CARE HOMES FOR OLDER PEOPLE
The Rectory SRC Residential Care Home 2 Trinity Road Taunton Somerset TA1 3JH Lead Inspector
Ms Sue Hale Key Unannounced Inspection 14th November 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Rectory SRC Residential Care Home DS0000003302.V309409.R02.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 Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Rectory SRC Residential Care Home Address 2 Trinity Road Taunton Somerset TA1 3JH 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) 01823 324145 Maners Care Limited Mr Matthew James Parrish Care Home 23 Category(ies) of Dementia - over 65 years of age (0) registration, with number of places The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Three named service users in category MD to be accommodated in the Home, as agreed with the Responsible Individual. Bedroom 9 must only be used to accommodate fully mobile service users. Admissions must be accompanied by an appropriate risk assessment. The Registered Manager must obtain the NVQ4 qualification in Care and Management by 31st December 2006 9th March 2006 Date of last inspection Brief Description of the Service: The Rectory is a two storey detached property on the outskirts of Taunton town centre. Residents’ accommodation is provided over two floors. All residents’ rooms are single occupancy. A passenger lift, assisted bathroom and call system are provided. There is a garden at the rear of the property that is accessible to residents. The home is registered with the Commission for Social Care Inspection, to provide personal care for up to twenty-three people who have a dementia. The Registered Manager is Mr Matthew Parrish and the Registered Provider is Maners Care Ltd. The Rectory has been approved by Somerset Social Services as a special rate care (specialist residential care) home providing enhanced care for people suffering from dementia. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was undertaken by two inspectors. It took place over the course of one day in November 2006.On the day of the inspection there were 23 residents living at the home. The inspectors checked some staff and residents personal files and looked at other documentation including policies and procedures that are relevant to the running of the home. The inspectors spoke to and spent time with some residents and spoke to the registered provider, the registered manager Mr Matthew Parrish, and some staff. A tour of the premises was undertaken and care practice observed. Surveys were sent out to residents and professionals involved in the home such as GPs and social workers. At the time of writing this report two surveys had been received from residents and two from health and social care professionals. The current fees are £436 per week. What the service does well:
The home produces a statement of purpose and service user guide to give this funding authorities, prospective residents, and their relatives and representatives information about the services the home provides. Admissions are not made to the home until a needs assessment has been undertaken and the home is clear that they are able to meet the residents’ needs. The home has developed an individual plan to meet residents’ needs. All residents have a care plan that was generally regularly reviewed. The home works closely with the Link Nurse from Somerset Partnership. Both survey responses from health and medical professionals said that the home communicated clearly and worked in partnership with them. The home has appropriate policies, procedures and practices in place ensure the safe handling and administration of medicines. to Residents were treated with dignity and their right to privacy respected by staff. The routines of the home are flexible to suit residents’ needs and wishes. Activities are provided that reflect the choices, preferences and abilities of the
The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 6 residents. Resident’s families and friends are welcome to visit the home at any time. The inspectors spoke briefly to the relatives of a temporary resident who said that they were ‘really pleased with the standard of the service that the home offered’. They said that ‘nothing was too much trouble for staff’. Residents were satisfied with the meals provided at the home. The home has a complaints policy which is clearly displayed .The home has not received any complaints since the last inspection. Policies and procedures for the protection of residents are in place. The Rectory provides a very well maintained, safe, comfortable, attractive home that has all the specialist equipment and adaptations required to meet individual residents needs. The Rectory is very homely and provides a high standard of environment for residents. What has improved since the last inspection? What they could do better:
The statement of purpose and the service user guide require relatively minor amendment and updating to reflect the current services the home provides and to meet the required standards. Care plans should be more detailed and specific to individuals needs and should be regularly reviewed and updated to reflect any changes in change in circumstance. Residents and their relatives/representatives should be involved in the care planning and review process. Risk assessments should be reviewed and updated to reflect residents’ current needs. Falls risk assessments would benefit from more detail about the control measures needed to reduce the risk of falls. A more in depth nutritional risk assessment tool should be obtained and the care plan should include details of any action necessary for those residents at risk of regular weight loss.
The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 7 The complaints policy should detail the timescale within which complaints would be investigated and should make clear that complainants are able to contact CSCI at any stage of a complaint. The adult abuse policy and procedure should make it clear that the Somerset (multi-agency policy) good practice guidelines should be followed should an allegation of abuse be received. All curtains in residents’ private rooms should be the right size to enable them to close properly to ensure residents rights to privacy. Consideration should be given to how the lounge doors can remain open to ensure ready access for residents, but also meet fire safety requirements. Consideration should be given to further development of the induction training to provide more comprehensive and in depth training in line with the Skills for Care common induction training recommended by the national minimum standards. Consideration should be given to funding a minimum of three days training a year for all staff as recommended in the national minimum standards. Policies and procedures should be regularly reviewed and updated to reflect current good practice advice and should be dated and signed. The registered manager must ensure that there is sufficient staff trained and qualified to perform first aid and that at least one person qualified to do so is available on each shift. 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 Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Rectory SRC Residential Care Home DS0000003302.V309409.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1.2,3 The quality of this outcome group is adequate. The home produces information about the services it offers this requires amendment to ensure it reflects the current practices of the home and meets the required standards. All residents are given a terms and conditions of their residency at the home. Admissions are not made to the home until a needs assessment has been undertaken and the home is clear that they are able to meet the residents’ needs. EVIDENCE: The home has a statement purpose and service user guide that gives information about the home to funding authorities, prospective residents, their relatives and representatives. The service user guide should be revised to include information about where readers can obtain a copy of the most recent CSCI inspection report. The statement of purpose should be revised to include the number of staff employed at the home, whether nursing is provided and
The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 10 the homes policy and procedure in relation to emergency admissions. The statement of purpose tells readers that the home employs a cook and that the home provides fresh, homely food. The current meal provision in the home is frozen ready meals provided by an external company. The statement of purpose should make this clear. The information about complaints in both documents should make clear that complainants are able to contact the CSCI at any stage for complaint. Since the last inspection a terms and conditions of residency has been developed that includes all the information required by the national minimum standards. The inspectors looked at the personal files of one new resident and one person who was staying in the home for a period of respite care. Pre admission assessments had taken place to ensure that the home could meet the prospective residents social, health and care needs. Prospective residents and their families/representatives are invited to visit the home and spend time there before they make a decision on residency. Short term respite care is available. Placements are made via Somerset Social Services who have block purchased all of the beds at this home. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8,9, 10, 11 The quality of this outcome group is adequate. All residents have a plan that is developed to meet their health, social in care needs. They would benefit from more specific detail and updating to ensure they reflect current needs. There is little evidence that residents, their relatives/representatives are involved in care planning and review. Risk assessments lacked detail, and control measures to reduce risk were limited. The management of residents’ nutritional needs does not ensure that risks are identified and appropriate measures to reduce risk set in place. The home has appropriate policies, procedures and practices in place ensure the safe handling and administration of medicines. Residents were generally treated with dignity and their right to privacy respected by staff. EVIDENCE: All residents files checked had a care plan/’problem page’ .The plans included details of individuals’ needs, daily routines and preferences. Care plans
The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 12 to included directions to staff of the level and type of assistance to be provided to each person. However, the registered manager needs to ensure that the pre admission assessment, and funding authorities assessment and care plan are taken into account when the care plans are drawn up. A moving and handling assessment had been completed for each service user. Some care plans had been regularly reviewed and updated as required. However, one care plan looked at did not reflect the residents’ current needs, and had not been reviewed and updated to give staff clear information and advice on how to care for that person appropriately. Although the statement of purpose stated that residents and their relatives/representatives were encouraged to be involved in care planning and review there was no evidence of this in care plans checked. The manager stated that visiting professionals such as the Link nurse are involved in all aspects of care planning. Some but not all files contained a falls risk assessment. The risk assessments would benefit from clearly identifying the risk involved and the control measures taken to reduce the risk of a fall occurring, for example equipment provided, level of supervision/assistance required, change of environment. Pressure area risk assessments had been completed, but in one file checked had not been updated and was not reflective of the residents’ current circumstances. Pressure-relieving equipment is provided as required. Records showed that residents were weighed regularly but there was no evidence of an overview by senior staff when it was clear from records checked that some residents had a significant weight loss. Specific nutritional risk assessment tools were not used by the home and this was discussed with Mr Parrish. The inspectors observed that several residents clothing appeared too big, it was unclear if this was due to weight loss. Consideration should be given to the home talking to residents’ families and relatives to ensure that their clothing is the appropriate size to ensure their personal dignity is maintained. Staff were observed knocking on doors before entering. Residents are able to meet privately with visitors in their bedroom or one of the lounges. Interaction between staff and residents was friendly and respectful. However, the inspectors noted that some staff used inappropriate endearments when talking to residents. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The quality of this outcome group is good. The routines of the home are flexible to suit residents’ needs and wishes. Resident’s families and friends are welcome to visit the home at any time. Activities to suit residents’ abilities, choice and preferences are provided. Residents were satisfied with the meals provided at the home. EVIDENCE: Daily routines are flexible to meet the needs of residents. Residents are able to participate in a range of activities, including: flexercise, cold bake, walks, singing, shopping, picture making, bingo, manicures and listening to music according to ability and their personal preferences. The weekly program of activities is displayed in the dining room. Some residents were making items for the forthcoming Christmas fair on the day the inspection. Residents spoken with were satisfied with the activities provided. Activities records are maintained and audited on a monthly basis, to ensure that all residents are provided with regular opportunities to participate. Visitors are welcomed at the home.
The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 14 The inspectors spent time during the inspection with several residents who were all observed to receive appropriate care and responses from staff. Meals are frozen and provided by an external catering company and reheated/cooked by staff. A choice of meals is provided each day. Those residents requiring support during meal times were assisted in a dignified manner. Staff are aware of residents dietary needs and preferences. Specific dietary requirements such as low-fat are provided by monitoring portion size. Residents spoken to stated that they enjoyed the meals provided. However, one resident commented that they would like condiments to be available. Please also refer to comments in the previous section regarding nutrition. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality for this outcome group is adequate. The service has a complaints policy that generally meets the national minimum standards and which is readily available within the home. Policies and procedures for the protection of residents are in place. EVIDENCE: The home has a complaints policy and procedure details of which are displayed in the entrance of the home. Although the statement of purpose and service user guide both give timescales within which a complaint would be investigated the information on display did not. All information about complaints should make clear that complainants are able to contact the CSCI at any stage of complaint. There have been no complaints received by the home or CSCI since the last inspection. The home has a adult protection policy that details types and indicators of possible .The home has a copy of the local adult protection advice, Safeguarding Vulnerable Adults Adult Protection in Somerset Multi Agency Policy and Practice Guidance. However, the homes own policy differed from the Somerset guidance and could cause confusion for staff on how to report an allegation should one be received. Staff spoken to were aware of what constituted abuse and were very clear that they would report this but had not received any formal training on adult protection. The homes finance policy
The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 16 makes it clear that staff must not accept gifts from residents and must not give advice all benefit from residents wills. The home undertakes POVA first and CRB checks for all new employees to ensure that residents are protected from the risk of abuse. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,23,24,26 The quality of this outcome group is good. The Rectory provides a very well maintained, safe, comfortable, attractive home that has all the specialist equipment and adaptations required to meet individual residents needs. EVIDENCE: Residents’ accommodation is provided over two floors. There is a passenger lift, assisted bathroom and call system available. Communal areas comprise of a lounge, observation lounge and dining room. There is a secure garden at the rear of the property that is accessible to residents. The home was clean and tidy on the day the inspection and there were no unpleasant odours. The home has been decorated and furnished to a high standard. The Rectory is very homely and provides a high standard of environment for residents. Residents’ rooms were personalised to reflect their choices and preferences. Residents are able to bring in small items of furniture
The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 18 within the constraints of their room. The bedroom curtains in a several resident’s rooms barely closed and could compromise their right to privacy. At the start of the inspection, it was observed that both the lounge doors were propped open, although they were later closed. This caused difficulty for residents due to the weight of the doors. Possible solutions to this were discussed with Mr Parrish. The laundry is locked when not in use. The home follows appropriate infection control procedures. The home was found to have a high standard of cleanliness. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The quality of this outcome group is good. The recruitment procedure has improved and now provides better protection for residents. There are sufficient to staff on duty and 50 of staff are qualified to NVQ level 2 or above to ensure that they have the skills and experience to meet residents needs. Management encourage staff members to undertake training including external qualifications, and recognise the benefits of a skilled workforce. Induction training is in place but would benefit from being at a standard provided by a National Training Organisation as recommended in the national minimum standards. Staff are not paid to attend training. EVIDENCE: Duty rotas are maintained. There are generally four staff on duty throughout the day, and two waking staff at night. Additional domestic staff are also employed. The registered manager also works some shifts as a member of the care team, and feels that this is an important aspect of his role. The registered manager and assistant manager provide on call cover during alternate weeks. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 20 The home ensures that staff are provided with opportunities to receive further training. A comprehensive training matrix is maintained. All staff receives regular updates in mandatory training. However, staff are not paid to attend training and do not receive the minimum three paid days training a year recommended by the national minimum standards. At present there are eleven staff that are qualified to NVQ level 2 or above. The files of three new members of staff were checked. Recruitment checks and required documentation had been obtained before new staff started work at the home which ensured residents were protected. The manager stated that all staff are given terms and conditions of employment within their contract. None of the files checked contained job descriptions.The manager stated that all employees were given job descriptions but these were not seen by the inspectors in the staff files available for inspection. All new staff undertakes induction training using a brief checklist that does not meet the Skills for Care standard that aims to give new staff a thorough understanding of the role of the care worker. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 The quality of this outcome group is good. The registered manager provides effective leadership to the staff team. There are appropriate systems in place to obtain the views of residents and visitors to the home. Records relating to service users are stored securely. Health and safety records have been appropriately maintained. EVIDENCE: The registered manager is undertaking the registered managers award and is expected to complete this in December 2006. There was a relaxed atmosphere within the home. Staff spoke highly of Mr Parrish, and stated that he was approachable and available should they need advice or support. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 22 The home will keep money for residents who wish them to or who are unable to manage their own finances. Records are maintained of all transactions involving residents’ finances, and are supported by staff signatures and receipts. Financial records of audited regularly by Mr Parrish. Records relating to residents files that had been case tracked were all checked and found to be correct. Records relating to residents are stored securely. The home displays appropriate Employers Liability Insurance. Policies and procedures relevant to the running of the home were in place these would benefit from being reviewed and updated to reflect current good practice advice and information. The training matrix showed that staff undertook mandatory training but that not all staff had completed first aid training. The manager told the inspectors that staff first aid certificates were due for renewal and that were occasions that there were no members of staff on duty with current first aid certificates. Hazardous substances are stored securely and are not accessible to service users. Accidents are recorded and reported as required. Fire safety equipment has been serviced and tested as required. Staff have been provided with regular fire safety training. Equipment servicing records have been appropriately maintained. A fire risk assessment was in place. Staff confirmed that they are provided with health and safety training, on commencing employment at the home. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 X 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 4 X X 3 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP38 Regulation 13(4) (c) Requirement The registered person shall ensure that suitable arrangements are made for the training of staff in first aid. (This refers to the current situation where on some shifts there is no qualified first aider). Timescale for action 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Consideration should be given on how to ensure residents are involved in care planning and review in as far as they are able and that their relatives/representatives are also consulted. Risk assessments should be reviewed regularly and updated as necessary to reflect residents current needs. A nutritional risk assessment tool should be obtained and undertaken for all residents and reviewed and updated as necessary. The registered manager or a senior member of staff should audit residents weight records and record any remedial action necessary.
DS0000003302.V309409.R02.S.doc Version 5.2 Page 25 2 3 OP8 OP8 The Rectory SRC Residential Care Home 4 OP16 5 6 7 OP19 OP30 OP30 The complaints policy should make clear the timescales within which complaints will be investigated and complainants made aware that they are able to contact the CSCI at any stage of a complaint. All curtains must be of sufficient size to allow them to fully close and protect the privacy of the residents. Consideration should be given to further development of the induction programme in line with the Skills for Care common induction training. Staff should receive a minimum of three paid days training per year. The Rectory SRC Residential Care Home DS0000003302.V309409.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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