provider said the promoting of residents’ privacy and dignity are covered in the induction of new staff and they have started using the Topps induction standards. Staff were seen making residents comfortable and speaking with them in a respectful manner. Staff described good practices such as closing doors, drawing curtains and explaining things to residents to promote their privacy and dignity. A resident replied when asked if their privacy and dignity were respected, “Definitely, they have plenty of respect for us”. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have opportunities to satisfy their social and recreational interests and needs through opportunities provided within the home, the local community and being able to maintain relationships. Residents are helped to exercise choice and control over their lives and receive a wholesome and balanced diet. EVIDENCE: There was not any information about residents’ interests or things they like to do in the care files. Staff were seen offering a range of board games and puzzles to residents on an individual basis and playing a ball throwing game. Staff were also sitting talking with residents. The provider said an external activities provider organises an activity each week. In addition care staff provide activities at least twice a week. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 15 Staff said they record any activity in an activities book, although when seen the entries were irregular. A relative said he sometimes bring compact discs of old songs in which the residents enjoy. When some music was put on residents were seen joining in singing and tapping along with the music. A resident said, “There is too much to do sometimes”. Staff said that visitors are welcome and there are no restrictions on when visitors can visit and they are able to take residents out. One relative was seen collecting her mother to take her home for the afternoon. A resident said, “My brother came to see me this morning”. The provider said that some residents are restricted about the amount of choices they can make due to their dementia so they have to make use of some historical knowledge for these residents. Staff said they try to make residents as happy and content as they can by seeing to their wishes. Staff said that one resident often wants to wear the same clothes each day so they arrange for these to be washed overnight so they are ready for her to do so. A resident said, “We are able to make choices, if I want to wear something and they don’t think it is warm enough they will say so but it is up to me if I do or not”. The main meal is at lunchtime and there is a four-week menu, which provides a choice at each meal. Dishes include casseroles, omelettes, gammon, fish pie, mince and sausages. There is a different type of fish on Fridays and a roast dinner on Sundays. Then menu included a lot of dishes that require cutlery to eat and there were limited finger meals, which some residents prefer. The cook said she has not had any training on providing food to people with dementia and would welcome this. Lunch today was a choice of beef casserole or omelettes, green beans, cauliflower cheese, mashed potato, onion rings and gravy followed by lemon cream cake and custard. A table with four residents sat around all agreed they had enjoyed the meal. A relative said the food was very good and his sister had put on about a stone in weight since coming to the home, which she had needed to do. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are not aware of the correct procedures to follow in the event of a complaint or any allegation of abuse, however they will respond to any situation that arises. EVIDENCE: The home has a complaints procedure and a book to record any complaints in. There were 7 complaints recorded this year. Records of complaints made included details of the investigation and outcome. There were 3 complaints upheld concerning dirty clothing, not having a hair perm and problems accessing staff at nighttime. As a result appropriate measures have been taken to prevent these being repeated. Staff were uncertain about the complaints procedure but said they act on anything residents say to them, including if they are not happy about something. A resident said, “I have no complaints, I’ve never had to, they (staff) always come to see if I am alright”. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 17 One resident was seen getting into an argument with another resident who had sat on her handbag. This was becoming heated and threats of violence were being made. Staff responded promptly and diffused the situation, showing patience to resolve it. The provider said there is a copy of the new Adult Protection procedures in the home, which were seen in the office. The provider said these are going to be discussed at a staff meeting. Staff said they had not seen the Adult Protection Procedures and had not had any training on safeguarding adults. When questioned about how to respond to any allegation of abuse staff were not able to answer this. A resident said, “I feel safe here”. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 18 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): 19 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a safe, well-maintained environment, which is clean, pleasant and hygienic. EVIDENCE: The home was well decorated and furnished and had Christmas decorations up and looked festive. The provider said that a handyman comes to the home 3 times a week to carry out any routine maintenance. Staff said that they make a note of any repairs in the maintenance book and the handyman sees to them when he visits the home. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 19 The home employs designated cleaning staff and they were seen working. Staff training records showed that some staff have had infection control training. Staff said that there is a cleaner on duty every day. A resident said, “There is somebody here cleaning everyday, and they clean up after dinner”. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 20 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): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff employed at the home, ensuring that residents needs can be met, however they have not been fully trained. Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: The provider has assessed the minimum staffing levels to be three care staff during the day and two care staff at night, one awake and the other asleep but available to be called upon if needed. In addition the home employs domestic, catering and maintenance staff and one of the providers is actively involved in the day to day running of the home. The home employs male and female staff and they are of varying ages and from differing ethnic backgrounds. There were only two care staff on duty when I arrived at the home, who said the other member of staff had phoned in sick that morning and they had been trying to call another member of staff to come in and cover but no one had been available. The third member of staff arrived at the home at 9.50 am and Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 21 explained personal circumstances that had made her unable to attend at the start of the shift. Staff said this had been unusual and that there is always three staff on duty, which is sufficient to see to the residents’ needs. A resident said, “There is always enough staff on duty, if you want someone there is always someone there, they will even fetch them from their dinner if you need them. The provider said there have been a number of staff changes recently and as a result the number of staff with National Vocational Qualifications has reduced. Currently there are three staff who have completed National Vocational Qualification level 2 and a further 6 are registered to study for this qualification and a further two are currently studying level 3. Staff files seen showed that the correct recruitment practices are followed. The home follows their equal opportunities policy in the recruitment of new staff. Staff training records showed that there are a number of staff who have not had all the required training and the provider said there are plans for that to be done. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 22 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): 31, 33, 35 and 38 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are management systems in place, however there is limited opportunity for residents or relatives to express their views on the running of the home. Residents’ finances are not being fully safeguarded. EVIDENCE: The provider said that they are currently trying to recruit a new manager as the previous manager has now left the home. The provider, who is the registered manager of another care home said she is overseeing the management of the home whilst a new person is recruited. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 23 The provider said that quality assurance questionnaires are due to be sent out and these have not been done for one and a half years. The provider said resident and relatives meetings are held but there were not any minutes of these available. There is a system for assisting residents to manage their personal allowances and records for these were seen. There were not two signatures for each transaction made. The provider said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. It was stated on the Annual Quality Assurance Assessment that equipment is tested or serviced as recommended by the manufacturers or other regulatory body. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 1 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 X X 3 Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP3 Regulation 14(1)(a) Requirement The assessment of new residents should include details of their ethnic origin and the opportunity to include any significant relationships they have had. Information collected as part of the assessment process for new residents must be available to staff. Staff must be able to understand the care planning system in use and care plans must clearly describe how resident needs are to be met and where a need is identified a care plan must be written for this so that staff know how to meet residents’ needs. A record must be made when administering medication to make sure that residents receive their correct medicine. Staff must be aware of the procedures for making complaints. Staff must be aware of the procedures for safeguarding adults. Timescale for action 01/02/08 2. OP3 14(1)(a) 01/02/08 3. OP7 15(1) 01/03/08 4. OP9 13(2) 01/01/08 5 6 OP16 OP18 22 (2) 12 (1)(a) 01/02/08 01/02/08 Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 26 7 OP30 18(1)(c) (i) Staff must be provided with the training they need to be able to do their work. This will ensure that residents are cared for by suitably trained staff. A manager must be appointed and an application submitted to become the registered manager. Residents must have opportunities to express their views on how the home is run. This will ensure that residents can have a say in the running of the home. All financial transactions made on behalf of residents must be signed for and witnessed. This will ensure that residents’ financial interests are safeguarded 01/04/08 8 9 OP31 OP33 18 (1)(a) 24 (1)(a) 01/04/08 01/04/08 10 OP35 17 Schedule 4 (9)(a) 01/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP15 Good Practice Recommendations They needs and abilities of people with dementia should be taken into account when planning the menu. Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Rosewood House Care Home DS0000008796.V354275.R01.S.doc Version 5.2 Page 28 - 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!