Inspection on 01/08/06 for Springview

This inspection was carried out on 1st August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Springview 10/04/07

Springview 07/02/06

Springview 25/07/05

Springview 17/01/05

Springview 07/06/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Springview 10 Crescent Road Enfield Middlesex EN2 7BL Lead Inspector Daniel Lim Key Unannounced Inspection 1st August 2006 09:00 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 Springview DS0000010649.V303522.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. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springview Address 10 Crescent Road Enfield Middlesex EN2 7BL 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) 020 8367 9966 020 8366 0900 jeremybalcombe@btconnect.com Springdene Nursing and Care Homes Limited Mr Soobash Koomar Jhurry Care Home 58 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (58) of places Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home must not accept older people with a diagnosis of dementia who are in need of nursing care. The home must have a designated staff team at all times on the second floor who are trained, competent and in sufficient numbers to care for people with a diagnosis of dementia. 7th February 2006 Date of last inspection Brief Description of the Service: Springview is a purpose built care home registered to provide personal care for a maximum of fifty-eight older people. There are seventeen beds located on the second floor that have been registered to provide a service to people who have a diagnosis of dementia. The home is privately owned and managed by Springdene Nursing and Care Homes Limited, which owns and operates three other care homes in North London. The aims of the home as set out in the statement of purpose are to ensure that all service users receive the highest possible standard of physical, mental, spiritual and social care within an environment, which upholds the core values of privacy, dignity, individuality, choice, rights and fulfilment. The home has fifty-eight single bedrooms with en-suite facilities located on all it’s four floors. The main communal facilities are located on the ground floor and consist of a large lounge, dining room, library and activities room. Also on this floor are the kitchen, laundry room, reception and the managers office. There are separate lounges on the first and second floors. Communal bathrooms are located on the first, second and third floors. There is a parking area at the front of the home for several cars and a garden at the back. The garden is partly paved and accessible to service users. The home is located in a quiet residential area of Enfield Town close to a variety of shops, restaurants and transport links. The fee charged by the home range from £630 - £750. The provider must make information about the service available (including reports) to service users and other stakeholders. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 1 August 2006. A follow up visit was made on 2 August to view documents not available on the previous day. The inspection took a total of five hours to complete. The inspector found that the overall quality of care provided was satisfactory. During this inspection, the inspector was assisted by the manager (Mr Soobash Koomar Jhurry) and the operations manager (Ms Diane Surtees). The inspector was able to interview five residents and two relatives. The feedback received from them indicated that they were generally satisfied with the care provided. The inspector attempted to interview a further two residents, but due to the mental condition, they were unable to comment on the services provided. Statutory records were examined. These included five residents’ case records, the maintenance records, accident records, complaints’ record and fire records of the home. The premises including residents’ bedrooms, treatment room, communal bathrooms, laundry, kitchen, gardens and communal areas were inspected. Three staff on duty were interviewed on a range of topics associated with their work. Staff records, including supervision records, evidence of CRB disclosures, references and training records were examined. In addition, the minutes of staff and residents’ meetings were examined. Nineteen completed questionnaires were received from residents. These were positive and indicated that residents were on the whole, satisfied with the care provided. Some of the comments made are reported under the relevant sections. Two completed questionnaires were received from relatives. These indicated that they were satisfied with the overall quality of care provided. Three completed questionnaires were received from health and social care professionals. These were positive and indicated that they were satisfied with the overall quality of care provided. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Improvements are needed in the area of health & safety. The registered person must ensure that window restrictors are fitted to all windows and these must be engaged. The registered person must ensure that the fire risk assessment is updated. At least one of the fire drills carried out in a twelve month period must take place after dark. Improvements are needed in the provision of meals. Due to concerns expressed, the registered person must ensure that the provision of meals is reviewed and ensure that the individual dietary needs and preferences of residents are responded to. The temperature of the freezer (s) must be monitored daily to ensure that food is stored appropriately and a record of this is kept. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 7 Improvements are required in the area of service users’ assessments and care planning. The registered person must ensure that comprehensive assessments (including risk assessments and all items mentioned in Standard 3.3, NMS) are carried out on service users admitted into the home. The registered person must provide comprehensive care plans which address the holistic needs of service users (this must include mental, social, cultural and spiritual needs). The registered person must ensure that medication in the home is stored in an area or areas where the temperature can be maintained at 25 C or below. Improvements are required in the staffing arrangements. Due to concerns expressed, the registered person must review staffing levels at the home with staff, residents and their representatives to ensure that the needs of residents are met during the day and night. A report of this review together with any action taken or planned must be forwarded to CSCI. The registered person must ensure that staff have received the required essential training (in areas such as lifting & handling, first aid, health & safety, care of residents with dementia and challenging behaviour, administration of medication for those administering medication) and evidence of this is made available for inspection. The registered person must ensure that receipts are obtained for services or items purchased on behalf of residents. The registered person must send a copy of the latest accounts for the home (as certified by an accountant) to the CSCI. 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. Springview DS0000010649.V303522.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 Springview DS0000010649.V303522.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): 3, 6 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Arrangements were in place to ensure that residents admitted there are appropriate and their needs assessed. Deficiencies were however, noted and improvements are needed to ensure that service users are fully assessed. EVIDENCE: The five residents who were interviewed informed the inspector that they were well cared for and their care needs had been attended to. Comments made by residents included, “I am happy with the care provided”, “well cared for” and “satisfied with care”. The inspector observed that residents in the home were clean, appropriately dressed and appeared well cared for. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 10 A sample of four residents’ case records which were examined contained assessments and plans of care. The inspector however, noted that assessments prepared were not sufficiently comprehensive. The assessments did not contain risk assessment for falls, and details of the cultural and spiritual needs of residents. These are required to ensure that staff are fully informed of the care to be provided for residents on admission to the home. The manager and operations director informed the inspector that the home’s care documentation was under review and a new format would be adopted. The inspector was informed by the manager that the home does not provide intermediate care. Springview DS0000010649.V303522.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, 10 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Residents had been treated with respect and arrangements were in place to ensure that the needs of residents are met. Improvements are however, needed in care documentation and in ensuring that the care needs of residents are fully attended to. EVIDENCE: Feedback received from the five residents interviewed indicated that residents had been treated with respect and dignity. Staff interviewed were knowledgeable regarding the care to be provided to residents. The sample of five case records examined were up to date and plans of care had been reviewed monthly. Details of medical and healthcare treatment Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 12 provided (including appointments with the optician, dental hygienist, chiropodist and GP) were recorded. There was evidence that residents or their representatives had been consulted regarding care plans and had signed accordingly. The plans of care were however, not sufficiently comprehensive as they did not always address the mental, cultural and spiritual needs of residents. This is needed to ensure that the holistic needs of residents are attended to. The case records of a resident on the dementia floor did not have a dementia care plan. A resident on this floor identified as having challenging behaviour did not have a care plan with guidance to staff on how this behaviour is to be managed. These deficiencies were discussed with the manager who agreed that improvements would be made. The manager further reassured the inspector that the home’s care documentation was under review. The medication administration charts examined had been appropriately signed. Residents interviewed stated that they had been given their medication. The temperature of the room (on the ground floor) where medication was stored had been recorded daily. This was not always satisfactory as there were occasions when it was above 25 C. The temperature must be no higher than 25 C in accordance with guidance provided by the CSCI pharmaceutical advisor. Springview DS0000010649.V303522.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, 15 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The daily life and routines of residents were well organised and met the needs of residents. This ensures that residents feel valued and are able to exercise choice and control over their lives. Improvements are however, needed in the kitchen. EVIDENCE: The home had a programme of weekly social and therapeutic activities. The programme was displayed on the ground floor in the reception area. Activities provided were noted to be varied and included arts and crafts, bingo, music, exercise, entertainment sessions and outings. Pottery and other items made by residents was on display in the activities room and on the ground floor next to the kitchen. Residents interviewed were satisfied with the activities organised. The manager stated that the home had two full time activities organisers. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 14 The case records examined contained social care plans and details of activities that residents had engaged in. The inspector was also able to speak to a resident who was due to go on a cruise the same day. The kitchen and arrangements for the provision of meals were examined. The menu examined was noted to be balanced and varied. Residents interviewed said they were generally satisfied with the meals provided and they had a choice of main dish at meal times. One resident stated that slices of meat provided were sometimes too thick. Two residents who returned their completed questionnaires stated that the meat was sometimes too tough. Two others who completed questionnaires suggested more salad be provided. A relative suggested that her mother’s food be minced. This was brought to the attention of the manager who reassured the inspector and provided documented evidence that residents had been consulted regarding meals provided. Due to the concerns expressed, a requirement is made for the provision of meals to be reviewed to ensure that the individual dietary needs preferences of residents are responded to. A daily record of food and fridge temperatures had been kept. However, there was no record of freezer temperatures. The inspector further noted that two racks for drying kitchen items were left on the floor. For hygiene reasons, these must not be left on the floor. This was brought to the attention of the manager and rectified without delay. The laundry was inspected and noted to be well equipped. Linen which had been laundered were noted to be clean. Laundry staff were aware of the need to wash soiled clothing in a special sluice cycle. Springview DS0000010649.V303522.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, 18 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for responding to complaints and for adult protection were satisfactory. This ensures that residents are well treated and protected from abuse. EVIDENCE: The complaints record was examined. There was documented evidence that complaints recorded had been promptly responded to. Staff who were interviewed were found to be knowledgeable regarding adult protection procedures. The staff records examined indicated that staff had been provided with instruction and guidance on adult protection. There was evidence that arrangements had been made for new staff to be provided with instruction and training on adult protection. The five residents who were interviewed stated that they had been well treated and no complaints were received by the inspector. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home was clean, well equipped and furnished to a high standard, therefore providing a nice environment to live in. EVIDENCE: The premises were inspected and found to be clean and well furnished. Residents who were interviewed stated that they were happy with the accommodation provided. No offensive odours were detected. The manager provided confirmation that safety inspections had been carried out on the portable appliances, hoists and gas installations. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 17 Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The staffing arrangements were on the whole, satisfactory. This ensures that residents are supported by a competent and effective staff team. Further improvements are however required in the staffing arrangements. EVIDENCE: Residents who were interviewed indicated that staff were well mannered and had treated them with respect and dignity. The duty rota was examined. It indicated that in addition to the manager, there was normally at least 11 staff during the morning shift, 8 staff during the afternoon and evening shifts and 4 staff on waking duty during the night shifts. Staff who were on duty were interviewed on a range of topics associated with their work (such as health and safety, adult protection, fire procedures and the healthcare of residents). They were noted to be knowledgeable regarding their roles and responsibilities. There was documented evidence that some staff had been provided with essential training. This included food hygiene, healthcare, and health and safety. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 19 The inspector was however, not provided with a comprehensive training plan / profile for all staff. This is required to provide evidence that all staff have been provided with all the required training. The operations director and manager agreed that a comprehensive staff training profile would be provided. The staff records examined indicated that the required recruitment standards and procedures (including obtaining satisfactory CRB disclosures and references) had been followed. Staff interviewed, informed the inspector that there were occasions when the staffing levels were inadequate. They stated that this occurred at times when staff are either on holiday or are on sick leave and replacements were not always provided. Four residents who returned their completed questionnaires also stated that there were times when staffing levels appeared inadequate. In view of the concerns expressed, the registered personr must review staffing levels at the home with staff, residents and their representatives to ensure that the needs of residents are met during the day and night. A report of this review together with any action taken or planned must be forwarded to CSCI. Staff further stated that they worked as a team and had been supported by the manager. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 38 The quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Systems were in place to ensure that the home is effectively managed and to protect the interests and welfare of residents and staff. However, further improvements are required in health and safety and other areas identified. EVIDENCE: The manager (appointed in October 2005) was noted to be knowledgeable regarding the management of the home. He did not have the required NVQ L4 qualifications. However, he provided the inspector with evidence that he had enrolled on a course leading to the RMA. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 21 Residents interviewed were of the opinion that the home was well managed. Compliments had been received from residents and relatives and these were available for inspection. Window restrictors were not engaged in all rooms inspected. These are required for security and safety reasons. This was brought to the attention of the manager who responded promptly to ensure that they were engaged. In addition, he provided documented evidence (on 2 August 2006) that he had arranged for a named staff to carry out health & safety checks each day. The fire log book was examined. The weekly fire alarm tests had been documented. Fire drills and fire training had been documented. None of the drills carried out in the past year had been done after dusk. At least one of these must be done after dusk to ensure that staff are fully aware of the procedure to be followed after dusk. The fire risk assessment was prepared in May 2005. A requirement is made for this to be reviewed by a suitably qualified person to ensure that it is up to date. The emergency lighting had been checked monthly. The electrical installations certificate indicated that only 20 of the installations were checked. This was discussed with the operations manager. The inspector was informed that the rest of the installations would be examined in sequence in the coming years A current certificate of insurance was displayed. The financial records of residents were examined. These did not always contain receipts for expenditure made on behalf of residents. A query made by the inspector regarding hairdressing payments for a particular residents was not promptly clarified due to the lack of supporting receipts. The registered person is therefore required to review the keeping of these financial records to ensure that the records are well maintained. The accounts of the business were not available for inspection. The registered person must send a copy of the latest accounts for the home (as certified by an accountant) to the CSCI. The inspector was provided with evidence that relatives and residents were regularly consulted regarding the management of the home. This was confirmed by residents interviewed. The operations manager stated that the chair person of the residents’ meeting was also involved in the recruitment of the home manager. Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 22 . Springview DS0000010649.V303522.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 2 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 X 2 X X 2 Springview DS0000010649.V303522.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 OP3 Regulation 14(1) Requirement The registered person must ensure that comprehensive assessments (including risk assessments and all items mentioned in Standard 3.3, NMS) are carried out on service users admitted into the home. The registered person must provide comprehensive care plans which address the holistic needs of service users (this must include mental, social, cultural and spiritual needs). The registered person must ensure that medication in the home is stored in an area or areas where the temperature can be maintained at 25° C or below. Timescale for action 01/10/06 2. OP7 13(1) 14(1) 15(1) 01/10/06 3 OP9 13(2) 01/09/06 4 5 OP15 OP15 12(3) 16(2)(i) 16(2)(g) The registered person must ensure that the individual dietary 13/10/06 needs and preferences of residents are responded to. The registered person must ensure that the temperature of the freezer (s) is monitored daily to ensure that food is stored appropriately and a record of this must be kept. DS0000010649.V303522.R01.S.doc 13/09/06 Springview Version 5.2 Page 25 6. OP27 18(1)(a) The registered person must review staffing levels at the home with staff, residents and their representatives to ensure that the needs of residents are met during the day and night. A report of this review together with any action taken or planned must be forwarded to CSCI. The registered person must ensure that staff have received the required essential training (in areas such as lifting & handling, first aid, health & safety, care of residents with dementia and challenging behaviour and administration of medication for those administering medication). Documented evidence of this must be made available for inspection. The registered person must ensure that window restrictors are fitted to all windows and these must be engaged. The registered person must ensure that receipts are obtained for services or items purchased on behalf of residents. The registered person must ensure that the fire risk assessment is updated. The registered person must ensure that at least one of the fire drills carried out in a twelve month period takes place after dark. The registered person must send a copy of the latest accounts for the home (as certified by an accountant) to the CSCI. 13/10/06 7 OP30 18(1)(c) (i) 13/11/06 8. OP38 13(4) 17/09/06 9 OP35 13(6) 13/10/06 10 11 OP38 OP38 23(4) 23(4) 13/10/06 13/10/06 12 OP34 25 01/11/06 Springview DS0000010649.V303522.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. Refer to Standard Good Practice Recommendations Springview DS0000010649.V303522.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Springview DS0000010649.V303522.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!