Inspection on 17/05/06 for Seymour House

This inspection was carried out on 17th May 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

Seymour House 07/01/09

Seymour House 08/01/08

Seymour House 17/09/07

Seymour House 04/01/06

Seymour House 05/09/05

Seymour House 11/01/05

Seymour House 24/08/04

Seymour House 17/02/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Seymour House 13-17 Rectory Road Rickmansworth Hertfordshire WD3 1FH Lead Inspector Mr Neil Fernando Key Unannounced Inspection 17th May 2006 10:00 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 Seymour House DS0000019520.V295765.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. Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seymour House Address 13-17 Rectory Road Rickmansworth Hertfordshire WD3 1FH 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) 01923 778 788 Mr M Rhemtulla Miss Yasmin Rhemtulla Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. This home may accommodate one (named) female service user currently 59 years old. The manager must inform the CSCI when the above (named) service user leaves the home or reaches the age of 65, whichever comes first. This variation applies only to this (named) lady and ceases to be in force when the lady leaves the home or reaches 65, whichever comes first. 4th January 2006 Date of last inspection Brief Description of the Service: Seymour House is a care home providing personal care and accommodation for 38 older people. A variation to the registration allows the home to accommodate one service user who is below the age of 65. The establishment was opened in 1997 and consists of a purpose built threestorey building. All the bedrooms are single and have toilet and hand wash basin en-suite facilities. There are two passenger lifts to access all floors. The home has a small garden and paved patio that are well maintained and accessible. The home is located close to the centre of Rickmansworth, within walking distance of shops, the post office and other community facilities. The weekly placement fee for each service user is between £ 400 and £420. Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection for the inspection year 2006/7. The last inspection (Unannounced) was carried out on 4.01.06. Seymour House is a privately owned care home. It is registered for up to 38 elderly people requiring personal care and accommodation. At the time of the visit, there were 28 service users in residence. This unannounced inspection took place on 17 May 2006 and lasted for a total of 6.5 hours. During this period, 12 service users, 2 visiting relatives, 5 staff members including the Deputy Manager were spoken to, in order to seek their views regarding the quality of life at Seymour House. A number of records were examined and a tour of the premises was also undertaken. What the service does well: What has improved since the last inspection? Requirements and recommendations arising from the last inspection report dated 4.01.06 have been met as appropriate. Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 6 The home has an updated statement of purpose that contains the required information about the services to be provided. In addition, each service user has been issued with a copy of the service user’s guide. A copy of the service user’s guide and the last inspection report are now displayed in the entrance hall, as required following the last inspection. This means that prospective and current service users have access to relevant information about the services they receive and can measure their experience of it against the stated aim and objectives of the home. A rolling programme of implementation (redecoration and carpets replacement) has been agreed between the provider and the Commission. The plan is to undertake the tasks in three phases over a twelve to eighteen month period; phase 1 has been completed and a high standard has been achieved in the refurbished parts of the building; this is much appreciated by service users spoken to. All staff members have received mandatory training as appropriate, which is well valued by them. The home has managed to retain most of its core staff members, hence generating a degree of consistency and continuity in the quality of service delivery. What they could do better: There are 6 requirements and 2 recommendations arising from this report, which need addressing. It is crucial that a more holistic approach to care planning is adopted so that each care plan reflects the identified health, cultural and religious needs of the service user. Monthly review notes should be in greater details, in order to reasonably reflect the changing needs and requirements of each service user. The level and variety of social and recreational activities offered must be increased, in order to maintain an adequate level of stimulation for residents’ general wellbeing. The procedures on complaints need updating and a copy of the amended version must then be provided to each resident and/or their representative. Phase 2 of the refurbishment programme (redecoration and carpets replacement) should be progressed, in order to ensure a minimum standard. In terms of staff management systems, the NVQ assessment for care staff should be given a higher profile. In addition, the Registered Person must ensure that all documents are available on individual recruitment files for staff members, as specified in Schedule 2 and 4 of the Care Homes Regulations 2001. Some attention is required with respect to records of hot water temperature tests. Please contact the provider for advice of actions taken in response to this Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Seymour House DS0000019520.V295765.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 Seymour House DS0000019520.V295765.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Standard 6 is not applicable. Prospective service users and significant others have sufficient information available to them to enable them to know what services the home offers. Equally, the pre-admission process is adequately robust to ensure that the resident’s identified needs could be met on admission. Based on available evidence including a visit to this service, the quality in this outcome area is judged to be good. EVIDENCE: A recently updated copy of the statement of purpose setting out the aims and objectives and philosophy of care is available at the home. A service users’ guide to the home is also available; 2 new residents and 2 visiting relatives confirmed that they were offered a copy of the guide. The case records for 6 service users were examined and these include a copy of their contract of occupancy that sets out the terms and conditions of residence. Information gained provides good evidence that a member of the management team undertakes a comprehensive pre-admission assessment, involving the Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 10 prospective service user and their relatives where possible. This appears to be a routine part of the admission process to ensure that identified needs of a potential resident could be met. Seymour House DS0000019520.V295765.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. The care planning process requires consistency and continuity from staff members, in order to holistically reflect the identified needs/requirements of each service user. It is however positive that residents and relatives appear to pro-actively participate in the care planning and review process. Based on available evidence including a visit to this service, the quality in this outcome area is judged to be adequate. EVIDENCE: Information gathered from staff members including the Deputy Manager, service users and 2 visiting relatives indicates that the needs of residents are being identified on an on going basis. A random sample of care plans for 6 service users were examined. Whilst some of the care plans are comprehensive others have been only partly completed. For example, the care plans did not reflect the identified health, cultural and religious needs of the service user in some cases. However, staff members have consistently recorded the care given, progress made and interactions with service users. There is good evidence to show that monthly reviews of care plans are being carried out, but some improvement should be made, in order to reasonably Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 12 reflect the changing needs and requirements for health and personal care for each service user, over a month period. Remedial action must be taken. Service users have access to District Nurses as and when needed and those who are incontinent have appropriate incontinence aids available. All service users are registered with a GP. Other professionals, residents have access to include Dentist, Optician, Podiatrist and Dietician. All service users consulted expressed positive views about the performance and attitudes of staff, describing them as caring, polite, sympathetic and helpful. They said that staff respect their privacy and knock and wait for a reply before entering their bedrooms. This was observed in practice during the inspection; both visiting relatives spoken to made similar comments. Medical examinations and treatment always take place in the privacy of the resident’s bedroom. The wishes and feelings of service users who prefer not to mix with the others are respected and they are therefore able to spend their time as they choose. Many service users felt that they are generally able to make decisions for themselves. Service users were well dressed in their own well-laundered clothes and were clean and tidy with attention having been paid to hair and fingernails. Male residents were well shaven. Seymour House DS0000019520.V295765.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Service users’ interests, expectations and aspirations are being sought by staff and fulfilled to an extent. However, the level and variety of social and recreational activities requires improving. A varied and interesting menu is offered and meals are served in comfortable settings. Based on available evidence including a visit to this service, the quality in this outcome area is judged to be adequate. EVIDENCE: Service users are being assisted to follow the lifestyle of their choice to an extent, as discussed and agreed during assessment. Service users spoken to generally expressed satisfaction in this area. The home aims to create a relaxed atmosphere with a flexible approach to daily routines. Individual interests, expectations and aspirations are sought by staff and fulfilled wherever possible. These are recorded on individual care plans and care staff members offer support as needed. Details of group activities are publicised and staff members also remind individuals before an event is due to take place. There are photograph displays of various events, which take place. There are services and communions held at regular intervals and service users are appreciative of these facilities. However, information gained from the daily record of relevant occurrences, service users and the Deputy Manager indicates that there were no recreational activities offered Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 14 between 1 to 3 days, frequently. The level and variety of social and recreational activities must be improved, in order to maintain an appropriate level of stimulation for service users’ general development and welfare. some staff members. Information on maintaining contact with relatives and friends is available in the front hall; service users and relatives spoken with confirmed that they are given information about the home’s procedures on visiting and maintaining contact with family and friends. Service users and staff confirmed that visiting times are flexible and visitors are “very welcome” at any reasonable time. Service users and 2 visiting relatives spoken with said that a high standard of catering is provided. The dining area is bright and well lit. Service users are able to sit at tables, which were nicely set and condiments were available. The meal was observed to be leisurely and unhurried with fresh drinks available and being offered throughout the meal. The meals were well presented and looked very appetising. Those taking lunch in their rooms had their meal taken up on a nicely laid tray. Evidence shows that there is good communication between residents and the staff and catering teams regarding individual preferences and any dietary requirement. Good standards are maintained in the kitchen. Seymour House DS0000019520.V295765.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The home’s complaint procedures require minor but important amendment. Service users and visitors spoken with felt able to make a complaint, if necessary. The protection systems in place are adequately robust and this should ensure the safety of service users. Based on available evidence including a visit to this service, the quality in this outcome area is judged to be good. EVIDENCE: Details of the complaint procedures are available and accessible to staff members, service users and significant others. Information on the subject of complaint is also included in the home’s statement of purpose and the service user’s guide. The complaint policy and procedures require minor but important amendment to reflect that complaints must be addressed to and investigated by the service provider and or the placing authority as appropriate. Once this is completed, a copy must be provided to each resident and/or their representative. Any concern from a registration and inspection point of view will continue to be dealt with by the Commission. Service users who were asked for their opinion on complaints, were confident that they would be able to make a complaint and that it would be dealt with satisfactorily. There has been no complaint received by the home or the Commission since the last inspection took place. There are policy and procedures on Whistle Blowing and Adult Protection, which are available to staff members. Discussion regarding the procedures is an integral part of the induction for all new staff members; members who Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 16 have, or are undertaking their NVQ assessment also cover an element of this subject. The Deputy Manager reported that all staff members have received training on Adult Protection, provided by the Registered Manager. There are a number of systems in operation, which should adequately protect service users from harm. Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, and 26. The home and its surroundings offer a pleasant, comfortable and safe place to service users. Phase 2 of the refurbishment programme should further improve the standards of the physical environment. A high standard of cleanliness was evident and bedrooms are personalised, thus generating a homely atmosphere. Based on available evidence including a visit to this service, the quality in this outcome area is judged to be good. EVIDENCE: Service user’s rooms are personalised to reflect the occupant’s personality. Rooms have locks fitted and service users can be issued with the keys if they wish. The home has ample communal areas for the service users. The previous two inspection reports identified shortcomings around the standard of decoration and carpets requiring cleaning or a replacement. A rolling programme of implementation has been agreed between the provider and the Commission. The plan is to undertake the tasks in three phases over a twelve to eighteen month period; phase 1 has been completed and a high standard has been achieved in the upgraded part of the building. Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 18 On the day of the inspection the home was clean, fresh and odour free. The home has adequate number of ancillary staff and records showed that all members of staff have been provided with training in hygiene and infection control. The arrangements for the disposal of clinical and domestic waste are satisfactory. There were no health hazards noted during this inspection. Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30.. Staffing levels are adequate to meet the needs of the current service users. Staff recruitment process is adequately robust to ensure that residents are safe, but some attention is required in this area. Whilst staff members have access to mandatory training to update their knowledge, skills and competency, NVQ assessment needs a higher profile. Based on available evidence including a visit to this service, the quality in this outcome area is judged to be good. EVIDENCE: Information gained from staff duty roster for the period between 17.04.06 and 21.05.06 and discussion with staff members including the Registered Manager and service users indicates that staffing levels are adequate to meet the needs of the current resident group. Also, available information suggests that staff members have adequate experience and skills to enable them deliver a good quality service. On the day of inspection the staff team were confidently meeting the needs of the residents. Training profiles for 6 people show that staff members have received mandatory training to assist them to do their work competently. There are currently some members who have joined the staff team from abroad and who speak English as a second language. The Manager has arranged for these staff to receive weekly tuition in the English language, from a local college, in order to improve their communication skills; this is to be commended. There are only 4 members of care staff who have completed their NVQ Level 2 assessment (25 ) to date; another 3 members are currently undertaking the Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 20 same course. A minimum ratio of 50 of the care staff team should achieve NVQ level 2 or equivalent. The Deputy Manager is aware that this is an area that should be given a higher profile. The home has procedures for the recruitment, induction and training of staff members. The recruitment files for 6 staff members including the latest recruit were viewed. These reflected the documents required by the Care Homes Regulations 2001 except for a copy of the work contract and current photograph not being available in 4 cases. A requirement has therefore been made on this issue. All staff members interviewed said that they have had their CRB checks completed where appropriate. Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. The management of this home remains satisfactory. The implementation of policies and procedures appears to promote consistency and continuity of care practice and service delivery. Equally, the health, safety and welfare of service users, and staff are safeguarded. However, records of hot water temperature tests must indicate the actual temperatures. Based on available evidence including a visit to this service, the quality in this outcome area is judged to be adequate. EVIDENCE: The Registered Manager was on leave at the time of this inspection. The Deputy Manager has management responsibility for the establishment in her absence. The lines of accountability within the home and external management remain consistently clear and well understood by staff members. The Manager is well supported by a very capable Deputy Manager. Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 22 “Residents’ meetings are held monthly and service users have suitable opportunity to express their views. There are various review processes in place e.g. for care plans, premises, policies etc. The proprietor visits regularly and produces a monthly report on the conduct of the home. In addition, a formal quality assurance and monitoring process has been established as required by the Regulations; in April 2006, questionnaires had been issued to service users and their relatives to formally seek their views of their experience regarding various aspects of the services at Seymour House. A report detailing the findings and actions planned has been produced and a copy made available to the Commission. All these processes contribute to maintaining and promoting standards. There is good evidence to indicate that staff members have on going informal supervision, whilst carrying out their daily tasks. The responsibility for staff formal supervision is shared between the deputy manager and Registered Manager. All 5 staff members interviewed confirmed that they receive formal one to one supervision every two months; they expressed a good deal of satisfaction regarding management support they receive. The home has good procedures to ensure the health and safety and welfare of service users and staff. The staff team have received training that ensures safe working practice. Fire drills and weekly test of break glass points have been carried out and a record maintained. Hot water temperature is monitored regularly, in order to ensure a safe limit of 43 degrees centigrade at the point of outlet. However, records viewed indicate that a (√) tick is used on each occasion hot water is tested; the actual temperature readings must be recorded instead. Windows have been fitted with restrictors for the safety of service users and security of the building. Portable electrical appliances are checked, tagged and a record maintained. Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 23 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 2 17 x 18 3 2 X X X X X x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 x 2 Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1) Requirement Care plans must reflect the identified health, cultural and religious needs of each service user. Timescale for action 17/08/06 2. OP12 16 (2) (m) & (n) The level and variety of social 31/07/06 and recreational activities offered must be increased, in order to maintain an adequate level of stimulation for residents’ general wellbeing; The complaint procedures require minor but important amendment to reflect that complaints must be addressed to and investigated by the service provider and/or the placing authority, as appropriate. An updated copy must then be provided to each resident and/or their representative. Implement Phase 2 of the refurbishment programme (redecoration and carpets replacement), in order to ensure a minimum standard. 31/07/06 3. OP16 22 4. OP19 23 (2) (d) 30/09/06 Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 25 5 OP29 17 (2) & 19 (1) The registered person must ensure that staff’s files contain the documents specified in Schedule 2 and 4 of the Care Homes Regulations 2001. The actual readings of hot water temperature tests must be recorded instead of using a (√) tick. 31/07/06 6 OP38 13 (6) 17/06/06 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. 2. Refer to Standard OP7 OP28 Good Practice Recommendations Monthly review notes should be in greater details, in order to reasonably reflect the changing needs and requirements of each service user. NVQ assessment for care staff should be given a higher profile. Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Seymour House DS0000019520.V295765.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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