CARE HOMES FOR OLDER PEOPLE
Swallows Residential Home Helions Bumpstead Road Haverhill Suffolk CB9 7AA Lead Inspector
Anna Rogers Unannounced Inspection 29th November 2005 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 Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 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. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Swallows Residential Home Address Helions Bumpstead Road Haverhill Suffolk CB9 7AA 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) 01440 714745 01440 761315 Burrows Care Homes Miss Annmarie Burrows, Mr Harold Burrows, Mrs Donna Burrows Mrs Megeita Barrett Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 5th September 2005 Brief Description of the Service: The Swallows residential home offers care and accommodation for up to sixteen older people, in single storey accommodation situated on the outskirts of the town of Haverhill in a rural position. The home was first registered in 1995 and the building adapted to provide appropriate accommodation for seven residents. In February 2000 an extension was completed, providing good quality and pleasant additional communal and bedroom accommodation and increasing the registration of the home to fifteen. In November 2000 a previous office was converted into an additional resident bedroom and the total again increased to sixteen residents. All resident bedrooms are for single occupancy with one room having an ensuite toilet facility. The home came under new ownership and management in June 2005 and the new owners have already made changes to improve and upgrade the environment and action a number of requirements and recommendations that have been outstanding from the previous inspection. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday over 7.5 hours starting at 9.45. Five residents were spoken to individually and time was spent with three others during the day. The registered manager, deputy manager, a care assistant, a senior carer and the cook were spoken with during the course of the inspection as well as the visiting hairdresser and two relatives. Communal areas of the home and four resident’s bedrooms were seen. A number of records relating to the care of residents and operation of the home were seen. The Commission for Social Care Inspection (CSCI) has received some concerns relating to care practice and management of the home. These concerns were investigated during the course of this inspection and the findings are incorporated into this report. A separate meeting has also been arranged with the owners and manager of the home to discuss these concerns further. What the service does well:
Residents spoken with said they are looked after very well by the staff team or as some residents referred to staff as “the girls”. Residents said “staff would do anything for them” and “are kind and respectful”. One resident said “ I can have a giggle with the staff” and “I do like to chat to them” and even if they are busy they find time to talk to me.” Residents also confirmed that they can call for assistance at night and “staff come very quickly to see if there is a problem”. Residents were positive about the food on offer and clearly the introduction of napkins is very appreciated by residents. Not all residents are able to verbalise their views but it was noted that staff were gentle and patient with residents who required assistance. One visitor whose relative is very poorly said “staff have been marvellous to make sure my ---- is comfortable”. The visitor also confirmed that the staff are “very good about keeping the family in touch with any deterioration in the residents condition”. As noted above the home is continuing to care for residents with increasing frailty with the support of the local GP practice, District Nurses and other professionals which enables residents who have lived at the home for a considerable time to remain in surroundings that are familiar to them. It is important that care plans reflect the changing need and the home demonstrates that the needs are being met. The residents are clearly looking forward to the Christmas lunch that has been arranged for the 20th December which relatives and friends have also been invited to.
Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better:
Following a number of concerns about the management of the home it is concerning that a requirement from the last inspection relating to the establishing of working practice amongst the staff group to ensure everyone is aware of their role and responsibility has not progressed. This is now very important that positive relationships are established between the staff team, the majority of which are new a few who have worked at the home for a period of time and the new owners who have new ideas about ways of working. The relationship between the Responsible Individual (RI), The Registered Manager and all staff needs to be addressed. The recruitment procedures need to be significantly improved to ensure the safety and welfare of residents. Activities for residents do need to be developed as currently they are only arranged around the time the care staff have available. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 7 There has been evidence that the complaints procedure has been followed but there is a need to record and maintain a log of complaints which shows evidence that the complaint was investigated with an outcome. The policy and procedure relating to the Protection of Vulnerable Adults (POVA) is an outstanding requirement from the last inspection and needs to be amended to ensure it relates to local procedures. The amended procedure should be brought to the attention of all staff. There is an urgent need to establish an induction programme for new staff as set down in standard 30 (30.2) of The National Minimum Standards and ensures they are aware of what to do in the event of a fire. It is also important that new staff are aware of the needs identified in care plans and this should be covered during the induction. There is a need to ensure risk assessments are in place for all cleaning products and this is outstanding from the last inspection. 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. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 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 Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 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): 1,3 (standard 6 does not apply to this home) Residents can expect that their changing needs will be identified. New residents can expect to have their needs assessed but they cannot be guaranteed that identified needs will be transferred to care plans in all cases. EVIDENCE: It was noted at the last inspection that one resident was outside of the category of registration. The inspector was told at this inspection that the resident’s family and placing authority have identified an alternative placement, which will be able to meet the residents increasing frailty. It was clear from discussion with the manager that the increasing frailty of some of the existing residents who have lived at the home for a number of years is being monitored to ensure the home can continue to meet their needs. The inspector spoke with a relative of one resident who is very poorly and they spoke very highly of the care being given and described it as “second to none”. The relative has been reassured that unless the GP feels that the resident has to move to hospital they will spend their last days at the home. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 10 One resident has been admitted to the home since the last inspection. An assessment of need undertaken by the placing authority was seen. A care plan has been developed from this information but it was clear that not all-relevant information has not been fully transferred. Further comment is made in the following section. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,9,10 Residents can expect a care plan to be developed from the assessment of need but they cannot be assured that all their needs are recorded accurately in all cases. Residents cannot be assured that staff will refer to their care plan to ensure they are meeting the identified need. EVIDENCE: The inspector looked at two care plans during this inspection, one for a new resident and the other for an existing resident. The care plan format has changed and although it is detailed the inspector was unable to identify any evidence either from discussion or in records of any discussion or training provided to new members of staff about how the format should be completed. It was noted in one care plan that the resident had Diabetes but in the dietary needs it stated “no problems” when it was evident from discussion with the cook that they provide a low sugar diet. In the second care plan it was recorded that the resident was left handed. However from observation during lunch it was noted that a spoon was placed in the resident’s right hand. A new member of staff noted that the resident was not eating their meal so offered to help them.
Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 12 From discussion with the member of staff at a later time during the day they said they had not “looked at care plans” since they started working at the home so were not aware of the resident’s dexterity. A positive development since the last inspection is the full implementation of a Monitored Dosage System (MDS) for medication. Training for staff to use the new system has taken place. It was noted at the last inspection that an updated medicine policy and procedure has been produced but there remains a need to review it to ensure that it covers all aspects of the new medication practice to safeguard residents. The inspector observed the administration of lunchtime medication and found this to be satisfactory. The Medication Administration Record (MAR) charts were seen and there were no unexplained gaps in the record. Discussion with residents confirmed that they are treated with dignity and respect. Many positive comments were received about how helpful staff are particularly when undertaking personal care. There are some residents who are very frail but observation of practice confirmed that staff ensured bedroom doors and bathroom doors were closed when they were supporting residents to ensure their privacy. Members of staff were also observed to knock and wait before entering bedrooms. Visitors of residents spoken with on the day of this inspection also confirmed how well their relatives were being cared for and said the staff were very good. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,15 Residents cannot be assured that a choice and range of activities are arranged to meet their interests. EVIDENCE: Residents spoken with were very complimentary about the care they receive. However there are few arranged activities and those that are available are on an ad hoc basis. It is clear from discussion with the manager that they are aware of a need to review the arrangements currently in place to ensure residents are provided with a wider range of activities both within and outside the home. An amenities fund is being set up with the first function to raise money from an impressive Christmas raffle, which was on display within the home. Residents did say that a Christmas party has been arranged for residents and relatives on the 20th December. Discussion with residents confirms they are looking forward to this. Residents spoken with commented positively on the food provided. They are offered two main lunch choices each day but if they do not want either they can have a jacket potato with a filling of their choice, a salad of their choice, omelette or soup.
Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 14 On the day of this inspection all residents opted for chicken casserole with mashed potatoes, green beans and fresh carrots with the exception of one resident who asked for a jacket potato with their casserole and vegetables. From discussion with residents there does not seem to be an opportunity for them to discuss menu choices. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 There is an effective system in place for residents to express their concerns however they cannot be assured that all complaints are recorded. Residents cannot be assured that the recruitment safeguards are followed to protect their safety. EVIDENCE: Discussion with residents who were able to express their views said they would feel happy to raise any concerns they had either with a member of staff /”one of the girls” or a relative. Discussion with staff confirmed that if they received a complaint they would notify the manager. A concern received by The Commission for Social Care Inspection (CSCI) related to 4 events in respect of the care and attitude of one member of staff toward a resident. From discussion with the manager it was clear that the residents relative had raised 2 of the 4 issues directly with the manager, which the manager said, they followed up with the member of staff. The manager also confirmed that the member of staff is no longer working at the home. However there was no record in the complaints book that these issues had been raised or investigated. As noted at the last inspection The Registered Manager has attended a Protection of Vulnerable Adults training course and a copy of the Suffolk Protection of Vulnerable Adults (POVA) inter agency policy, procedures and guidelines for staff is available in the office. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 16 There is an in house training booklet titled “Vulnerable Adults – at risk of abuse.” Which the manager explained at the last inspection would be completed by individual members of staff and then discussed in supervision with the manager. From discussion with the manager it was clear that this has not happened to date. The recruitment process was inspected during this inspection in relation to 7 new members of staff recruited since the last inspection. There was insufficient detail available to evidence that residents are protected by a robust recruitment procedure. Further comment is made in The Staffing section of this report. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,25. Residents can expect to live in a well maintained and comfortable home. EVIDENCE: As noted at the last inspection the new owners have begun to invest in the accommodation and are in the process of redecorating all areas of the home on a planned programme. Discussion with residents confirmed the improvements made. A number of bedrooms have been decorated and attention given to co-ordinating colours and furnishings. It was noted at this inspection that the corridor leading from the front door to the residents lounge has been decorated with a pleasing effect. Residents spoken with clearly have been informed about the decoration. One resident commented that the residents Lounge is to be decorated after Christmas. The house was very comfortable and warm on what was a very cold day. The inspector spoke with one resident in their bedroom and they wanted the heating turned up which could be regulated in each bedroom by the resident. Residents also said they were comfortably warm at night and felt their bedding was very good.
Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 18 Bathrooms and toilets were all clean and fresh and one has been decorated. Residents also commented on the cleanliness and hygiene and said, “the new owners were very particular about hygiene and everywhere is kept spotless”. Members of staff were observed to wearing gloves and aprons when undertaking personal care. It was evident at the last inspection that cleaning materials are kept locked away. There are Control of Substances Hazardous to Health Regulations (COSHH) risk assessments in place for most of the cleaning products in use but it was noted that bleach is used as a toilet cleaner and a risk assessment was not in place. The manager confirmed at this inspection that this has not been actioned. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29,30 Residents cannot expect that they will be protected by the recruitment process, which does not evidence that appropriate checks have been carried out. EVIDENCE: As noted in the section Complaints and Protection of this report there was insufficient detail available to evidence that residents are protected by a robust recruitment procedure. Seven files of new staff employed since the last inspection were seen. Generally on all applications the previous work history was insufficient, making it difficult to track. Three of the files had a copy of the Criminal Bureau Record (CRB) check but the other four provided no written evidence that these checks had been undertaken. This was a concern expressed at the last inspection. Two references are requested but two files only had evidence of one reference being received and one had no references on file. There was also no evidence of the interview or whether gaps in employment history had been explored. There was also no evidence of relevant qualifications on file. Two new members of staff were spoken with during this inspection. They each confirmed they had as part of their induction followed another member of staff for three shifts prior to them both working on the same shift on the day of this inspection. From discussion with them both is was evident that they were not following an induction programme and had not received any information about what to do in the event of a fire.
Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 20 Although they both were involved in providing personal care to residents they had not referred to the relevant residents care plan. It was unclear as to whose responsibility it was to ensure they had had an opportunity to refer to the information prior to working with individual residents. From discussion it was also clear that neither of the new members of staff had begun to become familiar with the homes policies and procedures. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32 Residents cannot be assured that there are clear lines of responsibility relating to the management of the home. EVIDENCE: As noted at the last inspection the registered manager is currently working one day a week and alternative weekends at the home and they also work in another care home at other times. Concerns received by CSCI relate to the overall management of the home. It was concerning that in discussion with care staff that they did not know some of the surnames of residents. The inspector also spoke with the manager about one of the residents and they seemed unsure who they were until they identified where the resident was sitting. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 22 From discussion with the deputy manager it was not possible to identify where the lines of delegation are because although they have been provided with a job description the manager has not clarified their role with them. With the previous management arrangements the deputy manager was clear about their responsibilities. The inspector was also provided with job descriptions for each of the posts i.e. deputy manager, assistant manager, senior carer and carer. It is evident that these have come from the local authority, as some of the terminology does not relate to working at the Swallows. The Manager has not identified a handover system between themselves and the deputy manager who is at the home for the majority of the time while the manager is absent. The deputy manager said that they had been unable to establish a good working relationship with the new manager and this clearly has a detrimental impact to the running of the home. It was also noted that the new manager has introduced another layer of management with the introduction of assistant manager but again there has been no discussion with the deputy manager. It was also noted that one member of staff recently employed holds three positions i.e. assistant manager, senior carer and carer which are dependent on which shift they are working There is also no evidence to indicate that the role and responsibilities of the new structure has been shared with the staff team. From discussion with the manager it is evident that although there have been significant changes made there has not been a staff meeting since the change of ownership. There has been one senior meeting but this did not include the new layer of management. As noted at the last inspection it is unclear what the expectations are of the manager about what they should be contacted about when they are not at the home. There is no written on call system and if a member of staff needs to contact a senior member of staff they start by ringing the manager who has given two numbers and if they cannot be contacted they work down the list on the office wall which has the owners phone numbers on. This arrangement takes no account of what would happen if the person contacted was needed to return to the home. Another area of concern expressed to The Commission for Social Care Inspection (CSCI) is the relationship between the Responsible Individual, the manager and other members of staff. There was an incident reported at the last inspection where staff were shouted at in front of residents. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 23 The inspector heard of other incidents where “there have been arguments in the office.” This was raised with the manager and will be discussed further at the forthcoming meeting with the Responsible Individual (RI) the manager and the Commission for Social Care Inspection (CSCI). Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 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 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X 3 X X X 3 X STAFFING Standard No Score 27 X 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 X X X X X X Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 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 OP7 Regulation 15 (1) Requirement Resident’s care plans must reflect all identified needs and the home must demonstrate in their recording that they can continue to meet the needs and that staff are aware of these needs. The registered person must ensure that a programme of activities is provided. All complaints must be recorded and show that it was fully investigated within the timescale and what action was taken. The record must be maintained and available for inspection by The Commission for Social Care Inspection (CSCI). This is a repeat requirement from the last inspection. The Homes Protection of Vulnerable Adults Policy must reflect the guidelines set out in the Suffolk Interagency Procedures for the Protection Of Vulnerable Adults and ensure that staff are aware of the procedures. This is a repeat requirement.
DS0000063929.V268601.R01.S.doc Timescale for action 31/12/05 31/12/05 2. 3. OP12 OP16 16 (n) 22 (8) 31/12/05 4. OP18 13 (6) 31/12/05 Swallows Residential Home Version 5.0 Page 26 5. OP26 13 (3) 6. OP29 19(5)& Sch. 2(7,9,19) Risk assessments for all cleaning products available in the home must be in place. This is a repeat requirement from the last inspection The Registered Person must ensure that evidence is available to show a current Criminal Record Bureau (CRB) check and POVA 1st check has been undertaken for all new staff in the home prior to them undertaking care duties. This is a repeat requirement from the last inspection. There must be evidence on staff files that two written references have been sought and received. There must also be documentary evidence of any relevant qualifications. 31/12/05 31/12/05 7. OP30 18(1) (c i) 8. OP31 12 (5) (a) 9. OP32 12 (5) New members of staff must be provided with a detailed induction programme which meets TOPPS specifications to ensure the safety and welfare of residents 31/12/05 The registered manager must demonstrate in writing to The Commission for Social Care Inspection (CSCI) how they will ensure they have in depth day to day knowledge of the homes operation. This is a repeat requirement from the last inspection 31/12/05 The Responsible Individual and Registered Manager must maintain good personal and professional relationships with each other and with service users and staff. This is a repeat requirement from the last 31/12/05 inspection Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 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. 2. 3. 4. Refer to Standard OP29 OP29 OP33 OP37 Good Practice Recommendations Interview notes should be maintained on staff files. Job descriptions should reflect the duties to be undertaken and should be relevant to the home. Residents should be consulted about the choice of menus. All policies and procedures should have the name of the home on them and should be dated. Swallows Residential Home DS0000063929.V268601.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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