Inspection on 12/02/07 for The Red House

This inspection was carried out on 12th February 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Red House 11/01/06

The Red House 28/07/05

The Red House 16/12/04

The Red House 07/07/04

The Red House 09/02/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Winton House

Newbeech House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE The Red House 2 Southampton Road Fareham Hampshire PO16 7DY Lead Inspector Mrs Pat Hibberd Key Unannounced Inspection 12th February 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Red House DS0000011829.V323556.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 Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Red House Address 2 Southampton Road Fareham Hampshire PO16 7DY 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) 01329 287899 Mr C G Watts Mrs E Watts Care Home 36 Category(ies) of Dementia (7), Dementia - over 65 years of age registration, with number (36), Mental disorder, excluding learning of places disability or dementia (7), Mental Disorder, excluding learning disability or dementia - over 65 years of age (36), Old age, not falling within any other category (36), Physical disability (7), Physical disability over 65 years of age (10) The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No more than 7 service users in total can be accommodated in the categories DE, MD and PD All services users must be at least 55 years of age. Dispensation has been given in order that one named service user (09/08/1953) could be admitted under the age of 55. 11th January 2006 Date of last inspection Brief Description of the Service: The Red House is a care home providing personal care and accommodation for 36 people, including those with dementia. The home is located in the town of Fareham and is close to local amenities. Mr and Mrs Watts bought the home in 1987. The home consists of a two storey Victorian house that has been extended. All the bedrooms are single, and eighteen bedrooms have en-suite toilet facilities. Communal facilities include a sun lounge, conservatory lounge, dining room, dining/activities room and a room for smokers. The current weekly fees range between £385.00 - £450.00. Additional charges Are made for hairdressing, chiropody, newspapers, personal toiletries, transport, outings and dry cleaners. This information was provided in a pre inspection questionnaire completed by the owners and forward to the commission in December 2006. The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This fieldwork visit was unannounced and took place on 12th February 2007, starting at 9.30 am and finishing at 14.25 pm. The process included viewing the accommodation including a number of bedrooms, communal/shared areas and the home’s kitchen and laundry. Documents and records were examined and staff-working practices was observed where this was possible without being intrusive. At the time of the inspection the home was accommodating 36 residents. The inspector was assisted throughout the inspection by the Registered Providers Mr and Mrs Watts and three of the four deputies. Other matters that influenced this report included a pre-inspection questionnaire with documentation completed and provided by the home’s registered manager. Feedback as to services and care provided was gained from four relatives, ten residents and seven staff. What the service does well: What has improved since the last inspection? The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 6 At the last inspection records viewed indicated that incidents of aggression between some residents, and from a resident towards staff. Although healthcare professionals were involved with one resident, Adult Services (formally Social Services) should have been contacted regarding the incidents between residents. Not all the staff had accurate information about the incidents that meant that they could not effectively support those who may have been scared or upset. During this inspection it was evident that staff spoken to were very aware of the procedures for reporting incidents witnessed and, had received the relevant training. Adult Services are now contacted by the Home for advice should an incident of concern occur. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Red House DS0000011829.V323556.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 Red House DS0000011829.V323556.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 was inspected. Standard 6 does not apply to the Red House. Quality in this outcome area is good. The home ensures that residents’ needs are assessed before they move into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and/or a deputy visit prospective residents in the hospital or at home and talk to them and their families, if appropriate, to undertake an initial assessment. The initial assessment includes, for example, reasons for admission, important contacts, medication needs and background history such as likes and dislikes, important events and hobbies. Assessments are also sought from professionals. The assessments of two residents recently admitted were viewed. They were very detailed and included a range of information relating to the individual of The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 9 which staff spoken to confirmed was always shared with them to ensure they had the information they need to appropriately support the individual. More information is recorded as the assessment process continues and forms the basis of an individual care plan, covering areas such as mobility and maintaining independence, risk of falls, sight and hearing, hygiene and personal care, maintaining relationships and healthy diets. Individual residents files contained staff daily reports, blood pressure, weight, medication records and visits by health care professionals. Informal visits to the home are arranged to enable prospective residents to meet other residents and see the facilities for themselves. Two residents and their relatives spoken to indicated that they had met with the owners prior to moving in and had received a range of information as to the services provided at the Red House. They said that this helped them make a decision as to whether the Red House was the right place for them. The Red House DS0000011829.V323556.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 7,8,9 and 10 were inspected. Quality in this outcome area is good. The home has good systems for monitoring and responding to resident’s personal, social, health care and medication needs. Privacy and dignity of individuals is upheld in all care practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents have a care plan that is reviewed monthly or sooner by the individuals’ key worker. The Provider indicated that any changes are always shared with the whole staff team to ensure continuity of care for individuals. Four care plans were viewed which contained detailed information as to resident’s needs and any associated risks had been considered and risk assessments put in place. Where possible the plans had been compiled with the resident who had signed to confirm their agreement as to care to be provided. The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 11 The Home is currently in the process of completing Life Profiles with residents. This is an excellent piece of work and is a means of gathering (with the permission of the resident) greater detail and history of their life with a view to gaining an understanding of their current needs. Due to the majority of residents having a diagnosis of dementia the provider indicated that this work has enabled staff to identify activities and interests that can offer stimulus and in some instance support to residents in their dayto-day lives. There is always a “ shift handover” which is used to share and pass on important information between staff on shift. The information included health care observations, oral hygiene reminders and reminders for staff to read contact sheets. The Provider indicated that the home has good relationships with GPs who undertake monitoring visits. The Diabetes nurse supports the home in meeting the needs of residents with diabetes. A chiropodist visits every three to four weeks, seeing individuals every six to eight weeks and will visit sooner if required. A dentist will visit the home if needed. The ‘Tooth Wizard’ visits the home every three months to check and clean dentures. Residents are supported to visit the community optician. Monthly reviews are held between a designated deputy manager and the Community Psychiatric Nurse, (CPN) regarding the residents who are visited by the CPN. From discussions held with Mrs Watts it was evident that the home has a positive working relationship with health professionals and can contact them for advice at any time. The home uses a pharmacy boxed system for dispensing certain drugs. Only trained staff administer medication: new staff only do such training/handling when it is felt that they have the necessary skills. Appropriate procedures were in place, and medication was stored appropriately. Staff described the procedure they used when administering medication, which included signing records after residents had taken their medication. There are a number of residents who self-administer their insulin. Staff have had appropriate training to support this process. Risk assessments have been undertaken for the individual resident that are monitored to ensure they are able to continue to self-administer. Staff gave examples about how they respected privacy and dignity by knocking on bedroom doors, closing curtains and talking to residents privately about any problems they may raise. The inspector observed staff interacting with residents in a respectful way throughout the inspection offering discreet support and guidance where required. The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 12 The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12,13,14 and 15 were inspected. Quality in this outcome area is good. The home ensures that residents enjoy a range of activities, that they can welcome visitors and exercise choice. The attention given to the menu means that residents can enjoy their meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were a variety of activities advertised on the board in the hallway with the Provider indicating that staff ensure all residents are informed as to the days activity and offered support to join in where appropriate. One of the residents told the inspector how they enjoyed the bingo session. playing bridge and the quizzes. Another described a visit to a local school and the visiting library where books, CD’s and DVD’s can be hired. On the day of the visit a hairdresser was in the Home. Residents said, “ I really enjoy having my hair done “ “ I think my hair is lovely “. It was evident that residents enjoyed the service and looked forward to the weekly visit. The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 14 Two visitors said that their relative enjoyed listening to music and singing. The home employs an activities co-ordinator who maintains a record regarding who participates in what activities, and what they achieved. The activities records showed that an activity happens every day, Monday to Friday, and that activities are designed to meet the needs of residents with dementia, as necessary. Advice is sought from specialist dementia services with the Alzheimer’s society visiting weekly. A staff member spends time in the morning discussing newspaper stories with residents as a means of stimuli and initiating discussion. The inspector spoke with three visitors who said that they were always made very welcome and offered tea or coffee and a meal if they would like one. They further confirmed that they could meet their relative or friend in their bedroom in private whenever they wished. Residents are supported to go to church if they wish in addition to attending services provided in the Home by visiting denominations. Residents can handle their own financial affairs and could access solicitors or advocates as necessary. One resident said they had brought in several possessions, including a television, when they moved into the home, and the inspector saw evidence of personal possessions in bedrooms. Residents are involved in their monthly reviews, and so have access to personal records. The Home has a written menu which was seen to be varied and offer fresh meat, vegetables and fruit every day with the Provider indicating that prior to each meal a member of staff speaks to each resident individually to advise them of what is on the menu with an alternative always provided. Special diets are catered for with the cook describing how she provides for those residents with diabetes. One resident said the food was, ‘very very good “ “ you never go hungry here” and “more or less like home cooking’ and another two residents who were asked said they liked the food. Two visitors said that their relative had “ never eaten so well” and was happy with the quality of the food. The inspector heard staff offering a menu choice to a resident, and staff confirmed that residents could have something different to what was on the menu. Individual preferences are recorded. Food intake is monitored and the GP contacted if necessary. Residents can choose where they eat their meal, and this could be in their bedroom. The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16 and 18 were inspected. Quality in this outcome area is good. The home’s clear policies, procedures and staff training ensure that residents are protected from abuse, neglect and self-harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home has a complaints policy and procedure. Residents spoken to confirmed they had been provided with a copy prior to moving into the Home and would know how to complain and to whom. For those residents who would have little concept of how to complain relatives are provided with a copy. There have been no complaints to the Home or commission since the last inspection. The Provider further explained that they have access to the services of an advocate if required. The Home has written policies in relation to adult protection issues including a whistle blowing policy. Staff at the home received adult protection guidance as part of their NVQ training and a clear record is kept of those who have achieved the award or who are in the process of obtaining it. Through discussion a number of staff demonstrated a thorough knowledge of what they The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 16 considered to be abusive practice and, what they would do in the event of a disclosure or suspicion of abuse. There have been no allegations of abuse reported by the Home to Adult Services since the last inspection although the Provider indicated that advice would be sought from Adult Services if they have any concerns. The home has a policy on managing verbal or physical aggression and the district nurse is contacted with regard to any instances of this and a risk assessment carried out. Following incidents of aggression reported at the last inspection as causing some residents to feel frightened the inspector spoke with ten residents who all indicated that they were very happy living in the Home and felt safe. For those residents who were unable to express their view the Provider explained that observation of their mood and expression would indicate to staff how an individual was feeling. This was further detailed in care plans viewed. There are also policies relating to staff receiving gifts and gratuities, residents’ money and residents accessing their personal records. The Red House DS0000011829.V323556.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 were inspected. Quality in this outcome area is good. The manager ensures that residents live in a clean and well maintained home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home is well decorated and furnished to a good standard. There are ample communal areas including quiet lounges where residents can sit and listen to music or meet with their visitors. The Provider said that the Home has an ongoing programme of redecoration with the hallway, upstairs landing and some bedrooms having recently been redecorated. The home was clean, free from odours and well maintained. One of the residents who was asked said the, ‘lounge was nice, there is a television in the other part’. The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 18 The Home provides a smoking room for residents who smoke with one resident indicating that they enjoy the facility. There are three cleaners responsible for various areas within the Home that is cleaned daily. In discussion with one of the cleaners they explained that they had received a range of training that had been informative and helpful in their understanding of the use of various chemicals and cleaning products. Staff told the inspector how they used disposable gloves and aprons to minimise the risk of cross infection. Hand washing facilities were available throughout the Home. There is a separate laundry and sluice facilities. The Red House DS0000011829.V323556.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30 were inspected. Quality in this outcome area is good. The home’s staffing levels ensure that residents’ needs are met. Recruitment procedures and training methods ensure that residents are protected by competent and trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides three care staff plus a senior carer on each shift. There is also a deputy manager who works in addition to the rota who has designated responsibilities within the Home. In discussion with three deputies they indicated that the system works well and ensures standards are maintained. The home also employs three cleaning staff, one person who undertakes laundry tasks, one cook and one kitchen assistant. The providers are in the home most days undertaking the management tasks. The home has two waking night staff and one ‘sleeping in’. The home does not use agency staff. Staff told the inspector that they felt they had enough time to undertake care tasks and activities, even though every day was different. Ten residents and four relatives who were asked said they felt there was enough staff. The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 20 Twenty-one of the thirty-one care staff have a NVQ2 in care. This figure is higher than the 50 standard to be achieved, and this is seen as good practice. Three recruitment files were sampled for new staff and found to contain all the necessary information and checks although not all the files held a full employment history. The Provider agreed to amend the Home’s application form and ensure full details are always obtained in the future. The home remains highly committed to training, and staff all have more than the minimum three days paid training. There is a rolling programme for basic training requirements, e.g. Health and Safety, Fire etc., but more individual training needs are reviewed as necessary. Training is calculated in minutes for the year, and a quarterly review is undertaken to ensure that targets are met. Training in the last year has included NVQs, Induction and Foundation (for new staff), Fire Training, Manual Handling, First Aid, Infection Control, Food Hygiene, Health and Safety, Diabetes, Schizophrenia, person Centred Care, Abuse, Dementia and Administration of Medicines. A range of further training is planned for this year. The Red House DS0000011829.V323556.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 and 38 were inspected. Quality in this outcome area is good. The health and safety of residents is maintained by the manager who is fit to be in charge. The home’s quality assurance methods ensure that the home is run in the best interests of the residents. The finances of one resident are not held in their best interest. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has many years experience managing The Redhouse and has continually updated her training that has included attending the Dementia Forum, Dementia Training for Managers and Manual Handling update. One relative told the inspector, ‘Mr and Mrs Watts ensure the Home is well run and are always available to talk to “. Another explained the pre admission process The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 22 undertaken and how reassuring and welcoming Mr and Mrs Watts had been at a very difficult time. The inspector looked at records regarding fire safety checks that were seen to be appropriate. An accident book is completed if residents have falls or other accidents. Confirmation was received in the pre inspection questionnaire sent to the commission prior to the inspection that there are up to date certificates for maintenance of the lift, stair lifts and oven. The due date for maintenance checks are recorded in the diary, so that if the relevant company were to miss a check, the home would ensure the company was contacted. The home has been granted, the Investors in People Award. Residents are invited to complete an annual survey. Staff meetings are held at different times through out the year, which address different issues. The manager did start family meetings but these were not well attended. The providers are in the home most days and have an open door policy. The inspector observed open interaction between family and senior staff. Residents meetings are held twice a year. Feedback from residents, families and healthcare professionals were positive. However, in discussion with Mr and Mrs watts it was evident that the personal allowance for one resident has been paid into the Home’s business account since their admission to the Home. Mr Watts said they he had been unhappy with this arrangement but had tried to find alternative arrangements to no avail. The inspector advised that this practice could not continue and alternative arrangements must be made. Mr Watts agreed to contact the relevant agencies that day. The inspector viewed the records of financial transactions undertaken and the personal allowance received by the individual for the last few months that were up to date and accurate. Earlier in the day and in discussion with the resident they had already indicated that they always received their allowance and were happy with the arrangement. The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 OP18 Regulation 20 Requirement The Registered Provider must ensure the monies of one resident is not paid into the Home’s business account. The Registered Provider must ensure a full employment history is obtained in relation to all new staff including any gaps in employment. The Registered Provider must ensure a fire evacuation risk assessment is undertaken for each individual resident. This must be shared with staff and kept under review. Timescale for action 12/03/07 2. OP29 17 12/02/07 3. OP7 13 19/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Red House DS0000011829.V323556.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Red House DS0000011829.V323556.R01.S.doc Version 5.2 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. 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