Inspection on 17/01/07 for The Hollies

This inspection was carried out on 17th January 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 Hollies 07/09/09

The Hollies 02/10/08

The Hollies 03/05/07

The Hollies 29/11/05

The Hollies 03/06/05

The Hollies 15/12/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE The Hollies Florida Street Castle Cary Somerset BA7 7AE Lead Inspector Alison Philpott Unannounced Inspection 17th January 2007 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 The Hollies DS0000061198.V329099.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 Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hollies Address Florida Street Castle Cary Somerset BA7 7AE 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) 01963 350709 01963 351396 M & J Care Homes Ltd Mrs Judith Marion Adams Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places The Hollies DS0000061198.V329099.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: The Hollies is a residential care home providing care and support for up to 12 older people. The home is in Castle Cary, in a quiet residential road, close to the centre. Local amenities including shops, cafes, a small museum and the post office are close by. The home owners are closely involved in the day to day running of the home. The accommodation is arranged on two floors. There is a stair lift, but no shaft lift. There are two lounges, an attractive dining room/conservatory which overlooks an enclosed and sheltered garden. The home has limited parking space for visitors at the front of the property. The current fee range is £365 to £430 per week. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The previous key inspection took place on 29 November 2005. The inspector carried out a random inspection on 25 July 2006. This unannounced key inspection took place over 6 hours on 17 January 2007. The provider and the manager were not at the home at the time of the inspection. Lyndsey Brosius, Team Leader was available throughout the inspection. There were eleven residents living in the home. During the inspection, six residents and four members of staff were spoken with. Comment cards were received from three residents. The Inspector viewed the home. There was a comfortable and homely atmosphere. Staff were friendly and were observed being kind and caring toward residents. Records viewed included care plans; risk assessments; accidents; medication; health & safety records and staff recruitment & training. The Inspector would like to thank the residents and staff for their involvement and participation in the inspection process. As a result of this inspection the home has four requirements and five recommendations. What the service does well: Residents are very happy with the care and support that they receive at the home. Comments included “The Hollies is a lovely place to live” and “the staff are lovely”. Staff respect resident’s privacy and were observed offering support and choices to residents. Residents spoken with confirmed that they enjoy the food at the home. The home provides a comfortable and homely environment for the people who live there. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The home should provide detailed guidance for staff to follow in relation to washing to ensure that the resident’s specific needs are met appropriately. When hand transcribing Medication Administration Record Sheets, the home must ensure that two signatures are obtained to safeguard residents. The home should review the access to its hoist as this poses a potential health and safety risk to staff. The home’s grab rails must be tightened to minimise any risk to residents. The home must be in receipt of the completed POVA first check and two written references before new employees are confirmed in post or commence work in the home, to safeguard residents. Employment history and any gaps must be explored when recruiting new employees to safeguard residents. The home must ensure that all staff receive appropriate training in relation to moving and handling to include practical demonstration to protect staff and residents. When undertaking financial transactions, the home should obtain the resident’s signature and a staff signature or two staff signatures to safeguard the resident’s money. Roll calls displayed on walls should be removed to protect resident’s privacy, dignity and promote confidentiality. The home should undertake regular fire drills to minimise the risk of harm to residents and staff in the event of a fire. Safety information in the form of ‘safety data sheets’ or COSHH assessments should be in place in case a service user or staff is accidentally exposed to any chemicals within the service. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 7 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 Hollies DS0000061198.V329099.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 Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home undertakes a comprehensive pre-admission assessment to ensure it can meet the needs of prospective residents. EVIDENCE: Since the last inspection, the home has produced a ‘Residents Information Handbook’. This includes the home’s Statement of Purpose, Service User’s Guide, Complaints Procedure and Fire Procedures. These have been distributed to each resident and the inspector observed these in residents’ bedrooms. The inspector viewed two pre-admission assessments for new residents. These were comprehensive and detailed. The manager visits prospective residents in The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 10 their own home or in hospital to undertake a needs assessment and ensure that they can meet the individual’s needs appropriately. The home has not introduced intermediate care since the last inspection. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans generally contain detailed information to ensure that residents’ needs are met. The home’s medication procedures generally protect residents. Staff respect residents’ privacy and dignity. EVIDENCE: The Inspector viewed four care plans. These contained clear information for staff to follow in order to meet residents’ healthcare & social needs. The plans were person centred and contained individual resident’s preferences. Two of the care plans stated that the residents needed assistance with washing. The home should provide detailed guidance for staff to follow to ensure that the The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 12 resident’s specific needs are met appropriately. One resident had spent a period in hospital and the home had reviewed and updated their care plan, on their return to the home. Risk assessments were viewed in relation to moving & handling and access to the garden. Residents have access to a range of professionals including GP, District Nurse, Dentist, Social Worker, Optician and Chiropodist. Medication is stored securely. The home uses a monitored dosage system. A list of staff who can administer medication and residents’ photographs are filed with the Medication Administration Record (MAR) Sheets. The MAR Sheets that had been provided by the Pharmacy did not contain the maximum dose for Paracetamol. The home was advised to contact the Pharmacy to ensure that this is added to the sheets to minimise the risk of harm to residents. There was one gap in the MAR Sheets. However, the home advised that they discuss any shortfalls with staff to ensure continuous improvement. The home has also introduced a monthly medication audit. Variable doses are recorded. Some hand transcribed MAR Sheets only contained one signature. The home must ensure that two signatures are obtained to safeguard residents. The controlled drugs were double locked. The Inspector checked the balance of two medicines and these were correct. The book contained two signatures. A lockable medication fridge is in use. The home had recorded the daily temperature to ensure that medicine is stored safely. The home advised that all staff who administer medication have completed training. Staff spoken with demonstrated a good awareness of how to respect resident’s privacy and dignity. Residents confirmed that they are treated with respect. The inspector observed staff knocking on bedroom doors before entering the room. Residents are very happy with the care and support that they receive at the home. Comments included “The Hollies is a lovely place to live” and “the staff are lovely”. The Hollies DS0000061198.V329099.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 is good. This judgement has been made using available evidence including a visit to this service. The home has an activities programme for residents. Visitors to the home are made to feel welcome. The residents enjoy the food at the home. EVIDENCE: The home’s activities include crosswords, sing songs, raffles, games, and chair exercises. The home advised that there are plans to introduce aromatherapy and reflexology. During the inspection, residents were observed reading, listening to music, watching television and chatting. The home arranges a Holy Communion once a month for those who wish to attend. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 14 All residents spoken to confirmed that their visitors are made to feel welcome at the home. The Inspector observed staff offering resident choices throughout the day. Residents confirmed that they can spend their time as they want to and that they are given choices. Resident’s rooms are very homely and personalised with their own possessions. The tables in the dining room were laid attractively for lunch. All residents spoken with confirmed that the food is good. One resident who has special dietary requirements confirmed that they are offered alternative dishes. Since the previous inspection, the home has introduced the choice of a cooked breakfast three days a week. The home is currently developing its menu and printed menus will be made available in the dining room. The Hollies DS0000061198.V329099.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 adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure. The home has policies relating to whistleblowing and abuse. The home’s procedures do not fully protect residents. EVIDENCE: The home’s complaints procedure is displayed in the entrance hall and placed in each ‘Residents Information Handbook’. The home had not received any complaints since the last inspection. Residents confirmed that they knew who to speak to if they had any concerns. Three staff files were viewed. These all contained evidence of POVA first checks and completed Criminal Record Bureau checks. However, one member of staff commenced work prior to the home receiving the POVA first check (see Standard 29). The home has policies relating to whistleblowing and abuse. Staff spoken with demonstrated an awareness of the steps to take if they witnessed or discovered abuse. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 16 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, 22, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is homely with comfortable furnishings. The home generally provides a safe environment. The home was clean. The home has systems in place to control the spread of infection. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 17 EVIDENCE: The Inspector viewed the home. The environment is well maintained and homely with comfortable furnishings. The home has a pleasant dining area and lounges. Since the previous inspection the dining room has been relocated to the conservatory. This provides more space and looks out over the garden which is attractive and well maintained. The garden area is slightly elevated and is not easily accessible to residents with poor mobility. At the random inspection on 25.07.06, the manager advised that the home is reviewing access to the garden for residents. This will be followed up at future inspections. Since the previous inspection, the home has made various improvements. It was noted at the random inspection on 25.07.06 that the carpet in the lounge was starting to ripple. New carpeting has been laid in the lounge and some of the communal areas to protect residents from the risk of tripping. Some of the fire systems and equipment have been reviewed and upgraded (see Standard 38) to minimise the risk of harm to residents in the event of a fire. The inspector observed that the home’s hoist which is used for moving and handling is stored in a cupboard. The cupboard has a lip at the bottom. Therefore, staff can not roll the hoist out but would have to lift it out. The home should review the access to the hoist as this poses a potential health and safety risk to staff. Grab rails are provided in the home’s bathrooms and toilets to maximise residents’ independence. However, some of the grab rails situated next to toilets were loose. These grab rails must be tightened to minimise any risk to residents. The home was clean and smelt fresh throughout. The inspector observed that the laundry was clean and tidy. Aprons and gloves were available for staff. Liquid soap, hygienic hand rub and hand towels were provided. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 18 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 appeared to be sufficient staff on duty to meets the residents’ needs appropriately. Staff recruitment procedures are not consistently robust to protect residents. The home has a staff training programme. EVIDENCE: The inspector viewed the rotas. The home employs two care staff in the morning; two care staff in the afternoon and evening; and one waking care staff at night with on call support provided by the management team. The home should keep its staffing levels under review (in particular at night) to ensure that there are sufficient staff on duty at all times in accordance with the levels of dependency of each resident, so that residents needs continue to be met appropriately. There appeared to be sufficient staff on duty during the The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 19 inspection to ensure that resident’s needs were met appropriately. The residents spoken with confirmed that staff are always available. The Inspector viewed three staff recruitment files. All of the files contained application forms, health questionnaires, photographs, proof of identity, contracts, POVA first checks and CRB disclosures. One employee commenced work before their POVA first check and references were received by the home. The home must be in receipt of the completed POVA first check and two written references before new employees are confirmed in post or commence work in the home, to safeguard residents. The employment history on the application forms was not fully completed. It was not clear when the applicants had commenced and left previous employment or whether they had any gaps between their employment. The home must ensure that they explore the employment history and any gaps when recruiting new staff. The inspector spoke with two members of staff who had recently commenced employment within the home. They were able to explain the recruitment process including their interview and documentation. They confirmed that they had spent time shadowing experienced staff. The home has a comprehensive induction checklist. Staff spoken with confirmed that they had undertaken an induction. The home had a training programme available. Staff attended a fire awareness course in November 2006. Staff had signed to confirm that they had completed the training. The home had planned training in Health & Safety for 18.01.07, and Food Hygiene on 25.01.07. Manual handling theory training was undertaken by staff on 11.01.07. During the inspection, the inspector observed one member of staff carrying out a moving and handling manoeuvre with a resident. The practice was potentially unsafe and placed the resident and member of staff at risk of harm. The home must ensure that all staff receive appropriate training in relation to moving and handling to include practical demonstration. Two members of staff currently hold NVQs at level 2 or above. Five members of staff have recently been enrolled on NVQ 2. Two members of staff have been enrolled on NVQ 3. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 20 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, 37, 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ monies are safeguarded. The home has developed its quality assurance systems. The home is working towards improving health and safety. EVIDENCE: Mrs Judith Adams is the Registered Manager. She is supported by a Team Leader and Senior Carers. Staff spoken with confirmed that they find the management team approachable. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 21 The home holds residents’ meetings. The last meeting was in November 2006. The home records minutes of the meetings and these were viewed. A questionnaire was distributed to residents in November 2006. The results were collated and action taken as necessary. The home has a suggestion book on display in the entrance hall. The home holds small amounts of cash for some residents. The monies are stored securely. Financial transaction records are maintained for each of these residents. The records for two residents were viewed. The balances were found to be correct. The records were double signed on some occasions and signed by one member of staff at other times. The home should obtain the resident’s signature and a staff signature or two staff signatures to safeguard the resident’s money. Roll calls are positioned on the walls in the corridors. The lists include names of residents and room numbers. The lists should be removed as this detracts from a homely environment and compromises residents’ privacy, dignity and confidentiality. The home’s health and safety records were viewed. At the previous inspection on 25.07.06., the inspector made requirements and recommendations relating to fire safety. The Fire Safety Officer visited the home with the inspector on 24.08.06. The home has made significant progress in relation to fire safety since this date. Some areas highlighted by the Fire and Rescue Service are pending prior to building works due to take place. The home tests its fire alarm system weekly. The home installed a new fire panel on 20.12.06. Emergency lights are tested monthly. Fire extinguishers were serviced in September 2006. Detectors have been fitted in each resident’s bedroom. Where a resident chooses to have their bedroom door wedged open, the home has fitted doorguard release mechanisms to reduce the risk of harm in the event of a fire. Fire exit doors opened easily and the alarms sounded. Escape routes were clear. One fire door was not closing shut at the bottom. The Team Leader confirmed that the manager will action this. The home has not carried out a fire drill recently to ensure that residents and staff are aware of the emergency procedures in practice. The home should undertake regular fire drills to minimise the risk of harm to residents and staff in the event of a fire. Portable appliance testing was carried out in October 2006. The boiler was serviced on 15.11.06.. The home’s hoists were serviced on 09.10.06. The stair lift was serviced on 14.12.06. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 22 The home carries out regular checks on hot water temperatures and maintains a record. The Legionella safety check was completed on 21.09.06. Accidents are recorded in the home’s accident book. The accident book complies with the Data Protection Act 1998. Cleaning chemicals were stored securely in locked cupboards. The home does not have COSHH (Control of substances hazardous to health) data sheets for all of its cleaning products. Safety information in the form of ‘safety data sheets’ or COSHH assessments should be in place in case a resident or member of staff is accidentally exposed to any chemicals within the service. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 2 X X 2 X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X 2 2 The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Timescale for action The registered person shall make 18/01/07 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. (This relates to the need for hand transcribed MAR Sheets to contain two signatures and be dated on receipt of medication). (This requirement was made at the previous inspection). The registered person shall ensure that – unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. (The grab rails provided in residents’ toilets and bathrooms must be tightened to minimise any risk to residents). (This requirement was made at the previous inspection). The registered person shall not employ a person to work at the care home unless the person is fit to work at the care home; subject to paragraph(6), he has DS0000061198.V329099.R01.S.doc Requirement 2. OP22 13(4)(c) 28/02/07 3. OP29 19(1)(a)( b) 18/01/07 The Hollies Version 5.2 Page 25 obtained in respect of that person the information and documentation specified in paragraphs 1 to 7 of Schedule 2. (The home must be in receipt of the completed POVA first check and two written references before new employees are confirmed in post or commence work in the home, to safeguard residents). • (The home must ensure that they explore the employment history and any gaps when recruiting new staff). The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users – ensure that the persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform. (The home must ensure that all staff receive appropriate training in relation to moving and handling to include practical demonstration). • 4. OP30 18(1)(c)(i ) 17/04/07 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 OP7 Good Practice Recommendations The home should provide detailed guidance for staff to DS0000061198.V329099.R01.S.doc Version 5.2 Page 26 The Hollies 2. 3. OP19 OP35 4. 5. OP37 OP38 follow in relation to washing to ensure that the resident’s specific needs are met appropriately. The home should review the access to its hoist as this poses a potential health and safety risk to staff. The Manager should obtain the resident’s signature when withdrawing any of their cash from the safe, or two staff signatures. (This recommendation was made at the previous inspection). Roll calls displayed on walls should be removed to protect resident’s privacy, dignity and promote confidentiality. • The home should undertake regular fire drills to minimise the risk of harm to residents and staff in the event of a fire. • Safety information in the form of ‘safety data sheets’ or COSHH assessments should be in place in case a service user or staff is accidentally exposed to any chemicals within the service. The Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Hollies DS0000061198.V329099.R01.S.doc Version 5.2 Page 28 - 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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