Inspection on 15/06/06 for The Old Vicarage

This inspection was carried out on 15th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 Old Vicarage 25/05/07

The Old Vicarage 05/12/05

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Old Vicarage Vicarage Lane Tilmanstone Deal Kent CT14 0JG Lead Inspector Chris Randall Unannounced Inspection 15th June 2006 09:20 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 Old Vicarage DS0000064625.V299886.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 Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address Vicarage Lane Tilmanstone Deal Kent CT14 0JG 020 8462 1870 01304 615323 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) Mr Pathmanathan Elango Mrs Rajakala Elango Mrs Janet Swanborough Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users with a learning disability to be restricted to two (2) whose DOB are 21/05/1936 and 22/10/1935. 5th December 2005 Date of last inspection Brief Description of the Service: The Old Vicarage provides residential care to 39 older people. The Home comprises a large, extended detached house located in a rural area between the coastal towns of Dover and Deal. There is a shaft lift, and four of the bedrooms are en suite. There are no specialist services provided on site but the Home accesses local primary healthcare services such as the GP and District Nurses. Facilities such as a hospital, shops library, theatres etc are within a fifteen minutes drive and the Home has an appropriately adapted minibus. There are spacious well-maintained garden areas including a pond where residents enjoy sitting especially in the summer months. The current fees for the service at the time of the visit range from £295.97 to £390.00 per week. Information on the Homes services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is not currently available. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection. Information gained from the homes pre-inspection questionnaire, and from questionnaires sent to service users, relatives, health and social care professionals, and staff have been used to inform the report. In addition account has been taken of comments and observations made during the site visit. A service user commented, “The home is very good here”, and a visitor said, “I don’t think you can do any better”. What the service does well: What has improved since the last inspection? What they could do better: The home must not cater for service users who fall outside their category of registration. Improvements to medication recording and the purchase of a thermometer for the drugs fridge are needed to ensure that medication administration is safe. Although there has been a lot of staff training since the last inspection this needs to continue to ensure all staff are up to date with the training required to carry out their jobs efficiently. Staff supervision is now being done more regularly but improvements are still needed to ensure all care staff are supervised at least 6 times a year. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 6 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 Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, & 4 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Service users admitted to the home whose diagnosis is not within the registration category cannot be sure that their needs will be fully met. EVIDENCE: The homes statement of purpose and service user guide have recently been revised and updated. Copies of signed contracts are held on service user files and include all relevant information The manager carries out a full assessment of each prospective service user to ensure that the home can meet their needs. Joint Assessments are also obtained for Care managed service users. These assessments are used to form the basis of a plan of care. Service users and relatives confirmed these pre-admission assessments had taken place. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 9 The homes registration includes a condition for 2 service users with Learning Disabilities. These service users needs are being fully met and they are fully involved in the day to day life of the home. Currently the home has two service users who have been diagnosed as having dementia and the homes registration does not include this category. By accepting these service users the home are failing to comply with legislation. The providers have indicated that they will apply for a variation to cover these service users and a Requirement has been made that the home must not cater for service users who fall outside their category of registration. The home does not offer the services of Intermediate Care The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their health and personal care needs will be met by the home. However, lack of double checking of written medication information could lead to mistakes being made. EVIDENCE: Each service user has an individual plan of care that is generated from their pre-admission assessment. The home is gradually changing all of their care plans to the new style they have adopted, which contain more information. All care plans are reviewed monthly and service users and their relatives confirmed their involvement in the reviews. Weights are recorded monthly for all service users and the home has sit on scales to ensure that weights of even the less mobile service users can be properly monitored. The staff team, supported by visiting professionals, meet service users health care needs. Service users and relatives confirmed that they feel their health The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 11 care needs are met. Questionnaires received from visiting health and social care professionals and from a G.P. confirmed that staff demonstrate a clear understanding of service users needs and that any specialist advice is incorporated into the care plan; they all confirmed that they are satisfied with the overall care provided to service users in the home. Any suspected incidence of pressure sores is reported to the district nursing team who then manage the situation and provide any necessary equipment. All service users are weighed monthly and any significant changes are looked at and referred to doctors when necessary. Service users commented, “we get good attention, I am thankful to think I have got someone to do things for me”, and “They do look after me”. The receipt, administration and disposal of medication is generally well handled, but handwritten entries on the medication administration sheets are still not being double signed and a requirement has been made to address this. There is a photographs of each service user in the administration record folder to ensure safety. Medication storage is appropriate apart from the fact that there is no minimum/maximum thermometer in the drugs fridge and therefore temperatures are not being monitored and recorded and a requirement has been made regarding this. The home does not normally administer homely remedies, on the rare occasion when a service user wishes to take a supplement (e.g. cod liver oil capsules) the approval of the doctor is sought prior to starting the medication. Nine staff have completed medication training and a further four are currently undertaking this. A policy decision has been made that only those who have completed their training and have proved their competency are able to administer medication in the home. When asked if their privacy and dignity was respected service users answered “Oh yes”, “yes they show respect and they always knock on the door before coming in”, and “they definitely treat me with respect”. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 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, 14, &15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that they can continue to lead a varied and interesting lifestyle with choices in all aspects of their lives; that their visitors will be made welcome; and that they will receive nicely presented and well cooked meals. EVIDENCE: The home offers a good variety of activities to suit all tastes. They also have their own mini bus that is used for outings and for transporting service users to medical appointments. Recent activities have included pottery, cake decoration, filling hanging baskets & potting plants, craft, keep fit, outings in the homes mini bus, pat dogs, ‘chirpy tunes’, and pub lunches. A vase decorated by one of the service users at the pottery session is filled with flowers and has pride of place in the entrance hallway. In addition service users also read, do puzzles and watch television. On the day of the inspection service users were observed enjoying watching the Queen’s 80th birthday service on T. V. When asked if the activities met their needs service users commented, “I don’t take part”, “yes”, “Yes, they do marvellous, we have been The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 13 to Margate to see Guys & Dolls, up to the pub for a drink, painting - the craft lady is excellent, hanging baskets to plant, - Janet does well” and “I help in the home and fold laundry, I get out in the garden, and I join in the activities when I want to”. Previous activities have included hiring the Heritage bus, which took service users, their families, and staff to Deal for an outing; and hiring two horses and a carriage that took 4 at a time around the village roads. One service user commented on a pre-inspection questionnaire that the activities are ‘good fun’. Visitors are always made welcome in the home and can see the service user where they choose, lounge, dining room, bedroom, or garden. One couple of visitors confirmed that they were always made welcome in the home and commented, “we are part of the furniture”. Service users commented “all of my friends are made welcome, they get a cup of tea every time”, “my visitors are given a cup of tea”, and “They are made welcome and offered tea. They are very good here”. Service users are given choices in all aspects of their daily life, time of getting up and going to bed, what to wear, where to sit, meals, whether to take part in activities or not. They are encouraged to bring personal possessions into the home to personalise their own rooms. The meals served at the home are wholesome, nutritious and attractively presented. Service users and their relatives all confirmed that the meals are good. Comments from service users included, “nothing wrong with the food, its pretty good”, “its very good”, “marvellous choice, food is very good and served nicely” and “The food is alright, I do not have an appetite but if I want a different meal they will do one. The chef comes round every morning to see what we want”. A visitor commented, “the food is very nice”. The breakfast and lunch served on the day of the inspection looked appetising and was enjoyed by the service users. Special diets currently catered for are diabetic, vegetarian, and soft diet. Soft meals are presented in separate portions. A record of food eaten is kept in the meal book. There are 2 choices of meal at lunch and tea time and the cook goes around the service users herself to check what they would like each day. Fridge and freezer temperatures are recorded twice daily. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 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): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their complaints will be listened to and acted upon and that they will be protected from abuse. EVIDENCE: The home has a clear complaints procedure and a copy is on display in the hallway. Service users and their families all confirmed that they knew how to make a complaint and one service user commented, “I would tell the manager – I feel she would do something about it”. There has been one complaint made to the home since the last inspection, this was properly documented and investigated and outcomes were recorded. No staff are employed at the home until a Criminal Records Bureau disclosure has been submitted and a satisfactory POVA first check has been received. The manager is an adult protection instructor and all but 2 of the staff have now undertaken this training. Staff confirmed that they knew what to do if they suspected that abuse was taking place and that they were aware of and understood the homes whistle blowing policy. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 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, 21, 24, 25, & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, well-maintained environment; their bedrooms can be personalised to meet their needs; and they have access to an attractive garden area for fresh air. EVIDENCE: The Old Vicarage is well maintained. At present there is an area in the conservatory where the wall is damaged due to water seeping in from the valley gutter but this is being addressed. All radiators are now fitted with radiator guards, some are still the old type and some new. A schedule of planned implementation of the new type of radiator covers was seen and this took into account an assessment of those posing the greatest risk.. The refurbishment of the medication room required on the last inspection report has now been completed. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 16 The garden is very attractive and well maintained and has a pond, pathways to enable the service users to wander round and seating for service users to enjoy sitting in the fresh air and sunshine. One service user was observed enjoying helping the gardener with his work. A visitor commented, “They are lovely grounds, with a nice fish pond”. The home has a spacious feel with 2 adjoining lounges and a conservatory, used as both a dining room and sitting area. Service users bedrooms are all tastefully decorated with matching curtains and bedding. Service users have brought in items of their own belongings to personalise their rooms. All rooms are now fitted with appropriate locks, and service users confirmed they have keys if they want one. All bedrooms are fitted with a nurse call system. The double rooms are all provided with dividing curtains to enable the occupants to maintain their privacy and dignity when carrying out personal tasks. Six of the bedrooms are fitted with en-suite facilities and there are adequate toilets available in the home for the other service users. The home is clean, hygienic and free from odours. Of the five service user questionnaires received three said that the home is always fresh and clean and two said usually. Some service users commented about cleanliness on the day of the inspection, two said it was “very good”, and one said “pretty good”. The homes laundry is fitted with a washing machine that meets infection control standards, and red alginate sacks are used for any soiled linen. Staff are provided with gloves and aprons and there are sufficient hand washing facilities with liquid soap and paper hand towels to ensure good infection control. The manager is intending to undertake training to become an instructor for Infection Control and Basic Food Hygiene and she will then be able to train the staff in these subjects ‘in house’. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 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, 28, 29, & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some shortfalls in staff training, concerns about numbers of staff employed, and a need to revise recruitment records could put service users at risk EVIDENCE: Staffing levels have been reviewed and increased to meet the needs of the service users since the last inspection. On the day of the unannounced inspection it was observed that there were sufficient staff on duty. A visitor commented, “There always seems enough staff”. Two service users felt there was always enough staff on duty to meet their needs, and one said “not always, a bit tight at times”. One staff questionnaire raised concerns over staffing levels during times of sickness and holidays and it is therefore recommended that the manager keep this under review. At present 10 of the 20 care staff have achieved NVQ 2 or above i.e. 50 . Staff recruitment is good and no staff are employed until 2 written references have been obtained, a criminal records bureau check has been submitted, and a satisfactory POVA first check has been received. It is recommended that staff files be updated to comply with the Revised schedule 2 of the regulations. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 18 Newly employed staff undertake induction training and it is recommended that this is updated to meet the requirements of the revised Skills for Care package. Most staff have now done the statutory training and the manager is actively working towards getting all of the staff trained. As this was a requirement on the last report a further requirement has been made that this training continues to ensure all staff are properly trained. The assistant manager is a manual-handling assessor and does the manual handling training ‘in house’ for all staff. The manager is an adult protection trainer and teaches this subject to all staff. Currently the cooks hold basic food hygiene certificates and it is recommended that they take the intermediate food hygiene course. The home holds regular staff meetings and a meeting was held on the day of the inspection and was well attended. The providers were present for the meeting and took the opportunity to thank the staff for their support and to encourage them to continue with their training. The manager also took the opportunity to thank the staff for all of their hard work. Service user comments about the staff included, “the staff here are pretty good”, “they all seem to know what to do”, and “the staff are just the job”. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 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, 35, 36, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that they will benefit from a well managed home with positive leadership. EVIDENCE: The manager has been working in the home since 1985. She has now completed her Registered Managers Award and NVQ 4 in care. She holds an adult protection trainers certificate and is shortly to undertake Basic Food Hygiene trainers course and an infection control trainer’s course. The providers visit the home weekly and are in daily contact. A Deputy Manager and a dedicated staff team support the manager. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 20 The ethos of the home is open and positive. The manager is very much ‘hands on’ and is involved in the day-to-day care of the service users. Comments from service users about the manager include, “she is a live wire”, “she is a very nice person, always very good to me”, and “Janet and her deputy are very, very good, xxx turns her hand to anything”. A relative commented, “Janet is very nice, always straight onto things”. One staff member commented that they sometimes felt supported by the management of the home, depending on the situation. A good relationship between the manager and service users was observed on the day of the inspection and it was obvious that all service users knew both her name and who she was. Quality Assurance questionnaires are sent to families regularly and these are completed with the service users. An analysis of the last returns was observed. It was suggested that questionnaires could also be sent to staff and to visiting professionals. Other quality assurance strategies are mainly informal at present but the home has ordered, and is waiting for, some checklists from a company they use for professional advice. Checks are done on all rooms 6 monthly. The Old Vicarage does not deal with any service users finances; this is dealt with by the service users themselves or by their relatives or powers of attorney. If it is necessary for the home to pay for services such as hairdressing, chiropody, or items of clothing, receipts are obtained and the person dealing with the finances is invoiced. A requirement was made on the last inspection report that all staff should be supervised at least six times per year. Although these supervisions have started there is insufficient evidence at present to prove they are all being done to the required timescale. As this is obviously in hand and being addressed a Recommendation has been made that they continue in order to meet the requirement of 6 per year. There are still some minor shortfalls in training in the statutory subjects and a requirement has been made about this under staffing. Maintenance of equipment is all up to date. Risk assessments are carried out for both environmental and personal risks. All accidents are properly recorded. The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 21 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 3 3 3 1 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 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 3 3 3 3 X X 3 3 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 3 3 X 3 2 X 2 The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 22 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 2. Standard OP4 OP9 Regulation 12 (1)(ab) & 14 (1)(d) 13 (2) Requirement The home must not cater for service users who fall outside their category of registration. All typed or handwritten entries on mar sheets must be countersigned to minimise the risk of error (Previous timescale of 31/12/05 not met) The home must obtain a minimum/maximum thermometer for the drugs refrigerator and the temperatures must be recorded daily Training should continue to ensure all staff are trained and up to date in the mandatory subjects of First Aid, Fire, Basic Food Hygiene, Infection Control and Moving and Handling. (Timescale of 31/01/06 not yet met) Timescale for action 31/07/06 31/07/06 3 OP9 13 (2) 30/09/06 4. OP30 OP38 12 (1),13 (2 & 45),18 (1) 30/09/06 The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 23 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 OP27 Good Practice Recommendations It is recommended that the manager keeps staffing levels under review, particularly at times of holiday and sickness to ensure that the needs of service users continue to be met Staff files be updated to comply with the Revised schedule 2 of the regulations The cooks are recommended to undertake an intermediate food hygiene course. Staff induction should be updated to meet the requirements of the revised Skills for Care package. Staff supervisions should continue as planned to meet the requirement of 6 supervisions per year. 2 3 4 5 OP29 OP30 OP30 OP36 The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Old Vicarage DS0000064625.V299886.R01.S.doc Version 5.2 Page 25 - 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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