Inspection on 26/04/06 for The Croft Rest Home

This inspection was carried out on 26th April 2006.

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

The Croft Rest Home 28/05/08

The Croft Rest Home 24/05/07

The Croft Rest Home 30/01/07

The Croft Rest Home 28/11/05

The Croft Rest Home 20/05/05

The Croft Rest Home 09/12/04

The Croft Rest Home 15/04/04

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 The Croft Rest Home 84 King Street Whalley Lancashire BB7 9SN Lead Inspector Mrs Lynn Mitton Unannounced Inspection 10:00 26 & 27th April 2006 th 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 The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Croft Rest Home Address 84 King Street Whalley Lancashire BB7 9SN 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) 01254 822821 Lancashire Nursing and Residential Homes Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider should at all times, employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection The home can accommodate up to 26 persons in the category of OP who require personal care. When the service user occupying Room 9 moves out of this room this can no longer be used as a bedroom, and the Commission must be informed. 19th December 2005 2. 3. Date of last inspection Brief Description of the Service: The Croft is a detached property set within its own, well-maintained grounds. The home is within easy reach of the main street and facilities of Whalley, including shops, churches, post office, health centre and public houses. The Croft is registered to offer accommodation and personal care to 26 older people, aged 65 years and over. Accommodation is provided in 24 single bedrooms, some with en suite facilities, and one double room with en suite facility. There is a small lift to provide access to the upper floor; however, this is not suitable for wheelchair users. There are various adaptations to assist service users with self- help and mobility. There are lounge areas on both floors, and a dining room on the ground floor. Smoking is permitted in one lounge area. The garden has seating areas for service users and there is car parking space available. During the inspection, the change round of office space and one residents lounge was discussed. Fees per week range from £315 - £355.50. There was information available to potential residents advising them of the facilities and the care they could expect whilst living at The Croft. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two days, and was conducted by Inspectors Lynn Mitton and Jane Craig. There were 23 residents accommodated at this time. Over the course of the inspection approximately eight residents were spoken to. Three staff members were also spoken to and interaction between the residents and staff members were observed. A tour of the communal areas of the home and some bedrooms took place. Documents were read and care practices observed. Throughout the report there are various references to the “case tracking” process, this is a method whereby the inspector focuses on a small representative group of service users and care staff. Records pertaining to these people were inspected. Policies and practices were also read. This inspection was mainly conducted with the registered person’s manager designate, who had been in post approximately 4 weeks. The Commission had received 2 complaints since the last inspection. These had been dealt with by the home. What the service does well: What has improved since the last inspection? A regular programme of activities was in place; this meant that residents had more fulfilled lives. The laundry room had been cleaned and tidied up, and hand-washing facilities were now in place. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 6 Kitchen knives were being stored securely this meant that residents were less at risk of harming themselves. A new carpet had been fitted in the dining room and entrance hall this meant that the home was safer and more attractive. There were now 3 care staff on duty between 8am and 10pm. This meant that there were sufficient staff on duty during the waking day. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 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 The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 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): OP3 and OP6 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The admission procedure does not ensure that sufficient information about residents care needs was always obtained before their arrival at The Croft. EVIDENCE: There was some evidence that assessments of need had been completed for residents prior to their admission to the home. The information on the files was insufficient to fully identify and meet resident’s needs. Better information would enable care staff to have a clearer understanding of what they needed to do to care for new residents. Intermediate care was not provided at The Croft. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP7 OP8 OP9 & OP10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Care plans did not fully document resident’s personal care and health needs, nor did they fully demonstrate how they were to be met. Nor were they reviewed to ensure that any changes were documented. Safe administration, recording and disposal of resident’s medication was not in place. EVIDENCE: The inspector was advised that there had been no change to the care and health plans since the previous inspection. (Information on each resident was recorded on a Cardex System, a medical model. On this, was some information identifying each resident’s health and care needs, but not what support was needed in order to meet those needs.) There was no evidence that residents or their next of kin had been involved in the care plans. The inspector was advised that a new care plan format was still being developed and was not yet implemented. This was discussed at length with the manager. Policies and practices for the safekeeping, recording, administration, storage and disposal of medication were still not acceptable. For example, the The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 10 administration of medications were not being recorded correctly, some eye drops were being stored incorrectly and were not being signed for, the administration of homely remedies was incorrect and residents were routinely refusing significant medication and no further action had been taken regarding this. Some residents spoken to told the inspectors that some felt they were spoken to and treat with dignity and respect and gave examples of this. “You can get up when you want”, and “there’s nothing wrong here – I can’t think of how you could improve it”. Others said “your life’s not your own, you can’t decide when to get up, staff come in and pull the clothes off you”. The inspectors observed some positive, caring and respectful interaction between residents and care staff; for example, staff gave time for a resident with communication difficulties to respond. It was also noted that residents were handed biscuits from a plate by care staff instead of being invited to choose which biscuit they would like. One resident said that sometimes she asked to be taken to the toilet and staff were “too busy”. One care staff spoken to could not give a clear explanation about how she could promote residents privacy. Another care staff spoke about knocking on residents’ doors, offering personal care with doors closed and asking permission before giving help or support. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP12, OP13, OP14 & OP15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some interesting and stimulating activities took place for residents. Resident’s independence was encouraged, and some had opportunities to maintain contact with the local community, and visitors were made welcome. Not all risks were assessed to ensure that residents were safe from harm. Meals were varied and enjoyed by most residents. EVIDENCE: Residents said that staff organised some activities and dominoes were being played on one day of the inspection. The inspector advised that those residents who participated in activities should have this recorded on their daily records. One resident said; “there’s activities occasionally – not a lot”, another commented, “a little more stimulus would be better then everyone wouldn’t be asleep”. Another resident commented “I find having only one bath each week most difficult”. The inspector was advised that Communion had taken place during the inspection – this should also be recorded on daily records. At least two residents continued to access the local community of their own accord. The inspector noted that risk assessment’s had still not been The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 12 completed with this regard. One resident was taken out of the home by care staff for a walk during the inspection. A number of visitors were seen visiting residents. They were able to meet in private, either in the residents’ room or in the small lounge. The inspector advised that the visitor’s policy did not contain sufficient information to inform relatives and friends about maintaining their involvement with the resident whilst living at The Croft. One resident said, “Visitors can come at any time they are always welcomed”. Resident’s rooms had been personalised with items from their own home. The inspector was advised that all residents had a next of kin or friend who could act in their interests. Risk assessments and a management framework had not been completed in all cases for residents wanting to take responsible risks. This would ensure that residents were kept safe from harm. For example, some residents went into Whalley on their own. The inspector noted that a record was made of meals served, and a planned menu was in place. On the days of the inspections, the aga cooker had broken down and the menu had been adapted because of this. One resident said; “the food is really quite nice,” another said; “normally its fine – some days it’s a bit off”. The inspector was advised that the kitchen had been thoroughly cleaned since the last inspection. Sharp knives were being kept securely. A fly screen had been fitted to the kitchen window. Fridge temperatures were being routinely recorded, however, it was suggested that these be recorded in a clearer, easier to understand format. The inspector advised that the cooked meat temperatures should also be recorded. The inspector observed one resident being fed by a care staff member who was stood over the resident, this was discussed with the manager at the time of the inspection. The environmental health officer had recently visited the home and a new temperature recording book was left, but had not yet been implemented. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP16 & OP18 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Adult Abuse and complaints procedures and policies do not fully protect residents, nor do they offer clear guidance to staff. EVIDENCE: There was a copy of the homes complaints and concerns procedure available, this was not dated and there was no evidence of this being reviewed. There was a complaints record book, however, no entry had been made since 2003. One visitor to the home explained to the inspector about her experiences when she had complained to the home. Although the complaint had been largely resolved, the complainant felt there was still outstanding staff training issues (moving and handling). The Commission had received 2 complaints since the last inspection. Staff spoken to said they would “refer the complaint to the manager” if they received a complaint. The home had a copy of the “No Secrets in Lancashire” document. The inspector noted there was a policy entitled “Protection of Residents from Abuse” – this policy was not dated nor was it specific to The Croft. This issue was discussed at length with the manager. An aggression and bullying policy was seen. Two staff spoken to said they had not received Protection of Vulnerable Adults training. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP19 & OP26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was clean, tidy warm and free from offensive odours. Some facilities at the home were not suitable for the residents accommodated. EVIDENCE: Following a tour of the communal areas of the home, it was noted that the passenger lift continued to be not suitable for its intended purpose. There had been one complaint received by the Commission regarding this issue. It was not possible for one resident in their wheelchair and a member of staff to travel safely. Staff were transporting residents in the lift by using a bath wheelchair, getting this wheelchair into the lift involved manual handling of the wheelchair and residents. The inspector was advised that there were now 5 residents with mobility difficulties, and who had no other means of getting to their bedroom on the 1st floor. One resident said, “the lift is awful – I don’t know how the staff manage”. The inspector and manager discussed this issue, and the inspector asked that all possible solutions continued to be considered as a matter of urgency. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 15 Resident’s rooms seen were furbished with their own belongings and were seen to be homely and personalised. The home was clean and tidy, ensuring a pleasant environment for people living at The Croft. The garden was attractive and well maintained. The inspector was advised that the 1st floor lounge had recently been cleared and tidied and made more attractive for residents to use – it was reported that one or two residents had started to make use of this space. The inspector noted that a new carpet had been fitted in the dining room and entrance hall. The sliding door to the rear staircase was locked and had “fire door” sticker on it. The inspector was advised that it was not a fire door (had a glass panel in it) was told this was done in order to keep wandering resident from going upstairs. There were bare plaster patches in room 9 – the inspector was advised that this work was in hand. The large double glazed window in the residents lounge was in need of attention. The laundry room was clean and tidy, and hand-washing facilities were now in place. There continued to be no independent sluice in the laundry. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 16 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): OP27, OP28 OP29 & OP30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There were sufficient staff members on duty to meet service users needs. Staff do not have required accredited training to better meet the needs of residents. Recruitment and selection procedures do not fully protect residents. EVIDENCE: The staffing rota was examined and it demonstrated that there were 3 care staff on duty between 8am and 10pm. There were 2 wake and watch night staff between 10pm and 8 am. The inspector advised that this is the minimum staffing level and that consideration must be given to assessing the needs of all residents to ensure that current staffing levels are sufficient to meet these needs. Cleaners were employed for 35 hours per week, and cooks employed for a total of 42 hours per week. There were no staff employed under the age of 18 and no senior care staff aged under 21 years. One resident said “the staff are very good and work very hard, I’ve never heard them raise their voices”. Another commented; “the foreign staff are not as easy to understand as the local girls, but they try their best”. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 17 The inspector was advised that three out of seventeen care staff had obtained NVQ2 qualification. A further 6 care staff had signed up to undertake this training in the near future. Three staff recruitment files were case tracked and one was found to have shortfalls in the documentation required by legislation. A significant number of staff training needs had been identified, including moving and handling, 1st aid, food hygiene infection control and fire prevention/evacuation procedures. Arrangements had yet to be made to ensure that these training needs would be met. Induction for new staff consisted of working alongside experienced senior staff for one week. The inspector advised that this did not comply with TOPSS specification for induction and foundation training. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 18 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): OP31, OP33, OP34, OP35 & OP38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The manager designate had not been in post long enough to have a significant impact on care practice. The views of residents and visitors about the running of the home were not regularly sought. Resident’s finances were dealt with in a satisfactory manner. Health and safety issues must be routinely checked and maintained in order to safeguard the health and safety of the residents and staff team. EVIDENCE: Since the last inspection the appointed consultant had left the home. The new manager had been in post for only 5 weeks. The inspector expressed concerns that there had been 3 managers leave The Croft in approximately 18 months and that this was a cause for concern. An application for the manager’s registration with the Commission had been received. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 19 There were no records of residents meetings available. The inspector advised how this could be done on an informal basis, but that the outcomes must be recorded. The inspector was advised that a questionnaire had been developed, and that this was left out at the homes entrance, however it was rarely if ever completed. The inspector advised that this should be posted out to residents and their regular visitors (family, friends and visiting professionals) twice a year, and the response collated and published. The registered person advised that a business plan was in place, however this was not made available to the inspector. The registered person advised he was not appointee for any residents; however he did have involvement in 16 resident’s personal allowances. On checking there was a discrepancy for one resident’s personal allowance, this was resolved during the inspection. As previously mentioned in this report a number of health and safety training issues had been identified as outstanding. 7 care staff had completed 1 days moving and handling training. One care staff described the moving and handling of one resident, who was seen to be moved by an ‘underarm’ lift. This type of handling can cause dislocation of the shoulder or damage to the brachial nerve and should be discontinued. The inspector noted that wheelchair footplates were not being routinely used. The inspector noted that the fire system had been independently checked within the last 12 months. The last fire drill had been conducted in October 2005. There was no evidence that new care staff had received prevention of fire training. There were no records to demonstrate that the emergency lighting had been tested. There had been a Gas Safety check completed in April 2006. A portable appliance test had been completed in January 2006, and the 5-year electrical wiring certificate had been completed in July 2005. The passenger lift had been serviced in February 2006. Water temperatures were being regularly tested and recorded. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 1 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 2 3 X X 2 The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 Requirement The registered person must not admit residents to the home unless they have been assessed to ascertain that the home can meet their needs. The registered person shall have in place a written plan as to how the residents’ needs health and welfare are to be met. This requirement has been outstanding since 20th May 2005 The registered person shall have in place a written plan as to how the residents’ needs health and welfare are to be met. This requirement has been outstanding since 19th December 2005 The registered person shall make arrangements for the recording, handling, safe keeping, administration and disposal of medication. This requirement has been outstanding since 20th May 2005 The complaint policies and practices must be in accordance with this legislation. This requirement has been outstanding since 20th May 2005 DS0000009432.V290286.R01.S.doc Timescale for action 30/06/06 2. OP7 15(1) 31/08/06 3. OP8 15(1) 31/08/06 4. OP9 13(2) 30/06/06 5. OP16 22 & Schedule 4 (11) 30/06/06 The Croft Rest Home Version 5.1 Page 22 6. OP18 13(6) 7. OP19 23(n) 8. 9. OP26 OP28 23(k) 18 (1a&c) 10. OP29 19 Schedule 2 11. OP30 12, 18 1(a&c) &19 12. OP31 8 13. OP33 24 (3) The registered person must ensure that by staff training or other measures, to prevent residents from harm, abuse or being placed at risk or harm or abuse. This requirement has been outstanding since 20th May 2005 Suitable adaptations, equipment and facilities including passenger lifts, as may be required must be provided. Any necessary sluicing facilities must be provided. The registered person must ensure that a minimum of 50 of care staff have achieved the NVQ 2 in Care award. This requirement has been outstanding since 19th December 2005 The registered person must operate a thorough recruitment process at all times. This requirement has been outstanding since 20th May 2005 Persons working in the care home must receive training appropriate to the work they perform. This requirement has been outstanding since 20th May 2005 A registered manager must be appointed, as this is a condition of registration with the Commission. This requirement has been outstanding since 19th December 2005 The registered person must provide evidence of consultation with residents regarding the quality if care provided at the home. This requirement has been outstanding since 20th May 2005 DS0000009432.V290286.R01.S.doc 30/06/06 29/12/06 29/12/06 29/12/06 30/06/06 31/08/06 30/06/06 31/08/06 The Croft Rest Home Version 5.1 Page 23 14. OP34 25 15. OP19 13 16. OP38 13 The registered person must provide the Commission with such information as it may require for the purpose of considering the financial viability of the home. This requirement has been outstanding since 20th May 2005 The registered person must ensure that any activities undertaken by residents are so far as is practicable free from avoidable risks. This requirement has been outstanding since 19th December 2005 The registered person must ensure that any activities undertaken by residents are so far as is practicable free from avoidable risks. This requirement has been outstanding since 19th December 2005 30/06/06 30/06/06 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4. Refer to Standard OP10 OP12 OP13 OP15 Good Practice Recommendations Residents’ privacy and dignity should be maintained at all times and by all care staff. Residents should have the opportunities to exercise choice in their day to day living. Visitor’s policy did not contain sufficient information to inform relatives and friends about maintaining their involvement with the resident whilst living at The Croft. Residents should be assisted to eat in a discreet and sensitive way. The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 The Croft Rest Home DS0000009432.V290286.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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