Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 23/03/06 for St Paul`s Residential Home

Also see our care home review for St Paul`s Residential Home for more information

This inspection was carried out on 23rd March 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Service users appeared well cared for during the inspection. There were sufficient staff on duty to meet the needs of the service users, many of whom were supported to start the day in the manner in which suited them best Service users are enabled to be as independent as they like to be. One service user commented on how he liked the fact that night staff saw him `in case he got poorly` and this was clearly very reassuring to him. Staff and service users appear to have positive relationships with each other.

What has improved since the last inspection?

There have been changes to the home that at this time, have not had an impact on service users living there. The improvement to the quality of the accommodation planned will hopefully further enhance the lives of the service users who live there. Two of the eight requirements and three of the five recommendations have been met since the last inspection.

What the care home could do better:

Requirements regarding medication and one regarding recruitment have been carried forward. Medication records must be clearer, so the record shows the reasons why service users may not have been given their medication. These codes must be used consistently. Dates must be written when opening medication that is liquid or cream. Records must be kept when medication is administered by other health care professionals who come to the home. Service users commented on some elements of the food available to them during the inspection. Arrangements have been made that the registered manager will bring in some specially prepared foods, whilst other meals are bought from a local restaurant on occasion, in order to meet the diverse nature of foods that enhance service users` experience. It was clear that this was valued, but this could be improved, so that a choice may be available on a regular basis, rather than on an `ad hoc` basis. It is important to say that one service user does receive food prepared with regard to her religious preferences. Staff and service users may benefit from further training and awareness in adult protection, especially in the procedure used in Gloucestershire. Evidence of gaps in employment history must be recorded, for future reference. Service users` financial records need to be clear, especially where the registered manager acts an appointee. Fire safety records, such as equipment checks and staff drills must take place as frequently as the guidance states. This helps to ensure that service user safety is never compromised.

CARE HOMES FOR OLDER PEOPLE St Paul`s Residential Home 127-129 Stroud Road Gloucester Glos GL1 5JL Lead Inspector Jacqui Burvill Unannounced Inspection 23rd March 2006 09:15 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 Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 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 Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Paul`s Residential Home Address 127-129 Stroud Road Gloucester Glos GL1 5JL 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) 01452 505485 Mrs Mobina Sayani Mrs Mobina Sayani Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: St. Pauls Residential Home is registered to provide personal care for 14 older people. The accommodation is in a busy area of the city comprising two older style houses that have been joined and adapted for their purpose. Service users accommodation is situated on the ground and first floors in both parts of the house and is all single accommodation, though one of the rooms can provide shared accommodation for a couple if required. There are no ensuite facilities, though rooms have a hand washbasin and a commode can be provided if required. One fixed bath hoist is available in order to provide assisted bathing facilities together with alternative domestic style baths. The first floor in both parts of the house is accessible by stairs, or by a chair lift in one part of the house. A shaft lift has also been installed to provide easier access. A combined lounge and dining room is situated on the ground floor with a small adjacent lounge that is used as a smoking room. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This short notice inspection took place on 23rd March and lasted from 9.15am to 3.15pm. This inspection looked at key standards not inspected at the last inspection and the requirements and recommendations set at the last inspection. The inspector arranged this at short notice in order to gather views of service users and relatives. Comment cards were sent to 14 service users and their relatives. Only one comment card from a relative was returned before the inspection took place. A further two were collected during the inspection, along with ten service users’ comment cards. The registered manager stated that staff had helped service users complete the comment cards. Relatives commented that they felt all staff do an excellent job in providing care. Another relative stated how satisfied they were with the care received over the years. Staff commented on ‘how you can have a laugh with the residents’ and about how they enjoyed working in a small home with a family type atmosphere. Staff also said they had regular team meetings and supervision, although they were less sure about receiving an induction. The inspector met with the registered manager, (who is also the owner of the home) as well as four service users and five staff. There was a tour of the home. The following records were looked at: admission assessments and initial care plans, medication and medication records, staff recruitment records, financial records, quality assurance, accident records, fire safety records and policies and procedures. What the service does well: Service users appeared well cared for during the inspection. There were sufficient staff on duty to meet the needs of the service users, many of whom were supported to start the day in the manner in which suited them best Service users are enabled to be as independent as they like to be. One service user commented on how he liked the fact that night staff saw him ‘in case he got poorly’ and this was clearly very reassuring to him. Staff and service users appear to have positive relationships with each other. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Requirements regarding medication and one regarding recruitment have been carried forward. Medication records must be clearer, so the record shows the reasons why service users may not have been given their medication. These codes must be used consistently. Dates must be written when opening medication that is liquid or cream. Records must be kept when medication is administered by other health care professionals who come to the home. Service users commented on some elements of the food available to them during the inspection. Arrangements have been made that the registered manager will bring in some specially prepared foods, whilst other meals are bought from a local restaurant on occasion, in order to meet the diverse nature of foods that enhance service users’ experience. It was clear that this was valued, but this could be improved, so that a choice may be available on a regular basis, rather than on an ‘ad hoc’ basis. It is important to say that one service user does receive food prepared with regard to her religious preferences. Staff and service users may benefit from further training and awareness in adult protection, especially in the procedure used in Gloucestershire. Evidence of gaps in employment history must be recorded, for future reference. Service users’ financial records need to be clear, especially where the registered manager acts an appointee. Fire safety records, such as equipment checks and staff drills must take place as frequently as the guidance states. This helps to ensure that service user safety is never compromised. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 7 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. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 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 St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 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 and 6 Standard 6 does not apply to this service. Service users’ needs are assessed prior to a placement being offered, to ensure they needs are met. This would be enhanced by the registered manager completing an assessment. EVIDENCE: Service users’ admission details are recorded on the kardex system used to record the service users’ care plan. There was one example where the registered manager had used a comprehensive health and personal needs check list to record information about the service user. On two occasions, the service users had come to the home for a day prior to admission. This visit is used as an assessment period, at which staff can also say whether they feel they are able to meet the needs of the service users. In both these cases, the service users had an assessment completed by a care manager and a care plan written by the care manager was given to the home. However, the registered manager had not completed any record of her own assessment of the service users’ needs. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 Standards 7, 8, 9, 10 were assessed at the last inspection. Standard 9 was reassessed as there were requirements and recommendations set at the last inspection. Service users are at risk from poor recording systems when medication is administered. EVIDENCE: Medication was observed being given to one service user. The medication records and the systems for storing medication were seen. Medication administration records are not clear, as staff are using a code not recognised on the MAR sheet. This includes ‘F’ or ‘X’ without any definition of what this means. It appears as though this is being used in place of ‘R’ for refused or ‘O’, which stands for ‘other’ and then needs a definition attached. ‘A’ has been used as a code in place of ‘F’ when the service users were clearly present in the home as the record showed they received other medication at the same time. Since the last inspection, the registered manager has re- introduced the medication policy and procedure to staff and this is in front of the MAR sheets St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 11 and has introduced a new medication administration system designed to reduce risks. A lockable trolley has been introduced since the last inspection. When not in use, medication is locked in a cabinet secured to the wall. The 13 staff who administer medication have received Asset training in Safe Handling of Medication from Stroud College. The guidance in the medication file also refers to points raised at the last CSCI inspection. This includes the fact that dates must be written on the boxes when medications such as creams and liquids are opened. This has not been done consistently. Where service users self medicate, the record is confusing- the MAR indicates the service user may partly self medicate, but this is not supported by the care plan. There is a checklist which assesses the service users’ ability to take their own medication, but this record has not been signed or dated. In one case, a community nurse administers medication. No record of this medication administered is held in the home. This is especially important for this service user as their diabetes is unstable and the community nurse is administering a dose linked to the most recent blood sugar level. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 12 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): 14 Standards 12, 13 and 15 were assessed as met at the last inspection. Service users exercise some choices over their lives, which could be further enhanced. EVIDENCE: Four service users were spoken with at length. The inspector asked about their experience of care in the home. One service user commented about concerns he had over his finances and discussed this with the registered manager and his family until he reached a satisfactory conclusion. This service user said he was ‘happy enough here’. Another service user who had lived in the home for five years still felt that ‘it’s not like home’. This service user also commented that staff are always busy and there is no time to talk. Staff when asked, said there was more time in the afternoon and evening to sit and talk to service users, although none were observed doing so during the inspection. Other service users said they were able to bring small items into the home although another had chosen not to. Information on advocacy services is displayed on the notice board. Service users were asked about their preferences. A small number of service users said that they would like some food from their country of origin, and one service user speaks a language no one else in the home apart from the registered manager speaks. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 13 Some service users enjoy attending a centre with other people from their ethnic origin, although this has changed recently and one service user commented that she did not like the services so much in the new centre. These equality and diversity issues should be addressed, so that service users are able to share their preferences and have staff respond to them appropriately. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Service users’ complaints are listened to and acted upon. Service users are protected from abuse by a range of systems, which would be enhanced by staff increasing their knowledge and awareness. EVIDENCE: There have been no complaints since the last inspection. The registered person responds to individual minor complaints in the home, such as the TV being too loud, at the time. There have been no major complaints that have been recorded. There is a complaints policy and procedure with timescales that states the home is committed is listening to views of the service users. A copy of the complaints procedure is in the service user guide, and there is also one in service users’ rooms. When asked, service users knew who to voice their complaints and concerns to. There is a complaints form for recording complaints. The registered person has devised a range of policies and procedures, by identifying each individual standard and how it is to be met in the home. There is a ‘signs of abuse’ procedure, which is in line with the ‘No Secrets’ guidance in Gloucestershire. The registered manager uses training purchased from Action on Elder Abuse. Training for trainers is available within Gloucestershire and the registered manager and the deputy manager are enrolled on this course. Staff are currently doing this training is small groups. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 15 There are a range of policies and procedures on restraint, bullying, harassment and whistle blowing. When asked, staff were aware of an adult protection procedure of sorts- one staff said ‘there’s a number somewhere we can call.’ The procedure for dealing with complaints and abuse is displayed on the staff notice board; this includes details of how to contact the local CSCI office. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 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 Standard 26 was assessed with a minor shortfall at the last inspection. Service users live in a safe environment. Its maintenance is in the process of being upgraded. EVIDENCE: St Paul’s is situated on a busy crossroads, close to Gloucester city centre. Service users enjoy the relative easy access they have to local shops and facilities. The home is arranged over two floors. There is a chair lift and a shaft lift to the first floor. Service users have individual bedrooms. There are no ensuite rooms. There are communal bathrooms and toilets. The home is currently being extended by the adjoining property and at the rear of the home. The new accommodation next door will provide ensuite bedrooms. There are plans to upgrade the present accommodation and service users will be moved across to the new build, once this is completed. A garden will be created out of the remaining space. These plans have been shared with the inspector in the Gloucester office. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 17 The home was safe, clean and tidy on the day of inspection. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 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): All of the above standards were assessed at the last inspection. EVIDENCE: There were three requirements and one recommendation regarding recruitment. Only one requirement has to be carried forward. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Service users benefit from a registered manager who seeks to discharge her responsibilities fully. The views of service users are sought and seeking other viewpoints would enhance this. Service users may be at risk due to unclear recording with regard to aspects of their financial records. Some aspects of a lack of fire safety checks and staff drills may put service users at risk in the event of a fire. EVIDENCE: The registered manager has been running care homes since 2002. She has NVQ level 4 and the Registered Manager’s Award. She aims to keep her training updated in line with the staff team and attends the same courses. She is also a qualified pharmacist and keeps her on going professional development updated as well. As previously stated, the registered manager has plans for St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 20 upgrading and improving the home as well as increasing the number of beds to 22. The deputy manager has been organising service users’ surveys as part of his Registered Manager’s Award training. There is also a survey in place for relatives, although none have been created for stakeholders, or other professionals who may be able to comment on the home. There is a service users’ meeting every three months and the registered manager also meets individually with the service users and makes a record of any issues raised, so that they can be dealt with. There is a policy and procedure around quality assurance and notes were seen of a service users’ meeting on 15.03.06, although no names were recorded as having attended. The home believes in providing the highest quality care and accommodation in keeping with the aims, objectives and philosophy of the home. Service users’ financial records were seen. Receipts are in place for those service users that require this support. However, in one case, there not clear records of transactions taking place where the registered manager acts as an appointee. This is where the service user’s pension is collected and money then transferred to the Registered Manager’s account to contribute towards the cost of care. The entries only show personal allowance being passed to the service user. Fire safety records were checked. There is a weekly check on fire alarms and on 7/12/05, staff received training with Gloucestershire Fire Brigade. Some checks have not been carried out as frequently as the guidance states; fire fighting equipment was last checked on 21/04/05 and there is a form for six monthly checks on door closures, with the last check taking place on 24/06/05. The last record of a fire drill taking place was on 21/03/05. The guidance states that staff must receive a drill at least once a year. On that occasion, only two staff were recorded as having attended. The accident record was seen and appeared to be in order. St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 21 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 X X 2 St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14(1)a, b, c, d Requirement The Registered person must ensure that an assessment is recorded of the service users’ needs when an assessment takes place in the home. The Registered Person must ensure that all staff administer medication in a safe and secure manner using the MAR sheets as part of the process. Timescale of the 21/1/05 and 12/07/05 was not met. (Carried forward from the last inspection) There is evidence that parts of this have been met with a trolley and MAR sheets in use. The Registered Person must ensure that records are maintained of all medication administered in the home. Timescale of 12/06/05 was not met. (Carried forward from the last inspection) Records show staff are not recording medication codes correctly, which may lead to errors. DS0000031351.V275706.R01.S.doc Timescale for action 30/05/06 2. OP9 13 (2) 30/05/06 3. OP9 17(3i) 30/05/06 St Paul`s Residential Home Version 5.1 Page 23 4. OP9 13(2) 5. OP9 13 (2) 6. OP18 13 (6) 7. OP29 19 Sch. 2 8. OP33 24 (1) (2) 9. OP35 17 Sch.4.8,4. 9(a)(b) The Registered Person must ensure the expiry date of opened liquid medications is recorded to ensure no service users are put at risk by the home using medication that is out of date. Timescale of 12/06/05 was not met. (Carried forward from the last inspection) Not all of the liquid or topical medication had a date recorded on it when it was opened. The medication record must show when medication and the name what amount was administered to service users by another health care professional. Staff must receive training on adult protection policies and procedures as well as the signs and symptoms of abuse. This must include the Gloucestershire ‘No Secrets’ procedure. The Registered Person must obtain written satisfactory explanations of any gaps in employment. (Carried forward from the last inspection. Target date of 30/06/05 not met) There were gaps on the application form relating to the employment history of two new employees. There was no evidence to suggest these gaps had been discussed, although the registered manager said she had done so. The quality assurance surveys must be completed and culminate in a final report for the local CSCI office. Service users’ financial transactions must clearly show all monies that have been received from the service user (when acting as appointee or DS0000031351.V275706.R01.S.doc 30/05/06 30/05/06 31/08/06 30/05/06 31/08/06 30/05/06 St Paul`s Residential Home Version 5.1 Page 24 10. OP38 23(4)(ac)(i)(iv)(v ) 23 (4) (e) 11. OP38 any such other circumstance). This must include all deductions made, such as contributions towards care costs. Checks on fire safety equipment and door closures must be completed as the guidance states. All staff must receive a fire drill at least once a year. 30/05/06 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The home should include more detail on what staff need to do to care for service users who need personal care and for when the staff need to maintain the service users’ safe environment. (Carried forward from the last inspection) The home should review their homely remedy list with the service users’ individual GPs. (Carried forward from the last inspection, as there is no written evidence in the home except for new service users.) Equality and diversity issues should be addressed, so service users are able to communicate with staff in their preferred language, and be regularly offered meals that reflect their cultural origin. The quality assurance survey should include the views of stakeholders and other care and health professionals. 2. OP9 3. OP14 4. OP33 St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 St Paul`s Residential Home DS0000031351.V275706.R01.S.doc Version 5.1 Page 26 - 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!