CARE HOMES FOR OLDER PEOPLE
Seabourne Residential Home 1 Clifton Road Southbourne Bournemouth Dorset BH6 3NZ Lead Inspector
Anne Weston Key Unannounced Inspection 20th August 2007 11:30 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 Seabourne Residential Home DS0000003978.V347810.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. Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Seabourne Residential Home Address 1 Clifton Road Southbourne Bournemouth Dorset BH6 3NZ 01202 428132 01202 420050 orange07974@yahoo.co.uk 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) Mr Sookdeo Gunputh Mrs Shobha Luxmee Gunputh Vacant post Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 14th March 2007 Brief Description of the Service: Seabourne is a care home registered to provide accommodation for up to 48 older people who do not have nursing needs owned by Mr and Mrs Gunputh. The home have been without a Registered Manager since 05 August 2007. The home is located in the Southbourne area of Bournemouth. It is a short walk from the home to the beaches of Southbourne. Shops and other community amenities are within walking distance. Accommodation is provided on 3 floors, which are accessible by either stairs or two passenger lifts. There are 48 rooms. Most rooms have en suite facilities. There is a large communal lounge and dining area on the ground floor. There is another large sitting room and dining area on the second floor. The garden is reached through patio doors from the lounge. There is a small car park at the front of the home. There is further parking at the side of the building. The weekly fees range from: £442.00 - £550.00. The Office of Fair Trading has published a report highlighting important issues for many older people when choosing a care home, e.g., contracts and information about fees and services. The CSCI has responded to this report and further information can be obtained from the following website: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_ choosing a care home .aspx Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced visits to the home on the 20th & 28th August 2007 were carried out as part of a statutory key inspection which included reviewing the three requirements and four recommendations made during the previous inspection. The pharmacy inspector reviewed the medication systems. Further detailed findings in relation to medication systems including six requirements and five recommendations have been sent to the home by the pharmacy inspector in a separate visit report. A total of 23 hours was spent on the inspection process, this included planning for the inspection, the inspection visit and report writing. The premises were inspected, this included communal areas and a sample of bedrooms. A range of records and related documentation were examined. Time was spent in discussion with the owners and staff. There was no Registered Manager responsible for the day-to-day running of the service as the previous Registered Manager had left during the first week of August 2007. The deputy manager was not working in the home on the first day of the inspection. The senior staff on duty were welcoming and helpful throughout the inspection visit. At the time of the inspection 38 people were accommodated in the home, 16 of these people were spoken with, both in communal areas and in their own rooms. The Annual Quality Assurance Assessment (AQAA) has not been submitted. Contact was made with health and social care staff who use the service to assist to inform the inspection process. What the service does well: What has improved since the last inspection?
The lack of effective management means there was little evidence of improvement. The three requirements and four recommendations made
Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 6 during the last inspection have been repeated as they had not been met. A further ten requirements have been made as a result of this inspection. What they could do better:
Assessment practices were poor, some people had moved into the home without the home knowing how to meet their care needs, there was no care plan or risk assessment in place for these people. This meant that some people received poor quality care through lack of information and understanding about their individual needs. Potential risks to the health and safety of people had not been identified or risk assessed. The Commission are concerned that the home may be adopting an approach based on filling beds rather than provision of quality care. An immediate requirement was issued about the shortfalls in care assessments, care plans and risk assessments which placed people at risk. Following the inspection visit the Commission received confirmation from the home that a needs assessment had been carried out with all people who were accommodated in the home, and with all new admissions to the home. The home also confirmed that care plans and risk assessments had been developed and were in place for all people living in the home. Staff did not always adequately record health care issues within individual care plans and there was little evidence that regular health monitoring takes place. The home needs to improve the ordering of medicines so that they are available for administration to meet peoples’ health care needs. Recordkeeping needs improving so that staff have clear information about medication currently prescribed, and record administration of medicines or the reason for non-administration at the time to avoid the risk of medicines being given twice. Approved equipment must be used for blood testing to protect residents and staff from infection. The home must store refrigerated medicines safely to protect residents, and ensure that eye drops are only used for the recommended time to prevent infection. The home must ensure there is more consultation with people about their opportunity to be involved in more meaningful daytime activity. More must be done to ensure that people are able to make choices and have greater control over their lives, for instance by choosing what time they get washed and dressed in the morning. The home has an Adult Protection policy and procedure in place, but not all new staff have received training to ensure a proper response to any suspicion or allegation of abuse. There was a serious odour problem in one of the bedrooms. The home must implement a system to make sure hygiene standards are consistently maintained.
Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 7 Some people felt that there were not enough staff on duty. The home must review staffing arrangements so that the home is staffed efficiently, with particular attention given to busy times of the day and the changing needs of the people living in the home. Not all new staff had been properly trained, this means people who use the service cannot be confident that staff have been trained to work in a safe and competent manner. The persisting poor recruitment practices are a matter of serious concern. Mr Gunputh is advised to read the CSCI ‘Safe and Sound’ report which highlights the importance of robust recruitment and vetting practices. Consideration will be given to taking enforcement action if there is no improvement with recruitment. The home has been without a Registered Manager since the beginning of August 2007. The lack of effective management and leadership mean that people are not always safe and protected. It is important for Mr Gunputh who owns the home to make sure a Registered Manager is quickly appointed to comply with the requirements of legislation so that strong leadership results in a safe service where people can be confident they are properly protected. 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. Seabourne Residential Home DS0000003978.V347810.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 Seabourne Residential Home DS0000003978.V347810.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 Standard 6 is not applicable People who use the service experience poor quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Some people had moved into the home without the home knowing how to meet their care needs. This meant that some people received poor quality care through lack of information and understanding about their individual needs. EVIDENCE: The records of two people that had moved into the home in July and August 2007 were examined. These records showed that people had moved into the home without the home either obtaining an up to date assessment from social services, or the home carrying out their own assessment. Discussion was held with Mr Gunputh about this unacceptable care practice which placed vulnerable people at risk. An immediate requirement was issued about the shortfalls in
Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 10 care assessments which raised serious concerns about the home being managed with sufficient care, competence and skill. Seabourne Residential Home DS0000003978.V347810.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. This judgement has been made using available evidence including a visit to this service. Care plans and health care practices do not always promote safe care, placing people at risk. Some administration, recording, handling and storage of medication need improving to safeguard people. Most people felt comfortable with the staff approach and were generally satisfied with the way that staff delivered their care and respected their dignity. EVIDENCE: The records of two people that had moved into the home in July and August 2007 were examined. These records showed that people had moved into the home without a care plan or risk assessment being developed and implemented. Two other records of people who had been living at the home for some time were looked at. These showed that care plans were in place but care plans had not been reviewed since May 2007. An immediate requirement was issued about the shortfalls in care plans and risk assessments which raised
Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 12 serious concerns about the home being managed with sufficient care, competence and skill. People have access to healthcare services, care records evidenced good recording about GP visits and other visits by health care professionals. One person who was visited with in their room had a dressing applied over one eye. There was no information in the care records about why this dressing had been applied or who had applied it. Discussion was held with Mr Gunputh about this matter and he was advised about how important it is for staff to record health care issues so that health needs are monitored. Discussion with a social care professional who had recently carried out a review with a person living at the home showed that the person was not being properly supported despite a detailed care plan from social services being in place. This person who has complex needs was having help to get washed and dressed and helped to have their meals but they were not being given the right support for their mental health needs. The home has a medication policy but there were no written procedures for medicines administration and some other aspects of medication handling for staff to follow to protect residents. Some residents were self-medicating but there were no recorded risk assessments for this or records of medicines supplied to them. Medicines records were incomplete and some indicated that medicines were not given as prescribed putting their well being at risk. The home was still using unapproved lancets for blood testing, putting residents and staff at risk of infection, despite MDA alerts on this issue in 2004 and 2006 (2004/044 & 2006/066). There were serious concerns about some aspects of the administration, recording and handling of medication and immediate requirements were made about: having effective systems to ensure medicines are available for administration; having clear directions for giving people’s medicines; recording the administration of medicines accurately at the time they are given; ensuring that eye drops are replaced with a new supply after 4 weeks use to prevent infection; having secure storage for refrigerated medicines; using approved lancets for blood testing to protect people and safeguard their wellbeing. The registered person sent a letter dated 7th September stating the action taken in response to these concerns. Most people said that staff were kind and considerate. For example one person said “The majority of staff are very nice indeed”, other people made positive comments about staff such as “Very nice”, “Very pleasant”. Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The activities programme needs development so that people are offered the opportunity to pursue individual interests. Open visiting arrangements are in place, people are able to maintain contact with visitors, as they wished. Some people have limited opportunities to exercise choice and control over their lives. The home provides a balanced diet in pleasant surroundings. EVIDENCE: Some people talked about the recent BBQ and said how much they had enjoyed the event. For example one person said “BBQ was lovely, very well done, friends and relatives were invited, it was a good day with lots of different food, I thoroughly enjoyed it”. Some people follow their individual interests, one person showed the knitted toys that they made for children’s charity. Individual interests are not routinely written down which means the home do not always have clear information in relation to people’s particular interests.
Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 14 Observation and contact with people and visiting relatives confirmed that people maintained contact with friends and family, as they wished. Visiting is open and flexible and visitors are welcomed into the home. Some people said that they might not have assistance to be washed and dressed until 10.30 to 11.00am because staff were so busy but if they could choose they would like to get ready earlier. For example, one person who said that sometimes they are helped to get washed and dressed around 11.00am also commented “I don’t like all this waiting around not knowing where you are, I would prefer to get up after breakfast at around 9.30am”. Most people said the food was nice and they were offered choices. Some people said due to disorganisation they did not always get their food choice so organisation of the home needs improving in this respect. Management of the home is addressed under Standard 31. Hot and cold drinks are always available, observation showed people had drinks within their reach. Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People generally feel they are listened to and their concerns acted upon. The home has an Adult Protection policy and procedure in place, but confirmation is required that staff have received training to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has a complaints procedure. There have been no written complaints to the Commission since the last inspection. The home has an Adult Protection policy and procedure in place to protect people from possible abuse and there is training for staff in safeguarding adults. Records did not show that new staff had received induction training on safeguarding adults. The importance of structured induction training for new staff was discussed with Mr Gunputh. Seabourne Residential Home DS0000003978.V347810.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 and 26 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is generally clean and well-maintained. Systems are not in place to make sure hygiene standards are consistently maintained. EVIDENCE: Investment has been made to extend and refurbish the home. A programme of routine maintenance is in place. People expressed satisfaction with their rooms which were personalised according to individual preferences. On the day of the inspection the home was generally clean and people said that their rooms were cleaned daily. Following the inspection visits a visitor at the home said that the room of the person they were visiting had a strong smell of urine. This offensive odour was brought to the attention of the person
Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 17 in charge and the cleaner who both confirmed the room had an unacceptable smell. This indicates the premises are not always kept hygienic and free from offensive odours. Seabourne Residential Home DS0000003978.V347810.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 and 30 People who use the service experience poor quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staffing arrangements are not always sufficient to meet the needs of people. Recruitment practices need improving as people are placed at risk through lack of protection. Not all care staff had received the right induction training. This means people cannot be confident that staff are well trained. EVIDENCE: Staff are allocated to work on specific floors of the home and a staff rota is maintained. Senior staff said that there had recently been a high turnover of staff. Some people felt there were not always enough staff, for example one person said “Staff are always busy, they do not always have the time to stop and do things, they say they will come back later and then forget to come back”. One member of staff described the staffing situation as “pandemonium”. Discussion was held with Mr Gunputh about staffing arrangements not always meeting peoples’ needs, he said that there were enough numbers of staff on duty. Mr Gunputh was advised to review the staffing arrangements to make sure that staff were effectively deployed to meet the needs of people living in the home. At the last inspection the manager said she was encouraging staff to take training in National Vocational Qualifications (NVQ’s) but that 50 of staff had
Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 19 not yet achieved NVQ level 2 in Care. There has been no change since the previous inspection. Examination of two staff files showed that required pre-employment checks had not been properly completed. On one file there were no references and on another file there was only one reference and the staff member had started work before completion of the PoVA First check. Observation, examination of training records and discussion with staff showed that not all newly recruited staff had progressed through a properly structured induction. New staff shadowed other members of staff to learn about how they should deliver care but their learning did not cover all the Skills for Care Common Induction Standards. There were no records to evidence that staff had progressed through structured induction training. A training programme was in place but it was not clear if all mandatory training was up to date. Seabourne Residential Home DS0000003978.V347810.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, 35 and 38 People who use the service experience poor quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The absence of a registered manager means day-to-day management responsibilities are not being fully discharged. EVIDENCE: Discussion was held with Mr Gunputh about the lack of direction and leadership in the home since the Registered Manager had left earlier in the month. He acknowledged the detrimental impact on staff leadership since the home has been without a competent and skilled manager. Mr Gunputh talked about the difficulties he was having coping with managing three floors and trying to reestablish staff routines. The Commission have serious concerns that the home
Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 21 is not being managed with sufficient, care, competence and skill. This means that the home is not operating as a safe service. The home has a quality assurance process. Management need to make sure that the service is run in the best interests of the people living in the home. The service is not responsible for the finances of any people. Regulation 37 Notifications were not always being submitted, as required. For example records showed that one person had gone missing in the afternoon and had been found by the Police later that afternoon. The Commission had not been told about this incident. Seabourne Residential Home DS0000003978.V347810.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 X 1 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 2 X 3 X X 2 Seabourne Residential Home DS0000003978.V347810.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 OP3 Regulation 14 Timescale for action People must not be admitted into 28/08/07 the home until a needs assessment has been obtained or carried out. Retrospective assessments of needs must be carried out with those people who have moved in who have not had an assessment of their needs. Following the inspection visit the Commission received confirmation from the home that a needs assessment had been carried out with all people who were accommodated in the home, and with all new admissions to the home. The registered person shall after consultation with the service user or a representative prepare a written plan as to how the service user’s needs in respect of health and welfare are to be met. Care Plans must contain more detailed information in relation to all the residents care needs.
DS0000003978.V347810.R01.S.doc Requirement 2 OP7 15 (1) 31/10/07 Seabourne Residential Home Version 5.2 Page 24 3 OP7 13 (4)(b) (c) Previous timescale of 30/06/07 not met. The registered person shall ensure that any activities in which service users participate are so far as reasonably practicable free from avoidable risk and unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. Risk assessments must detail all risk relating to each individual. Risk assessments must be fully completed. Previous timescale of 31/07/07 not met. Health care needs must be fully documented in each person’s care plan. Information must include how health, including mental health, is to be monitored and who is responsible for the monitoring. People must be consulted about their opportunity for involvement in meaningful daytime activities of their own choice, and according to their individual interests and capability. The registered persons must, as far as is practicable, enable people to make choices and have control over their lives. For example people must be involved in deciding when they wish to get washed and dressed in the morning. All staff must receive safeguarding adults training so that they are enabled to recognise signs and symptoms of abuse and know how to deal with any suspicion or allegation of abuse. The registered person must ensure that the home is kept
DS0000003978.V347810.R01.S.doc 31/10/07 4 OP8 12(1) (a) & (b) 31/10/07 5 OP12 16(2) (m) & (n) 30/11/07 6 OP14 12(3) 31/10/07 7 OP18 13(6) 30/11/07 8 OP26 16(2)(k) 30/09/07
Page 25 Seabourne Residential Home Version 5.2 9 OP27 18(1)(a) 10 OP29 19 free from offensive odours. Staffing arrangements must be reviewed to make sure that people living in the home have their needs met. The registered person shall not allow a person to whom paragraph (2) applies to work at the care home in a position to which paragraph (3) applies unless the employer has obtained in respect of that person the information and documents specified in paragraphs 1 to 7 of schedule 2. The registered provider must obtain 2 written references before confirming a job offer. CRB and POVA 1st checks must be obtained before care staff start work in the care home. Previous timescale of 31/05/07 not met. 30/09/07 30/09/07 11 OP30 18(1) (c) 12 13 OP31 OP38 8 37 All new care staff must receive a structured induction in accordance with the Skills for Care Common Induction Standards. An application for the post of Registered Manager must be submitted to the Commission. The registered person must give notice to the Commission without delay, of the occurrence of death, illness and other significant events. 30/09/07 31/10/07 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 26 No. 1 Refer to Standard OP28 Good Practice Recommendations The registered person should continue to work towards achieving 50 care staff with NVQ level 2 qualification. This recommendation has been carried forward from the previous inspection. All staff should receive a minimum of 3 days paid training per year including in house training. This recommendation has been carried forward from the previous inspection. The results of the quality assurance process should be made public. This recommendation has been carried forward from the previous inspection. 2 OP30 3 OP33 Seabourne Residential Home DS0000003978.V347810.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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
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