Inspection on 27/01/06 for The Moorings

This inspection was carried out on 27th January 2006.

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

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

Other inspections for this house

The Moorings 02/07/07

The Moorings 12/02/07

The Moorings 30/06/06

The Moorings 14/09/05

The Moorings 18/01/05

The Moorings 13/07/04

The Moorings 30/12/03

The Moorings 23/10/03

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

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

CARE HOMES FOR OLDER PEOPLE Moorings, The 167 Thorney Bay Road Canvey Island Essex SS8 0HN Lead Inspector Carolyn Delaney Unannounced Inspection 27th January 2006 10:40 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 Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 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. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Moorings, The Address 167 Thorney Bay Road Canvey Island Essex SS8 0HN 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) 01268 514474 01268 514477 moorings@independent-homes.co.uk Independent Homes Limited Care Home 39 Category(ies) of Dementia - over 65 years of age (39), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (39) Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Excluding any person who is liable to be detained under the provision of the Mental Health Act 1983 14th October 2005 Date of last inspection Brief Description of the Service: The Moorings provides purpose built two-storey accommodation for thirty-nine older people who have a diagnosed mental disorder or dementia. The home is situated in a quiet residential area of Canvey Island within close proximity of the sea front. The home provides 35 single occupancy bedrooms and 2 shared bedrooms. Residents have access the first floor via stairs and a passenger lift. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine inspection carried out between 10.40 and 17.30 on 27th January 2006. Inspector’s Sarah Buckle and lead inspector Carolyn Delaney carried out the inspection. Records including assessments, care plans, daily care notes and risk assessment documents in respect of seven people living at the home were examined. Two residents and one relative were spoken with during the inspection. Information in respect of social services reviews was not available on the day of the inspection and this was requested to be forwarded to the Commission. The relatives of five residents at the home were contacted by post so as to offer them the opportunity to make comments about the services provided by the home. One response was received. Seven members of staff including two agency staff were spoken with and a number of records including duty rota’s and staff recruitment files were examined. A tour of the premises was carried out. Key standards as identified in the intended outcomes sections of this report are inspected at least once every twelve months. Where key standards have not been inspected on this occasion they will have been inspected at the previous inspection. Reports in respect of previous inspections may be accessed via the Commissions website www.csci.org.uk. What the service does well: The one relative who responded to the survey questionnaire commented that they were satisfied with the care provided by the home. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Staff could be better supported through training and the availability of accurate and up to date information about the needs of the people who live at the home. Staff must carry out their duties according to the planned care, such as using hoist for moving and transferring people where this has been identified as the most appropriate way to ensure the safety of the resident and staff. Nursing staff must ensure that residents receive the medicines, which have been prescribed for them, and that records are kept accurate and up to date. Staff could engage in conversations and stimulating activities with the people living at the home. The way in which meals are served should be reviewed so that more able people can enjoy their meals in a more pleasant setting and those people who need more assistance can avail of the support they need. More could be done at management and staff level so as to minimise the risks to the people living at the home from injury and harm. This was also highlighted by a social worker from Essex County Council Social Services who was concerned about some staffs’ attitude and recording in relation to injuries sustained by people living at the home. The environment, facilities and equipment should be reviewed and action to provide a more clean and homely atmosphere with suitable seating etc. The homes manager must ensure that staff recruited to work at the home are employed only after the necessary checks have been made, including checking previous employment, references and Criminal Records Bureau checks have Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 7 been carried out so as to determine that individuals are suitable for work at the home and so as to protect residents welfare. The way in which the home is managed overall must be reviewed so that it is run in the best interests of the people who live there. 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. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 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 Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 4. Standard 6 is not applicable Each individual’s nursing and care needs are assessed by a registered nurse prior to them being offered a place at the home, however information about residents is not recorded so as to ensure that staff can meet these needs. EVIDENCE: Detailed assessments of prospective residents nursing and care needs are generally carried out by the homes acting manager before the individual is offered a place at the home. However the information is not always recorded and disseminated amongst staff in an effective manner so as to ensure that resident’s needs are. In some cases conflicting and contradictory information is recorded which makes it difficult for staff to give effective care and treatment. The Moorings does not provide intermediate or rehabilitative care. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, 10 & 11 Information in respect of the needs of residents in respect of care, health and safety are not kept up to date and accurate and residents living at the home do not consistently receive the appropriate care and treatment so as to protect them from harm or injury. Nursing staff do not consistently act so as to ensure that people living at the home receive the medication, which has been prescribed for them. Where available information in respect of end of life issues is recorded in each individuals care notes. EVIDENCE: Care plans are not reviewed and amended according to changes to the care and treatment of the people who live at the home. For example where one resident was being restrained in a chair the care plans indicated that this person was mobilising freely about the home. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 11 Care plans were noted to be generic and many were photocopied and were not amended to reflect the specific care needs of the individual. Where care plans identified that residents should be transferred using a hoist, staff working at the home did not always carry out this practice. Assessments were carried out and recorded in respect of the risks to residents of developing pressure area damage and injuries from falls. However there was little evidence to suggest that appropriate actions were taken to minimise the risks identified. For example where it was identified that residents were at very high risks of developing pressure sores there was no plan of care to prevent or minimise these risks. A number of people living at the home had developed pressure sores and while they were provided with pressure relieving mattresses to sleep on they did not always have appropriate seating or cushions during the day. Where residents developed pressure sores these were not treated consistently so as to minimise the risk of infection and to promote healing. Two residents fell during the time inspectors were at the home. On the first occasion the resident lost their balance while leaving the dining room. Staff attended to the resident promptly but did not act according to good practice and safe moving and handling. Records in respect of visits made to residents by other healthcare professionals such as general practitioners and district nurses are not consistently recorded. Not all residents looked well cared for. Some did not appear to have had their hair combed. Some residents had little or no toiletries and toothbrushes were dry indicating that they had not been used for some time. On the morning of the inspection a number of tablets were found on the floor in the dining room. Since the previous inspection a number of staff had contacted the Commission and that this was a common occurrence and that the acting manager was aware but did not address this. Medication Administration Records (MAR) were not always signed by nursing staff in respect of the administration of medicines to people living at the home. Where nursing staff had handwritten medicines on the MAR it was not always clear at what time medicines were to be administered. An Immediate Requirement form was issued at the time of the inspection in respect of the issues relating to medication raised here. The majority of people living at the home would not be capable of making decisions or choices in respect of end of life issues or arrangements following death, however where information was available or provided by relatives it was recorded in the individuals care notes. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 15 The home does not provide suitable stimulation or activities for the people who live there. Resident’s relatives may visit ant any reasonable time so as to maintain contact. Residents are not always supported in an appropriate manner at mealtimes. EVIDENCE: There were no planned activities on the day of the inspection. Two members of staff were noted to spend time with some of the female residents painting and filing their fingernails. During key times during the day such as mealtimes staff were very busy with little time to interact with residents, however in the afternoon some staff were observed to sit in the lounge areas without making any attempt to engage in any interaction with residents. The home welcomes resident’s relatives to the home. On the day of this inspection residents were offered the choice of cod in batter and chips with a selection of vegetables and salad or cod in parsley sauce, mashed potatoes and vegetables, followed by sponge and custard. Meals were noted to be well presented in good sized portions. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 13 During the serving of the lunchtime meal it was noted that some residents who were more able and required minimal supervision took their meal with other residents who required a lot of assistance and who were noisy and threw their food about. This practice does not provide a congenial or pleasant setting for residents to take their meals. Staff offering assistance to residents during the lunchtime meal did not consistently engage in any interaction with the residents they were assisting and some staff were observed to rush residents. In general detailed records were kept in respect of the food eaten by residents, however for a number of residents who had refused meals over a period of weeks there were no records or evidence that alternatives were offered or that any action had been taken such as involving other healthcare professionals i.e. dieticians or general practitioners. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The home is not managed so as to protect the people living there from harm or abuse. EVIDENCE: Staff training records were not assessed during this inspection, however some of the practices observed by inspectors in respect of the care and treatment of people at the home were cause for some considerable concern. Two residents were restrained by means of a ‘chair belt’. It was recorded that this measure was used so as to ‘prevent falls, protect self and other residents and staff’. Although there was evidence that consent to restrain had been sought and obtained from one residents relatives there was no evidence that other forms of intervention had been considered and applied prior to resorting to restraint. A number of people living at the home display varying levels of both verbal and physical aggression and some residents sustain injuries as a result of aggressive behaviour. Staff working at the home did not appear to be suitably skilled in managing residents aggressive behaviour or to protect residents from unnecessary injuries and harm. An Immediate Requirement form was issued at the time of the inspection in respect of the issues raised here. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 25 & 26 The home does not provide a safe, comfortable and clean environment for the people who live there. EVIDENCE: Many of the people living at the home do not have appropriate seating, which meets their needs and a number of residents looked very uncomfortable. Residents are seated in three lounge areas. It was recorded in a number of residents care plans that they required the use of hoisting equipment for moving and transferring from chairs etc. It was noted that some staff did not use this equipment. Wheelchairs were not kept clean. Some residents bedrooms were nicely decorated and personalised, this having been carried out by occupant’s relatives. The majority of bedrooms were sparsely furnished. Overall the home lacks a sense of warmth and comfort. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 16 On the day of the inspection maintenance check was being carried out on the heating system for the home and the heating was turned off for the majority of the day. Residents were provided with blankets to keep warm. The home employs dedicated cleaning staff, however there were odours detected throughout the home at different times during the day. One cleaner was observed to clean the dining room tables with the same brush and water she used to clean parts of the dining room floor. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 & 30 Staff are not robustly recruited, employed in sufficient numbers or trained and supported so as to meet the needs of the people living at the home. EVIDENCE: Staff duty rotas were examined. The home employs two registered nurses and seven care staff for the morning duty, two registered nurses and five care staff for the afternoon / evening duty and one registered nurse and three carers for the night duty. A number of staff work excessive hours without adequate off duty time. For example two members of staff were noted to work night duty followed by day duty and one day off in fourteen. Due to the high care needs and demands of the job this practice could put residents health and safety at risk. During the day staff were noted to struggle to meet resident needs at key times such as mealtimes due to the number of residents who require assistance to mobilise to the dining room and to eat meals. At other times some staff were observed to sit in the lounge areas supervising but engaging in little or no interaction with the residents. There had been a number of new staff employed at the home since the last inspection. Random samples of the recruitment files were examined. Checks in respect of candidate’s previous employment history were not consistently carried out; references were not obtained in some cases from the appropriate people and satisfactory references were not received for all staff Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 18 before they commenced work at the home. It was not clear that Criminal Records Bureau (CRB) disclosure had been obtained before staff commenced work at the home. There was evidence that some but not all candidates are interviewed as part of the recruitment process so as to determine whether they were suited to work at the home. There were two agency staff care workers on duty on the day of this inspection. It was positive to note that there was evidence that CRB had been obtained in respect of agency staff employed at the home. There were some records kept on file in respect of induction for agency staff, however there was no evidence that the two agency workers on duty had received induction. Neither agency staff had identification badges. One was wearing a dirty uniform and clothing was dirty and smelt strongly of body odour. Both members of agency staff were spoken with and it was of concern to note that one was unaware of what to do in the event that the fire alarm was activated. Neither was aware of the needs of the people living at the home. Staff training records were not assessed, however some nurse and care staff practices observed such as moving and handling and the delivery of care in respect managing pressure area care and preventing and dealing with injuries and falls evidenced that staff were not adequately trained and supported in their roles within the home. It was noted that a number of newly appointed staff had been recruited from overseas and that their command and understanding of English was limited. An Immediate Requirement form was issued at the time of the inspection in respect of the issues raised here. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32 & 33 The home is not managed in a manner, which ensures that people who live there receive the best care and treatment. EVIDENCE: At the time of this inspection the Commission was processing the acting managers application for registration as manager of the home. It is noted with concern that the issues raised in previous inspections, particularly those relating to the care, treatment and safety of the people who live at the home have not been addressed and that the improvements identified at the previous inspections had not been maintained. At the time of this inspection the sale of the home was nearing completion. The issues and concerns identified within this report will be discussed with the new owners at the first opportunity and they will be required to provide a detailed action plan outlining how and within what timescale these are to be addressed. Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 1 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 2 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 1 2 2 X 2 2 2 2 1 STAFFING Standard No Score 27 1 28 X 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 1 1 X X X X X Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 21 YES Are there any outstanding requirements from the last inspection? 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 OP4 Regulation 12(1) (a) 14(2) Requirement The registered person must ensure that information recorded in respect of residents needs is kept up to date and accurate so as to demonstrate that the home can meet these needs. The registered person must ensure that care plans and other information recorded about residents needs is maintained up to date and accurate and that staff act in accordance with these plans consistently so as to ensure that residents receive appropriate care and treatment. This requirement has not been met and is outstanding from the previous three inspections 3 OP8 13(4) (a) (b) & (c) The registered person must ensure that so far as it is practicable that people living at the home are protected from harm and injury, through assessment of risks and planning care to minimise these risks. This requirement has not been met and is outstanding from the Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 22 Timescale for action 15/03/06 2 OP7 15(1) (2) 15/03/06 15/03/06 4 OP9 13(2) previous three inspections The registered person must 15/03/06 ensure that staff act in accordance with the homes policies and procedures, the Nursing & Midwifery Councils Codes and guidelines, and any other relevant legislation so as to ensure that people living at the home receive the medication for which they have been prescribed and to minimise the risks of mishandling of medicines received into the home. This requirement has not been met and is outstanding from the previous three inspections. The registered person must ensure that people living at the home are provided with a range of suitable activities which meet their needs and so far as practicable their wishes. This requirement has not been met and is outstanding from the previous three inspections. The registered person must ensure that all residents receive a nutritionally balanced diet, which meets their individual needs, with meals served in a congenial environment, and that staff take appropriate action when residents refuse meals. The registered person must ensure that staff act in a manner according to the homes policies and procedures so as to ensure that any complaints received are dealt with appropriately. This standard was not assessed and this requirement will be carried forward for assessment 5 OP12 16(2) (m) & (n) 28/02/06 6 OP15 16(2) (i) 10/02/06 7 OP16 22(3) 31/03/06 Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 23 8 OP18 13(6) at the next inspection. The registered person must ensure that people living at the home are so far as it is practicable protected from harm and abuse. Elements of this requirement are outstanding from the previous inspection. The registered person must ensure that persons living at the home are only subject to physical restraint only if it is the only practicable means of securing the welfare of that or any other resident and there are exceptional circumstances. The registered person must ensure that the environment, facilities and equipment provided for the people living at the home meets the needs of these people and is in accordance with the homes Statement of Purpose. Elements of this requirement are outstanding from the previous inspection. The registered person must ensure that so far as it is practicable that the home is maintained free from unpleasant odours. The registered person must ensure that staff are employed at the home in suitable numbers so as to meet the needs and ensure the protection of the people living at the home and that staff working at the home have appropriate off duty time and do not work excessive hours without breaks for rest. This requirement has not been met and is outstanding from the previous inspection. 20/02/06 9 OP18 13(7) (8) 12/02/06 10 OP25OP24 OP23OP22 OP20OP19 4 16 23 30/08/06 11 OP26 16(2)(k) 30/04/06 12 OP27 18 31/03/06 Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 24 13 OP29 19 & sch. 2&4 The registered person must ensure that staff are employed at the home only after all appropriate checks including references, checks in respect of previous employment and Criminal Records Bureau disclosures have been obtained. This requirement has not been met and is outstanding from the previous inspection. The registered person must ensure that staff working at the home receive training in respect of the work they are to perform, the needs, welfare and safety of the people living at the home. The registered person must ensure that the home is managed in a manner, which promotes the health, wellbeing and safety of the people who live there. 15/03/06 14 OP30 18(1) (c) 15/03/06 15 OP33OP32 OP31 4 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Moorings, The DS0000015546.V268027.R01.S.doc Version 5.0 Page 26 - 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!