Inspection on 01/11/05 for The Stables

This inspection was carried out on 1st 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 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 Stables 31/08/06

The Stables 19/04/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Stables The Stables Castle Road Hartshill Warwickshire CV10 0SE Lead Inspector Sandra Wade Unannounced Inspection 1st November 2005 09:00 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 Stables DS0000062042.V261432.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 Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Stables Address The Stables Castle Road Hartshill Warwickshire CV10 0SE 02476 392352 02476 392535 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) Mrs Catherine L Arnold Mrs Catherine L Arnold Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All service users admitted to The Stables must require no more than one carer to meet their needs, unless additional staff are provided. The Registered Manager must obtain a suitable management qualification (equivalent to NVQ 4) by the end of 2005. Service users admitted in the age range 55-64 must not have severe physical disabilities nor should they have been diagnosed with dementia. 19th April 2005 Date of last inspection Brief Description of the Service: The Stables is a purpose built three bedroom bungalow which cares for three people, one of these can be within the age range of 55 - 64. There are three bedrooms all with en-suite facilities. The rooms also have a telephone, TV and radio. There is a communal bathroom, which contains both an assisted shower and bath with hoist to assist the less mobile residents. There are four toilets in total within the home. On entering the home there is a combined garden and parking area, which also currently houses temporary portable accommodation for the owners. There is a seating area for residents in the garden, which looks out onto the fountain, and the fountain can also be seen from the lounge. There is a church close by to the home and other amenities can be assessed with the assistance of the manager and staff. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection visit to the Stables within this inspection year. On arrival to the home one of the residents was seated at the dining table having breakfast. The remaining two residents were in bed but got up at times of their choice during the morning to have a breakfast. The inspection process included discussions with the three residents, staff and the manager and a review of policies and procedures. This inspection focused in particular on those standards not reviewed at the last inspection as well as issues requiring attention from the last inspection. What the service does well: What has improved since the last inspection? Since the last inspection the works to the garden/parking areas have been completed and this looks much improved. The residents now have a pleasing outlook from the lounge area and can utilise the seating areas when they wish. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 6 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 Stables DS0000062042.V261432.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 Stables DS0000062042.V261432.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): 1,3,4 Prospective service users are provided with information about the home prior to their admission but some of this information could be more specific to aide residents in making fully informed choices about accepting a placement within the home. Each resident is assessed prior to moving into the home and they receive written confirmation following their assessment that the home can meet their needs. EVIDENCE: Since the last inspection the manager has reviewed the Statement of Purpose and Service User Guide documents which contain detailed information about the home and facilities. Minor amendments were discussed including the provision of a room sizes schedule, a staffing structure and the inclusion of a simple procedure for residents to follow in the event of a fire. Residents are assessed prior to their admission and detailed records are kept. On the day of inspection the records for a respite resident recently admitted could not be located, the manager advised that staff had been working on them and the assessment had been completed. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 9 The resident confirmed that they had received a visit by the manager to assess them and that they had stayed at the home several times before because they liked the home. It was evident that the manager writes to residents following their assessment to confirm the placement but the letter was not specific in confirming the home could meet the residents assessed needs and it was advised this be addressed. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 Each resident’s health care and social care needs are set out in a care plan so that staff know what actions are required to meet their needs. Service users have access to specialist care services but care needs of residents which carry a risk such as being unable to use a call bell are not being fully assessed to demonstrate how these risks are to be reduced or removed. Some practices associated with the management of medication need to be reviewed to ensure medication management is safe. EVIDENCE: Since the last inspection the manager has reviewed the care plan records for residents so that they now contain more detailed information about their care needs and the actions required by staff to address them. Details of medical appointments are being kept but it was noted that details of what the medical appointment was about and the outcome was not recorded so that staff were clear on any actions that may be required by them. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 11 The manager had taken advice is regard to providing additional social stimulation for one of the residents and an assessment of this resident was carried out by a social worker during the inspection to see if access to day services could be arranged. Information provided verbally by the manager concerning this resident was confirmed in detailed care plans. It was evident that where the manager had identified concerns regarding nutritional intake for one resident, appropriate actions had been taken to address this. This included the completion of a nutritional risk assessment and the seeking the advice of a dietician. It was noted that risk assessments had not been compiled for all areas of risk, which the manager had identified for the residents in the care plans. The manager advised that she has been attempting to arrange a date for one of the residents to be assessed by an Occupational Therapist in regard to specialist equipment that may be able to assist them. The manager confirmed that this resident was unable to use the call bell. Although some staff actions were detailed in the care plans, it was advised that specific risk assessments be developed so that the manager can demonstrate all areas of risk have been identified and where possible actions taken to reduce or remove these risks. Staff are completing daily records for each resident but these records did not always confirm the care specified in the care plans had actually been carried out. At the time of inspection none of the residents had any pressure areas and care plans confirmed that those residents vulnerable to pressure areas are being monitored. A review of medications was undertaken. Medications are being stored in a locked location and the manager keeps records in a book of medications received and returned to the pharmacist. Tablets for one resident were checked and it was noted that there were more tablets in the boxes than had been recorded on the medication record. Prednisolone received had not been recorded on the medication chart so that an audit trail was available to confirm the amount given and signed for tallied with what was left. It was observed that medications had been placed in medication pots and had been placed on the breakfast table ready for when the residents came to breakfast. It was advised that medications remain locked away and are given directly to the resident and signed for when taken to prevent any risks of the wrong medications being taken by a resident. The manager agreed to do this. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14,15 Residents are able to maintain contact with family and friends and access the local community if required. Residents are able to exercise their choice on how care and services within the home are delivered so that they can maintain some independence and control over their lives. Residents enjoy a wholesome and appealing diet in pleasing surroundings at times convenient to them. EVIDENCE: Residents are able to see visitors in private in their bedrooms or use the lounge area as required. The manager has requested visitors to respect mealtimes and has written to families to tell them the times meals are served. It was noted throughout the inspection that the manager made a point of asking residents what drinks and meals they would like before giving them. Residents said that they had been involved in making choices of meals on the menus for the home and one resident said that the food was excellent and the manager always asked them what they liked or wanted. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 13 One resident is fairly independent and confirmed they were able to manage their care and make a drink when they wish. The other residents confirmed that they are given choices about how their care is delivered and had no complaints. Residents are able to bring their personal possessions into the home and arrangements are in place for the management of their financial affairs. The manager confirmed that the postal voting system is used at the request of the residents but advised that she would take any resident to the polling station if they requested this. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18, Residents feel confident that any concerns would be listened to and dealt with by the home. Systems are in place to ensure staff are aware of abuse and can protect the residents from abuse. EVIDENCE: Since the last inspection the complaints procedure has been reviewed to include names and contact numbers of those people who residents or visitors can complain to. The complaints procedure is contained within the Service User Guide and the manager confirmed copies had been given to the residents. The manager has taken action to organise training on the prevention of abuse for care staff, which is due to take place in December 2005. This is so staff are able to recognise abuse and know what procedures they should follow if this is observed. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,25,26 Residents live in a comfortable and well maintained environment, which is clean and tidy and relatively safe. Some actions are required to ensure all practices relating to infection control are hygienic and safe. EVIDENCE: The Stables has a communal lounge/dining area, which has been decorated to high standards although residents prefer sometimes to eat in the kitchen where there is a large table with ample space for dining. All rooms have en-suite facilities and there is also a communal bathroom, which has a bath with specialist chair as well as a walk in shower. Both facilities are suitable for those residents who may have mobility difficulties. The three bedrooms have been decorated to high standards and residents said that they had everything they needed in their rooms. It was noted that they have their own personal possessions around them and have access to telephones in their rooms. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 16 Since the last inspection thermostatic mixing valves have been fitted to the hot taps to control the water temperatures to prevent any scald risks to the residents. The manager will need to ensure temperatures of the hot taps are taken regularly to monitor that the valves continue to operate within safe guidelines. Plans are in place to fit radiator covers to all radiators in the home before Christmas to prevent any burn risks to the residents. The home was sufficiently warm enough on the day of inspection and residents confirmed they were warm enough. The works to the garden/parking area have now been completed and this area is now safe for residents to venture outside if they wish. The home was found to be clean and tidy with no unpleasant odours and residents said there rooms were being cleaned regularly. Laundry is collected by staff and put into plastic bags to be transported to the laundry area where it is sorted and washed as appropriate. The utility/sluice room was viewed and it was noted that there is no dirty to clean flow of laundry due to the size of the room and the organisation of equipment used here. A sluice sink is available and there are separate mops in use for the kitchen and bathroom areas. The washing machine does wash to high temperatures to kill any sources of infection but it does not have a specific sluice cycle. There were gloves and aprons available in the home but a supply of aprons were not in the laundry area. It was advised to do this to maintain good infection control procedures within the home. There is no hand wash sink currently available in the laundry/sluice area so that staff can wash their hands. It was not clear that the home were operating in compliance with the Water Supply (Water Fittings) Regulations 1999 and the manager was advised to pursue this matter accordingly. This usually involves an inspection of the premises by the Water Authority who provide a report of their findings. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Staffing arrangements are not always being maintained in accordance with agreed staffing levels, which could impact, on the care of the residents. Staff training is being undertaken which will support staff in ensuring residents are in safe hands at all times. The recruitment procedures followed are not sufficient to ensure the protection of service users. EVIDENCE: The manager employs three care staff in addition to herself. She aims to have two care staff on duty during the day including herself and one waking night carer, which is in accordance with previously, agreed staffing levels. It was evident from discussions with the manager that she has been working both days and night shifts to cover the home. On the day of inspection the manager was working on her own initially due to two of the care staff attending training. A member of care staff arrived later during the morning to assist the manager. The manager advised that she has been trying different shift patterns with staff to see which works to the best advantage to the residents. At the time of this inspection, one member of staff was on holiday, which had meant the manager was covering more shifts. Duty rotas are now in place but the designations of staff are not recorded so that it is clear who is doing the cooking, cleaning and caring. The additional shifts worked by the manager were also not clear. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 18 The manager is aware that the staffing of the home needs to be reviewed so that she is not working both day and night shifts which could impact on her effectiveness. From the residents point of view they had no complaints in regards to the staffing of the home. They confirmed that staff assist them when they need and one person said that the staff were very helpful and if they needed anything, staff would bring it in. Of the three staff who provide care to the residents one of these has attained a National Vocational Qualification (NVQ) II in Care and one has attained an NVQ in Catering. Staff training records are held on their files and it was advised that the manager produce an ‘at a glance’ training schedule so that it is easier for her to assess what training staff have completed and what training needs to be pursued. A member of staff recently employed had not completed all of the statutory training but arrangements had been made for some of this training to be done. This member of staff confirmed that the manager had provided them with induction training on commencing their post within the home. The manager stated that fire training had been completed by all staff and three of the care staff had done basic food hygiene training. Infection control, first aid and moving and handling training for some staff is to be pursued. The manager advised she would not expect any member of staff to do any moving and handling of residents unless they had completed the appropriate training. Staff files were viewed and these did not contain all of the required information Including two references, date of commencement, application forms to confirm employment history, information to confirm the person is mentally and physically fit to carry out their role and a Statement of Terms and Conditions of Employment. The manager had obtained the General Social Care Council booklets and had issued them to staff. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37,38 Residents live in a home which is managed by a caring manager who has a wealth of experience of working within a caring environment. Residents feel that the home is being run in their best interests but there are no formal quality systems which demonstrate residents consultation takes place. Some attention to record keeping and financial management is required to demonstrate that service users best interests are being safeguarded. The health, safety and welfare of the residents is taken seriously to ensure residents are protected. EVIDENCE: Since the last inspection the manager has made arrangements to complete the Registered Managers Award/NVQ 4 in Care so that she has the qualifications required to manage the home effectively. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 20 The manager acknowledges that there are no formal quality monitoring systems in place but confirmed staff talk with families about the care of their relatives. It was observed that staff make visitors welcome to the home. All residents said that they were happy in the home and were satisfied with the care and services being provided. Comment cards completed independently by residents forwarded by the Commission also stated that the residents felt well cared for and were treated well by staff. The inspection process confirmed that the manager is always reviewing the care being provided to the residents to decide if there is anything more that can be done to make the residents feel sufficiently socially stimulated and content within the home. It was not evident that agreements made with residents about how the home is managed including how services are provided are always recorded so that the home can demonstrate they have a formal quality system in place whereby residents are consulted on an ongoing basis. The manager stated she would address this. Financial records kept for residents were viewed and were found to be accurate. Receipts are available for monies spent but it was not possible to link resident expenditure back to the original receipt as individual receipts for residents are not issued. The manager advised that one of the residents was independent and managed their own money. It was not evident that a lockable facility was available in resident’s rooms so that they can keep any monies or valuables locked away if they chose. In regards to other records maintained in the home, details of those records requiring further work have been detailed in each section of this report as appropriate and actions required are confirmed in the Requirement Section at the end of this report. Records in regard to electrical appliance tests were seen to confirm electrical equipment in the home is safe to use. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 2 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 2 2 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 X 2 3 The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 22 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 OP1OP37 Regulation 4 Sch 1 Requirement The Statement of Purpose is to be further reviewed to include the provision of a room sizes schedule, a staffing structure and the inclusion of a simple procedure for residents to follow in the event of a fire. The manager must ensure that assessment records are available for all residents consistently. The manager must ensure that any risks associated with the care of a resident are appropriately assessed with details of actions that will be taken to reduce or remove these risks. Records in place must confirm that the care prescribed is being given. Timescale for action 31/01/06 2 OP3OP37 14 31/12/05 3 OP7OP37 13 12 (4)(c) 31/12/05 The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 23 4 OP9OP37 13 (2) Current procedures for managing 31/12/05 medications are to be reviewed in line with the guidance document Royal Pharmaceutical Guidelines The Administration and Control of Medicines in Care Homes” to ensure safe practices are carried out at all times. This includes:The adminstration of medications directly to the resident at the time the medication round is being carried out. The recording of the number of medications received on the Medication Administration Record (MAR). The completion of regular audits of medications to make sure the amount received, administered and remaining are accurately reflected on the MAR charts. 5 OP25 13 (4)(a) (c) An action plan is to be devised stating timescales to address hot surface temperatures of radiators. These must be of a low surface temperature. (Outstanding from previous inspection). The manager must ensure the hot water temperatures are monitored on a regular basis (preferably monthly) to ensure these fall within safe guidelines. Records must be kept to confirm the temperatures. 31/12/05 The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 24 6 OP26 13 (3) 16 (2) The manager is to confirm compliance with the Water Supply (Water Fittings) Regulations 1999. The manager is to pursue the provision of a hand wash sink in the laundry/sluice room area so that effective infection control procedures can be followed. 28/02/06 7 OP27OP37 18 (1)(a) A further review of staffing is required to ensure the home are operating within the agreed staffing levels. The practice of the manager working both day and night shifts needs to be reviewed. (Outstanding from previous inspection). Duty rotas must include the designations of staff so that it is clear what duties each member of staff is carrying out. All hours being worked by the manager must be indicated. Duty rotas must also contain appropriate dates, the name of the home and include names of staff who cover extra shifts and who are on call. Staff personal files must include all of the required information. This includes the provision of 2 written references, date of commencement, application forms which show employment history and evidence that the member of staff is both mentally and physicallly fit to undertake their role within the home. (Some issues outstanding from previous inspection). DS0000062042.V261432.R01.S.doc 31/12/05 8 OP29OP37 7,9,19 Sch 2 28/02/06 The Stables Version 5.0 Page 25 9 OP30OP31 18 (1) 12 (1)(a) The manager is to produce an ‘at 28/02/06 a glance’ training schedule for staff which confirms dates of training completed and dates of training planned. This needs to include statutory training, TOPSS induction and foundation training and NVQ training. A copy of this is to be forwarded to the Commission. The training schedule is to include qualifications gained and being pursued by the manager. 10 OP33OP37 24 The manager is to establish a formal quality system, which demonstrates consultation with residents on the management of the home. Records must be maintained of outcomes of consultations as well as any improvements made to the benefit of the residents. Any resulting reports are to be made available to residents and visitors to the home. In regard to the management of residents monies. Receipts need to be available for all transactions undertaken for each resident. The manager is to consult with residents in regard to the provision of a personal secure area for them to store monies and valuables. Records must be kept to demonstrate this consultation and action is to be taken to address storage facilities as appropriate. 28/02/06 11 OP35 12,17 Sch 4,23 28/02/06 The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 26 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 OP26 Good Practice Recommendations It is advised that the bin in the communal toilet is replaced with a new pedal bin that is fully operational so that good infection control procedures can be maintained. The Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Stables DS0000062042.V261432.R01.S.doc Version 5.0 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!