Inspection on 06/11/06 for Saffron Homes

This inspection was carried out on 6th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Saffron Homes 12/11/08

Saffron Homes 29/12/05

Saffron Homes 08/06/05

Saffron Homes 02/12/04

Saffron Homes 08/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Saffron Homes Devon Road Whitehall Bristol BS5 9AD Lead Inspector Melanie Edwards Key Unannounced Inspection 6th and 13th November 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 Saffron Homes DS0000020384.V317945.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. Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Saffron Homes Address Devon Road Whitehall Bristol BS5 9AD 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) 0117 9396681 0117 9396654 shelyer@brunelcare.org.uk Brunelcare To be appointed Care Home 62 Category(ies) of Dementia (25), Dementia - over 65 years of age registration, with number (10), Mental disorder, excluding learning of places disability or dementia (10), Old age, not falling within any other category (62), Physical disability (10) Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. May accommodate up to 12 persons aged 50 years and over requiring day care. May accommodate up to 25 persons aged 50 years and over with dementia. Manager must be a RN on Parts 1 or 12 of the NMC register Staffing notice dated 06/04/1998 applies. Date of last inspection 29th December 2005 Brief Description of the Service: Saffron Homes is registered by us to provide nursing care to 62 service users over 50 years of age. This includes 25 service users with dementia. Brunelcare is the registered provider. Saffron Homes has been in existence since 1972 and comprises three separate areas. Irwin House the newest part of the home was built in November 2001 and is a two-storey building with 14 single bedrooms upstairs and 12 downstairs. There is a large lounge-dining room on each floor, having TV, music and a small kitchen area. The upper floor of Irwin House provides Intermediate Care to 14 people, funded by the Avon and Wiltshire Mental Health Partnership (AWP), admitted from hospital for rehabilitation before going back to their own homes. Saffron Court was originally built in 1993 but refurbished in early 2002. It has been specifically designed to care for people who have dementia and has been decorated following advice from Dementia Voice. The building surrounds a central courtyard that includes a sensory garden. Saffron House is currently empty and Brunelcare are considering options available for its viable use. For this reason only 51 beds are available at the current time. The fee charged for staying at the Home is £521 a week. Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Due to their differing levels of confusion some of the residents are unable to express their views verbally about the Home. However twelve of the fifty residents living at the Home, and several visitors were consulted. Time was spent observing staff assisting residents with their needs. The home manager, a clinical manager, one registered mental health nurse working on the intermediate care unit, three care staff, and the chef were interviewed about roles and responsibilities, training needs, and how they are assisting and supporting residents. A sample of records relating to the day-to-day running and management of the Home were inspected. A selection of care records and care plans were also inspected. The Home was operating within the required conditions of registration set down by us. The conditions of registration detail the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. What the service does well: What has improved since the last inspection? What they could do better: Residents care plans must be up to date and demonstrate how needs are met. Action must be taken so that the identified rooms are clean and free from strong odour for the benefit of the people occupying the rooms. Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 6 Staff must ensure they support and enable residents by what ever means necessary to be able make a complaint if they so wish. The home manager Mrs Lin Clayton must have an up to date job description so that she knows her full range of roles and responsibilities. This is because she is running the Home in the absence of a registered manager. An up to date record of the clinical training taken by registered nurses should be maintained. This is to provide good evidence that registered nurses are clinically competent in their work. 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. Saffron Homes DS0000020384.V317945.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 Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3. Quality in this outcome area is good. Residents’ assessed needs are met and residents are satisfied with the service they are provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how residents’ care needs are assessed and how the care they need is being planned, five residents assessment records were looked at in detail. Assessment records were selected from the both floors of the Home, including one resident currently living on the intermediate Care Unit. People are referred to the Unit for an assessment of their mental health needs, and to try and understand the reasons why they are experiencing confusion and memory loss. The assessments included information about each resident’s range of complex care needs, as well as evidence that the person’s mental health and memory loss was also being assessed. There are also risk assessments in place to support residents to demonstrate they are being encouraged to live an independent and fulfilling life. This helps residents to maintain independence despite experiencing varying levels of confusion that has an impact on their daily lives. Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 9 Residents and visitors spoke positively about the care and service they receive. Examples of comments made by residents about the staff and the Home included, ‘I find the staff very good, I can call them there’s no problem,’ `it’s very nice, they feed us well, they are friendly and they couldn’t be nicer,’ and, `the staff are very good there’s no argument with the food.’ Several resident’s relatives were asked about how residents are helped by staff with their needs. Comments made by relatives were positive about the staff and their caring attitude. These comments help to demonstrate residents’ and their relatives feel their needs are met, and that they are treated well at the Home. One relative said `they are very friendly I think it’s fantastic, it’s like a second home.’ Staff were also seen assisting residents with their needs in a sensitive and friendly way, and residents looked relaxed and comfortable with the staff. Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8. Quality in this outcome area is adequate. Residents’ care plans generally are not demonstrating how current needs are met. However the system for handling storage and administration and disposal of medication is safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To review the quality of the care residents are provided, five residents care plans were read in detail. Care plans contained a range of information, about how to support the residents to meet their health care needs. There was also information about how to support residents who may be confused, and experience significant memory loss. However, there was evidence seen during the inspection that demonstrated three residents care plans were not up to date. These care plans did not accurately reflect the resident’ current needs. The three care plans referred to health issues and needs residents had, which were no longer current or relevant. A `moving and handling’ assessment had been completed for each resident, to show how to support residents who have reduced or very limited mobility. An Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 11 assessment of each residents skin vulnerability, and the risk of developing pressure sores had also been carried out. There were nutritional assessments monitoring residents’ dietary and nutritional needs. The assessments had been reviewed and updated on a regular basis. The Home is well supported by the local GP services and a psychiatrist and team who support residents with identified mental health needs. The psychiatrist commented positively about the care and service residents receive. To find out if residents’ medication is handled safely the practices and procedures for administration, and storage of medication were checked. Medication supplies are stored in secure cupboard in a secure clinic, and in a locked moveable metal trolley. Five resident’s medication administration charts were looked at. There was a photograph of each resident with his or her chart. This should ensure medication is administered correctly to the resident named on the chart. The administration charts were up to date, legible and in good order .The staff had signed for medication administrated, or recorded the reasons for any omissions. The stock of medication held in the Home was satisfactorily organised. Medication that was no longer required from was being returned to the pharmacist. This helps ensure residents’ medication supplies are kept in good order and can be easily monitored. Saffron Homes DS0000020384.V317945.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,15. Quality in this outcome area is good. Residents’ social and recreational interests are met, and they are supported to maintain contact with their families, friends and community, also a varied and well balanced diet is provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff support residents in individualised way to meet their social and therapeutic needs. Staff are being trained to understand the importance of spending `quality time’ talking with residents, and finding out what they like and enjoy, as well as encouraging them to attend a range of low key social activities. This was observed during the inspection as staff were seen spending time with residents talking with them in a sensitive and patient way. Residents can also take part in a range of social activities such as gentle exercise classes, and music sessions. The Home has its own minibus for trips out into the community, and residents can go on regular trips to areas of local interest. There was a notice on display in the Home informing residents of a forthcoming Christmas carol concert in the community they are invited to attend. There were also recent photos of residents and staff on display throughout the Home taken at different social events held in the Home, and on day trips out. Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 13 Residents were observed receiving visitors on both days of the inspection. Visitors said that the Home operate a relaxed and flexible visitors policy, which should help residents to be able to keep in contact with family and friends. Relatives are also encouraged to have lunch or dinner with their relative who is a resident, if they so wish. This helps residents to stay in contact with their relatives. The residents’ menu record was inspected to find out if residents are being offered a well balanced diet. There were choices of dishes for each day and the menu was nutritionally well balanced, and specific cultural dietary needs are also catered for. To check the quality of food offered to residents a sample of both lunchtime meals were tasted. These consisted of dishes of either beef stew, or cod in a mushroom sauce accompanied by cooked vegetables. There was a choice of homemade sponge or fresh fruit or yoghurts for desert. The dishes were satisfactorily cooked and were well balanced. The lunchtime meals were being served to residents in a relaxed and respectful way. All of the residents who were asked said that they thought the meals served in the Home were good and well cooked. Saffron Homes DS0000020384.V317945.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is adequate. Residents’ complaints are not always being dealt with well by staff, however residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the complaints procedure is on display in the reception area, which includes the name of the Commission for Social Care Inspection, for anyone who wishes to contact us and make a complaint. The contact details of Brunelcare are included in the service users guide and with residents’ contracts, if residents or representatives wish to contact Brunelcare directly to make a complaint. However there was information seen in resident’s records that showed staff had failed to offer the necessary support to ensure that a resident was able to make a complaint to the manager. The staff concerned had not relayed the wishes of the person concerned to the manager so that complaints could be responded to on two occasions. There is a procedure in place relating to the issue of protection of vulnerable adults from abuse. All staff also attend training to help them understand the principal of `protection of vulnerable adults’ and how they should protect residents in their care. Staff were observed assisting residents and talking to them in a polite and respectful manner, which helps to demonstrate that staff are suitable to work with vulnerable residents in their care. Staff also demonstrated a good Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 15 understanding of the principal of `protection of vulnerable adults’, and their responsibility to protect vulnerable residents in their care. Saffron Homes DS0000020384.V317945.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19-26. Quality in this outcome area is adequate. Residents’ benefit from a Home that is safe, and looks satisfactorily maintained and suitable to meet resident’s range of needs. However two rooms are not satisfactorily clean, and building work is impacting on the communal space available for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Irwin House is a purpose built care home for twenty-six people. The fourteenbedded intermediate care unit is on the top floor and there are also four beds on the ground floor. The remaining eight beds on the ground floor are for people who need general nursing care. There is lift access to the top floor and this has a keypad to prevent unsafe use by residents. The stairs are also secured in this way. Saffron Court is a single storey building, built in a square, around a central courtyard, and Brunelcare sought the advice of Dementia Voice charity in its decoration and design. Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 17 The Home is located close to private houses, a junior school, and a short distance from local shops and nearby bus stops, making the Home very much part of the local community. The building is wheelchair accessible; and there is a passenger lift for access to the first floor. The Home is a purpose built nursing home, designed around the needs for which it is intended. There are adaptations in place throughout the Home to assist residents as well as visitors who are disabled. The environment looked clean tidy and however two identified bedrooms had a strong and unpleasant odour, and action needs to be taken by the Home to address this problem as a priority. The Home was satisfactorily maintained. However there are currently builders working in part of the Home building a new kitchenette for residents and visitors to use. There was some noise and disruption caused by their presence as one lounge is currently not in use while the work is carried out. However staff were caring for residents sensitively and trying to ensure they were not too affected by the building work. A full time maintenance worker is employed to address general maintenance. Service records were seen for the lift and showed that an external contractor had serviced the lift in the last twelve months. Saffron Homes DS0000020384.V317945.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. Residents are cared for by competent and staff trained to meet their needs and recruitment procedures are in place help to protect residents from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff recruitment records are held at the head office. We inspected a selection of staff recruitment records in August 2006.The records demonstrated Brunelcare operate a safe and robust staff recruitment system, and the required ‘safety checks’ are carried out when new employees are recruited. The manager is also sent written confirmation by Brunelcare head office when new staff Criminal Records Bureau Checks and ‘Protection of vulnerable adults from abuse first’ checks have been completed. This is to ensure the manager knows when required checks have been carried out, and is Brunelcare policy for all their care services. There are also two professional references obtained for all newly recruited staff, also helping demonstrate the Home ensures the suitably of all new employees to work in the Home. There is a programme of training in place for all of the staff team to eventually complete on the principal of ‘person centred care.’ Residents will benefit if all staff work in a way that is based on ensuring residents’ needs and views are at the centre all care that is provided. Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 19 Brunelcare’s training policy is to ‘train up’ identified staff to then carry out ‘inhouse’, training with other staff; this is for all mandatory training and some specific training courses. The training records of four registered nurses and two care assistants were reviewed to see if registered nurses were keeping up to date with their clinical knowledge and practice. There was evidence that demonstrated registered nurses had attended training sessions in fire safety, and health and safety matters over the last twelve months. However there was a lack of documented evidence to demonstrate registered nurses are keeping up to date on clinical matters. In discussion with two of the registered nurses they said that they had undertaken clinical training and updating in the last year. However registered nurses need up to date written evidence to show that they are clinically competent in their field of nursing, and this is a requirement for them to be registered with the Nursing and Midwifery Council. In discussion some staff commented positively about the range of training and development opportunities that are provided for them to assist them in their practice. Saffron Homes DS0000020384.V317945.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,37,38. Quality in this outcome area is good. Residents’ benefit from the leadership and management of the home manager and the input of the clinical manager. Residents’ and staff health and safety is promoted and protected in the Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is currently no registered manager of the Home. We have been informed that Brunelcare are attempting to recruit a suitable qualified registered nurse for the job, and we will continue to monitor the progress to recruit a suitable person to apply to be registered manager of the Home. There is a home manager who works full time and is supported in clinical matters by the clinical nurse manager. The clinical nurse manger has extensive experience in managing Care Homes providing nursing care and works for three days a week at the Home. They are also one of the lead advisors responsible for supporting staff to understand the principles behind the `person centred care’ training. Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 21 The home manager is not a first level registered nurse, although they do have many years of experience of managing care homes providing personal care .In discussion with them it was apparent that they do not have an up to date job description for them that reflects their current management responsibilities. It would be beneficial if they had a job description so that they know, and the team are also clear about their full range of roles and responsibilities, in the absence of a registered manager for the Home. There is a manager who oversees the care provided for the fourteen intermediate beds that are registered for residents with identified mental health needs. The environment looked generally safe and satisfactorily maintained throughout, however see also previous comments made earlier in the report about two rooms with a strong unpleasant odour. There are health and safety procedures in place for staff and residents to follow to promote health and safety in the Home. The fire logbook record showed the required fire safety checks were being carried out and were generally up to date helping to ensure the safety of people inside the building is maintained. Staff are provided with general health and safety training as well as moving and handling training, and food safety training. This training should assist staff in maintaining best health and safety practice when at work. Records are kept locked away when not in use ensuring residents confidential information is held securely. All the records inspected were satisfactorily maintained, up to date and in order. Other records have been referred to elsewhere in this report, and demonstrate well-organised management in the Home. One of the roles of the clinical manager has been to monitor and further improve the care and service that is provided to residents. A representative of Brunelcare is carrying out the required regulation 26 monthly monitoring visits. Copies of the reports of these visits were seen and were up to date, and demonstrate residents are being consulted on these visits. Residents and their relatives have been consulted about their views of the care and service and the move by the Home towards training all staff in the principal of `person centred care.’ This demonstrates how the overall quality of the service is being monitored. Saffron Homes DS0000020384.V317945.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 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 3 3 Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 Standard OP7 OP16 OP31 Regulation 15. (1) 22.2 Schedule 4.6(e) 16.2(k) Requirement Care plans must be up to date and demonstrate how needs are met All residents’ complaints must be fully investigated. The home manager must have an up to date job description setting out their of roles and responsibilities. Action must be taken so that the identified bedrooms are clean and free from odour. Timescale for action 13/01/07 14/11/06 13/12/06 4 OP26 14/11/06 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 Refer to Standard OP30 Good Practice Recommendations There should be up to date written evidence to show that registered nurses are clinically competent. Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Saffron Homes DS0000020384.V317945.R01.S.doc Version 5.2 Page 25 - 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. 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