Inspection on 25/07/06 for St Vincents House

This inspection was carried out on 25th July 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

St Vincents House 16/03/09

St Vincents House 22/09/08

St Vincents House 30/06/08

St Vincents House 21/01/08

St Vincents House 16/07/07

St Vincents House 05/02/07

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 St Vincents House Queen Caroline Street Hammersmith London W6 9QH Lead Inspector Tony Lawrence Unannounced Inspection 25th July 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Vincents House DS0000066934.V299539.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 Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Vincents House Address Queen Caroline Street Hammersmith London W6 9QH 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) 07776 256043 Care UK Community Partnerships Ltd Mrs Karen Madeleine Ottaway Care Home 92 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (68) of places St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. On the Ground Floor Unit up to 10 people may be aged between 50 and 65. Date of last inspection Brief Description of the Service: St Vincent’s House is a purpose built registered care home providing nursing care for elderly frail people and people with dementia. There is also a separate unit on the ground floor for people aged 50-65. The home opened on 3rd April 2006 and this is the first key inspection of the service. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Tuesday 25th July 2006 from 10:00 am – 4:00 pm and Wednesday 26th July 2006 from 9:45 am – 2:00 pm. Tony Lawrence, Regulation Manager and Jackie Derbyshire, Regulation Inspector, carried out the inspection. During the inspection they spoke with service users, staff and managers. The care of six people was tracked by talking with them and their key workers and reviewing care records kept in the home. The home provides very good standards of accommodation, but there is an urgent need to improve staffing levels and care practices. The weekly fee for the service is £719 - £900. 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. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 6 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 Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Quality in this outcome area is adequate. This judgement is based on all available evidence, including a visit to the service. The home provides clear information for new service users and there are clear referral and admission procedures. Each person living in the home should have a contract or statement of terms and conditions. EVIDENCE: The home’s Statement of Purpose, Service Users’ Guide, referral and admission policies and procedures were all agreed with the Commission when the home opened. During this visit the Inspectors checked the care plan files of six people who have moved into the home. Each of the files included a care needs assessment completed by a local authority care manager/social worker or a senior member of staff from the home. None of the files included an individual contract that details the services provided to the individual service user. The Manager explained that the home has block contracts with the local authority’s Social Services Department and the Primary Care Trust. There are also a St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 8 number of places for people who are funding their own care and people placed by other local authorities. Care UK must make sure that each person living in the home has a contract or statement of terms and conditions that includes the details required to meet Standard 2 of the National Minimum Standards for Care Homes for Older People. There is also a need to make sure that all assessments are completed before, or shortly after, a person is admitted to the home. The Inspectors noted that, although the forms are available, falls, continence and handling assessments have not been completed for all service users. The Manager must make sure that these assessments are completed by someone qualified to carry out these essential assessments. The Manager confirmed that the home does not provide intermediate care services. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is poor. This judgement is based on all available evidence, including a visit to the service. Although each service user has a care plan, there is a need to make sure that basics standards of care are achieved and maintained for each person living in the home. EVIDENCE: During this visit the Inspectors checked the care plan files for three elderly frail people living on the first floor and three people with dementia living on the third floor. Staff explained that the home has a computerised care planning and recording system. Each person has a care plan on the system and these can be printed off. The care plans seen included some clear goals for each person, although the goals tend to concentrate on people’s healthcare needs. More work is needed to make sure that social care needs are also reflected in the care plans. As noted in Standard 3, staff must also make sure that care plans include any assessments that are needed, as well as other information. For example, one service user spent time talking at length with an Inspector about their life, but none of this important history was recorded on the care plan. Unless assessments and other information are recorded, staff cannot evidence how St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 10 they are meeting individual’s care needs. Staff must also make sure that daily progress notes completed on the computer system accurately record the care that is given or offered to individuals. This information must also be linked to goals identified in the care plan. For example, two people’s care plans included their wish to have a bath at least twice a week. When the Inspector checked the daily care notes for both people, there was no evidence that they had been given or offered a bath in the previous three weeks. When asked, staff said that one person often refuses, but this should be recorded in the daily notes. The major concern following this inspection is the poor standard of personal care on the first floor. The Inspectors saw entries in the staff communication book where staff are asked to make sure that service users are helped with their personal care. The book includes recent incidents where service users have been found wearing soiled incontinence pads and soiled underwear. It is stated that service users have been left in this condition for significant periods and care staff have not responded to make sure that people are clean and comfortable. Inspectors were concerned that staff are recording examples of poor care practice, but these are not being identified by nurses who are the designated shift leaders. These concerns were discussed with the home’s Manager who said that she had not been made aware of any concerns, although regular meetings are held with senior staff in the home to review practice. The home’s Manager and senior staff must make sure that all staff working in the home are aware of the importance of treating service users with respect and dignity in regard to their personal care needs. Basic standards of personal care on the first floor must be significantly improved as a matter of urgency. There is also a need to make sure that risk assessments are completed for individual service users. Inspectors did see risk assessments for two service users, one with challenging behaviours and another for a person who is at risk of wandering. Other risks identified in care plans, including falls and manual handling have not been assessed. The Manager and senior staff must make sure that risk assessments are completed as required. The Inspectors checked the medication records on the first and thirds floors. The Commission has been notified of serious errors in the management of controlled medication and the Manager confirmed these are being addressed through the home’s disciplinary procedures. Additional training in the management of medication has also been arranged. Medication is securely stored in lockable rooms on each floor. Room and fridge temperatures are recorded daily. Opening dates are recorded on bottles of eye drops. The Inspectors checked the medication Administration Record sheets and saw no errors. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is poor. This judgement is based on all available evidence, including a visit to the service. The provision of appropriate activities needs to be improved. EVIDENCE: During this visit, the Inspectors saw little evidence of organised or spontaneous activities involving individual service users. Staff told Inspectors that they do not have opportunities to sit and talk with individuals, as there is little time left after they have supported people with their physical care. Care plans reviewed by the Inspectors included little information about individual’s leisure interests or hobbies and how they would be supported to maintain these. Daily progress notes concentrate on physical care issues and there is little mention of visitors or activities. Information on activities on the home’s computerised care planning system has not been completed. The home employs specialist staff with responsibility for assessing service users’ leisure needs and enabling access to appropriate activities. On the second day of this inspection, service users were told that a music therapy session would be held in the afternoon. An Inspector observed the session, where three activities staff sat with nine service users and watched a Bee Gees video. For most people in the home the majority of their time was spent in the lounge areas, where the TV’s are left on at all times. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 12 Staff in the home must make sure that service users’ interests are recorded and activities plans are prepared for each person. Service users’ care plans seen by the Inspectors included contact details of relatives, friends and other significant people. It was difficult to assess whether or not people are supported to stay in touch with relatives and friends as there was little evidence of visitors, phone calls, letters etc in the daily progress notes completed by staff. The home has clear policies and procedures on the management of service users’ finances. The Inspectors checked the finance records for two service users and these were well maintained and up to date. Dining rooms in the home are bright and spacious, providing attractive places for people to eat their meals. The home uses a cook/chill system for preparing meals in the home. The menu is varied and nutritious and the Inspectors were impressed with the variety of culturally appropriate foods that are available. Service users who spoke with the Inspectors said that they usually enjoyed the food provided. There is a need to make sure that more fresh foods, salads and fruit are available. For example, catering staff were unable to produce ingredients for a cooked breakfast when asked and the home only had stocks of fresh salad for a very small number of people, despite the very hot weather. Inspectors also noted that there was no fresh fruit available in communal lounges. During the recent hot weather, staff told the Inspectors that they have been completing nutrition and fluid charts for all service users. There is a need to make sure that these records are completed fully. Fluid totals should be included on each record and more detail is needed on the food eaten by service users – recording ‘breakfast’ or ‘lunch’ does not provide sufficient detail to enable staff to assess individual’s nutrition. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 13 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. Quality in this outcome area is poor. This judgement is based on all available evidence, including a visit to the service. Although complaints are well managed, managers must make sure that all staff are aware of adult protection policies and procedures. EVIDENCE: Information provided by the home’s Manager before this inspection shows that there have been two formal complaints since the home opened in April 2006. The Inspectors checked the complaints record and saw that both complaints resulted in detailed investigations by the home’s Manager. Copies of the investigation notes and letters sent to complainants following the investigations are on file. There is a need to make sure that all staff are aware of adult protection issues and how they should respond. The Manager and staff confirmed that adult protection was included in the induction training completed by all staff, but there is a need to make sure that the theory becomes part of staff members’ daily practice. For example, staff on the first floor recorded that a service user told them she had been ‘handled carelessly’ by a member of staff, their legs had been banged when they were transferred and they were left in a cold toilet for a long time. This should have triggered an adult protection investigation, but the unit head took no action and the Manager was not aware of the incident. The Manager must make sure that all staff are aware of and follow the local adult protection procedures. The local authority and the Commission must also be notified of any adult protection concerns. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 14 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): 19,20,24,25 and 26 Quality in this outcome area is good. This judgement has been made using all available evidence, including a visit to this service. The home is safe and comfortable with pleasant surroundings. EVIDENCE: St Vincents is a new building with all new fixtures, fittings and furniture that has been open for four months. The Inspectors had a full tour of the home and saw all communal areas and 16 service users’ bedrooms. The Inspectors felt that all rooms were individual and comfortable. Some people had brought in items of their own furniture and other personal possessions. Communal areas were comfortable with lounges and dining rooms on each floor. There is an alarm call system throughout the home with security cameras at the reception area. There is a large garden that service users were enjoying on both days of the inspection. The home employs domestic staff to do all the cleaning. All 3 floors were seen to be clean and tidy on both days of this inspection. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is poor. This judgement is based on all available evidence, including a visit to the service. There is a need to increase staff numbers to make sure service users’ care needs are met. Staff also need more training and supervision. EVIDENCE: The home employs a mix of qualified nurses and unqualified care staff. Staff who spoke with the Inspectors were caring, enthusiastic and positive about their work. However, the Inspectors were concerned that many of the new care staff have little or no experience of caring for vulnerable older people. Although staff were friendly and welcoming, the Inspectors felt that the induction training carers have received has not equipped them with the skills needed to provide adequate standards of care for vulnerable elderly people and people with dementia. This has resulted in examples of poor practice being repeated, not picked up or addressed by unit heads and managers in the home. Additional training must be provided to make sure that service users are cared for safely. Each member of staff must have an individual training and development assessment and profile. On the first day of this inspection, only 3 care staff and 1 nurse were on duty on the first floor, providing care for 23 frail elderly people. Staff were extremely busy all through the morning, supporting service users with their personal care and breakfast. Care staff told the Inspectors that they have little time to do anything more than personal care and breaks are often missed to make sure service users are supported. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 16 On the dementia care unit, 4 care staff and 1 nurse were on duty, caring for 24 people with dementia. On both floors, the nurses were occupied with clinical tasks, including the administration of medication and care staff were struggling to provide more than basic personal care for service users. Staffing levels on both units must be reviewed and increased to make sure that people living in the home are supported and supervised appropriately. During this visit, Inspectors checked 6 personnel files for staff working in the home. They also reviewed the home’s record of Criminal Record Bureau checks on staff employed in the home. Four issues need to be addressed to make sure that only suitable staff are recruited to work with service users: o References on staff files must be checked and validated. Some files included references from previous employers that were not on headed paper. There was no evidence that these had been checked to make sure they were genuine references. o Where staff require a work permit to enable them to work in the UK, the home must make sure that all the relevant papers from the Home Office are included in the staff personnel file. o Where staff have moved to the home from another Care UK service, a new CRB Disclosure should be obtained. o Where photocopies are taken of passports and other documentation as part of the recruitment procedures, they should be signed and dated by the person making the copy. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 17 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, 35, 36, 37 and 38. Quality in this outcome area is poor. This judgement is based on all available evidence, including a visit to the service. There is a need to make sure that managers and staff in the home are supported to provide acceptable standards of care for service users. EVIDENCE: The home’s has an experienced and qualified Manager who has registered with the Commission as part of the home’s registration. The Inspectors felt that the home’s management team need to be supported to make sure that care standards are achieved and maintained. There also needs to be better communication between unit heads and the home’s Manager and Deputy Manager, to make sure that poor practice is identified and stopped. The Inspectors checked the finance records for two people living in the home. The records were well maintained and accurate. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 18 Care staff must also receive formal supervision with a senior member of staff to make sure that they have the skills required to provide adequate standards of care. The Inspectors checked supervision records and these show that only one of the home’s care staff team has had a formal supervision session since the home opened in April. All staff must have formal supervision at least 6 times a year that includes all aspects of care and career development. During this visit the Inspectors checked a selection of electronic and paper records kept in the home, including care plans, finance records, health and safety records, staff files, complaints and accidents reports. Most records are well maintained, but the Inspectors were concerned that not all staff have been given the training and support to use the computerised care planning and recording system used in the home. There is also a need to make sure that hand written records are legible. Three health and safety issues need to be addressed: o Fire doors must not be wedged open at any time. If doors to the offices on each floor need to be kept open, they should be fitted with a closing device that is activated by the fire alarm system. o Waste bins in kitchens, bathrooms and toilets must have lids. o Thermometers must be provided in fridges on each unit and a daily record must be kept of food storage temperatures. St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X X X 3 3 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 2 2 2 St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 20 N/A Are there any outstanding requirements from the last inspection? 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 OP2 Regulation 5 Requirement Care UK must make sure that each person living in the home has a contract or statement of terms and conditions that includes the details required to meet Standard 2. The Manager and nursing staff must make sure that falls, continence and handling assessments are completed for all service users. Staff must make sure that daily progress notes accurately record the care that is given or offered to individuals. The social care needs of people living in the home must be reflected in individual’s care plans. The home’s Manager and senior staff must make sure that all staff working in the home are aware of the importance of treating service users with respect and dignity in regard to their personal care needs. Basic standards of personal care on the first floor must be significantly improved as a DS0000066934.V299539.R01.S.doc Timescale for action 30/09/06 2. OP3 14 30/09/06 3. OP7 14 30/09/06 4. OP7 14 30/09/06 5. OP7 14 30/09/06 6. OP7 14 30/09/06 St Vincents House Version 5.2 Page 21 7. OP7 13 8. OP12 16 9. 10. 11. OP15 OP15 OP18 16 16 13 12. OP27 18 13. 14. OP29 OP29 18 18 15. OP30 18 16. 17. OP31 OP31 9 9 matter of urgency. The Manager and senior staff must make sure that risk assessments are completed as required. Staff in the home must make sure that service users’ interests are recorded and activities plans are prepared for each person. There is a need to make sure that more fresh foods, salads and fruit are available. Food and fluid charts must be completed accurately, with sufficient detail. The Manager must make sure that all staff are aware of and follow the local adult protection procedures. The local authority and the Commission must also be notified of any adult protection concerns Staffing levels on both units must be reviewed and increased to make sure that people living in the home are supported appropriately. Employment references on staff files must be checked and validated. Where staff require a work permit to enable them to work in the UK, the home must make sure that all the relevant papers from the Home Office are included in the staff personnel file. Each member of staff must have an individual training and development assessment and profile. The home’s management team must be supported to maintain good standards of care Communication between senior staff must be improved to make sure standards of care are DS0000066934.V299539.R01.S.doc 30/09/06 30/09/06 30/09/06 30/09/06 30/09/06 30/09/06 30/09/06 30/09/06 30/09/06 30/09/06 30/09/06 St Vincents House Version 5.2 Page 22 18. OP36 19 19. OP37 17 20. 21. OP37 OP38 17 23 22. 23. OP38 OP38 23 23 monitored and improved. All staff must have formal supervision at least 6 times a year that includes all aspects of care and career development. Care staff must be given the support and training needed to enable them to use the home’s computerised care planning and recording systems. All hand written records kept in the home must be legible. Fire doors must not be wedged open at any time. If doors to the offices on each floor need to be kept open, they should be fitted with a closing device that is activated by the fire alarm system. Waste bins in kitchens, bathrooms and toilets must have lids. Thermometers must be provided in fridges on each unit and a daily record must be kept of food storage temperatures. 30/09/06 30/09/06 30/09/06 30/09/06 30/09/06 30/09/06 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 OP29 Good Practice Recommendations Where photocopies are taken of passports and other documentation as part of the recruitment procedures, they should be signed and dated by the person making the copy. Where staff have moved to the home from another Care UK service, a new CRB Disclosure should be obtained. 2. OP29 St Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hammersmith Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Vincents House DS0000066934.V299539.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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