Inspection on 15/06/07 for The Haven

This inspection was carried out on 15th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Haven 15/06/06

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOMES FOR OLDER PEOPLE The Haven 58 Sherwood Way West Wickham Kent BR4 9PD Lead Inspector Wendy Owen Unannounced Inspection 15th June 2007 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 The Haven DS0000066684.V342405.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. The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Haven Address 58 Sherwood Way West Wickham Kent BR4 9PD 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) 020 8777 3218 thehavenhome@hotmail.com Marie Yolande Thamiandy Garjah Mr Jean Sylvio Garjah Marie Yolande Thamiandy Garjah Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0) of places The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Mental Disorder, excluding Learning Disability or Dementia - Code MD The maximum number of service users who can be accommodated is: 6 15th June 2006 Date of last inspection Brief Description of the Service: The Haven has been established since 1996. It has recently undergone a change of Providers. It is registered as a care home for six older people, male or female with mental health difficulties. The Haven provides twenty-four hour support to the service users to enable them to live as independently as possible in the community. The home itself is a two storey semi-detached building located in a quiet residential road close to West Wickham town centre. The private accommodation is located on the two floors and, due to the stairs, the home may be partly unsuitable for those individuals with mobility difficulties. There is a small staff team, which includes a Registered Manager (one of the Providers) who is also part of the care team and care staff. There are no ancillary staff employed to work in the home. Details of the fees were not available at this inspection. Information for prospective residents is available in the form of a Service Users Guide and Statement of Purpose. However, these are currently being reviewed. The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over the course of one day. The visit included discussions with three residents, two staff and the manager. The inspector also received written feedback from five residents and two relatives. Records were viewed and a tour of the home completed. The Haven provides good individual care to those living in the home and, since the new providers have been in place, they have embraced the way in which good care should be provided. They still, however, need to develop further their understanding of the importance of procedures and records to ensure people using the service are fully protected. What the service does well: The Haven provides a safe warm and comfortable environment for those living in the home where staff value residents and provide care and support to a good standard. Healthcare needs are being met through accessing relevant NHS services and, where required, specialist support. Residents spoke highly of staff finding them “caring” and “sensitive” to their needs. One relative wrote that “Since Marie has taken over things have improved by 100 .” The relative particularly comments on the improvements in the selection and quantity of food and the fact that residents are now taking out a lot more. Staff are provided with basic training to ensure they have the knowledge and understanding to support individuals in their day to day lives. Induction training takes place with just under 50 of staff achieving NVQ 2 or above. The quality of the food has been of a consistently good standard over the years with variety and sufficient quantity provided at regular intervals enjoyed by all residents. One resident stated that food was “gorgeous” whilst another said it is of a “high standard”. It is positive to note that those living in the home are able to make decisions and choices on how they wish to spend their days and how they would like the service to be run. The way in which complaints are managed ensures that The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 6 residents are listened to and any issues dealt with before the need for a more formal process. Adult protection procedures are in place although there is a need to ensure staff are fully aware of the way in which individuals need to be protected from abuse. The manager has ensured the health and safety of residents through regular monitoring and servicing of equipment used. What has improved since the last inspection? What they could do better: Whilst the care provided those living in the home is of a good standard and there have been some improvements there are still some areas that need to be addressed particularly to ensure the safety and wellbeing of the residents. Information provided in the form of the Service Users Guide and Statement of Purpose must be produced with the information required by the Regulations and standards. Care plans have improved as stated earlier. However, there is key information on health, physical, social and financial needs missing together with a lack of risk assessments in areas. The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 7 Medication procedures are generally satisfactory but gaps in some areas mean that residents are potentially at risk. Recruitment procedures together with contracts for staff must be improved to ensure there is information on start dates and therefore checks completed prior to the start date. There is little evidence of any formal supervision taking place and whilst training has taken place over the last few months the manager must ensure staff have training or guidance on infection control as a priority to ensure residents are protected. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 & 6 Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. The information provided to prospective clients and those using the service must be improved to ensure they have the information required to make a decision on the service. The manager ensures that staff have basic information on people who live in the home to ensure they are able to meet their needs. EVIDENCE: The last inspection required the Provider to ensure the information provided in the form of the Statement of Purpose and Service Users Guide contains the information required by the Regulations and standards. This has not yet been produced. Of the five surveys returned four stated that they were asked if they wanted to come to the home and were provided with information about the home. (See requirement) The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 10 The Haven has a stable resident group with no new admissions over the last twelve months. The inspector viewed the pre-admission procedures and found these to be very limited with no procedures regarding referral and assessment processes. There is a basic assessment form to determine the prospective clients needs, although this too, could be further elaborated on and improved upon. (See recommendation) The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. Care plans are completed that give some information on the needs of the people living in the home. Records relating to the health needs of people need to be improved to ensure risks to health are identified and health needs are fully met. EVIDENCE: Two residents’ files were viewed to determine the information detailed regarding the care and support they require. These had improved since the last inspection with a more holistic approach to determining the needs, particularly where the client group is ageing and ailments and illnesses associated with old age need to be examined and addressed. The care plans generally recorded the physical and mental health needs of the residents although there were gaps in this information that were relevant to their needs. For example issues with eating and specific problems with, epilepsy, footcare and management of The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 12 finances. The care plans also need to be more specific about how the care needs are to be met For example where they require help with personal care – what help is required and where there are mobility issues it must be clear how mobility issues are being addressed. There were limited risk assessments in place although a risk assessment had been produced for falls. The manager should investigate how nutritional needs and possible mental health issues are being assessed and action taken which minimises the risks yet promotes independence. (See requirements) The inspector found good records regarding accessing healthcare for those residents’ files viewed with good records of individual weights. It is clear from discussions with residents and the written feedback that, whilst the records may not be up to date and detailed, the care provided is of a good standard with independence promoted and individual privacy and dignity respected. Interactions between residents and staff were positive relationships fostering a sense of being valued and respected. One resident said that staff “are lovely” and another said “they are so kind”. A brief audit of the medication procedures was undertaken. There were records of prescribed medication in place with appropriate information recorded. Photographs were in place to identify the individual, although these now are quite old and should be updated. With the exception of three medications there was a record of receipt into the home and all medication had been recorded when administered. The majority of medication had clear guidelines for administration. However, there were a few cases where the administration was “as required” or “as directed”. For example prescribed creams such as fucibet and betnovate must have specific guidelines in place. Staff are receiving medication training to support them implement the basic procedures. (See requirement and recommendation) The Haven DS0000066684.V342405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. People living in the home are provided with activities and interactions that stimulate and value them as individuals. The food provided is of a high standard, varied and healthy and chosen by the them. EVIDENCE: The last inspection identified the need to improve the way in which residents are stimulated and participate in community and other activities. Discussions with residents and the written feedback show that this has improved with residents telling the inspector of going out to garden centres, pubs for lunch and church visits. On the day of the visit one resident was hoeing the garden which was her “pride and joy”. She explained that she had been responsible for much of the planting. She was also due walk to the town centre with another residents before lunch. It was evident from this discussion that she was making decisions and choices about her day-to-day living and how she wished to live. Another resident also spoke of going to the shops and attending the day centre twice a week. Two other residents also attend the day centre The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 14 each week. It is also positive to note that the manager and staff have managed to encourage those residents who found it difficult to leave the home to do so. A member of staff who had worked in the home previously stated that she noticed that residents “go out a lot more now”. Residents’ meetings are held every few months with discussions around the food and activities etc. The manager has also recorded what action was taken to address any actions required. It was evident from reading the last two minutes of meetings that residents had influenced activities, mealtimes and the food provided. Observations and discussion also confirmed that most of the residents feel they have flexibility and choice in many areas including how they wished to spend their day and routines. The mealtime has changed as determined by the residents and agreement sought on what they would like to see placed on the menu. The feedback was more than positive about the quality of the food, choices and quantity. “gorgeous” and “excellent” were two of the adjectives used to describe their views of the food. The Haven DS0000066684.V342405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are listened to when they gave concerns and these concerns addressed and are protected through an adult protection procedure. EVIDENCE: The complaints’ procedure is in place and displayed in the hallway. The manager stated that all residents now have a copy of the procedure. It is now available in larger print for those who have poor vision. The home continues to be free from formal complaints with interactions between staff, manager and residents flowing freely and residents able to discuss any concerns or issues that arise daily. It is evident from discussions with residents, staff and the manager that the residents feel, through interaction, that they are listened to and valued. Those spoken to felt that despite the changes in Provider and manager there had been little changes in the way the home was run and the care provided. All felt that the manager was “lovely” and that that could talk about things with her. One relative wrote that “Marie is such a caring and helpful person.” Adult protection procedures are in place and there is evidence of some staff training through a distance-learning module with a test on completion. The The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 16 manager was able to demonstrate her role in ensuring residents are protected and referring to the appropriate agencies. Discussions with two staff show that they have basic understanding of what constitutes abuse, although how they would respond was varied. (See requirement) The Haven DS0000066684.V342405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Haven is a well maintained, well furnished and decorated environment providing those living there with a warm, homely and comfortable environment. EVIDENCE: The Haven provides a warm, comfortable and homely environment with furniture and furnishings of a good standard. A tour of the home showed the home to be clean and fresh and rooms very personalised with ornaments, mementoes, photos and pictures. The gardens are small but well presented with shrubs and flowers and garden seating that makes a good external area. The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 18 A toilet is located on the ground floor with a bathroom and wc also located on the first floor. Staff have recently attended core training that included food hygiene, moving and handling and first aid. However, infection control training has not been provided yet nor has the manager obtained the Codes of Practice in Infection Control. This must be addressed to ensure good infection control procedures are known and implemented by staff. (See requirement) All residents at The Haven are mobile (with aids for some) and therefore there is no equipment such as a stair lift or hoist. Grab and hand rails are located throughout he home including the external steps to the back garden. The Haven DS0000066684.V342405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There has been progress in ensuring staff are trained and competent to care for those living in the home and in the way recruitment of staff is undertaken. However, the records regarding new staff are not robust enough to fully safeguard individuals. EVIDENCE: Over the last twelve months there have been changes to the management and staff team which had been stable for a number of years. However, in the residents view, this does not appear to have had a negative impact on the care provided. The personal file of three members of staff recruited in recent months. All contained a completed application form although they were mixed in their degree of completion especially detailing employment history. All had two references including previous employers. However, the references must be clear as to the legitimacy ie company stamp, compliment slip and where employed in care previously written verification as to the reasons why they left the employment. All contained proof of identity and Criminal Records Bureau The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 20 checks with POVA check. However, it is unclear as to the start date and therefore whether the POVA check and CRB were completed prior. The manager must ensure that this is clear from records and contracts. Contracts had not been produced for new staff. (See requirements) Two of the staff have NVQ 2 with one staff member being a SEN. The staff roster does not clearly show how many permanent staff there are and their role and contracted hours. This should be amended to ensure it is clear from those viewing the roster who is working in the home and when (including times). (See requirement) Discussions with two members of staff showed that training has been taken lace in a number of areas. This is ongoing. Both are new to the home and told the inspector that they had received orientation into the home, shadow shifts and are now completing the induction workbook. It is evident from the workbook viewed that more monitoring of their completion should be undertake. However, there has been other training taking place that may have impacted on the actual record keeping. This will be monitored at a later inspection. The manager was informed of the need to change to the new Common Induction Standards developed for new care staff rather than continue with the induction and foundation workbook. Staff also spoke of other training including adult protection (in one case) and health and safety in another. The day training in health and safety includes food hygiene, first aid and moving and handling. The moving and handling does not include any practical application or assessment of competency. This is disappointing and the manager may wish to review this in the future particularly as the residents are having more mobility issues. The Haven DS0000066684.V342405.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and safety of residents is maintained although the lack of infection control training and guidance leaves residents potentially at risk. The systems in place for managing individual’s personal finances must be improved to ensure residents’ monies are safe. However the inspector believes there is the capacity, potential, willingness and desire to provide a good service in the near future. EVIDENCE: The Provider’s application for registration as the manager has recently been successful. She is a RGN and RMN with a number of years experience in the The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 22 healthcare sector. This is the first management post and first direct involvement in residential care. During the registration process she expressed her commitment to undertaking the Registered Manager’s Award to provide her with management knowledge. The manager also demonstrated, through discussions, that she is committed to providing good quality care and therefore shows a willingness to improve the service through the inspection process. The Provider (manager) is new to service provision and therefore still “learning” about the management and administration that is required to run a good service. However residents and the relative who provided feedback all felt that “things are certainly on the up now.” Since the last inspection a survey has been completed by relatives and residents. The surveys provide good evidence of the quality of care provided as expressed by those experiencing it. However the manager must ensure in future that a report is written on the findings with actions taken, where identified, to address the shortfalls. The inspector also noted that the surveys were not dated nor was it clear whether it was a relative or residents’ survey. The format and detailing must be reviewed prior to the next survey being completed. It is clear from the discussions had with staff and residents that the manager has an open approach and has a desire to ensure the care provided is high. A sample of service contracts were viewed and found to be satisfactory including the fixed wiring, gas, fire alarm system and portable appliance testing. Regular checks are also undertaken to ensure the fire alarm system is in good working order. There are few records in respect of fire training for staff although some staff are currently completing the fire training manual developed by Mulberry. The manager was made aware of the need to ensure there is regular fire instruction taking place at least every twelve months. The inspector also sampled residents’ finances. Two residents manager their personal monies whilst one resident has a bank account that they access with the support of the staff and the three remaining residents’ monies are kept by the home. Where the resident is accessing monies from the bank with support of staff there must be a record of the withdrawal and the receipt maintained. The system for maintaining records could be improved in the way it is organised to ensure there is evidence of receipts for purchases and where monies are brought in for the clients a receipt is also provided. Wherever possible residents must sign for any monies taken or purchases made on their behalf. (See requirement) Previous standards have commented on the need to ensure staff are provided with infection control training and access to Infection Control Codes of Practice. (See requirement) The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 23 Viewing of staff files and discussions with staff show that there has been little in the way of formal supervision although staff stated that the manager is on hand at various times of the day to discuss issues with and that staff meetings are also held to discuss the care provided and the development of staff as a group. (See requirement) The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 2 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 X 2 2 3 2 The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 5 Requirement The Registered Person must ensure that the Statement of Purpose and Service Users Guide contains the information required by the Regulations. This requirement has been partly met. Timescale of 1/9/06 and 0103/07. 2. OP7 14 The Registered Person must 01/08/07 ensure that care plans reflect the residents’ needs in respect of physical, social and financial needs identified.. The Registered Person must ensure that medication records are fully completed as to receipt and administration. The Registered Person must ensure that all new staff are provided with clear information and guidance on types of abuse and how their role in safeguarding residents from abuse. DS0000066684.V342405.R01.S.doc Timescale for action 01/08/07 3 OP9 13 01/08/07 4 OP18 13 01/08/07 The Haven Version 5.2 Page 26 5 OP29 17 & 18 The Registered Person must ensure that the recruitment practices are robust enough to protect the individuals living in the home through ensuring the required checks are made before the individual commences employment. The Registered Person must ensure that contracts are provided to staff employed in the home. The contract must detail the start date of employment. The Registered Person must ensure that risk assessments are developed for all areas of need especially those specific to old age, mobility and nutrition. The Registered Person must ensure that residents’ monies are fully safeguarded through accurate and up to records of money being spent and coming into the accounts. The Registered Person must ensure that staff are provided with Infection control training or guidance to ensure their practice meet with the Codes of Practice. The Registered Person must ensure that staff receive regular supervision. 01/07/07 6 OP27 18 01/09/07 7 OP8 12 01/08/07 8 OP35 13 01/08/07 9 OP26 13 01/10/07 10 OP36 18 01/09/07 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 OP3 Good Practice Recommendations The manager should develop a pre-admissions and DS0000066684.V342405.R01.S.doc Version 5.2 Page 27 The Haven 2 OP30 admissions procedure together with reviewing the assessment format currently used. The Manager should develop individual training and development plans for staff and develop a system for recording training undertaken by staff. The staff roster should show full details of all staff working in the home together with dates and times of working and their designation. 3 OP27 The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Haven DS0000066684.V342405.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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