Inspection on 19/04/05 for The Stables

This inspection was carried out on 19th April 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 01/11/05

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 Castle Road Hartshill Warwickshire CV10 0SE Lead Inspector Sandra Wade Unannounced 19 April 2005 08:40 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 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 (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Stables Address Castle Road Hartshill Warwickshire CV10 0SE 02476 392352 02476 392535 Telephone number Fax number Email 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 PC 3 Category(ies) of OP 3 registration, with number of places The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users admitted to The Stables must require no more than one carer to meet their needs, unless additional staff are provided. 2. 3. 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. Date of last inspection First Inspection. Brief Description of the Service: The Stables is a purpose built three bedroom bungalow which cares for three people, two of which are elderly. There are three bedrooms all with ensuite 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 service users. There are four toilets in total within the home. The entrance and garden to the Stables is currently in the process of being changed to enable a parking area to be developed for visitors. This will result in service users having two patio areas where they can sit out in Summer months looking out onto the fountain in the centre of the garden. 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 (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? What they could do better: The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 6 As The Stables has only been operational for a short period of time there is still work to be done to develop recording systems to make sure there is evidence the home do what they say they do. Although some staff have had some previous experience, they have not yet completed all of the necessary training to ensure they can deliver care to the service users safely and in accordance with the home’s policies and procedures. Although health and safety checks have been done, the home will need to address hot water temperatures and radiator temperatures to make sure these do not burn or scald service users. The recent addition of a third resident to the home means that staffing has been increased but the manager is currently working days as well as covering the night shift. It was clear that a review of staffing will need to be undertaken to ensure the manager has dedicated time for management duties as well as sufficient night staff cover and can remain effective. 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 (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 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 standard(s) 1,2,3,4,5. Detailed information is available about the home and is given to service users. All service users are assessed by the manager prior to moving into the home to ensure their needs can be met. Service users are then able to visit the home for a trial period before they are admitted. EVIDENCE: During the admission of a service user, detailed documents about the home are given to them which also include a copy of the Terms and Conditions for the home. Some of these documents were in the service users rooms and others were signed by service users and were in their care files. These documents are being further updated. Individual records are kept by the manager of assessments carried out for service users prior to their admission. Some service users had been seen by social workers who had provided information to the manager about their care needs. Service users spoken to said that they had been visited by the manager in their own home and had also visited the home on more than one occasion prior to their admission. Letters had not been sent to prospective service users to confirm that the home could meet their needs but the manager said she would make sure this was done for any admissions accepted in the future. The manager had The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 9 however asked each service user or members of their family to complete a form telling her how they felt the service user’s admission to the home had been managed. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 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 standard(s) 7,8 10. Staff are very caring towards service users and service users are treated with respect. Good progress is being made in developing full care plan records for all of the service users. It was difficult to confirm that all of the care required or stated is being given. EVIDENCE: Individual care plans describing the service users care needs and actions required by staff to make sure these were met, were not in place for all service users. There was however information held on their care files which confirmed that the care needs of the service users had been identified. It was difficult to know whether all of the care identified for each service user was actually being given. One service user needed to do physiotherapy exercises each day but their care records didn’t confirm these were being done each day. Staff did however say they were doing them. Service users spoken to were very complimentary of the care they were receiving and of the staff providing their care. Service users also felt that their privacy was respected and that no restrictions were placed on them within the home. Visitors to the home were very complimentary of the manager and of the care their relative was receiving. Each of the service users has access to a telephone within their room and visitors were seen to be made welcome to the home. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 11 Where specialist advice was needed about service user’s care, this had been sought and details of this had been recorded on a sheet within their care plan records. The manager had also made arrangements to ensure any specialist equipment needed to help or support service users had been obtained or organised with the district nurses. The manager keeps records of district nurse visits to confirm the care provided to service users. The home was awaiting the delivery of a specialist mattress for one service user. Pressure mats are in use within the home which sound off an alarm when service users step on to them. The use of these means that staff know when service users are getting out of bed and can go to them to provide any assistance they may require. Risk assessments confirming why it was necessary to use these mats were not in place. Care records stated how staff were to ensure the teeth and mouth of service users were kept clean and healthy but records did not confirm the actions stated were being carried out. There is currently no assessment system in place to help staff identify when it is necessary to contact a Dietician if a service user is not taking sufficient food and drink to maintain their health. Due to the medical condition of service users, it was identified that there were some risks to them falling within the home. The manager was aware of this but records did not fully confirm actions that staff needed to take to prevent this from happening. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 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 standard(s) 12, 15. Social activities are well managed and are focused on the interests and wishes of the service users. Food is being provided to the satisfaction of the service users and snacks and drinks are readily available. EVIDENCE: Service users spoken to were happy with the level of activities provided which included board games, reading, listening to music and watching videos. Care plans include an assessment of service users social interests. Service users and staff confirmed that they had visited the local supermarket and had enjoyed coffee at a local Garden Centre. The manager stated that further activities had been arranged but details of these had not been given to service users in a written format to remind them when these were to take place. The information provided to service users about the home includes details about how activities are organised including that some may incur an additional cost to the service user. It is still early days for the home to have developed a full activities programme but current arrangements appear to be to the satisfaction of the current service users within the home. Service users stated that they were very happy with the food provided and the choices available. Staff confirmed that they tended to choose the same things for breakfast each day even though other choices were available. During the The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 13 inspection, staff made drinks frequently for the service users and also prepared refreshments for the visitors to the home who were made welcome on their arrival. Menus stating what meals are to be provided each day were not available at the time of this inspection but the manager said that the cook was in the process of developing these. This will enable the home to demonstrate that a wholesome and nutritious diet is being provided on an ongoing basis. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 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 standard(s) 16, 18. Although a complaints procedure is in place this does not contain the amount of detail required to ensure service users and their families know what to do should they wish to complain. EVIDENCE: Visitors to the home confirmed that they were more than happy with the service being provided but if they should need to raise any issue of concern they were confident it would be dealt with by the manager. The complaints procedure is made available to service users within the documentation made available to them when admitted to the home. The procedure does not make clear the names, telephone numbers and addresses of whom to write to if a person wishes to complain. No complaints had been received by the home since opening in October 2004. The manager and staff have not completed training on the local procedures that should be followed to protect vulnerable adults. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 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 standard(s) 19, 21, 25. The Stables has a homely atmosphere and has been decorated to high standards. The communal bathroom is assessible to all service users and there are sufficient numbers of toilets available. Not all appropriate actions had been taken to ensure the home is operating safely. EVIDENCE: A full review of the environment was not undertaken but it was noted that the areas viewed were clean and tidy and well maintained. The communal lounge/dining area has been decorated to high standards although service users prefer sometimes to eat in the large kitchen where there is a large table with ample space for dining. All rooms have ensuite facilities but the communal bathroom has a bath with specialist chair to assist any service user who may have difficulty in getting into the bath. There is also a walk in shower within the bathroom which is not within a cubical so service users can also easily use the shower if they prefer. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 16 Bedrooms seen have been decorated to high standards and had been personalised by the service users with their own belongings. Consideration has been given as to the facilities and equipment available for each service user in accordance with their needs and wishes. This included a specialist toilet seat, grab rails, touch lamps and one service user was seen to have a computer with internet access. Service users said that they had everything they needed within their bedrooms and there was nothing they would change about the home. The front of the home is in the process of being changed to a hard surface which will accommodate a parking area and portable cabin. This area was previously grassed. There is a central fountain which will be retained and which service users can appreciate from the patio areas to the front of the main entrance. Central heating is available within the home and the temperature of radiators can be adjusted as required. It was noted during the inspection that radiators were hot to touch and the hot water in one of the service users ensuite was hotter than it should be. These had not been risk assessed to make sure there were no burn risks to the service users. It was however noted that in one of the bedrooms the furniture had been arranged so that the radiator was protected behind it. The way the home manage hygiene and laundry was not fully reviewed at this inspection but the manager stated they had not yet been inspected by the Water Authorities to confirm they are operating in accordance with the Water Fitting Regulations. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30. The day of inspection, there were sufficient numbers staff on duty to provide care for the service users but staffing arrangements are not suitable for the night shift. The recruitment procedures followed were not sufficient to ensure the protection of service users and not all staff have completed the necessary training. EVIDENCE: The manager confirmed that in addition to herself there are 3 carers employed within the home plus a cook who works at weekends. The manager stated that the cook had attained the qualifications needed to work as a cook within the home. The care shifts worked are from 8 – 1pm, 1 – 6pm and 5 – 9pm. Duty rotas have not been devised to confirm care staff work these shifts on an ongoing basis. The manager stated that she aims to have 2 care staff on duty each day (this includes the manager) and one person at night which is in accordance with agreed staffing levels. However, the manager currently covers the night shift as well as the day shift and responds to call bells or the bells which sound when service users step on pressure mats within their rooms. At the time of this inspection one of the service users was in hospital. The manager stated that the 3 service users all have high dependency needs which means there needs to be a member of staff on night duty who is awake. One of the service users is unable to use the call bell and relies on shouting staff when needing assistance. A risk assessment in regard to this matter was not seen. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 18 Discussions with the 2 service users within the home did not highlight any concerns in regards to staffing and they both said they could get a member of staff to help them when they needed to. Staff records viewed did not contain all of the records required to confirm that staff had been fully checked and deemed safe to work with the service users prior to their appointment. Checks not undertaken included 2 written references, criminal records checks and checks against the Vulnerable Adults Register which contains names of those care staff which are not suitable to work in care homes. One file contained a copy of a criminal record check completed from their previous employer. Staff have not completed all of the required training but the manager had made an appointment to meet with a training organisation to arrange this. It was confirmed that this will include induction training, National Vocational Qualification training and all of the training which staff must do like moving and handling, fire safety, first aid etc. One of the carers working within the home has already attained a National Vocational Qualification in Care. Staff stated that when they started work within the home they were shown around and were advised on health and safety matters. They observed the manager providing care to the service users so that they could learn from her and get to know the service users. Care staff stated that they felt well supported by the manager and that they knew where to obtain policies and procedures relating to the home. They were less familiar with the Care Standards and Regulations which they are required to work to. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,37,38. Service users live in a home which is managed by a caring manager who has a wealth of experience of working within a caring environment. Records do not fully demonstrate all of the services and care being provided. Some practices do not ensure promote the heatlh and safety of the service users. EVIDENCE: The manager has 28 years experience of working within a caring environment, 26 of these within a hospital and 2years working as a senior carer within a care home. The manager stated that she has completed training to obtain a National Vocational Qualification in care but she was not issued with a certificate to confirm this. The manager has made contact with a training organisation to pursue the Registered Managers Award and NVQ IV in Care qualification. The manager has also completed various other training courses and has certificates to confirm this. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 20 The service users and staff stated they felt well supported by the manager. Visitors to the home were complimentary of the care being provided and stated that communication with them was very good in regard to the care of their relative. Record keeping is still in the process of being fully addressed to ensure the home can demonstrate they are complying with the standards and regulations. Areas which require further improvement are detailed throughout this report. Health and safety records were viewed to confirm that all the necessary health and safety checks within the home had been carried out. It was noted that the home currently do not check the hot water temperatures and records were not available to confirm that all the portable electrical appliances had been checked and deemed safe. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 2 COMPLAINTS AND PROTECTION 2 x 3 x x x 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 Standard No 16 17 18 Score 2 x 2 2 x x x x x 2 2 The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 22 NO Are there any outstanding requirements from the last inspection? 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 OP1 OP37 Regulation 4 and 5 Requirement The manager is to confirm when the Statement of Purpose (SOP) and Service User Guide (SUG) have been updated to contain all of the required information. This includes: Updating the complaints procedure Communal room sizes ie bedrooms, lounge, dining room (Statement of Purpose) Revise the Description of Accommodation to ensure this gives full details of the accommodation and what facilities are provided. Detail qualifications/training that staff have obtained. Devise a staffing structure to confirm the staffing arrangements within the home The category of care the home provides for needs to be updated in accordance with the recent The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 23 Timescale for action 30.6.05 variation of registration. Inclusion of the fire procedure for service users within the SOP and SUG. 2. OP4 OP37 14 (1) (d) 3. OP7 OP37 12 (1) (a) (b) 13 (4) (b) (c) The manager must ensure that a letter is written to service users following their assessment to confirm the home can meet their needs. Care plan records must be developed as soon as possible following the admission of a service user. Care plans must be developed for each identified need of the service user and must state staff actions required to meet these needs. Care records must demonstrate that the staff actions required to meet needs are actually carried out. Risk assessments must be developed for service users as appropriate and must identify actions required to reduce or remove the risk. A risk assessment must be developed for the service user who is unable to use the call bell. It is advised that communication methods of alerting staff are discussed with the Occupational Therapist (OT) when the OT Assessment is arranged. 30.6.05 31.5.05 4. OP8 12 (1) (a) (b) The manager is to confirm that the pressure relieving equipment (mattress) organised for one of 30.5.05 The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 24 14 (1) (a) the service users has now been received to prevent any pressure wounds developing. Actions taken in regard to meeting the oral health needs of service users must to be demonstrated within their care records. The manager must demonstrate that appropriate actions have been taken in regard to any service user who is at risk of poor health from poor food intake or weight loss. Nutritional assessmens must be carried out and advice sought from the Dietician as appropriate. The manager must demonstrate 31.7.05 that suitable, wholesome and nutritious food is being provided consistently which is varied and available at times suitable to the service users. To demonstrate this, menus should be devised which state what choices of meals are offered throughout the day. Also details of snacks and drinks that are made avaialble and times when they are available. The manager must review the 31.5.05 current complaints procedure within the home to ensure this fully complies with requirements. Names, titles, addresses, and contact numbers need to be clearly demonstrated. The procedure also needs to be in a format suitable to the service users. The manager is to confirm a date 30.6.05 for all staff to attend training on the protection of vulnerable adults to ensure service users are not placed at risk though Version 1.30 Page 25 5. OP15 16 (2) (i) (4) 6. OP16 OP37 22 7. OP18 13 (6) The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc 8. OP19 23 (2) (o) 9. OP25 OP38 13 (4) (a) (c) 10. OP26 13 (4) 11. OP27 OP37 18 (1) (a) lack of staff knowledge in regard to this matter. The manager is to confirm when works to the garden area of home have been completed to ensure this area is safe. An action plan is to be devised stating timescales to address hot water and hot surface temperatures of radiators. These must be of a low surface temperature. Risk assessments need to be developed in the interim to ensure the burn risks associated with hot surfaces are reduced or removed. The manager must take actions to demonstrate that the home is operating in compliance with the Water Supply (Water Fittings) Regulations 1999. A review of staffing is required to ensure there is a member of waking night staff on duty to meet the high dependency needs of service users. The practice of the manager working both day and night shifts needs to be reviewed. 30.6.05 31.5.05 31.7.05 31.7.05 12. OP29 OP37 7,9,19 Schedule 2 Duty rotas must to be devised which detail all staff working within the home, shifts worked and any hours which carers allocate to other duties within the home to ensure precise care hours being provided can be demonstrated. A review of staff files needs to be 30.6.05 undertaken to ensure all records as required have been obtained and all staff recruitment checks have been carried out. This includes the provision of 2 written references, a criminal records check (or POVA First check in exceptional circumstances), evidence that Version 1.30 Page 26 The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc 13. OP30 18 (1) 12 (1) a) 14. OP31 9 (2) (i) 15. OP38 13 (4) the member of staff is both mentally and physicallly fit to undertake their role within the home. Copies of the General Social Care Council booklet also need to be obtained and issued to staff. The manager is to produce a 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. The manager is to confirm the dates to commence the Registered Managers Award and NVQ IV in Care training. The manager is to forward records to confirm that the portable electrical appliance testing has been completed. 31.7.05 31.7.05 31.6.05 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 OP2 Good Practice Recommendations It is advised that the homes Terms and Conditions are reviewed to include the processes that should be followed if the home or service user are in breach of their contract. The Stables (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection 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 (DRAFT) E53 s62042 The Stables v222502 190405 stage 4.doc Version 1.30 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. 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