Inspection on 16/03/07 for Summerhayes Residential Home

This inspection was carried out on 16th March 2007.

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.

Other inspections for this house

Summerhayes Residential Home 18/01/06

Summerhayes Residential Home 03/03/05

Summerhayes Residential Home 18/08/04

Summerhayes Residential Home 04/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Summerhayes 1700 Wimborne Road Bear Cross Bournemouth Dorset BH11 9AN Lead Inspector Carole Payne Unannounced Inspection 16th March 2007 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Summerhayes DS0000003989.V333047.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. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerhayes Address 1700 Wimborne Road Bear Cross Bournemouth Dorset BH11 9AN 01202 574330 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) Dr John Hutchings Mrs Jane Hutchings Mrs Tracy Anne Fitzpatrick Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: Summerhayes is owned by Dr & Mrs Hutchings, the registered manager is Tracey Fitzpatrick. The home is registered to accommodate a maximum of twenty-one older persons requiring personal care. Located in Bear Cross, a suburb of Bournemouth, Summerhayes is close to local shops, pubs and post office and has main road access to both Poole and Bournemouth town centres. Resident accommodation is provided over two floors with a central stairway with a chair lift providing access between floors, there are nineteen single bedrooms and one shared room, three rooms have en-suite facilities, the remainder have use of conveniently sited bathrooms and toilets around the home. Communal space is provided on the ground floor, a lounge and dining area and a smaller sun lounge area are available. Pleasant gardens are accessible to residents and off road parking is provided for a limited number of cars. Summerhayes provides twenty-four hour care and domestic services including laundry and catering. Current fees are £460.25 to £487.50. See the following website for further guidance on fees and contracts: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_peop le_choos.aspx Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on the 16th March 2007 and took a total of 13 hours, including time spent in planning the visit. The inspector was made to feel welcome in the home during the visit. This was a statutory inspection and was carried out to ensure that the fifteen residents who are living at Summerhayes are safe and properly cared for. Requirements and recommendations made as a result of the last inspection visit on 18th January 2007 and key standards met at the last inspection were also reviewed. The premises were inspected, records examined and the daily routine observed. Time was spent in discussion with six residents living in the home and two staff members on duty. Nine resident survey forms were received by the Commission for Social Care Inspection prior to the visit and one relative / visitors’ comment card. Throughout the inspection and following the visit the management and staff team have demonstrated a positive and proactive commitment to addressing any issues raised and continuously improving the quality of life for people living at Summerhayes. What the service does well: One resident returning a survey form said ‘This is a very good place.’ During the visit a resident said that they would give the service ‘full marks.’ Detailed assessments of prospective residents’ needs ensure that no resident moves into the home without having their needs assessed and being assured that these will be met. Detailed records of care set out the personal, social and health care needs of residents, including their personal wishes, providing effective support to the delivery of care. People who live at Summerhayes are supported to enjoy a good quality of life, which reflects their previous interests and wishes. Relatives and friends are made welcome at Summerhayes, enabling residents to continue to enjoy relationships that are meaningful to them. Residents are well supported to make choices and exercise autonomy and control over their lives. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 6 People who live at the home enjoy a varied and nutritious diet in the surroundings of their choice. The home has a clear complaint’s procedure, which enables people to be confident that any concerns that they have will be listened and responded to. The numbers of staff working in the home satisfactorily meets residents’ needs. What has improved since the last inspection? What they could do better: Medicines must be administered to the person for whom they are prescribed. A system to ensure that all medicines can be audited from receipt to disposal must be developed. It is recommended that the registered person should ensure that all staff members attend arranged training in adult protection. Some improvements to recruitment practice are required. Evidence of a Protection of the Vulnerable Adult’s register check must be in place prior to a new member of staff starting work in the home. Applicants must provide validated reasons for gaps in employment. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 7 Staff members must receive training in line with Skills for Care Induction Standards. Recorded learning must reflect the progress of staff members in achieving the standards required to meet the needs of residents. A summary record of training taking place in the home must be established, enabling training needs to be monitored and identified, ensuring that staff members have the skills and competencies to meet the needs of residents. 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. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed assessments of prospective residents’ needs ensure that no resident moves into the home without having their needs assessed and being assured that these will be met. EVIDENCE: Eight residents responding in survey forms said that they had received enough information prior to moving into the home. One resident said that they had felt very welcome when they had moved into the home. They had been recommended to the service and their relative had been impressed when they had come to look around the home. Two pre-admission assessments were seen for residents who had moved into the home since the last inspection. Forms include details of response received Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 10 as part of the assessment and the outcome, so that residents’ needs and preferences are very clearly set out and the home is well able to make a decision as to whether the service is able to meet people’s needs. Relevant information from external health and social care professionals was included on one of the files seen. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Detailed records of care set out the personal, social and health care needs of residents, including their personal wishes, providing effective support to the delivery of care. Improvements to the process of risk assessing aspects of health will ensure that the good practices of the home in relation to health care are supported. The service is currently failing to ensure that there is a satisfactory audit trail of medicines, supporting the service to ensure that the right person receives the right container of their prescribed medication. Attention to the procedures for the safe administration of medicine will ensure that residents are fully protected by procedures. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 12 EVIDENCE: Care records were viewed for three residents living in the home. Care plans are personalised and include reference to both the needs and wishes of residents regarding personal, social and health care support required. Where possible the care plans involve residents, or their representatives, and a relative had signed one care plan seen. Regular reviews were recorded on the care plans and included changing needs with regard to care. Detailed daily records are maintained, providing support to the delivery of care. Six residents returning survey forms said that they always receive the care and support that they need; three people said that this is usually the case. One relative / visitor to the home said that they are satisfied with the overall care provided in the home. Daily records highlight close links with external health and social care professionals. Risks in relation to pressure sores were documented as low on one record and there was reference to action taken, including the provision of suitable pressure relieving equipment, when increased needs were identified. Currently the home does not undertake a formal risk assessment in relation to manual handling, pressure areas or nutrition. Due to increasing dependency levels it is recommended that these are developed to support the good systems of care in the home. Falls risk assessments are undertaken. Eight residents returning survey forms said that always receive the medical support that they require. The home now stores medicines securely, as required in the last inspection report. From records and practices observed, good procedures ensure that the right person now receives the right medicine at the right time. A completed risk assessment for the self-administration of medicines was seen on one file. Medicines are currently stored in the laundry / staff room. There is no way of monitoring medicines that are not stored in the monitored dosage system. Staff members administering medicines had used another person’s medicine and although this was the correct medication, this is not good practice and means that labelled instructions are not being followed and auditing of medicines is very difficult. Eye drops with a limited life on opening are appropriately date labelled when they are started. However, four eye drops were not being stored according to the labelled instructions and needed to be stored outside the fridge when in use. Allergies of residents were recorded on the Medication Administration Records. None known needs to be stated when the resident has no allergy, which has been brought to the attention of the service. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 13 Medication Administration Records seen for two residents had been accurately completed to the date of the visit. Throughout the visit staff members were observed providing sensitive and supportive care to residents. It was noted that care routines had been placed on the back of the doors to residents’ personal accommodation and contained some very personal information in relation to care support required. It was advised that these be kept inside wardrobe doors so that they are discreetly available to staff members carrying out care and promote the protection of residents’ dignity. The manager confirmed that this had been completed before the inspector left the premises. Care records seen referred to protecting residents’ privacy and dignity. Staff members knocked on residents’ doors before entering. The home has a sun lounge, which was used during the visit for a resident to meet with friends in private. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 14 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 who live at Summerhayes are supported to enjoy a good quality of life, which reflects their previous interests and wishes. Relatives and friends are made welcome at Summerhayes, enabling residents to continue to enjoy relationships that are meaningful to them. Residents are well supported to make choices and exercise autonomy and control over their lives. People who live at the home enjoy a varied and nutritious diet in the surroundings of their choice. EVIDENCE: From observation during the visit, records seen and discussion with residents’ people who live at Summerhayes enjoy a varied lifestyle, which meets with Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 15 their individual preferences. During the day residents spent time in their own rooms or with other residents in the lounge. Six residents returning survey forms said that there are always activities that they can take part in. Three people living in the home said that this is usually the case. ‘A good variety’ one resident said. A record is maintained of activities taking place in the home. The manager said that an exercise therapist visits the home regularly. Some members of staff have had training in hand massage and some residents enjoy manicures. During the visit friends visited one of the people living in the home, from a local church. It was evident that they were made welcome. One relative / visitor to the home said that they are always made welcome. In the summer, a resident said that they like sitting outside, or taking a trip around to the local shops. A local library visits the home regularly. Some residents enjoy team scrabble. Residents are offered choices about the food that they would like to eat. For example when red meat is on the menu, there is always a white meat alternative. During the day residents pleased themselves as to when they would like to get up and what they would like to do. The home has information which is kept in the home’s reception area regarding advocacy services, supporting people to experience independence and control over their daily lives. Lunch on the day of the inspection was well presented and looked appealing and appetising. Some residents sat in the home’s main lounge; others chose to eat in their own rooms, according to personal choice. One resident responding in a survey form said that the food is ‘very good.’ One resident said ‘less of it would save a lot of waste.’ Sensitive help was given with eating when required. Fruit bowls were filled on the day of the visit, enabling residents to enjoy some fruit between meals. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 16 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. The home has a clear complaint’s procedure, which enables people to be confident that any concerns that they have will be listened and responded to. Although members of staff demonstrate some knowledge of adult protection procedures, training for all staff members will support this, protecting residents from abuse. EVIDENCE: The home has a complaints procedure which is made available to people who are involved with the life of the service. The procedure is displayed in the reception area of the home. The manager confirmed that there had been no complaints since the last inspection. Seven residents returning survey forms said that they knew who to speak to if they are not happy. Two people said that this was usually the case. There have been no complaints or adult protection issues referred to the Commission for Social Care Inspection since the last inspection visit to the home. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 17 Both the manager and some members of staff have not received adult protection training. One member of staff spoken with, however, demonstrated a sensible understanding of the action that she would take should an allegation of abuse come to her attention. The manager has, since the visit, confirmed that staff members who have not undertaken adult protection training have been booked to undertake a course in May 2007. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 18 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. A generally safe and well-maintained environment, which is kept clean and hygienic, protects the people living at Summerhayes. EVIDENCE: Summerhayes offers a pleasant, homely environment to its residents. The home has ongoing plans for alterations and improvements to the home. This includes replacement of some windows. The home has a lounge, which is also used as a dining room and there is a sun lounge. All individual rooms visited were personalised, with furnishings, photos and pictures, which are meaningful to residents. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 19 The manager said that there are plans to convert an assisted bathroom into a walk in shower room, offering residents choice in the bathing facilities available to them. There is no heating in this bathroom and the manager confirmed that it is not currently in use. The home has a parker bathroom, which is preferred by residents. There is also another assisted bathroom on the ground floor. The home benefits from a call bell system, which is portable, so that residents can call for assistance when required. A small-shared room, which staff members had to access to go to the laundry cupboard, was out of use at the time of the visit. The room is being converted to a room with en suite facilities to be offered to either a couple or for single room occupancy. An area on the landing is being altered to make provision for laundry storage. The manager confirmed that all staff members have received training in infection control. A certificate for one member of staff was seen at the time of the visit. Staff members wear ordinary clothing rather than a uniform. Although one member of staff did not use a protective apron or tabard, all other members of staff seen were wearing appropriate protective clothing and the manager spoke with the member of staff and explained the risks of cross infection at the time of the visit. At the time of the visit the laundry was also the staff room and the place where medication is securely stored. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 20 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 poor. This judgement has been made using available evidence including a visit to this service. The numbers of staff working in the home satisfactorily meets residents’ needs. Improvements to induction and the monitoring of training needs will ensure that the home supports staff members to develop the skills and competencies to meet residents’ needs. Residents are not currently fully protected by the home’s recruitment procedures. EVIDENCE: From rosters seen the home maintains adequate staffing levels to meet the needs of residents currently living at Summerhayes. The manager confirmed that twenty-five members of care staff currently work at the home. Six members of staff currently possess a National Vocational Qualification in Care (NVQ) at level 2, and three members of staff have a level 3 qualification. In addition to this six members of staff are studying for an NVQ in Care at level 2. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 21 One resident commented that ‘staff know what they are doing’ and they feel comfortable and well cared for. Recruitment records were viewed for two members of staff working in the home. Records include two written references, proof of identification, including a photograph and a Criminal Records Bureau check and a job description. One member of staff had changed role since starting work in the home and the manager intended to ensure that her contract was updated, along with the job description. There was no evidence of a Protection of the Vulnerable Adult’s register prior to either staff member starting work; reasons for any gaps in employment also need to be clearly recorded as part of the application process. Records of induction and foundation training were viewed, which had been signed off as completed by the member of staff leading the induction training. The manager was advised to consult the Skills for Care website, to access the new induction standards and to look at ways in which the induction can be used as a learning process, which is supported by a progress record reflecting the learning process to achievement of skills and competencies. Individual summary records of training undertaken are kept on each staff member’s file. The drawing up of an overview of all staff members’ training was discussed, so that mandatory training is maintained, and individual training needs can be identified. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 22 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 adequate. This judgement has been made using available evidence including a visit to this service. The manager of the home is experienced in her role and demonstrates the skills to ensure that residents benefit from living in a well run and caring environment. The lack of a formal quality assurance programme at present, does not enable the home to fulfil its firm commitment to continuously improve and ensure that the home is run in the best interests of residents. By ensuring that two people sign to verify that they have checked residents’ monies held; this will ensure safe procedures for the handling of residents’ monies. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 23 Generally satisfactory procedures protect the health, safety and welfare of people living at Summerhayes. The completion of a summary record of training and the servicing of the hoist will support people living in the home to feel that they are in safe hands. EVIDENCE: The manager of the home is well qualified and experienced to carry out her role. During the visit, the day-to-day running of the home was well organised, with all staff members demonstrating a clear confidence of their roles and responsibilities. The manager is in the process of undertaking the Registered Manager’s Award and hopes to complete this by the end of the year. The home does not have a quality assurance system and development plan at present. Questionnaires have been devised to ask people involved with the life of the home what they think about the service. Residents’ monies held by the home are securely and individually stored. It was advised that all entries in records of amounts held should be signed and verified by two staff members. Monies held for two residents were checked and corresponded with amounts held. It was noted that receipts for money spent were also kept with residents’ money. The home has one hoist, which required servicing at the time of the visit. The manager has confirmed, since the inspection, that servicing of the hoist has been arranged. Efficient records were seen for the servicing and maintenance of other equipment, including the checking of fire systems. Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 1 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X 3 X X 2 Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 25 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 OP9 Regulation 13 Timescale for action The registered person shall make 30/04/07 arrangements for the recording, handling and safe administration of medicines received into the care home, ensuring that residents are protected by the safe practices of the service. Medicines must be administered to the person for whom they are prescribed. A system to ensure that all medicines can be audited from receipt to disposal must be developed. 2. OP29 17 The registered person shall not employ a person to work at the care home unless Evidence of a Protection of the Vulnerable Adult’s register is in place. The new staff member may then work under supervision until a satisfactory Criminal Records Bureau check is received. The applicant must provide Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 26 Requirement 10/04/07 validated reasons for gaps in employment. 3. OP30 18 The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of residents ensure that persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform. Staff members must receive training in line with Skills for Care Induction Standards. Recorded learning must reflect the progress of staff members in achieving the standards required to meet the needs of residents. A summary record of training taking place in the home must be established, enabling training needs to be monitored and identified, ensuring that staff members have the skills and competencies to meet the needs of residents. 4. OP33 24 The registered persons must 30/06/07 establish and maintain a system for reviewing and improving the quality of care in the home, a report of any such review must be provided to the Commission and be available to service users. (Previous timescale 31/03/06 not met.) 30/04/07 Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 27 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 OP18 Good Practice Recommendations It is recommended that the registered person should ensure that all staff members attend arranged training in adult protection. It is recommended that two people sign to indicate that they have checked residents’ monies held, following paying in or withdrawal of monies. 2. OP35 Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Summerhayes DS0000003989.V333047.R01.S.doc Version 5.2 Page 29 - 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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