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Inspection on 21/07/08 for St Anthonys Residential Home

Also see our care home review for St Anthonys Residential Home for more information

This inspection was carried out on 21st July 2008.

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

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

We asked the people living in the home to seek their views of what they felt the home did well. Comments include: "I have been living here for while now, and I would not go anywhere else, the staff are really good, and they enable me to be independent``. "I do what I want to do and when I need help the staff are willing to help me``. A relative said " the staff interact extremely well with the people living in the home I have never heard a bad word said to any body living here, the staff are very pleasant and helpful I come at different times of the week and it is always the same , clean with a lovely atmosphere``.

What has improved since the last inspection?

Care plans and risk assessments have improved so people`s needs are known and can be met safely. Medication management has improved so people receive their medication safely.

What the care home could do better:

We looked at the recruitment records to see if the home ensured when they employ people they make all the necessary checks to ensure they are suitable to work with vulnerable people. There were some gaps that could place people living in the home at risk.

CARE HOMES FOR OLDER PEOPLE St Anthonys Residential Home 126 Sutton Road Erdington Birmingham B23 5TJ Lead Inspector Susan Scully Unannounced Inspection 09:30 21st July 2008 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 St Anthonys Residential Home DS0000016780.V368142.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. St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Anthonys Residential Home Address 126 Sutton Road Erdington Birmingham B23 5TJ 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) 0121 373 7900 0121 382 7911 tkelly.stanthonys@btconnect.com Mr Tim Kelly Mrs Isabel Smith Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 17 Service Users who are over 65 years of age and fall within the category of old age. One named person under the age of 65 years of age at the time of admission can be accommodated and cared for in this home. 3rd September 2007 Date of last inspection Brief Description of the Service: St Anthony’s residential home offers residential care for eighteen older people. The home is a large detached two storey property which has been extensively renovated, extended and decorated to a high standard. The home is situated close to local amenities and public transport. The rooms are all suitably furnished and equipped to meet the needs of the occupants. The decor throughout is homely. St Anthony’s provides a total of fifteen bedrooms consisting of twelve single and three double bedrooms, which are situated on both the ground and first floors. There is an attractive dining room, two lounges and a dedicated smoking area. All bedrooms and communal areas have access to a call system. Whilst none of the bedrooms have en suite facilities there are ample assisted bathing and toilet facilities to meet the current needs of the people living in the home. The home has vertical lift access to the first floor. There is limited parking at the front of the home. The inspector was informed that the fees at the home at the time of the inspection ranged from £406.78 to £428.14. St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 Star. This means the people who use this service experience adequate quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for the people who use the service and their views of the service provided. This means they tell us if the home is meeting their needs, if the home is flexible and suits their life style, and if the home enables them to maintain their independence and preferences. We also assess the homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development The inspection was completed over one day by one inspector. The home did not know that an inspection of the service was taking place. As part of the inspection process three people were case tracked this involves establishing individuals experiences of the service provided or observing practises of individual staff and how they have been trained to deliver a service that promotes the persons well being and choices. We also discuss people’s care and look at care files focusing on outcomes for people. Case tracking can help us understand the experiences of people who use the service. In addition to this, information is looked at during the inspection such as policy’s and procedures, and the general operation of the home in relation to meeting people’s needs. The home is also required to complete an annual quality assurance assessment (AQAA). The Commission sends this document to the provider before the inspection. This is where the home tells us what they feel they are doing well and if and what they could do better. The completion of the AQAA is a legal requirement that the provider must complete as part of the inspection process. This had been completed and some of the information has been included in the report. St Anthonys Residential Home DS0000016780.V368142.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: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 7 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 St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 8 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre-admission process provides staff with the information needed to meet the health and social care needs of the people living in the home. EVIDENCE: We looked at the process for when a person moves into the home and the information given to people and how the home ensures they can meet the person’s needs. This is called a pre assessment. A representative from the home visits the persons before a placement if offered to see if the home can meet their needs. A visit to the home is then arranged so they can if they wish stay for a meal, have a look at their room and meet other people living in the home. Since the last inspection there had been two admissions so we looked at the pre assessments the home had completed for these two people. The pre assessments the information included, a brief summary of the person past history, such as what occupation they use to do, history of their life such St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 9 as did they have any family friend, children and who would be involved in their support. The pre assessments contained information about their hobbies, what they enjoyed such as activities, their medical details and the reason for moving into the home. It gave information about their health, what aids they would need to maintain their independence, and any specialist care that they may need. There was good information in both. If the person chose to visit the home a summary of the day was recorded. A decision was then made if the person wanted to move into the home and if the home felt they could meet the person’s needs. Both parties would then draw up a care plan. Care plans are documents where information is recorded to ensure the care provided by the home meets the persons needs as they choose, such as assistants with washing dressing, likes dislikes and preferences of who they what to support them such as female or male care staff. St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 10 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 needs, preferences and personal wishes of the people using the service are recorded in care plans to ensure they receive individual support to meet their needs. Medication records showed us people using the service receive their medication safely. EVIDENCE: The needs and individual preferences of people living in the home are recorded in individual care plans. People are encouraged to maintain their independence receiving support from staff when required. There is detailed information about the person’s like’s dislikes and how they want to be supported. The staff know the people living in the home very well, and in some cases this means that information is not always recorded on a daily basis. For example how staff assists them when they get up or get dressed, and the quality time the staff spends with them which was clearly evidenced during the visit. St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 11 When we spoke with the staff they gave very positive views of the people living in the home, not just what was wrong with them but individual personal information such how they like to look, what shampoo they use, their routine, past history and in some cases where they had grown up. The three care plans seen contained the information required to enable staff to care for the people living in the home safely. Assessments had been undertaken and care plans drawn up to address the needs that had been identified. The equipment people used such as pressure relieving mattresses, pressure cushions, zimmer frames, walking sticks and wheel chairs were recorded. This meant the staff had the information available to ensure people’s needs were being met. Risk assessments had been carried out where concerns had been identified. It was recommended that these be clearly supported by care plans that advised staff how the risks should be managed, reduced or eliminated. Daily records and information relating to visits by health care professionals were very detailed giving information to staff why other professionals where involved in the persons care. The three care plans seen had been reviewed to ensure the information was current. It was recommend any deterioration experienced by the people in the home that an interim care plan and risk assessment is completed. This will show where progress has been made and identified risks that are not normally present. Health care professionals commented; “The clients we see all appear to be extremely well cared for’’. The healthcare of the people living in the home is closely monitored and additional specialist support and advice is sought from the primary health care team, and other health professionals, when necessary. The individual plan of care records the level of personal and healthcare attention needed by each person within the home. Everyone is also supported by staff to attend for routine dental appointments, sight tests and for chiropody treatment. Medication records showed us the home ensures peoples medications are administered safely with adequate records maintained. We looked at the medication for three people, each person’s medication was correct when we sampled the administration records (MAR charts) against the contents of the blister packs and boxed medication. St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 12 The inspector spoke with three people living in the home and they all confirmed that they were happy with their care. Communication between the home and the family was good. One relative said there is a lovely atmosphere. She could speak to anyone. The manager is always approachable and always knew what was going on. One person who said “if you ask for something then it is there’’. “I have never been refused any thing since I came to stay here. One person said “The staff are great’’. One relative said “’The care is wonderful’. “Every effort is made to look after my mother to the highest standard’. Another relative said ‘Everyone at the home treats my relative with the respect and cares for them the way I would wish for myself’. St Anthonys Residential Home DS0000016780.V368142.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. People living in the home make choices on a daily basis that enhance their quality of life in the home. Social interaction is enjoyed at meals time with nutritious and varied meals available. EVIDENCE: Regular meetings take place so people living in the home can be involved in the day-to-day running of the home, raise issues, and decide on things such as meals, outings and activities. People spoken with also said that they were able to make choices on a daily basis such as when they got up and went to bed and how they wanted their care to be delivered. The interaction observed between staff and the people they supported was very good. The staff spoke to people with respect addressing them as per their choice. Two visitors spoken with said that they were made welcome at all times. St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 14 Meals are served in the attractively decorated dining room with tables dressed to a good standard. A choice of meals was available and offered at the time of each meal. A menu displayed on the notice board and in the dining room referred to the current week Menus offered varied and nutritious meals. The cook interacted with the people living in the home to ensure that their likes and dislikes were considered. The meal time is a time for social interaction for the people living in the home and people were seen to interact very well with both staff and each other. The meal time was pleasant and relaxed. There was adequate supervision and assistance was offered sensitively as required. People were not rushed during the meal. Hot or cold drinks are available throughout the day and people can ask for snacks at any time. The meals are well presented and people spoke with said that the meals were really good and they had plenty to eat, one said sometimes they give you too much. The kitchen is domestic in style, and the food is stored appropriately. Temperatures of fridges and freezers are kept to ensure the food is fresh. The kitchen is cleaned to a high standard. St Anthonys Residential Home DS0000016780.V368142.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 adequate. This judgement has been made using available evidence including a visit to this service. There is good information to inform people how to raise complaints and these are dealt with robustly when they are received. There are clear procedures to deal with any allegations of abuse that may be made. This means people are protected and cared for safely. The recruitment process may place the people using at risk if not followed correctly. EVIDENCE: We spoke with the people living in the home about complaints if they knew who to complain to if they had a problem, we asked if they felt the staff team would listened to their concerns and if they felt that they were taken seriously. Comments include: “What is there to complain about, the home is clean, comfortable with lovely staff’’ I would speak with Isabel the manager you only have to tell her something and it sorted out’’. “Its not like complaints, it may be a little grumble’’. “I would tell staff’’. The complaints procedure is displayed on entry to the home. Two relatives said they had a copy of the complaints procedure, but they would normally speak to Isabel and she would address any concerns they had. St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 16 There had been no complaints since the last inspection. The people living in the home were very comfortable in the presence of the staff and the manager which would give them the confidence to raise any concerns. The staff are taught about abuse awareness and they have written guidance to help them identify any possible abuse and to report it. The staff met during the inspection visit confirmed that they had received training to help them recognise and report any abuse. There haven’t been any allegations of this type made about this service since the last inspection. Recruitment records seen indicate that the process is not followed robustly to fully ensure people are protected. When we looked at the recruitment files for the newly appointed staff references were not current for example one reference was dated 1997, the person had commenced employment in June 2008. The person did not have a current CRB (criminal record check) and there were significant gaps in their employment history. In the other file sampled again references were not current and this person had also commenced employment in June 2008. They also did not have a current CRB and no clear employment history. By not having all the information about people’s suitability to work with vulnerable people could place people living in the home at risk of harm. St Anthonys Residential Home DS0000016780.V368142.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&26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a comfortable clean home that meets their needs. They have access to the garden for fresh air, exercise and recreation. The risks of cross infection are reduced as much as possible by the equipment and systems in place. EVIDENCE: The information from the last inspection report has been quoted as there are no changes to report “The home was very well maintained, safe and comfortable. The home has an ongoing plan for refurbishment and redecoration. The people living in the home were clearly very comfortable and those spoken with stated they were very happy with the environment. There was ample communal space at the home with two lounges and a dining room all of which were nicely furnished and decorated. All Community rooms are warm and well furnished with plenty of clear walking St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 18 area and well lit. There are two lounges for people to use, one used as a quiet room for reading and quieter pursuits the other for television and social activities.’ There were adequate numbers of toilets throughout the home. The people living in the home had a choice of either having a bath or a shower. Both the bathroom and shower room were fully assisted facilities. The shower room had been refurbished and both rooms were very pleasant. The toilet and bathing facilities ‘Bathrooms and toilets were very clean, warm, well lit, with ample equipment for easy use by residents’. The aids and adaptations throughout the home met with the needs of the people living in the home and included hand and grab rails, shaft lift, ramps and emergency call system’’. The manager and staff pride themselves in ensuring people living in the home have a comfortable environment to live. People’s personal belongings are looked after by staff. The home is clean and fresh. All parts of the building is pleasantly decorated to a good standard. St Anthonys Residential Home DS0000016780.V368142.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 adequate. This judgement has been made using available evidence including a visit to this service. The home has an experienced and competent team of staff, who are able to ensure that the needs of service users living at the home can be effectively met. Further development is required in the recruitment of staff to ensure the people living in the home are fully protected. The training programme available to staff ensures that they understand their role, and therefore are able to provide appropriate care and support to the people living in the home. EVIDENCE: The staffing arrangements are carefully organised to maintain a satisfactory level at all times. There is no reduction in the level over weekends and a staff member is ‘on call’ so that any unexpected absences can be covered. There is a low turnover of staff so people living in the home benefit from carers who know them well. It also indicates that working conditions are comfortable. All staff receives regular training to ensure they can meet people’s needs. This includes first aid, health and safety, infection control, NVQ2 in care, manual handling, and adult protection. When we looked at the training records some staff required an update in adult protection, first aid and fire safety. The St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 20 manager said this is all in hand and produced the training plan for the coming year. We looked at five staff files; two people had commenced employment in recent weeks. All staff files contained a POVA first Check) protection of vulnerable adults check) three staff files had information that ensured they were suitable to work with vulnerable people including CRB (criminal records bureau check). Two staff files were incomplete which could place people living in the home at risk. For example, in one file the staff member had commenced employment on 27 June 2008, there were no current references as the ones contained in the file were dated 29 May 2002, and 2nd December 2002, there were no references from the person’s previous employer and significant Gaps in the persons employment history. In addition to this the person CRB had not been returned. In the second file looked at the references were dated 27 January 1997 this person had commence employment in June 2008. We discussed our findings with the manager who said that she would ensure current references were sought, and assured us that under no circumstance had staff worked without supervision as they had been on shift with her. It was regrettable that records of supervision were not maintained, however the rota confirmed that when the staff were on duty the manager was present. The manager must ensure that robust recruitment procedures are followed to fully protect people living in the home. St Anthonys Residential Home DS0000016780.V368142.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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed so people living in the home receive the best possible care. The management and staff are constantly working to improving the quality of the service for the people who live in the home. EVIDENCE: There is clear evidence that the manager and her staff know and look after the people living in the home well. The positive interactions observed between staff and the people living in the home showed how the staff and management respect their choices and preference of how they want to be supported. The Registered Manager is experienced and competent to manage the home. St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 22 Relatives said that the management was ‘approachable’ and ‘knew what was going on’. Staff said that she was; ‘Nice’. ‘Approachable’. ‘Easy to get on with’. ‘Lovely’. The people living in the home said, staff and the manager were very approachable kind and looked after them well. The health and safety and maintenance manual demonstrated that equipment and services were regularly monitored and serviced. This was endorsed by the information in the AQAA. The fire risk assessment was available for the home and checks were regularly undertaken of the fire safety systems. Staff received training in health and safety matters including fire safety. Training records were seen and staff confirmed that they had had the training. The quality assurance is in the early stages and the manager and administrator recognised that this must be completed. This will also assist and identify any improvement needed and what the service does well. St Anthonys Residential Home DS0000016780.V368142.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 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 x x x x x x 4 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 4 x 3 x 3 x x 3 St Anthonys Residential Home DS0000016780.V368142.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 OP29 Regulation schedule 2 19(4) (a)(b) Requirement Recruitment practises must demonstrate that all the necessary checks have been completed to ensure new employees are suitable to work with vulnerable people. Timescale for action 01/09/08 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 OP3 Good Practice Recommendations It is strongly recommended that a copy of the social workers assessment is obtained prior to the admission of any people to the home. This will ensure the staff at the home have comprehensive information about the individual. Staff should ensure that daily records are exact and detail exactly what has happened in the event of any incidents. It is strongly recommended that a drug trolley be obtained for the storage and transporting of medication. 2. 4. OP8 OP9 St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 25 5. 6. OP10 OP30 Personal details about the people living in the home should not be recorded in a communal book. It is recommended that the home has a training matrix that details the dates and training undertaken by all staff and when they are due for an update. It is recommended that wherever possible two staff signs for any expenditure made on behalf of the people living in the home. The hairdresser should sign the receipts issued. 7. OP35 St Anthonys Residential Home DS0000016780.V368142.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 St Anthonys Residential Home DS0000016780.V368142.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. 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