Inspection on 30/04/08 for The Longdens

This inspection was carried out on 30th April 2008.

CSCI found this care home to be providing an Adequate service.

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 Longdens 08/05/07

The Longdens 21/07/06

The Longdens 19/05/06

The Longdens 23/08/05

The Longdens 25/04/05

The Longdens 07/10/04

The Longdens 26/05/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Longdens, The 7 Leopold Street Derby Derbyshire DE1 2HE Lead Inspector Janet Morrow Unannounced Inspection 30th April 2008 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 Longdens, The DS0000001987.V363695.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. Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longdens, The Address 7 Leopold Street Derby Derbyshire DE1 2HE 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) 01332 346626 keltie2054@aol.com Mr James Keltie Mrs Dorothy Jean Keltie Mrs Dorothy Jean Keltie Care Home 16 Category(ies) of Learning disability (0), Mental disorder, registration, with number excluding learning disability or dementia (0) of places Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Age range of residents 65 years, with the option of admitting 2 persons aged 50 years and over. Where residents under 65 years of age are residing in the home consideration is given to Younger Adults National Minimum Standards. The registration includes the option of one day care place. This is in addition to the maximum number registered. 8th May 2007 Date of last inspection Brief Description of the Service: The Longdens is a care home for sixteen people aged 65 years and over with mental health and learning disability needs, with the option of admitting two persons aged over 50 years. The home is also approved for one-day care place. The home is a semi-detached house in the centre of Derby; the city centre shops and facilities are close by. The home has ten single and three shared rooms, two rooms have en suite facilities. Stairs and a passenger lift access the first floor. Several steps and a chair lift access two rooms on the first floor. The home has a large enclosed garden. Information about fees provided in May 2008 stated that fees ranged from £353 - £370 per week. The home’s inspection reports are available from the office in the home and can also be located on the Commission for Social Care Inspection’s website www.csci.org.uk Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection visit was unannounced and took place over one day for eight hours. Care records, staff records, maintenance records and a sample of policies and procedures were examined. A tour of the building was made. Four members of staff, the registered manager/provider and deputy manager and were spoken with. Seven people living at the home, two relatives and two visiting professionals were spoken with during the inspection visit. Four surveys were received from people living at the home, three were received from relatives and four from visiting professionals. Written information supplied by the home in the form of an annual quality assurance assessment informed the inspection process. What the service does well: The home was run around the needs of the people living in the home and daily routines were flexible. People have built up warm relationships with care staff, and it was clear from observations and discussions with staff that they know the residents very well. People living at the home stated that they ‘liked it’ and that staff were ‘good’. A tour of the home highlighted that individual bedrooms were comfortable and contained personal belongings. The home was welcoming and had a large secure garden area that was well equipped for outdoor use with greenhouse, seating and barbecue facilities. The registered persons work in the home most days supervising the care provided. Meals were plentiful and nutritious and enjoyed by people living in the home. Feedback from visiting professionals was positive with comments on surveys such as: Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 6 ‘excellent psychiatric care given’ ‘caring environment’ ‘staff, environment and atmosphere is excellent’ ‘treat everybody as individuals’ What has improved since the last inspection? What they could do better: Recruitment procedures must always ensure that a Protection of Vulnerable Adults (POVA) First check is available before a member of staff commences work in the home. Peoples’ financial records must always be up to date to ensure there are no discrepancies between the written records and the cash held. Further improvements to care plans to include greater detail and have evidence of consultation, such as a signature, should take place. Staff training needs to ensure that mandatory health and safety courses and safeguarding training is undertaken and kept up to date for all staff. Training must also include areas relevant to the care needs of people living in the home. Please contact the provider for advice of actions taken in response to this Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 7 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. Longdens, The DS0000001987.V363695.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 Longdens, The DS0000001987.V363695.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 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was sufficient admission information to ensure that peoples’ care needs could be met. EVIDENCE: Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 10 Two peoples’ care files were examined and both had an assessment in place that gave sufficient information to establish that needs could be met. Where appropriate, information from the assessment and care management process was in place. Risk assessments were in place on both files on admission for nutrition and pressure sores. However, there were no risk assessments for falls in place. This was discussed and although the majority of people did not have mobility problems, there were come individuals where such an assessment would be beneficial. All four visiting professional surveys received responded that health care needs were ‘always’ met and that the home ‘always’ responded to different individual needs. A Visiting professional spoken with during the visit responded ‘very much so’ when asked if people’s needs were well met. Two relatives’ surveys responded that the home ‘always’ met individuals’ needs and one responded that it ‘usually’ did and all four surveys received from people living at the home responded that staff ‘always’ listened and acted on what was said. Longdens, The DS0000001987.V363695.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning and review systems and good communication systems ensured that peoples’ health and personal care needs were met. EVIDENCE: Two peoples’ care records were examined on this visit. Both had a care plan in place that gave sufficient detail for care to be provided and were being reviewed on a monthly basis. There were risk assessments in place for nutrition and pressure sores and these were being re-assessed on a monthly basis, as required by the indicated score. Although staff, people and their relatives confirmed that care was discussed, there was no indication on the care plan that the care being provided had been Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 12 agreed. This was raised as an issue at the previous inspection visit in May 2007. The health needs of people living in the home were recorded in care plans. Information relating to visits from health care professionals such as G.P, dentists, podiatrists and opticians were recorded. Blood pressure and pulse were recorded monthly on both files examined. All three relatives’ surveys responded that the home ‘always’ gave the support expected and all four surveys received from visiting professionals responded that health care needs were ‘always’ met by the home. One survey commented that ‘needs are taken into account and staff adapt to different needs’. Four medication administration record (MAR) charts were examined for accuracy of recording. This showed that the records were signed accurately with no gaps on the charts and the amount of medicine received was recorded. However, two people did not sign handwritten MAR charts. This must occur to minimise the risk of errors. Two medication administration record (MAR) charts were then examined in more detail and were completed accurately and corresponded with the dispensing system. Eye drops being stored in the refrigerator were not being labelled with date of opening and refrigerator temperature were not being consistently recorded on a daily basis. The manager confirmed that only nominated staff who have received training on medication can administer medication and staff spoken with confirmed that this training took place. There were also records of non-prescribed medicines (homely remedies) available, as required following the last inspection visit in May 2007. People spoken with said they were well looked after and one stated that they ‘liked it here’ and another stated it was ‘a good home’. All three surveys received from relatives responded that they were ‘always’ kept up to date with important issues. Privacy and dignity was respected and staff were observed to have warm relationships with people living in the home. One survey from a visiting professional stated that ‘staff are respectful when assisting people to the toilet’ and another stated ‘I have not observed any failings in this regard’. Two of the three surveys received from people at the home responded that staff ‘always’ treated them well and one responded that they ‘sometimes’ did. Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 13 Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 14 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities, meals and contact with the community were well managed, which enhanced the daily lives of people living in the home. EVIDENCE: People spoken with during the visit were very positive about living at the home. The daily routine was flexible and they were able to make decisions about how they spent their time during the day. There was an emphasis on independence and people were able to go out on trips, were members of local clubs and attended the local college for computer skills. Several people went out to activities during the course of the inspection visit. There was also a computer in the home for people to access. Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 15 All four surveys received from people living in the home responded that they ‘always’ made their own decisions and that they could do what they wanted during the day, evening and at weekends. The manager stated that holidays were planned each year and those people spoken with confirmed this. Relatives spoken with confirmed that they were able to visit at any time and stated that they were always made to feel welcome. Visitors were observed to be calling throughout the inspection visit. A visiting professional spoken with stated that the home was ‘very welcoming’. Decision-making processes were discussed with the manager, particularly in relation to people who may have impaired abilities. The manager was aware of the need to complete risk assessments where some choices may contain an element of risk to safety. The home had also received information on the Mental Capacity Act 2005, although staff had not received any training on this and the manager was not yet familiar with it. The serving of part of the lunchtime meal was observed. This was unhurried with staff offering appropriate assistance to people who needed help with eating. Individual preferences and dietary needs were catered for. Those people spoken with said that they enjoyed the food. Food stocks in the kitchen were good and showed a wide range of items. Menus were examined, which showed that a variety of nutritious food was on offer. An alternative was offered where someone did not like the choice on offer. People living at the home described the meals as ‘good’ and a visiting professional spoken with stated that the person they were involved with ‘loved the food’. One survey from a visiting professional commented that ‘meals are discussed and the arrangements of tables are at peoples’ request. There is a choice of meals and food is fresh’. Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 16 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems were in place to ensure that complaints and safeguarding issues were responded to appropriately, which ensured that people living in the home were safeguarded and their concerns handled objectively. EVIDENCE: The service had its complaints procedure on display giving information to both people living at the home and their families. The procedure contained the current contact details address of the Commission for Social Care Inspection and informed the complainants that they were able to contact the Commission at any stage of the complaint if they wished to do so. All four surveys received from people living in the home stated that they knew who to speak to if they were not happy and three responded that they ‘always’ knew how to make a complaint. All three relatives’ surveys also responded that they knew how to make a complaint and that the home responded appropriately when concerns were raised. Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 17 The written information supplied by the home stated that there had been no complaints received at the home, apart from five minor grumbles that were quickly resolved. There had been none received at the office of the Commission for Social Care Inspection since the last inspection visit in May 2007. A safeguarding adults policy was in place and the home had a copy of the up to date Derby and Derbyshire Local Authority Social Services procedures. The written information supplied by the home stated that there had been no allegations of abuse since the last key inspection in May 2007. However, there was no information available on how to refer to the Protection of Vulnerable Adults (POVA) list. Staff spoken with were aware of their responsibilities in reporting any allegations. However, training records showed that safeguarding training had not been undertaken during 2007 and one staff member spoken with stated that they had not done the training since their employment at the home in 2006 and were waiting for a date for it. Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 18 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, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well maintained, which ensured there was a safe and comfortable environment for people to live in. EVIDENCE: A tour of the building was undertaken and showed that the home was clean, tidy and odour free. There was an attractive outdoor garden space that was used well during good weather and people had the opportunity to pursue gardening interests. There was a seating area and barbecue facilities. Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 19 Bedrooms were personalised and had individual’s own possessions. However, not all rooms had lockable storage space for personal items. Some areas were becoming ‘tired’ but the manager had plans in place to refurbish those rooms requiring decoration. The written information supplied by the home stated that corridors had been decorated and there were plans to provide a new greenhouse. A quiet room/conservatory was a recent addition to the home that was liked by people living at the home and their visitors. Three of the four surveys received from people living at the home responded that the home was ‘always’ fresh and clean. A relatives’ survey stated that ‘they make the place feel like home’. The laundry was neat and tidy and the washing machine had a sluice wash facility. Procedures were in place for the control of infection and staff interviewed were knowledgeable on how to reduce the spread of infection. Training information provided stated that infection control training had been provided in January 2008. However, one member of staff spoken with had not undertaken the training. Staff confirmed that there was always a plentiful supply of protective equipment, such as gloves and aprons. Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 20 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Shortfalls in recruitment procedures and training did not fully safeguard people living at the home. EVIDENCE: The staff rota for 27th April 2008 – 4th May 2008 was examined. This showed that there were two care staff on each shift in the day and one at night with a sleep-in member of staff. There was also one person employed for catering and one for cleaning. The manager was supernumerary. She stated that there had been no issues with staffing and the there was a low sickness rate. There were no issues raised on any of the surveys received regarding staffing and staff spoken with confirmed there were sufficient staff in the home to meet the needs of people living there. The written information supplied by the home stated that seven of thirteen care staff had a National Vocational Qualification at level 2 or above and a further three were working towards this. This meant the home had achieved the target of having a minimum of 50 of staff with a National Vocational Qualification at level 2. Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 21 Training information provided on the day of the inspection visit showed that there were shortfalls in mandatory health and safety training, with some staff not having completed all areas and there was no care related training information available. Staff spoken with stated that the only care related training undertaken had been medication training. Four staff files were examined for recruitment practices. Not all of the information required by Schedule 2 of the Care Homes Regulations 2001 was in place. For example, one file had only one written reference, one did not have a satisfactory explanation of gaps in employment history and although there was evidence that Criminal Record Bureau (CRB) checks were being undertaken, there was no information about Protection of Vulnerable Adults (POVA) First checks being undertaken prior to the CRB being received. These gaps have potential to compromise the safety of people living in the home and all checks must be completed prior to someone commencing employment. An immediate requirement notice was therefore issued to commence the process of obtaining these checks. . Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 22 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 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Shortfalls in staff recruitment practices, financial procedures and mandatory training did not fully ensure the safety of everyone in the home. EVIDENCE: The manager/owner is suitably qualified with a National Vocational Qualification in management at level 4 and has in excess of ten years experience running the home. She worked in the home most days, and closely Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 23 supervised the staff. She was able to demonstrate in discussion that she was familiar with conditions associated with old age and mental health. A quality assurance policy was available, which set out the standards and procedures for reviewing the quality of care and services provided by the home. This was based on a programme of self-review and consultation with people living in the home and their families. There had also been some collection of views of external professionals, as recommended at the previous inspection in May 2007. The feedback seen on internal surveys was generally positive with comments such as ‘staff are fantastic’ and ‘careful consideration given’. The home has policies and procedures in place relating to the management and safeguarding of people’s finances and monies and the manager stated that she was appointee for six people living at the home. Financial records were computerised and records were audited. All monies were stored securely. Two people’s financial records were examined. These showed a clear audit trail of money going in and out of the accounts. However, the cash held did not correspond with the written record. One person had more cash available than the record suggested and there was no clear explanation of why this was and the last page of someone else’s record could not be found on the computer. This was discussed with the manager who stated that it was because the computer records had not been updated. The written information supplied by the home stated that maintenance checks were up to date. This was verified on the visit when certificates were seen showing gas safety was checked in March 2008, and a fire risk assessment had been undertaken in 2006. The written information also stated that policies and procedures had been reviewed in 2007/8, as recommended at the previous inspection in May 2007. However, there were some shortfalls in staff training in mandatory health and safety areas; for example, two members of staff stated that they had not undertaken any moving and handling training and one that they had not undertaken any first aid and this was confirmed on the training information provided by the home; only one member of staff was listed as having undertaken infection control training and one staff member spoken with stated that they were waiting to do this. Fire training certificates were seen that showed training had been undertaken in March 2008 and the information provided by the home stated that food hygiene training had been undertaken in December 2007 and January 2008. Longdens, The DS0000001987.V363695.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 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X 3 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 X 2 Longdens, The DS0000001987.V363695.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 OP7 Regulation 15 (1) Requirement Care plans must be completed with involvement of residents and relatives, where possible. Previous timescale of 31/07/07 not met. Timescale extended. Safeguarding adults training must be undertaken by all staff to ensure the safety of people living in the home. Staff recruitment checks must include all the information listed by Schedule 2 of the Care Homes Regulations 2001, including a Protection of Vulnerable Adults (POVA) First check, two written references and a full employment history. This is to meet legal requirements and to safeguard people living in the home. Immediate requirement notice issued. Staff training must include subjects related to care that are DS0000001987.V363695.R01.S.doc Timescale for action 31/07/08 2. OP18 13 (6) 30/09/08 3. OP29 19 (1) (b) (i) and Schedule 2 02/05/08 4. OP30 18 (1) (c) (i) 30/09/08 Longdens, The Version 5.2 Page 26 relevant to the needs of people living in the home to ensure that all needs can be met and staff are kept fully updated. 5. OP35 17 (2) and Schedule 4 (9) 18 (1) (c) (i) & 13 (3), (4) (5) The financial records of people 30/06/08 living in the home must be accurate to ensure all monies are accounted for. All staff must complete mandatory health and safety training; in particular moving and handling, infection control and first aid. 31/08/08 6. OP38 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. Refer to Standard OP7 OP30 OP14 Good Practice Recommendations The service user or their representative should sign the care plan. Staff training should include areas relevant to care of people in the home such as dealing with hearing and visual loss and mental health awareness. The manager and staff should familiarise themselves with the implications of the Mental Capacity Act 2005 on decision-making. Longdens, The DS0000001987.V363695.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Longdens, The DS0000001987.V363695.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!