Inspection on 28/06/06 for Rosslyn

This inspection was carried out on 28th June 2006.

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

Rosslyn 10/11/08

Rosslyn 27/11/07

Rosslyn 09/01/07

Rosslyn 13/10/05

Rosslyn 16/05/05

Rosslyn 18/10/04

Rosslyn 10/05/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosslyn 29 Bagdale Whitby North Yorkshire YO21 1QL Lead Inspector Pauline O`Rourke Key Unannounced Inspection 28th June 2006 09:30 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 Rosslyn DS0000007728.V301870.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. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosslyn Address 29 Bagdale Whitby North Yorkshire YO21 1QL 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) 01947 820931 Mr Jeremy William Southgate *** Post Vacant *** Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th October 2005 Brief Description of the Service: Rosslyn provides long-term accommodation and personal care for a maximum of eleven older people. The home is located on a main route into Whitby and is conveniently situated for the shops and other community facilities including transport links. Rosslyn is a traditional house with modern extension built on two floors with the communal areas and two bedrooms being located on the ground floor. One bedroom has an ensuite toilet facility. A stair lift in lieu of a passenger lift gives access to the first floor for residents with limited mobility and consequently the residents placed in bedrooms on the first floor have to be reasonably ambulant. The home has its own parking facilities and there is onroad parking within close proximity. The front of the house has ramp access as well as steps. The fees for Rosslyn range from £300 to £500 per week depending on needs assessment and room occupied. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on information known about the home since the previous inspection and includes information from reportable incidents, complaints and concerns, feedback from staff and service users, and a visit to the home. A further random inspection visit was made on 6th July 2006 and information from that visit will also be included in this report. The visit carried out on 28th June 2006 took seven hours plus additional preparation time. Time was spent checking records, talking to the manager and staff, and observing staff with service users. Six service users, three staff and a visiting healthcare professional were spoken with. A tour of the premises was made. The provider failed to provide a properly completed pre inspection questionnaire but feedback on the service was received from service user representatives after the manager provided contact details. A range of issues was identified including poor recording, poor care practice and poor staff recruitment and training. There was little evidence that individual service users needs are being fully met by a trained staff group. What the service does well: What has improved since the last inspection? What they could do better: Mr Southgate must change the way in which he runs the home. Staffing levels must not be reduced. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 6 Service users need to be given choice and dignity in their lives and be provided with care and support to them as an individual. Poor care practice which compromises service users privacy and dignity must stop. Mr Southgate must ensure staff complete training so that they understand their role and what is expected of them. Training must be developed to make sure that staff have sufficient skills and knowledge to meet service users needs safely and promotes independence, privacy and dignity. Staff recruitment practices must comply with regulations to make sure staff employed have the right qualities and understanding about older people. Service users should be supported in a safe, well-maintained environment. 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. Rosslyn DS0000007728.V301870.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 Rosslyn DS0000007728.V301870.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. This outcome group is judged as being poor. The judgement has been made using available evidence including a visit to this service. The needs of prospective service users is not assessed or recorded prior to admission to the home. There was no evidence of a contract between the proprietor and service user. EVIDENCE: Although service users recalled seeing someone from the home prior to their admission overall the evidence from this visit indicates the process for assessing people prior to admission is poor. Three of the nine service user files were inspected and there was little evidence of any pre-admission assessment information. One service user had been re-admitted to the home following a period in hospital and there was no new assessment information in the service user’s file. A healthcare professional spoken with during the inspection indicated that a service user reRosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 9 admitted to the home was borderline nursing care and they were having to educate the staff in the use of equipment needed to meet their needs. The files did not contain any evidence that a contract had been provided to indicate which room is to be occupied, what the fees are, including who pays what and what each party’s responsibilities are in respect of tenancy rights. Feedback received indicated that the contracts had no standing in the deciding of where people lived in the house. Rosslyn DS0000007728.V301870.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 This group of outcomes have been judged as poor. The judgement has been made using available evidence including a visit to this service. The service user care plans do not reflect the level of care and support required. The service users were not seen to be treated with dignity and respect at all times. EVIDENCE: Discussion with staff revealed they were knowledgeable about service users. This was confirmed by a district nurse visiting who said that the staff are very good at carrying out their instructions in respect of any health care the service users require. However, written documentation was poor. The care plans seen were basic in the information they provided. One service user who has recently been readmitted from hospital had no detail about their current care needs and in discussion with the district nurse, it became clear they had complex care needs. The other care plans seen contained very little information although the daily contact sheets provide more detailed information. There were no risk Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 11 assessments in the care plans. Two service users sometimes required the use of a hoist and there was no risk assessment available in the care plan. There was no evidence that staff have received appropriate training in the use of a hoist and the slings were not suitable for use with the service users. Any service user that uses the hoist should have his or her own sling in accordance with guidance issued by the Primary Care Team. When necessary the staff have asked for visits from the Doctor or the district nurse. Service users confirmed that they can have a visit from their doctor on request. They also confirmed that other health services are provided when necessary, such as chiropody and a visit from the optician. The medication is provided in a monitored dosage system and records checked were accurate and up to date. Staff were seen to manage the medication appropriately but there was no evidence that they have completed the distance learning course in the safe handling of medications. During the visit the service users spoken with said that the staff were ‘wonderful’ and very good. However, evidence of poor practice was observed which disregards service users’ privacy and dignity. During a routine visit by the district nurse staff were observed discussing a service user’s intimate needs in their bedroom with the door open and they were only in their nightwear. There was also another service user present when they were dealing with this lady’s personal care and the screening provided to preserve modesty was not being used. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 This outcome group is judged as adequate. The judgement has been made using available evidence including a visit to this service. The service users are able to keep their own routine within the home and join in with social activities. EVIDENCE: Service users spoke highly of their daily life in the home, the staff and the manager. They are able to exercise choices in their daily living routine and staff are supportive in the decisions they make. The bedrooms had been individualised by the service users with their own furniture. There is activities available everyday, although these consist primarily of staff spending time with the service user and discussing local news and events. Visitors were in and out of the home all day and staff clearly knew who they were and whom they were visiting. The service users spoken with said that their visitors were always made welcome and they were not restricted to when they came. Visitors spoken with during the visit and feedback received said that they were always welcomed, could visit in private, they are offered refreshments and kept informed of important matters. Staff spoken with said Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 13 that they would support service users if there were someone they did not want to see on a visit. Service users spoken with said that they enjoyed the meals provided and snacks were also available in the evening and during the night if they wanted them. The meal seen being served at lunchtime was well presented. However, there are no planned menus with the main meal being decided on the day prior to its preparation. A record is kept of the meals provided and provision is made for a diabetic diet. The staff have had no formal training in catering and feedback received from relatives commented on the tea menu usually consisting of sandwiches and they felt this was insufficient leaving the service users hungry. A menu should be developed in conjunction with advice from a dietitian and input from the service users. The menu should be displayed on a daily basis showing any alternatives offered. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 This outcome group is judged as poor. The judgement has been made using available evidence including a visit to this service. Service users are confident that staff would deal with their concerns but the lack of policies and procedures, poor recruitment practice and lack of training have the potential to put service users at risk. EVIDENCE: One anonymous complaint was received and investigated by North Yorkshire Social Services. After an investigation, the complaint was not upheld. Feedback received from relatives indicated that they were not aware of the complaints procedure although two of the comment cards indicated that a complaint had been made and dealt with satisfactorily. Service users spoken with said that if they had any concerns they would tell the staff and they felt confident that their concern would be dealt with appropriately. Staff did not appear to be aware of the complaints policy. There was no evidence of an adult protection policy relating to North Yorkshire County Council multi agency policies and procedures although there was an East Riding Of Yorkshire Council adult protection policy. Whilst the staff were aware that they had to report any suspected abuse to the manager or proprietor, there was no evidence to show they had received any awareness training. This has been an outstanding requirement for the last two inspections. Given the observations recorded with regard to service users privacy and dignity being compromised there is no evidence that staff have a Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 15 full understanding of the broader issues with regard to adult protection. The provider has failed to notify the Commission of Social Care Inspection (CSCI) of important events, which he must do under regulation 37. The CSCI therefore has a lack of confidence that the provider would report abuse appropriately. There was no information about Whistle Blowing for staff. Staff do have a Criminal Records Bureau disclosure or a POVA FIRST check prior to their employment but other recruitment checks are not always carried out properly. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 16 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. This outcome group is judged as poor. The judgement has been made using available evidence including a visit to this service. Service users do not live in a safe, well-maintained environment. EVIDENCE: Rosslyn is an adapted property offering one lounge, a dining room and 9 bedrooms, two of which are registered as double rooms. The service provides a homely environment and service users spoken with said that they liked their surroundings. Some areas have been updated and these have been done to a good standard and unless identified below, the home was generally clean. However a walk round the building found the following issues that require attention: Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 17 At the front of the building the proprietor has removed the garden and installed parking and a new ramp. The ramp did not have any railings to prevent service users, or any visitors, from slipping or over balancing off the edge. Contact was made with Scarborough Environmental Health department and a subsequent visit resulted in them issuing a legal notice informing Mr Southgate the railings must be fixed by 4th August 2006. Mr Southgate was also advised to seek the advice of Building Control to check the ramp meets with their specific requirements. The stair lift was not working and according to staff, service users and visitors it had been out of action for at least one month. One service user said she had remained upstairs during this period, as she did not feel safe walking up and down the stairs. The registered person had not notified the Commission for Social Care Inspection of this fault as required to under Regulation 37 of the Care Homes Regulations 2001. The proprietor was contacted during the inspection and an immediate requirement notice was issued. The Commission received confirmation from the registered person that the stair lift had been repaired on 2nd July 2007. Room 6 had an inappropriate lock, it was an Allan key style lock and afforded the occupant no security, and contact was also made with North Yorkshire Fire and Rescue Service as to the suitability of the lock. They will organise their own visit when the manager and proprietor are available. Room 5 there was a broken floorboard just inside the doorway. Room 4 the carpet is ridged and requires stretching or replacing. There are loose floorboards outside the bathroom on the upper landing. The shower in the bathroom appears to be unusable as the shower tray leaks in to the room below. Room 3A the carpet requires cleaning. Service users who require regular attention from the staff share room 2 and they have been given hand bells to alert staff if they need attention, but they cannot access the call bell system in the room. The service users have been able to personalise their rooms with their own furniture and ornaments. However, a single service user had occupied the shared room on the ground floor until earlier this year and the room had been personalised to a high standard. Since this room is now shared, the family have had to remove many of the service user’s personal items to accommodate equipment needed to provide care to the other service user. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 18 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 This outcome group is judged as poor. The judgement has been made using available evidence including a visit to this service. Service users are not fully protected from possible abuse as the recruitment policy is not properly implemented and the staff do not receive regular training. EVIDENCE: The staff files seen were incomplete. Not all of the files had a completed application form or two written references. There were no records of any staff supervision being carried out and the training records were poor. The application forms do not provide a full employment history or dates of past employment. There was no evidence of staff contracts and two members of staff spoken with could not recall signing a contract. Staff said that they only have access to courses provided free of charge and there was little evidence to show what training has been carried out. The rotas provided showed that there were two members of staff on duty from 8am till 10pm. The staff are responsible for the preparation of food, cleaning and all care tasks. There was no evidence that staff have received food hygiene training or any training about the nutritional needs of older people. Service users and relatives spoken with said that the staff were very busy but friendly and wonderful. One of the advantages of the home is that it is very much a part of the local community so staff, service users and relatives often know each other before they come to Rosslyn. This helps service users settle in. On the day of the inspection, the manager confirmed that there was one waking night staff and she provided the sleep-in cover. However, the manager left her employment soon after the Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 19 inspection and a further site visit made on 6th July 2006 revealed that there was only a waking night member of staff on duty with instructions to call 999 if there was an emergency. She was very clear that those were her instructions and she was not aware that anyone was on call. In response to an immediate requirement letter, Mr Southgate made representation to the Commission for an on-call member of night staff rather than someone living in. This was refused on the grounds that staffing should not fall below the levels that were considered appropriate before April 1st 2002. Although there are only nine service users in residence, at least two have high dependency needs. As a minimum, two members of staff should be available in the home at all times to provide immediate direct assistance to service users if needed. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 20 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 This outcome group is judged as poor. The judgement has been made using available evidence including a visit to this service. The health and safety of the service users and staff is compromised by the lack of training and maintenance of equipment used in the home. Management systems, including records, policies and procedures are poor. There is no quality assurance system in place. EVIDENCE: At the site visit, the manager was available but advised that she was leaving on the 5th July 2006. She was not qualified to registered manager level but did have a National Vocational Qualification level 3 in care. She said that she received limited support from the registered person and she was given enough cash each week to ensure the staff were paid, and their tax and national insurance payments were also made. As she lived in, as had the previous manager, she was on call seven days a week including holidays and days off. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 21 She did not have a contract or a job description. The manager has access to petty cash but has to request any improvements or repairs through the registered person. The service users and the staff said she was accessible and available on request. On the 3rd July information was received to inform the Commission that the manager had left her employment but the provider failed to provide this information in writing as required under regulation 8 of the Care Homes Regulations 2001. There was no evidence that there was a quality assurance system in place. The home does not handle service user monies. The maintenance of health and safety standards and equipment was difficult to track because of a lack of records or difficulties in locating them. There was no evidence that staff have received training in moving and handling, including use of equipment, first aid, food hygiene, and infection control. There was a health and safety policy but no evidence of a gas safety certificate, an electrical safety certificate, or portable appliance tests. Environmental risk assessments are in place but there was no evidence that these had been reviewed to ensure they remain up to date. Accident records are kept but once recorded, they need to be removed from the accident record book and put on to service user files. Any incidents or accidents that affect the well being of the service user must be reported to the Commission. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 22 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 1 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 1 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 1 1 X X X X X X 2 STAFFING Standard No Score 27 1 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 X 3 X X 1 Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 23 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 5(1) c Requirement Each service user must be provided with a contract outlining the terms and conditions in respect of accommodation to be provided and to the amount and method of payment of the fees. Each service user must have a written plan of care pertinent to their needs including any appropriate risk assessments. Previous requirement of 13.10.05 not met. Ensure all staff responsible for administration of medicines receive appropriate training Previous requirement of 31.07.05 and 13.10.05 not met. Staff must ensure they respect the service users privacy and dignity at all times. Ensure service users are protected from abuse by raising staff awareness through training and amending the whistle blowing policy in line with the department of health document No Secrets DS0000007728.V301870.R01.S.doc Timescale for action 30/08/06 2 OP7 15 30/08/06 3 OP9 13(2) 30/08/06 4 5 OP10 OP18 12(4) 13(6) 19(5) b 28/06/08 30/08/06 Rosslyn Version 5.2 Page 24 Previous requirement of 31.08.05 and 13.10.05 not met. 6 OP19 13(4) Mr Southgate must provide 30/08/06 the Commission with evidence that the ramp meets the requirements of Buildings Control. • Room 6 had an inappropriate lock; it must be replaced with an appropriate lock. • Room 5 there was a broken floorboard just inside the doorway. • Room 4 the carpet is ridged and requires stretching or replacing. • There are loose floorboards outside the bathroom on the upper landing. • The shower in the bathroom appears to be unusable as the shower tray leaks in to the room below. • Room 3A the carpet requires cleaning • The service users, who share room 2, must be able to access the call bell system at all times. As a minimum two members of 30/08/06 staff must be available in the home to provide immediate assistance to service users if needed. All staff must have access to training that enables them to undertake their role safely including moving and handling, including use of equipment, first aid, food hygiene, and infection control. Staff must have support to access National Vocational qualification training. Staff records must include an 30/08/06 DS0000007728.V301870.R01.S.doc Version 5.2 Page 25 • OP26 23(2) c 7 OP27 18 8. Rosslyn OP29 19 9 OP31 8, 9 10. OP33 24 11 OP38 13 23(2) c application form with a full employment history, 2 written references, and a contract of employment. Previous requirement from 18.10.04, 16.05.05 and 13.10.05 not met. The registered person must inform the Commission in writing each time a new manager is appointed. The manager appointed to run the care home must be registered with the Commission. Previous requirement of 31/08/05 and 13/10/05 not met. The registered person must establish and maintain a system for reviewing the quality of care provided at Rosslyn. Previous requirement of 13/10/05 not met. The registered person must provide the Commission with safety certificates for the electrical system, gas appliances and the portable appliances. All incidents and accidents that affect the well being of the service users must be reported to the Commission. The registered person must provide to the Commission an improvement plan for this home. 30/08/06 30/08/06 30/08/06 37 12 *RQN 24a 30/08/06 Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 26 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 OP3 OP15 Good Practice Recommendations Assessments carried out by someone from Rosslyn should be recorded and kept in the service users file. Service users should be involved in menu planning with the menu displayed on a daily basis showing any alternatives offered. Further advice on menu planning may be sought from the dietitian. Rosslyn DS0000007728.V301870.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Rosslyn DS0000007728.V301870.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!