Inspection on 29/07/08 for Seacliff Care Home

This inspection was carried out on 29th July 2008.

CSCI found this care home to be providing an Poor service.

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

Seacliff Care Home 23/01/09

Seacliff Care Home 28/01/08

Seacliff Care Home 26/10/07

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Seacliff Care Home 9 Percy Road Bournemouth Dorset BH5 1JF Lead Inspector Amanda Porter Unannounced Inspection 29th July 2008 09:50 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 Seacliff Care Home DS0000068785.V365115.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. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seacliff Care Home Address 9 Percy Road Bournemouth Dorset BH5 1JF 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) 01202 396100 Mr Munundev Gunputh Mrs Dhudrayne Gunputh Care Home 24 Category(ies) of Dementia (24) registration, with number of places Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Dementia (Code DE) The maximum number of service users who can be accommodated is 24. 28th January 2008 Date of last inspection Brief Description of the Service: Seacliff Care Home is a large, detached property, situated in a residential area of Boscombe, Bournemouth. The main shopping area of Boscombe with all its amenities including bus services is less than half a mile away. The home is also situated less than half a mile from the cliff top and promenade at Boscombe, where there are a number of pleasant walks. The property is set back a little from the road and there is a small parking area for visitors. Additional parking is available on roads in the vicinity of the home. Seacliff Care Home is registered to accommodate up to 24 persons with dementia. The accommodation is arranged over three floors, with stairs or a passenger lift to aid access between the floors. There are two double and twenty single bedrooms. Approximately half of the bedrooms are equipped with en-suite W.C.s. There are five communal bathrooms/shower rooms available to residents, but no assisted bathing facilities at the present time. The home has a dining room with adjoining sitting area and large conservatory as well as a second lounge, all situated on the ground floor. The conservatory has views over the rear garden, which includes a lawn and paved patio area surrounded by mature trees and shrubs. Twenty-four hour care is provided. Laundering of personal clothing etc is carried out on the premises. Although no choice of menu is offered, alternatives can be made available to suit individual taste and preference. The fees for the home, as confirmed to us at the time of inspection, range from £490 - £575 per week. Additional charges include hairdressing, chiropody, Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 5 dry cleaning, toiletries and newspapers. For further information on fee levels and fair contracts you are advised to refer to the Office of Fair Trading website: www.oft.gov.uk. We have published ‘A fair contract with older people? A special study of people’s experiences when finding a care home’ and this can be accessed on our website www.csci.org.uk The registered provider says a copy of the most recent inspection report will be made available to anyone wishing to read it, upon request. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. Two inspectors carried out the unannounced key inspection over approximately four hours on the 29th July 2008. This was a statutory inspection and was carried out to ensure that the residents who are living at Seacliff Care Home are safe and properly cared for. Requirements and recommendations made as a result of the last inspection visit were also reviewed. The manager, Mrs Georgina Higgins, was on hand throughout to aid the inspection process. Information gathered for this report came from several sources including: • Reports made to the Commission for Social Care Inspection by the home. • The annual quality assurance assessment completed by the home. • 8 questionnaires completed by residents, 2 by relatives, 3 by staff, 2 by healthcare professionals and 1 from a visiting GP. • Tour of the premises. • Review of a variety of documentation including care records, staff records, maintenance records, policies and procedures. • Discussion with residents and staff. During the course of the inspection four residents, one visitor and four members of staff were spoken with and asked their views on the service provided at the home. Comments received through the questionnaires and discussion included: “The staff are very good.” “I am quite satisfied with the care.” “The owners, manager and staff are very compassionate. They treat each person as though they are a family member or friend. They are respectful and treat everyone with as much dignity as possible.” “Seacliff is a well run care home and I am happy to be working here and improve my qualifications.” What the service does well: Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 7 All the people spoken with were very complimentary of the care given and the friendly nature of management and care staff. Residents are encouraged to maintain their links with friends and family and all visitors are made welcome. Residents like the food provided and enjoy the choices offered at each meal. The complaints procedure can reassure those people using the service that their views are important to the home and that any complaints they raise will be properly investigated. Sufficient numbers of staff are on duty throughout the day and night to be able to meet the needs of the residents. What has improved since the last inspection? What they could do better: Although improvements to care planning have been made there are still some shortfalls in recording, which means that staff do not always have sufficient information to be able to deliver the care each resident needs. Residents should have easy access to the safe and attractive garden. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 8 The home has recently improved the bathing facilities within the home but there was little evidence that residents had been using them. Access should be encouraged. Mrs Higgins must submit an application to the Commission for Social Care Inspection to register as manager. Recruitment processes must be robust to minimise the risk of unsuitable staff being employed, thus protecting residents living at the home. Training opportunities for staff are improving. However some staff still need to receive mandatory training so that they become skilled in delivering appropriate care to residents. 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. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not applicable to this service. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The quality of preadmission assessments is improving. However, where residents are being readmitted to the home after a period of absence, routine reassessment measures were not in place. This means that the home could not guarantee that they could meet the needs of these residents. EVIDENCE: The pre-admission assessments for some new residents were examined. The quality of the assessments was good and sufficient information was obtained so that a plan of care could be drawn up so staff knew what care to give and the needs of the resident could be met appropriately. A visitor to the home confirmed that the manager had undertaken a pre-admission assessment and gave the visitor and prospective resident information about the home so that they could make an informed choice about whether to stay. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 11 Where a resident had spent a period of time away from the home and their health care needs had changed the manager had not undertaken another assessment so that she could be sure the needs of the resident could be met. At the time of inspection the resident had not been readmitted and through discussion with the manager it was agreed that she would undertake a reassessment before the resident returned. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of care was adequate although the care documentation does not always ensure that staff have sufficient information upon which to base their care practice. The principles of respect, dignity and privacy were put into practise. Medicines prescribed by doctors are safely stored and correctly administered. EVIDENCE: Since the last inspection the manager has audited care plans and as a consequence the standard of care documentation had improved. The care files for three residents were reviewed. Each file contained a variety of documentation and generally the standard of care plans was good. However there were still some shortfalls in some areas of recording, which included: Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 13 • • • • A lack of social care plan in one file. No nutritional assessment in one file. Not all care plans were evaluated on a monthly basis. Where a resident had lost weight in May 2008 there had been no follow up action and the resident had not been weighed since. There was evidence that where a resident was unable to sign to agree their care plan their chosen representative had been asked to do so. It was clear from discussions with staff and review of care documentation that residents have access to the health services they need. There was evidence to show that residents get support from General Practitioners, the district nurse, chiropodists, opticians and dentists. The GP and 2 healthcare professionals who completed questionnaires expressed satisfaction with the service within the home. Generally records and stocks of medication in the home evidence good practice and medication is managed well. However where handwritten entries had been made on the medication administration records by staff they had not been countersigned. Through talking with residents and visitors to the home and through observation during the inspection it appeared that residents were treated with respect and dignity was maintained. Residents said that they liked the staff and they were caring. One healthcare professional said, “Seacliff Care Home are always friendly and polite to their residents. They know each by name and take the time to stop and talk with them. They have patience with their residents and do not rush them. The staff generate a friendly and relaxed environment. The reception rooms and residents’ rooms, which I have visited have always been warm and very clean.” Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although some improvements have been made the home lacks a meaningful programme of activities, which is based on the residents’ preferences. Residents are able to have contact with family, friends and the local community if they wish and are able. EVIDENCE: The home does not employ an activities co-ordinator and therefore any events are left to the care staff who are able to supply a limited choice of activities. An activities programme was displayed in the dining room, which included such things as dominoes and walks in the garden. However the garden was not easily accessible by residents on their own and with only two care staff on duty this meant that the activity could not be offered to everyone. Most of the care files reviewed contained information on the social needs of the residents and considered their likes and dislikes. Two stated that the residents concerned liked to go out for a walk. There was no further evidence within the files to show that such activity had taken place. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 15 . During the morning of the inspection five residents were seen in the lounge, two were asleep. One person was playing dominoes with a member of staff. One resident said that they were happy but did get bored. The manager said that residents had enjoyed two trips out recently to the New Forest and to Poole Quay. She intended to introduce memory boxes into the home, which would be stimulating and enjoyable for residents to use. Residents are able to attend church services if they wish. Visiting clergy are made welcome. There was evidence from residents and visitors that visitors are made welcome at any time and that they are able to spend time privately in residents rooms if wished. Rooms viewed were personalised with pictures, some ornaments and items of furniture. People said they enjoyed the food provided. Records showed that residents’ likes and dislikes with regard to food were known and residents were aware that alternatives to the main menu were always available. During the inspection it was noted that lunch appeared to be a relaxed, sociable and enjoyable event. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure. The home’s adult protection policy does not give the staff the appropriate information to ensure that they give a proper response to any suspicion or evidence of abuse. EVIDENCE: Residents and their representatives have access to the complaints procedure. There have been no complaints since the last inspection. People said that they knew how to complain and felt confident that if they had concerns or complaints they will be listened to and taken seriously. One visitor said, “ I have not needed to make a complaint as yet. Any concerns that I have had have been discussed and the appropriate action has been implemented.” The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and provides all staff with training in the understanding of abuse and their role in protecting residents from abuse in its many forms, including neglect. The policy and procedure document provides incorrect instruction on the reporting and investigation of alleged or suspected abuse, and in consequence staff have incorrect guidance Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 17 and may thereby fail to properly protect residents from risks of harm and abuse. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment at Seacliff Care Home is adequate providing residents with a generally attractive, homely and safe place to live. EVIDENCE: The home has a programme of routine maintenance. Records show the equipment and facilities with the home are regularly serviced. Since the last inspection some areas in the home have been upgraded, including bathrooms, which now have assisted bathing facilities. However there was little evidence that residents were encouraged to make use of them. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 19 All communal areas inside the home were accessible to residents. The gardens were very attractive and safe but not easily accessible to residents unless they were accompanied by staff. There is an internal fire escape between the first and ground floor, which is a very steep staircase. The manager explained that there are plans to put a door at the top of the stairs thus minimising the risk of a resident falling down the staircase. Until the door is in place the manager said residents would not use the adjacent rooms. The home appeared clean and free from any unpleasant odours. The laundry room is small and does not have adequate room so that clean and dirty laundry can be separated. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Sufficient staff numbers are on duty to meet the needs of residents. However poor recruitment procedures and shortfall in staff training do not ensure that residents are in safe hands at all times. EVIDENCE: At the time of inspection staff rosters demonstrated that there are sufficient staff on duty at that time. During the inspection staff were on hand to meet the needs of the residents and call bells were answered efficiently. The home has an ongoing training programme, which includes NVQ level 2 in care. The manager confirmed that at the time of inspection less than 50 of care staff held this award. Five staff recruitment files were reviewed and all contained an application form and information about relevant experience. However there were shortfalls in the recruitment procedure, which included: • References were not routinely sought from the last employer. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 21 • • One employee did not have a POVA first or Criminal Records Bureau (CRB) in place. Any gaps in employment histories were not fully explored. There was evidence that some staff had received emergency aid training and dementia awareness. However not all staff had received induction training; training in fire safety or moving and handling procedures. Mrs Higgins undertaken intermediate dementia care training. She has also provided training in anger management. She said that it was her intention to provide further training to all staff in dementia care. Staff spoken with confirmed that training was encouraged. Further information on available training can be accessed through the following websites: www.picbdp.co.uk www.skillsforcare.org.uk Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Improvement in the management structure means that the home is more organised and the daily management and running of the home centres round the care of residents. However poor recruitment procedures put the wellbeing of residents at risk. EVIDENCE: Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 23 Since the last inspection Mrs Higgins has been appointed manager of the home. However she has not submitted an application to register with the Commission for Social Care Inspection yet. She was in the process of reviewing all aspects of care delivered in the home and was making significant progress with admission procedures, some activities and quality assurance. One person said, “The manager Georgina is very good. She is new and doing very well.” However the poor recruitment procedures in the home, as detailed in the previous section of this report, do put the wellbeing of residents at risk. Through discussion it was evident that residents, visitors and staff enjoy the way the home is run. Should they have any concerns they would be happy to talk to the manager, knowing that they would be listened to. The home has submitted an annual quality assurance assessment to the Commission for Social Care inspection, which indicated that steps were taken to review the way the home is run, taking in consideration the views of people living and working at the home. Records showed that there were residents meetings, staff meeting and monitoring visits arranged by the Registered Providers. The manager confirmed that residents do not generally deal with their own finances but have a representative to do so. The home will hold a small amount of money for residents if they so wish. Records showed that staff are appropriately supervised and this was confirmed by staff spoken with during the inspection. Records showed that not all staff had received recent training in fire safety and manual handling updates. Substances hazardous to health were seen to be stored securely. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X 3 X X X X 2 STAFFING Standard No Score 27 3 28 2 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 2 Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 25 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(1) Requirement The registered persons must ensure that residents are admitted only on the basis of a full assessment. There should be appropriate consultation with the prospective resident or their relative or representative. Pre-admission assessments undertaken by the home must be fully documented and contain detailed information. The registered persons must confirm in writing to prospective residents that, following assessment, the home is suitable to meet their care needs. This requirement has not been fully met but the home has made significant improvements. Timescale for action 29/09/08 Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 26 2. OP7 15(1) The registered persons must ensure that all aspects of each residents health and welfare needs, including social, psychological or religious needs, are recorded and regularly updated, as necessary. The registered persons must ensure that the home promotes and makes proper provision for the health and welfare of residents. (There must be full nutritional screening, care needs identified and the appropriate care given to the resident). The registered persons must consult residents about their interests and provide a programme of activities suited to their individual needs and preferences. This requirement has not been fully met but the home has made significant improvements. 29/10/08 3. OP8 12(1)(a) 29/10/08 4. OP12 16(2) (m) and (n) 29/10/08 5. OP29 19(1) The registered persons must not employ staff to work with residents until satisfactory recruitment checks have been fully completed and all necessary documentation has been received. (Previous timescale of 01/01/08, 01/05/08 not fully met). The home has provided written confirmation that this requirement has now been met. 29/08/08 6. OP30 18 The registered persons must DS0000068785.V365115.R01.S.doc 29/10/08 Version 5.2 Page 27 Seacliff Care Home ensure that all staff receive training appropriate to the work they are to perform and that such training is evidenced in records. Training must also include mandatory topics, such as Moving and Handling and provide access to structured induction training. (Previous timescale of 01/01/08 not fully met). 7. OP31 8(1)(a) & 9 The Registered person must appoint an individual to manage the care home where there is no registered manager in respect of the care home. (1)The Registered Manager must not manage the care home unless he is fit to do so. (2)(a) he is of integrity and good character; (b) having regard to the size of the care home, the statement of purpose, and the number and needs of the service users— (i) he has the qualifications, skills and experience necessary for managing the care home; and (ii) he is physically and mentally fit to manage the care home; and (c) full and satisfactory information is available in relation to him in respect of the following matters— the matters specified in paragraphs 1 to 5 and 7 of Schedule 2; 29/10/08 Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 28 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. 3. 4. Refer to Standard OP9 OP19 OP21 OP26 Good Practice Recommendations Where instructions for medication are handwritten on the medication administration record by a member of staff they should be countersigned. Residents should have easy access to the garden. Residents should have easy access to assisted bathing facilities. There should be adequate space in the laundry so that clean and dirty laundry can be kept separate. Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Seacliff Care Home DS0000068785.V365115.R01.S.doc Version 5.2 Page 30 - 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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