Inspection on 22/11/05 for The Roan Rest Home

This inspection was carried out on 22nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Roan Rest Home 27/06/08

The Roan Rest Home 02/07/07

The Roan Rest Home 23/05/06

The Roan Rest Home 08/06/05

The Roan Rest Home 13/10/04

The Roan Rest Home 25/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

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 Roan Rest Home 27/29 Pembroke Crescent Hove East Sussex BN3 5DF Lead Inspector Elizabeth Dudley Announced Inspection 22nd November 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Roan Rest Home Address 27/29 Pembroke Crescent Hove East Sussex BN3 5DF 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) 01273 772927 01273 738260 Mr Joginder Singh Vig Mrs Beant Kaur Vig Mrs Beant Kaur Vig Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is nineteen (19) Service users must be older people aged sixty-five (65) years or over on admission 8th June 2005 Date of last inspection Brief Description of the Service: The Roan Rest Home is a care home providing personal care and accommodation for up to nineteen older people. The home is owned by Mr and Mrs Vig, who have four other homes in East Sussex. The Roan is situated in a residential area of Hove, within close walking distance of the library and there are local shops and transport links nearby. Accommodation is provided over three floors in a large property that has been converted from two houses. A passenger lift enables residents to access all parts of the home. However, there are short flights of stairs to mezzanine levels that place some limitations on residents with mobility problems. The home provides seventeen single rooms, eleven of which are en-suite, and one shared en-suite room. There is an attractive lounge/dining area on the ground floor, and a quiet lounge on the first floor. There is a pleasant garden, with access to residents, at the rear of the building. The home is currently managed by Mrs Vig and Mr Balbir Roy. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection, forming part of the annual inspection programme for this home, took place on the 22nd November 2005 over a period of eight and a half hours. This was facilitated by the manager, Mrs Vig and deputy manager, Denise O’Brien. During this time a tour of the home took place and various documentation, including personnel files, care plans, catering documents and health and safety documentation was examined. In the course of the day, all residents, five visitors and six members of staff were spoken with, and mainly positive comments received. Thanks are extended to the manager, deputy manager, staff and all residents and visitors to the home for their help, courtesy and hospitality during this day What the service does well: What has improved since the last inspection? The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 6 The requirements made at the last inspection have, in the main, been completed and in those areas not yet complied with, assurances have been made by the manager that these will be attended to. Care plans are improved with evidence of monthly review. A fire risk assessment has been undertaken and some staff have attended fire training. Risk assessments for the whole house were in evidence. 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 Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 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 Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 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): 1,2,3,4,5. The home provides sufficient documentation and opportunity for visiting the home, to allow prospective residents to make an informed decision of whether to live at Roan. EVIDENCE: The home produces a statement of purpose and service users guide, which is given to all existing and prospective residents. All residents are assessed by the manager prior to admission, in order to assess whether the home can meet their needs, and she now takes these documents with her to give to the representatives and prospective residents. All residents and their representatives are invited to visit the home and are admitted on a months trial period prior to deciding whether to make Roan their home. All residents receive a copy of the terms and condition, which meets this standard, on admission to the home. On occasion the home has admitted people on an emergency basis, the manager and senior carer stated that the care plans have been commenced within 24 hours of admission. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 9 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): ,8,9,10 The care plans address all the assessed needs of the residents but require expanding to give more details of the care needed by individual residents. Medication charts need attention to ensure residents safety by providing an audit trail of medications. EVIDENCE: Care plans show evidence of regular review and in some cases have the signature of the resident or their representative to show that they have been involved in the formation of the care plan. Although care plans address all the care needs of the resident, discussions were held with the senior carer and manager in respect of reformatting the plans so that each individual need is expanded upon and provides greater detail of how a specific need will be addressed. It was also recommended that all documents relating to the personal and health care needs of the residents be kept with the individuals care plan to promote ease of accessing information. Risk assessments are kept in the care plan, these also require expanding with detail of how specific risks are going to be addressed. Risk assessments to assess whether residents are able to hold a key to their doors should be included in the care plans. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 10 There was evidence that residents can see their own GP and that district nurses and other health care professionals visit the home as required. Medications were correctly stored in locked cupboards and those examined were within their expiry dates. However some MAR charts are hand written without a signature of the person who had written them, and there was no evidence of how many medicines had come into the home and the amount returned to pharmacy. The CSCI pharmacy inspector has been asked to visit the home to advise on Mar charts and to facilitate ease of medication administration. A good risk assessment for self-medication had been produced, and this showed an awareness of the need to monitor residents who self medicate. This would also need to take into account the amount of medicines given to the residents in order that carers can check that these have been administered correctly. Residents spoken with stated that they were treated with dignity and felt that their privacy was respected, that all care was given them in their own rooms and that they could see any visitors in the privacy of their rooms. Staff were seen to be addressing residents using their preferred form of name and asking if they may enter residents rooms as well as knocking the door. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 11 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 home provides activities that are suitable for the needs of the residents but must ensure variety to prevent residents becoming bored. A varied menu caters for most dietary needs and meets resident’s choices and tastes. EVIDENCE: There was evidence of activities taking place with an activities co-ordinator visiting the home twice a week. During this time he provides activities, which include bingo, dominoes, videos of old films videos of the ‘Pathe news’ and discussion around newspapers and books. The majority of residents stated that they were happy with the activities provided and that carers will assist them to go out to the shops etc if this is needed. Many of the residents in the home are able to take themselves into the town and shopping and to lead their own lifestyles. Most residents stated that they were, on the whole, happy with the activities provided, one saying “they are quite good and if you don’t want to join in you just say so”. One resident stated that she did not enjoy the activities, feeling that “ they are for the older people here”, whilst another one said he didn’t like going The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 12 downstairs to them. Questionnaires received back from the CSCI showed that residents felt that the activities provided were suitable. The senior carer must ensure that residents current and past interests are included in the care plan and following discussion with residents, try to tailor activities to meet these. An individual programme of activities should be maintained for each resident and a programme of general activities displayed so that residents can see what is on offer on each day. Resident stated that they had choice in their activities of daily living, including their times of rising and retiring, and felt able to make their views known to the manager. Visitors are welcome from around 10am until approximately 8 pm, but can visit at other times if required, by arrangement with staff. Five visitors were spoken with and all said that they were made to feel very welcome and always offered a cup of tea or coffee when they visited. A varied menu is offered which includes soup offered with the main meal at lunchtime and a choice of cooked supper. Menu choices are not shown on the main menu, but residents said they were aware that they could order alternatives to the main menu. A cooked breakfast can be provided if required. There was a good range of fresh and frozen food available and residents stated that the quality of cooking was good and that they had plenty to eat. One resident states he does not like the food but that the manager spends time discussing the menu with him and identifying what he would like to eat that day. He also said that “ I am a fussy eater and am used to cooking for myself, and the standard of cooking here is not how I like it.” It was noticed that residents were not offered anything other than a cup of tea or coffee in the afternoon, this is unusual, and the manager said that as they had a large meal at lunchtime, the residents do not usually need anything in the afternoon. No resident commented on this. A cook is employed, with care staff sometimes taking over cooking duties. The cook does not have his Food Hygiene Course in this country although suitably qualified in his home country. He is however, booked to undertake this in the next week. All care staff stated that they had their food hygiene course. Staff stated that they eat at the home and that the food is ‘lovely’. All fridge and freezer temperatures were recorded and within recommended parameters, and there is a cleaning schedule. It was noted that there is a need for cleaning around the edges and corners of the kitchen floor, this was shown to the manager and must be addressed. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 13 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): 16,17,18 The home has a complaints procedure, and some staff have received training in the protection of the vulnerable adult. This must be undertaken by all staff in order to ensure the protection of residents. EVIDENCE: The home has a complaints procedure that informs residents, staff and visitors of to whom to make a complaint. This shows the NCSC as the regulating authority and this requires changing to CSCI. The service users guide includes a copy of the complaints procedure. The home has received one complaint since the last inspection and these were unsubstantiated. Residents can vote using postal votes and are assisted to access solicitors and accountants as required. Although records show that some staff have received training in the protection of the vulnerable adult, on speaking with staff their knowledge of the reporting protocols and the whistle blowing policy indicated that this requires updating. All staff were aware of what constitutes abuse and were aware of their responsibilities towards those in their care. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 14 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): 19,20,21,22,23,24,25,26. Roan provides a homely, comfortable environment for residents, ensuring that their rooms provide privacy and meet the needs of those living there. EVIDENCE: The home is well located in relation to the local community and amenities, and was warm, accessible and well maintained on the day of the inspection. Communal space is provided by two pleasant lounges and there is also a small, well-maintained garden, which is accessible to residents, Bedrooms were observed to have been individualised by residents, and are provided with domestic style furniture and fittings of a good standard, together with bedding, carpeting and curtains. All bedrooms are currently used for single occupancy, but one room is available for shared occupancy if required. Bedroom doors have an appropriate lock fitted to enable residents to lock their The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 15 rooms if desired. The majority of rooms have en-suite facilities. Assisted bathing facilities are also provided. Grab rails, and a range of equipment and adaptations are provided to support residents in moving safely around the home. Call bells are provided in each room, those tested were in working order. The home has been assessed by an occupational therapist but some recommendations made have not been addressed. A good standard of cleanliness was noted through most of the home although the kitchen floor required some attention to cleanliness on the edges and corners. The home was free from offensive odours. All residents clothing was noted to have been laundered to a good standard. One of the communal toilets does not have hand-washing facilities but wet wipes have been provided. These must be put where they are easily accessible to all residents and other persons. Recent infection control recommendations identify that all communal bathrooms and toilets must have liquid soap and disposable towels provided, and that block soap must not be left in bathrooms. This has been made a requirement. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 16 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 Residents stated that there are sufficient staff on duty to meet their needs, whilst training and induction undertaken by the home ensures staff can meet the needs of the residents in a knowledgeable manner. The recruitment process in the home must be more robust in order to protect residents. EVIDENCE: The duty rotas showed that four care staff are employed during the morning shift, two in the afternoon and one waking member of staff during the night. The manager and a member of senior care staff are on call during the night if required, living a short distance from the home. Staff stated that they sometimes felt pressurised during the afternoon and early evening, but management stated that there were often three members of staff on in the afternoon and that one member of staff stays until 2100 hours to help the night staff. Positive comments were received from all visitors and relatives spoken with, both relating to the numbers of staff on duty and the attitude of the staff employed. One resident stated that “they come very quickly when you ring your bell” whilst another said that “there seem to be enough staff even though they are kept pretty busy”. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 17 Two members of staff are in possession of their NVQ level 2 whilst the senior carer has NVQ level 3 and is intending to undertake level 4. Two further carers are studying for their level 2. Training records are in place and these showed that several in-house study sessions have taken place and that staff also attend training by other agencies. All staff undertake an induction course when first employed by the home, and the manager stated that they are now introducing an induction course from a training agency, which will assist the staff with their NVQ 2. Some personnel files did not contain two references and some staff had commenced working at the home prior to their CRB and POVA check being received. Under new legislation a member of staff must supervise staff continually whilst working without the POVA first and CRB check, and these must have been applied for prior to the member of staff commencing employment, and two written references must be in place. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 18 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): 31,32,33,35,36,37,38 There is a stable management structure within the home, which promotes a good ethos and happy atmosphere for residents. Some policies need to be put in place to ensure the safety of residents. EVIDENCE: The home is managed by Mrs Vig, who has owned and run the home for a number of years, she is assisted by Mr Roy, joint manager of the home. Mrs Vig was able to demonstrate a sound knowledge of the preferences and needs of each resident and is involved in the assessment and care planning for the residents. Staff spoken with stated that there is a pleasant working atmosphere within the home and found management approachable and willing to listen to them. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 19 Residents and visitors spoken with stated that this was a ‘ happy home’, ‘ the manager is like a friend to me’ and ‘staff are really nice’. There was evidence that residents meetings had been held at approximately three monthly intervals and staff meetings were held but had not been held since April 2005. The quality assurance programme consists mainly of auditing the environment and health and safety issues, although some resident’s questionnaires have been developed and given to residents. This should continue and the home must seek the views of relatives and other interested stakeholders including health and social care professionals. Action must be taken in response to the views from these questionnaires and made available to all parties concerned including the CSCI. Staff supervision has not taken place but is due to commence. The manager does not act as appointee for any resident and residents or relatives deal with the financial details. The home will hold money for residents for safekeeping and records of this are kept. Policies and procedures show evidence of having been reviewed but further review is required to ensure that the policy matches the practice in the home. Some policies need amending to reflect this and other policies need including. This was discussed with the manager and her deputy. All policies must be reviewed annually or more frequently and signed to indicate the reviewer, the date of review and further review dates. All certificates relating to the servicing of utilities and equipment were available and were in date. The majority of staff have undertaken moving and handling training but the manager must ensure that those who have not yet attended this, do so. A fire risk assessment is in place, and the majority of staff have attended fire drills and training. It is recommended that advice for residents about what to do if there is a fire, is put on their room doors, and that this is restricted to one or two sentences . Some residents within the home wedge their doors open, the manager must ensure that a way to ensure their safety in case of fire, is in place. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 17 3 18 2 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 3 1 3 2 The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 21 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 OP7 OP7 Regulation Reg 15 (1) Reg15 (2) Requirement That care plans are expanded to ensure that clarity of service users needs. That service users or their representative sign to say they are in agreement with the plan of care. That records are maintained relating to the amount of medication received into the home and that returned to the pharmacy. That the MAR charts are preprinted by the pharmacist. When medications are hand written a signature of the carer and GP to be included That policies and procedures are developed to provide guidance for staff on caring for a service user who is dying, and procedures to be followed when a service user is transferred to hospital. (This was a previous recommendation) That strategies are developed for consulting service users about the programme of activities provided in the home. (This DS0000014253.V253162.R01.S.doc Timescale for action 10/01/06 10/01/06 3 OP9 Reg 13(2) 10/01/06 4 OP9 Reg 13(2) 10/01/06 5 OP11 Reg 18(1)(c) (i) 10/01/06 4. OP12 16 (2) (n) 10/01/06 The Roan Rest Home Version 5.0 Page 22 4 5 OP16 OP26 Reg 22(7)(a) Reg 13 (3) 6. 7 8 OP26 OP22 OP29 Reg 13(3) Reg 23(1)(a) Reg 18,19 Sched 2 9 10 OP31 OP33 Reg 9(2)(b)(i) Reg 24(1)(a)( b) was a previous requirement May 2005) An activities programme to be displayed where all service users can access it. That the complaints procedure includes the correct name of the regulating authority. That the means of hand cleansing in the first floor toilet is at a height accessible to service users. That the kitchen floor is deep cleaned. That all communal bathrooms and toilets have liquid soap and towel dispensers. That the recommendations made by the occupational therapist are followed. That all personnel files include all documentation including current CRB, work permit and two written references. That no member of staff commences work prior to the CRB and POVA being applied for. That the manager undertakes a recognised management course. That the manager maintains a system for reviewing and improving the quality of care and life within the home and the action is taken on the result of service user and stakeholder surveys. That policies and procedures contain information relevant to the working practices in this home and are regularly reviewed and amended as required. That formal supervision of staff takes place at intervals dictated by this standard. That all staff receive moving and handling training annually. That a risk assessment is completed of the electrical DS0000014253.V253162.R01.S.doc 01/02/05 22/11/05 10/01/06 10/01/06 22/11/05 01/09/06 01/02/06 11 OP33 Reg 24(1) 01/02/06 12 13 14 OP36 OP38 OP38 Reg 18(2) Reg 13 (4) Reg13(4) (a) 01/01/06 22/11/05 22/11/05 The Roan Rest Home Version 5.0 Page 23 15 OP38 Reg 23(4)(a) cupboard door and steps taken to ensure safety of service users. . (This was a previous requirement May 05) A policy is implemented to 22/11/05 ensure that doors are kept closed and safety of service users maintained in the event of fire. 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 OP38 Good Practice Recommendations That a sign advising service users of what to do in case of fire is placed in their personal rooms. The Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Roan Rest Home DS0000014253.V253162.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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