Inspection on 13/02/07 for Sherwood House

This inspection was carried out on 13th February 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sherwood House 26/11/08

Sherwood House 01/12/05

Sherwood House 02/08/05

Sherwood House 15/10/04

Sherwood House 27/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Sherwood House Sherwood House Severn Drive Walton-on-Thames Surrey KT12 3BQ Lead Inspector Pauline Long Unannounced Inspection 13th February 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sherwood House DS0000013787.V327691.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. Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sherwood House Address Sherwood House Severn Drive Walton-on-Thames Surrey KT12 3BQ 01932 221170 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) sherwood@waltoncharity.org.uk Walton-on-Thames Charities Mrs Kathleen Mary White Care Home 31 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (31) of places Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2006 Brief Description of the Service: Sherwood House is a purpose built home providing accommodation and care for up to 31 older people, 4 of whom may also have dementia. The home is located in Walton on Thames and is close to shops and other facilities in the local community. The home is owned by Walton-On-Thames Charity and all service users come from the Walton on Thames area. The accommodation is arranged over two floors, with the first floor being reached by stairs or two passenger lifts. All bedrooms are single occupancy and all have a kitchenette and en-suite facilities. There are ample communal bathrooms and toilets throughout the home with most having adapted facilities. There are several sitting areas throughout the home and a large dining room. There is a well maintained garden to the rear of the property that is accessible to service users and parking for several cars. The home has access to a mini bus for service users activities and appointments. The home has a hairdressing salon on site and a hairdresser visits the home regularly. A mobile shopping service also visits the home weekly. Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit of a key inspection and was unannounced. The inspection was carried out by Mrs P Long regulation inspector and lasted for 6 hours, commencing at 09.30 and ending at 15.30. Discussions were held with residents, the deputy manager, care staff and visitors to the home. Service documentation was sampled, and included service users files, care plans, staff records, and service files. Care staff were observed going about their work. A tour of the home took place. Residents were keen and happy to talk about life in the home. A number of comment cards were received at the CSCI, from residents, families and health care professionals and some of the comments have been included in this report. The CSCI would like to thank the residents, relatives, visitors to the home, the deputy manager and staff for their hospitality, assistance and co-operation during the inspection. What the service does well: The home is nicely decorated and comfortably furnished throughout. The resident’s bedrooms are nicely personalised and are a reasonable size. The home has good links with local churches and supports the residents to attend services, either in the home or at the churches. Many of the staff team have worked in the home for several years and this is reflected in the level of knowledge and understanding of the needs and preferences of the service users. Residents, relatives and visitors spoken with were complimentary about the care and services provided by the home. The residents commented that, they always get the care and help they need and that the home is always fresh and clean. One relative commented that “staffs caring attitude and the atmosphere at the home was a major factor in selecting the home and that their relative was very happy living there. Another commented that, “the care assistants are lovely, nothing is any trouble. Health care professionals commented “ I have been attending clients at this home for a number of years, I find the care and attention and dedication to the users first class, always patient and a with a smile. Another commented that “the standard of care is consistently high and the staff always seek advice regarding any of the residents health needs. Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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 Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Sherwood House DS0000013787.V327691.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 Sherwood House DS0000013787.V327691.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): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care and social needs assessments are completed prior to a resident being admitted to the home, indicating that the home would have an understanding of a residents needs. Improvements are required in the risk assessment records. This home does not provide an intermediate care service for residents. EVIDENCE: Referrals to the service come from both privately funded and social services clients. On the day four residents care needs assessments were sampled. The care needs assessments sampled were satisfactory and included an Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 10 assessment of all activities of daily living, giving the reader an insight in to a residents needs. The deputy manager described the procedure and process for assessing a prospective client. She stated that the manager would visit the client at their home in order to first assess their needs. Following this assessment, the prospective resident would then be encouraged to spend time at the home prior to making a decision as to whether the home could meet their needs. Risk assessments are carried out during the care needs assessments and following admission. Improvements are required in this respect. The risk assessments should be reviewed to ensure clear and accurate action plans are in place to minimise the identified risks. The home does not provide an intermediate care service. A requirement has been made in respect of these standards. Please refer to pages 25, 26 and 27 of this report. Sherwood House DS0000013787.V327691.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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff had a good understanding of the resident’s health and personal care needs which were documented in an individual care plan. Residents are protected by the homes medication policies and procedures. Staff were observed to treat residents respectfully and their right to privacy was upheld. Improvements are required in respect of promoting an individuals dignity. EVIDENCE: The residents care plans were good, and were well documented. Some of the care plans sampled had been recently reviewed others had not been reviewed for some time. None of the care plans sampled had been signed by a resident or their reprehensive. Some had not been signed or dated by a reprehensive Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 12 from the home. It should be noted that requirements were made in respect at previous inspections. The deputy manager commented that some of the residents would not have an understanding of the care plan and therefore would not know what they were signing. Discussions were had around the need for the home to record this on the individuals care plan. The care plan documentation contained information regarding all activities of daily living, changes in healthcare needs and various visits from health care professionals. One local health care professional commented that, “the district nursing service works closely with the staff at Sherwood house. The standard of care is consistently high, and that, the staff always seek advice regarding any of their residents health needs. On the day of the visit, medication administration was observed. Medication procedures were discussed with the manager and staff. The storage of all medication was found to be good, including controlled medication. Medication record sheets were sampled, and were found to be well kept, with no gaps in signatures noted. Discussions were had with the care staff about the homes medication policies and procedures. It was evident through discussions, that staff had a good understanding of these policies and procedures. The care staff stated that they never undertake medication administration as only those staff, who have undergone training in administration of medication and who are assessed as competent are permitted to administer medications. They commented that, on occasion they would supervise and support a resident taking their medication following administration. On occasion they would be the second signature on the controlled medication record. Through out the site visit, staff were observed carrying out various aspects of personal care for the residents, support was offered in a respectful manner. Bedroom and bathroom doors were not left open, staff were observed knocking on doors and waiting to be invited in, before entering rooms. Residents spoken with commented that the staff were very polite and treated them respectfully. The bathrooms were sampled as part of the site visit. Toiletries were observed sitting in the bathrooms, a well used tablet of soap and containers of talcum powder and shampoo were sitting beside the bath. This indicated communal use of these items and did not fully promote a residents dignity. It should be noted that the deputy manager removed these items on the day of the visit. Requirements have been made in respect of these standards. Please refer to pages 25, 26 and 27 of this report. Sherwood House DS0000013787.V327691.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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are encouraged and enabled to maintain fulfilling lifestyles in and outside the home. The home promotes contact with family, friends and the local community. Residents are encouraged and enabled to makes choices in their lives. Meal times in the home were observed as being a positive, pleasant though a somewhat quiet experience for the residents. The food looked appetizing and wholesome. EVIDENCE: The home is committed to ensuring that the residents maintain their relationships with their family and friends. Residents receive regular visitors and some were visiting the home on the day. Visitors spoken with commented that all of the staff were very welcoming and always had a smile. There were various flyers posted on notice boards, relating to future outings/activities. Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 14 Some of the resident’s files sampled evidenced individual activities schedules. Examples of activities included visits from the mobile library, exercise and skills, music and spiritual time. On the day the residents commented that the mobile shop was to visit the home. One relative commented that her mother had regular nail manicures. Several residents were in their bedrooms reading papers or watching their televisions. Throughout the visit, residents were observed moving freely around the home, and being offered choices as to how they wished to spend their time. The meals are freshly cooked in the home and it was positive to note, the choice, quantity and quality of food on offer was good. The food was served up directly from the kitchen to the dining room tables. Residents commented that the care staff go round the home in the evenings asking them about their choices of food for the following day. These choices were evidenced in the kitchen’s records. The lunchtime activity at the home was observed and it was noted how quiet it was. Whilst staff, were being attentive they were not interacting or talking with the residents. Some residents were talking to each other about their day. A few residents were eating their meal in their room, and were happy to do so. One commented that they had the choice to eat in the dining room or eat in their bedrooms. The resident’s commented, that the food was nice, and they appeared to be enjoying their meal. The manager has implemented a meals survey in order to gain the resident’s views about meal times. This was evidenced in the homes quality audit. The chef commented that she speaks with the residents from time to time about the quality of food provided. Discussions were had with her about the benefits of documenting her conversations, or providing a comments book in the dining room. Food preparation was of a good standard. The overall cleanliness in the kitchen was found to be good. The last environmental health visit was carried out in May 2006. A recommendation has been made in respect of these standards. Please refer to pages 25, 26 and 27 of this report. Sherwood House DS0000013787.V327691.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are protected by the homes policies and procedures around concerns, complaints and the protection of the residents. EVIDENCE: The CSCI have received no complaints about this home since the last site visit. Improvements have been made in the homes complaints procedures. Complaints are now being recorded in a complaints folder. This was sampled and evidenced that one complaint had been received at the home. This had been responded to according to the complaints procedure. Residents and relatives commented, that they were aware of the complaints procedures. And if they had to make a complaint they were confident that it would be dealt with in a timely manner. Discussions were had with the deputy manager about the need to display the complaints procedure in more prominent positions through out the home. The home has not made any referrals under the local authority multi agency Safeguarding Adults procedures. Discussions were had with some of the staff on duty and scenarios put to them in respect of the home’s Safeguarding Adults procedures. Staff interviewed, demonstrated a good understanding of the procedures. The staff stated that adult abuse was covered in the homes Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 16 training programmes. This was evidenced in the training records. It should be noted that the homes policy and procedures around abuse, were somewhat out of date. Discussions were had with a senior member of the organisation in this respect. He confirmed that the policy the inspector had sampled was not the current policy, and that the organisations policies and procedures reflected the local authority Safeguarding Adults procedures. A requirement has been made in respect of these standards. Please refer to pages 25, 26 and 27 of this report. Sherwood House DS0000013787.V327691.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall standard of the environment within this home is good and meets the needs of the residents. The home is safe, well –maintained clean, pleasant and hygienic. EVIDENCE: The home is purpose built and this is reflected in the wide walkways and spacious communal areas. The home is furnished and decorated to a good standard and is very clean and tidy throughout. On the day of the visit, areas of the home were being re-decorated. Resident’s bedrooms are pleasantly decorated and comfortably furnished. Several of the bedrooms visited had evidence of a resident’s own furniture Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 18 photographs and ornaments. All, of the resident’s spoken with commented that they were happy with their bedrooms. One commented that they would like their room to be bigger. One resident commented that kitchenettes were being removed from the bedrooms, in order to reduce risks to them. This was discussed with the manager, following the site visit. She confirmed that many of the kitchenettes were not being used any more, and that the changing needs and dependency levels of the residents indicated that they would benefit from more useable space. The main sitting and living areas were comfortable, had ample armchairs, and occasional furniture. Several new pieces of furniture had been bought since the last inspection. Sherwood House DS0000013787.V327691.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing levels were adequate for the resident’s dependency levels/numbers. Residents are protected by the homes recruitment practices. Improvements are required in some areas of staff training. EVIDENCE: The home has a stable staff team, many of whom have worked at the home for a number of years, residents commented this helps to provide continuity of care. The care staffing levels on the day were adequate for the dependency levels of the residents. It was noted that there was a shortage of staff in the homes kitchen, two members of the kitchen staff were on sick leave. The manager stated that there had been difficulties with staff recruitment in recent months, but recruitment was ongoing. Four staff recruitment files were sampled. Whilst it was noted that the majority of the required documentation was in place, some minor shortfalls were noted. None of the files contained up to date photographs of a member of staff or Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 20 health declarations. All of the files contained CRB ( Criminal Records )and POVA (Protection of Vulnerable Adults) checks. The home promotes training and development. The deputy manager stated that training needs would be identified at induction, and through the supervision and appraisal process. Training records are kept for each member of staff and copies of training certificates are retained as proof of training. These were evidenced in the four files sampled. Members of staff spoken with confirmed that they receive regular training sessions and told the inspector they had attended courses on first aid, adult protection and food hygiene since the last inspection. Staff also discussed the NVQ courses, which they had undertaken. Five members of the care staff team are undertaking an NVQ, and some staff have achieved an NVQ qualification. One member of staff stated, that she had not undertaken any training in respect of COSHH ( Control of Substances Hazardous To Health) Requirements have been made in respect of these standards. Please refer to pages 25, 26 and 27 of this report. Sherwood House DS0000013787.V327691.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experienced, qualified and competent to run the home. The residents and staff benefit from the management approach at the home and their views are listened to and acted upon. Resident’s financial interests are safeguarded. Improvements are required in respect of some health and safety procedures and staff supervisions, to ensure the health, safety and welfare of residents and staff is promoted and protected. EVIDENCE: Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 22 The manager is experienced, qualified and competent to run the home. At the present time she is undertaking the registered managers award. Care staff commented that the manager has an open, inclusive and style. The Trustees of the charity meet once a year with the residents and their relatives to obtain feedback on the service provided. The meetings are not recorded, however any actions which require a response would be recorded and sent out to the residents and their families. Coffee mornings are held weekly and service users are encouraged to raise any concerns at these. Again these meetings are not recorded. Senior managers carry out quality audits every month, copies of which are kept in the home. Discussions with the care staff indicated that a formal one to one staff supervision programme has been implemented in the home. However none of the staff on duty had received a recent supervision meeting with a manager. One could only recall having one in a year. Staff records evidenced that the frequency of supervisions was unsatisfactory. Staff are also expected to attend regular team meetings, the last one was held in January 2007. The minutes of team meetings were not sampled. Discussions were had with the deputy manager around resident’s personal monies. She stated that resident’s families/representatives had overall responsibility for resident’s monies and that the home would only hold small amounts of money in the case of an emergency. Records in this respect were sampled and were observed as being well maintained. The control of hazardous substances (COSHH) was unsatisfactory. The laundry and bathroom doors were open and easily accessible by the residents. It was observed that a jug of liquid fabric softener and a large box of washing powder were being stored on a low windowsill. The bathroom contained a bottle of liquid cleaner. These were brought to the attention of the deputy manager, who removed the items immediately. It should be noted that there was no secure storage provision in the laundry or bathroom. Requirements have been made in respect of these standards. Please refer to pages 25,26 and 27 of this report. Sherwood House DS0000013787.V327691.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 X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 2 Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15(1(2) Requirement The registered person(s) must ensure that they make proper provision for the care and treatment of residents: all residents are to be involved as fully as possible in formulating their individual care plan and the plan is signed by them or a representative and a representative from the home. All care plans must be reviewed monthly and any changes recorded. Previous timescale of 02/11/05 unmet. The registered persons must ensure that all unnecessary risks to the health and safety of the residents are identified and so far as possible eliminated: the risk assessments must clearly record any and all action plans as to how the risks identified are to be minimised. The registered person(s) must ensure that they make proper arrangements by training staff or by other measures, to prevent residents being harmed or suffering abuse: all staff must have access to the current DS0000013787.V327691.R01.S.doc Timescale for action 12/03/07 2. OP38 12(1)(a) 13(4)(a) (c) 12/03/07 3. OP18 13(6) 12/03/07 Sherwood House Version 5.2 Page 25 4. OP29 19 Schedule 2 5. OP30 18(1)(c(i) 6. OP36 18(2) 7. OP38 12(1)(a) 13(4)(a) (c) 8. OP38 12(1)(a) 13(4)(a) (c) policies and procedures in respect of safeguarding adults. The registered person(s) shall not employ a person to work at the home unless: the person is fit to work at the care home. All staff files must contain the information required in Schedule 2 of The Care Homes Regulations 2001 (as amended 2006). The registered person(s) shall ensure all of the persons employed at the home receive: training appropriate to the work they perform. All staff must undertake training in the control of hazardous substances. The Registered Persons must ensure that each employee receives appropriate supervision. All staff must receive at least six sessions of formal one to one supervisions with a manager each year. The registered person(s) must ensure that all unnecessary risks to the health and safety of service users are identified and so far as possible eliminated: all hazardous substances must be stored safely and appropriately. The registered person(s) must ensure that all unnecessary risks to the health and safety of service users are identified and so far as possible eliminated: The home must review the storage provision in the laundry in respect of the cleaning materials. 12/04/07 12/04/07 12/05/07 12/03/07 12/04/07 Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP15 Good Practice Recommendations The registered person(s) should consider the positive benefits to the residents by encouraging and enabling the chef to spend time seeking the resident’s views on the meals provided. The registered person(s) should consider placing a copy of the homes complaints procedure at various places in the home in order to ensure that all residents and visitors have access to it. 2. OP22 Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Sherwood House DS0000013787.V327691.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!