Inspection on 25/05/06 for Sylvan House

This inspection was carried out on 25th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Sylvan House 09/02/10

Sylvan House 10/11/09

Sylvan House 09/06/09

Sylvan House 03/06/08

Sylvan House 25/10/07

Sylvan House 29/11/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sylvan House 2 - 4 Moss Grove Prenton Wirral CH42 9LD Lead Inspector Les Hill Key Unannounced Inspection 25th May 2006 09:30 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 Sylvan House DS0000064575.V289069.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. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sylvan House Address 2 - 4 Moss Grove Prenton Wirral CH42 9LD 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) 0151 608 1401 Prime Care (UK) Ltd Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th November 2005 Brief Description of the Service: Sylvan House is a large converted property situated in the Prenton area of Birkenhead, Wirral. It is close to local shops, and bus routes to towns on the Wirral and Liverpool. The home offers care and support to 22 residents who are over the age of 65 years. Accommodation is provided on two floors with passenger lift and stair access. The home has a number of shared bedrooms. On the ground floor there are two sitting areas and a separate dining room, some bedrooms, an adapted bathroom and WC’s. Outside the home there are garden areas and some parking spaces. Adaptations to assist residents who have a disability are in place. Basement areas in the home are used as an office, a staff room, a laundry, the home’s boiler and for storage. Prime Care UK Ltd took over ownership of the home on 12th August 2005. The inspector understands that the owners plan to extend and improve facilities at Sylvan House. The homeowner has declared that the weekly fees are £334.86 to £345. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Sylvan House took place on Thursday 25th May 2006 over a period of 5 hours. It involved the examination of records, discussion with the manager and staff on duty, meeting with six residents and two visitors, and a tour of the building. This was the second CSCI inspection of the home since it was taken over by new owners in August 2005, and there were clear signs that record keeping (a particular problem in the past) had improved. The previous owners had lived on the premises and had a good relationship with all of the residents. The new owners and the manager had the challenge of taking over the home and continuing to provide the levels of care and support residents had come to expect. The inspector concluded that good progress had been made. Staff who work at the home appear to be committed to the residents and work hard to provide the levels of support required. Some requirements and recommendations have been made to strengthen the staffing arrangements at Sylvan House. What the service does well: What has improved since the last inspection? What they could do better: Requirements have been made to ensure all staff are trained in adult protection matters, are given the opportunity to work toward an NVQ at level 2 Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 6 or above in care and have the training they need to carry out their everyday work in the home. Requirements have also been made to ensure the home complies with National Minimum Standards in regard to the information held about the appointment of staff. A requirement about the need for formal staff supervision is also included. Additional requirements have been made regarding the disposal of unwanted furniture, the safety of a bath seat, the need for the laundry floor to be repainted and the provision of lockable drawers/facilities in resident’s bedrooms. A recommendation has been made to consider whether the numbers of staff employed to work on each day shifty are sufficient to ensure the continued welfare and safety of residents in the home. 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. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 and 6. Prospective residents have the information they need to make an informed choice about whether the home will meet their need. Improvements have been made to the assessments of residents. EVIDENCE: The home’s statement of purpose and service user guide were amended by the new owners and seen during the previous CSCI inspection in November 2005. The documents contained all of the required information and were presented in an appropriate format. The homeowner had issued new contracts to each of the residents and is to update them with any annual increase in fees, through a separate letter. No new admissions have been made to the home since the last inspection. However, the inspector examined the care files for four of the current residents. Each of them contained an assessment of need prepared by the home’s manager. The new forms that are being used provide the opportunity for staff to gather detailed information on which they can make a decision Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 9 about the home’s ability to provide the levels of support needed. Three of the four files contained a comprehensive assessment that included a brief pen picture of the resident’s family history. The manager had done her best to complete the fourth assessment but there were some information she had not been able to obtain from the resident. Attempts to contact the social worker had not been successful. Polices and procedures in the home encourage prospective residents and their family/friends to visit the home and to spend some time there before taking the decision to move in. From records seen, from previous inspection visits and from discussion with staff and residents, the inspector is satisfied that the home is able to meet the needs of the residents currently living in Sylvan House. The home is not contracted to provide Intermediate Care. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Improvements have been made to the written care plans and risk assessments. The health care needs of residents are given appropriate priority. The management of medicines was safe during the inspection. EVIDENCE: The home’s manager has made positive improvements to the care planning documentation held in resident’s files. Care plans on the files seen were linked to the assessments (standard 3) and included guidance for staff on how the needs should be met. Risk assessments were also in place. There was evidence that the care plans had been reviewed through detailed review notes included in the resident’s file. The home’s manager acknowledged that she was still in the process of developing the system within Sylvan House but early indications are positive. Care plans included information about the health needs of residents. The manager told the inspector that the home receives good support from GP’s and district nurses. Links have been maintained with a visiting optician but the home is experiencing difficulties in gaining domiciliary dental support. The Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 11 manager was advised to contact the local PCT for details of dental support in the area. The home continues to receive good support from a local pharmacist. Wherever possible tablets are provided in “blister” packs and the pharmacist has visited the home to advise on the management of medicines and has provided some training for staff. Residents told the inspector that staff are very caring and that they are treated with respect. The inspector observed that staff knocked on bedroom doors and waited for a reply before entering. Curtain screening is provided in shared rooms to protect the privacy of residents. From these observations and from discussion with residents and staff, it is evident that staff are aware of the individual likes and dislikes of residents and the ways in which they prefer to be supported. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Residents are encouraged to make decisions about their day-to-day lives. EVIDENCE: Two of the residents are able to go out from the home unaccompanied and relatives or friends will take others out from time to time. All of the residents are encouraged to make decisions about their own lives. They can choose what time they get up and what time they go to bed; whether to spend time in their own room or in one of the lounges; and they have a choice of foods at mealtimes. The home is equipped with TV and radio/music systems and has a range of board games that residents can use. One of the care staff is particularly interested in arranging activities and takes the lead in setting up Bingo, light exercise, “cinema” afternoons, parties and other group events. Foot spa and beauty sessions are arranged and a hairdresser was working in the home throughout the period of this inspection. As extra space is limited the hairdresser had to wash resident’s hair in an adjacent bathroom and cut, style and dry it in the main lounge. Links have been developed with the local library and books, many in large print, are changed on a regular basis. Most of the residents have a TV in their Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 13 own bedrooms. One of the residents told the inspector that picture quality was often poor and that some adjustments were probably required on the TV aerials. This information was passed to the home’s manager. Visitors are welcomed at any time and residents can meet with them in their own room or in one of the two lounges. The chef maintains good levels of hygiene in the kitchen and prepares a range of meals including special diets, when necessary. Residents have a choice of cooked or light breakfasts. A cooked or cold midday meal and a cooked or cold evening meal are prepared but residents who don’t wish to take this meal are offered an alternative. The menu identifies a range of foods that are appropriate to give a balanced diet and meets the preferences of older people. During the previous inspection and in a complaint to the Commission, some concerns were expressed about the range and quantity of foods served in the home. The inspector was given the notes from two meetings led by the manager and attended by the majority of residents, at which the subject of food was discussed. At the first meeting, residents were asked for their opinions about the food and the quantity that was served. The notes identified that many were happy with what was provided and they said they did not want to be served with large portions. Others indicated that they had food preferences that they would like to see on the menu and others said they would like larger portions. Notes from the second meeting indicated that residents opinions had been taken on board and the feelings expressed were much more positive. During the course of this inspection the majority of residents who expressed an opinion about the food were positive. One resident who admitted to having lots of likes and dislikes about food and another who had a medical condition that limited the kinds of foods they could have, said that overall the standards had improved but they remained particular about what they would and wouldn’t eat. The inspector was satisfied that the home had taken the matters seriously and had done their best to work with residents both individually and as a group, to provide the meals that they would enjoy in appropriate quantities. The subject of food in care homes is one that has drawn a considerable amount of national publicity and the need to provide a balanced and nourishing diet, particularly for older people is generally recognised by those providing direct care. The difficulties in ensuring that individuals will choose, or be able, to take a balanced diet presents challenges to homeowners and managers that they should continue to follow through. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18. The homeowner is open to receive concerns and complaints. Training in adult protection is essential for the manager and other staff in the home. EVIDENCE: The home has a complaints procedure in place that complies with the principles of good practice. One formal complaint had been made to CSCI. The Commission investigated one element of the complaint and found it not proven. Other matters raised in the complaint (including the food, identified in standard 15) were passed to the homeowner for investigation and a response to the Commission was requested. The inspector is satisfied that the homeowner took the complaints seriously and dealt with them in a responsible manner. All of the residents are included on the Electoral Register and are eligible to vote in local and national elections. The home has policies and procedures in place to protect residents from abuse and encourages its staff to raise any concerns through a “whistle blowing” policy. A copy of Wirral’s procedures on reporting abuse is also held in the home. Three of the home’s staff have completed a training event about adult protection though the manager and other staff have yet to attend. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 15 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, 21, 22, 23, 24, 25 and 26 Residents live in a safe and well-maintained environment. EVIDENCE: Sylvan House is a converted property with a small, purpose built extension. It is situated in a quiet, unmade road in a residential area of Prenton, Wirral. The home is well maintained and the homeowner has begun a programme of redecoration in communal areas and resident’s bedrooms. A large lounge is the main communal sitting area and overlooks the front of the home. A second, quiet lounge that holds the library books is rarely used. A separate dining room is provided across the hallway from the main lounge. There is a small front garden, a larger side garden area and a rear yard. At the time of this inspection the yard was stacked with old and unwanted items of furniture. The manager told the inspector that they had some other furniture to dispose of and would then arrange for a “skip” to take it all away. The Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 16 manager should arrange for the unwanted items to be removed as soon as possible. Resident’s bedrooms are light and airy and are furnished in a domestic style. Residents have been included in the arrangements to redecorate their room and have assisted in the choice of colours and soft furnishings. In double rooms, curtain screening is provided to support the maintenance of privacy. Adequate storage for clothing and belongings is provided and many residents have brought with them some treasured items to personalise their room. Residents can choose to hold a key to their bedroom. Although each of the rooms has a lockable drawer not all of them had a key that could be used. The manager should ensure that all residents have a facility where they can keep personal items locked away. The home is centrally heated and radiators have individual thermostats that can be adjusted for comfort. Aids and equipment to support residents and staff is provided. Two of the bathrooms have a bath hoist; the seat on one has drainage holes that have been the subject of a health and safety notice. The manager assured the inspector that the seat was not used for male residents. However the manager should ensure that additional grommets are obtained to block the drainage holes or replace the seat. Sufficient bathrooms and WC’s are provided to support the numbers of residents and are located appropriately around the home. Laundry facilities are located in the basement. Washing machines are fitted with an appropriate sluice facility and the staff are aware of infection control procedures. However, the floor paint surface is broken in a number of areas and is therefore not protected. The homeowner should arrange for the floor to be repainted. On the day of this inspection the home was clean and well cared for. There were no offensive odours noted anywhere in the home. Domestic staff were complimented on the standards that they maintain. The inspector understands that the homeowner is planning to extend the home and create additional places. Any new developments must achieve the space standards set out in National Minimum Standards for both bedroom and communal areas in the home. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 17 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 Staffing levels are only adequate for the current group of residents. The home has not achieved the target of 50 care staff with an award at NVQ level 2 in care. It was not clear whether all checks had been carried out for newer members of staff. EVIDENCE: Two carers staff the home with the manager until 5:00pm, Monday to Friday and two carers in the evenings and at weekends. At night there is one wakeful member of staff and one sleeping and on call, although the manager has been working to achieve two wakeful staff. Ancillary staff are employed to do cooking, cleaning and maintenance tasks. A number of the residents are self-caring or require minimal assistance although with increasing age, there will be a need for additional staff support. Additionally any new residents admitted to the home will probably require greater levels of support. From this basis the inspector is of the opinion that care, staffing levels are at a minimum and do not allow for any unforeseen absences, emergency admissions to hospital or increased dependency levels in the resident group. As a general principal there should be one member of staff to eight residents (although this is not a definitive number and increased numbers of staff should be deployed where risk assessments indicate a higher level of dependency amongst the resident group) and this has not been achieved. The Inspector would expect the homeowner to consider the appointment of additional care staff during the waking day, at Sylvan House. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 18 Currently 11 care staff are employed to work at the home of which 2 have an award at NVQ level 2 in care. Three other staff are in the process of training to achieve the award. However, even if they are successful the home will not yet have achieved the standard of 50 care staff with an award at NVQ level 2 or above. The inspector examined the files for four members of staff. Those taken on by the new owners had a completed application form but one had only one reference. Copies of confirmation of identity documents were on file but confirmation of POVA and CRB clearances were not always available. The manager assured the inspector that POPVA and CRB clearances were taken up prior to employment and it was probable that the forms were with the homeowner in London. It is essential that all of the information required for staff and listed in Schedule 4 of the National Minimum Standards is available in the home and that confirmation of POVA and CRB clearances is available for inspection. Disciplinary actions taken against staff must be written up to identify the reasons why action was taken, the detail of any investigation and the outcome. The manager has produced a training matrix for all staff and has arranged some staff training. Newer staff have completed, or been enrolled on, Induction courses that involve food hygiene, moving and handling, health and safety and adult protection. Additionally the home has arranged training in the management of medicines and adult protection. The ongoing training of staff in moving and handling and fire safety is extremely important and training in matters that have relevance their day-to-day work is essential for care staff. Copies of certificates gained through training are evidenced on staff files. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37 and 38. The views of residents are taken into consideration in the management and general running of the home. EVIDENCE: The home’s manager has applied to CSCI for registration and her application is being processed. The previous owners of Sylvan House lived on site and had developed a strong relationship with residents. The new owner and manager have worked hard to ensure that residents are consulted about the day-to-day matters involved in running the home that affect them. Throughout the inspection the inspector was aware that procedures and processes adopted in the day-to-day running of the home are drawn up around the needs of residents. There was clear evidence that residents had been Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 20 consulted about the food, that individuals had been consulted about the redecoration of their rooms, that staff knew the resident’s likes and dislikes and were conscious of their individual personalities. The manager was clear that Sylvan House is the resident’s home and that they should be able to make decisions about how their care is provided. Financial accounts for the management and running of Sylvan House were not examined on this occasion. However the inspector is aware that the homeowner is planning the development of additional places, and is not aware of any financial matters that would affect the ongoing running of the home. The home manages some smaller amounts of money on behalf of seven residents. In these circumstances detailed records of deposits and spend are made. The inspector had access to the records and was satisfied that they are being kept appropriately. The manager has begun the process of formal staff supervision but the arrangements were not developed. The inspector discussed ways in which supervision might be carried out. It is expected that all staff will receive formal staff supervision on not less that six occasions each year. The new homeowner and manager have introduced appropriate policies and procedures and introduced improved standards of record keeping in the home. The manager completed a pre-inspection questionnaire and reported that the maintenance of equipment is supported through routine contracts. The gas safety certificate was issued in August 2005 and the electrical wiring safety certificate expires in 2007. Records confirmed that the fire alarm system is tested weekly and the storage of water was tested on 30.01.06. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 2 3 3 2 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 3 3 2 3 3 Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP18 OP19 Regulation 13(6) 23(2)(b) Requirement The Registered Person must provide training for all staff in adult protection. The Registered Person must ensure that the premises are kept in a good sate of repair. In this report the matters to be addressed are: 1. The provision of a lockable facility in which resident’s can keep personal items. 2. The removal of old furniture that is currently stored in the yard at the rear of the home. 3. The repainting of the laundry floor to ensure good standards of infection control. The Registered Person must ensure that the bath seat attached to the hoist is made safe with the provision of additional grommets or replaced. The Registered Person must ensure that records of all persons employed to work at the home are kept in accordance with Schedule 4 of the National DS0000064575.V289069.R01.S.doc Timescale for action 31/07/06 31/07/06 3 OP22 23(2)(c) 30/06/06 4 OP29 19(1) 30/06/06 Sylvan House Version 5.2 Page 23 5 OP30 18(1)(c) 6 OP36 18(2) Minimum Standards. The Registered Person must ensure that persons employed to work at the care home receive training appropriate to the work they are to perform. The numbers of staff with an award at NVQ level 2 or above in care must exceed 50 of the total care workforce. The manager must ensure that all staff are appropriately supervised. 31/08/06 31/07/06 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 OP27 Good Practice Recommendations The registered person should ensure that the numbers and skill mix of staff employed on each working day are appropriate to ensure the ongoing welfare and safety of residents in the home. Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Sylvan House DS0000064575.V289069.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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