Inspection on 24/07/07 for The Tower House

This inspection was carried out on 24th July 2007.

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 Tower House 16/07/08

The Tower House 06/07/06

The Tower House 13/12/05

The Tower House 02/06/05

The Tower House 15/03/05

The Tower House 22/04/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Tower House Reading Road Shiplake Henley on Thames Oxon RG9 3JN Lead Inspector Jill Chapman Unannounced Inspection 10:30 24 & 25 July 2007 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 Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Tower House Address Reading Road Shiplake Henley on Thames Oxon RG9 3JN 01189 401197 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) kiddsinead@yahoo.co.uk Bridget Kidd Bridget Kidd Care Home 9 Category(ies) of Old age, not falling within any other category registration, with number (9) of places The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th July 2006 Brief Description of the Service: Tower House is a privately owned care home with large attractive gardens, approximately two miles from Henley on Thames and on a bus route. Mrs Bridget Kidd is the proprietor and registered manager and provides care for up to six service users aged 65 and over who, for one reason or another, are no longer able to live in their own homes. She employs three full time and two night staff to assist with care work and domestic duties. Agency staff are employed to provide assistance when the need arises, all of whom are familiar with the home and the service users. Service users have access to a communal sitting room, a conservatory and a separate dining room, all situated on the ground floor. There are three bedrooms on the first floor with en-suite facilities of toilet and washbasin and a double bedroom with an en-suite bathroom. There is also a communal bathroom on this floor. On the ground floor there are four bedrooms with en-suite toilet and washbasin and a communal bathroom with walk in shower and assisted bath. Fees: £2700.00 per month The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 10.30 and was in the service for three and a half hours. A follow up visit of half an hour was made the next day to give feedback to the proprietor/manager and to look at records that were not available in her absence. It was a thorough look at how well the service is doing and took into account detailed information provided by the service’s owner, and any information that the CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has, in this report, made judgements about the standard of the service. The inspector spoke with the proprietor/managerand two staff on duty. The majority of the service users were spoken with, either in their rooms or during a lunchtime meal. A tour of the building was carried out and records relating to care, staffing and health and safety were sampled. Eight service users, four relatives and three health professionals completed questionnaires about the service. Their views are represented in this report. What the service does well: The home only admits service users whose needs it can meet. The admissions assessment takes into account equality and diversity needs. Service users are given information about the home and can try out the home before deciding to live there. Service users’ care and health needs are well met and potential risks are identified. The home has a suitable medication system and staff are trained to give medication. Service users are confident that staff maintain their privacy and dignity. Service users enjoy a good standard of living in a family size group. They have flexible routines and are supported to keep in contact with family, friends and the local community. Service users choose from a variety of nutritious and home cooked meals that suit their dietary needs. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 6 Service users know how to make a complaint and feel they are listened to and that action is taken. Staff have been given Protection of Vulnerable Adults training to help keep service users safe. Service users benefit from a high standard of accommodation that is homely, well furnished and well maintained. The home is kept clean and hygienic. Service users receive support from enough trained staff. The home is well managed by an experienced manager who is undertaking further training. A system for seeking the views of service users and others to help develop the service is being put in place. Health and safety arrangements help keep service users safe. Relatives say: ‘They look after my relative extremely well’, ‘Provides excellent care’, ‘They are good at personal care and have a good rapport with my relative’. Service users say: ‘I have been very happy here, it is lovely always seeing the same staff who are kind and friendly, they always give my visitors a cup of tea and biscuit’, ‘Staff are very kind and helpful, I am very happy here and well cared for at all times’, ‘The food is very good and the cooking of it excellent’ ‘There is always a sympathetic ear’, ‘The care is very loving and good, a lot of trouble is taken to make us happy. The owner and helpers are very dedicated’. Health professionals say: ‘They maintain a degree of autonomy in a caring and supported setting’, ‘Provides a kind and caring environment which is tranquil and pleasant’, ‘Caring environment, good care and respect for the service users’. What has improved since the last inspection? What they could do better: A medication induction checklist would show what in-house training is given to staff and a stock control record for medication given when needed would make sure that this is accurate. Written risk assessments will show that it is safe for service users to self medicate. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 7 The manager and senior staff need to take additional training to make sure that they know the local Protection of Vulnerable Adults procedures and who the local authority contact person is. Better checking of references and work histories will make sure that the recruitment procedure is more thorough. The recording and frequency of some health and safety checks need to be improved. Consider the need for suitable locks for communal bathrooms to ensure privacy. A checklist should be developed to show what staff are shown in induction. Care staff should receive formal recorded supervision at least six times per year. There was only one negative comment from surveys received, ‘The bathroom could be cleaned more frequently’. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home only admits service users whose needs it can meet. The admissions assessment takes into account equality and diversity needs. Service users are given information about the home and can try out the home before deciding to live there. EVIDENCE: In speaking with service users they confirmed that they received information about the home to help them decide to live there. It was seen that they had a copy of the Service Users Guide on their personal file. Service users’ files sampled showed that they are given a copy of their Terms and Conditions and they had signed this. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 10 Records show that service users receive a full assessment of need prior to the home offering them a placement. New Service users confirmed their involvement in this process. The assessment includes looking at whether they have any specific religious or cultural needs. There are no service users with these needs at present but it was clear from speaking to the manager and staff that they would be able to meet these. Service users confirmed that they were able to visit the home before deciding to stay. Most spoken to had heard about the home’s good reputation and standards and compared Tower House favourably to others they had visited. They also said that the manager visited them in their own home before admission. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ care and health needs are well met and potential risks are identified. The home has a suitable medication system and staff are trained to give medication. However, some improvements in documentation are needed. Service users are confident that staff maintain their privacy and dignity. EVIDENCE: Service users’ files were sampled and some showed that a plan of care and risk assessments are drawn up following the assessment of need. Care plans could not be found on two files sampled and the proprietor/manager agreed to look into this. Care plans seen had been reviewed regularly and review dates are recorded. Daily records showed that care plans are carried out. Individual risk assessments were seen on all files sampled and review dates were seen. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 12 Service users confirmed that they have good access to local doctors and district nurses. Some service users who previously have lived in the Henley area have been able to continue with the same doctor. Health records were evident on files sampled and show that service users have access to a variety of health professionals. The home has a medication policy and operates a monitored dosage system which is checked by the pharmacist concerned. Staff receive an in-house medication induction but this needs to be documented and competency reviewed every six months. Staff have received formal medication training from Boots Pharmacy. The storage and administration of medication was mostly satisfactory but a stock control system needs to be developed for PRN medication (taken only when needed). There is an appropriate system in place for the administration and recording of controlled medication. Some service users are able to self medicate and appropriate storage arrangements are now in place, as required from the previous inspection. It was clear from talking to staff that risks had been assessed but these were not documented. Self-medication risk assessments must be developed and reviewed regularly to monitor that service users continue to be safe to do this. Service users confirmed that staff treat them with respect and maintain their privacy. They have appropriate locks on their bedroom doors that can be opened by staff in an emergency. Service users are given a copy of the home’s Privacy and Dignity Statement. All service users have their own en-suite toilet, which enables privacy. Communal bathrooms have not got locks for privacy and at present all service users are assisted to bath by staff who can make sure that their privacy is not compromised. Should the home admit any service users who use the bathrooms alone then the need for suitable locks should be considered. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users enjoy a good standard of living in a family size group. They have flexible routines and are supported to maintain good contact with family, friends and the local community. Service users choose from a variety of nutritious and well prepared meals that suit their dietary needs. EVIDENCE: Files sampled showed that service users’ preferred daily routines are well documented. Service users said that they are able to get up and go to bed when they like and, if preferred, they can choose to eat in their rooms, rather than the dining room. Service users in the home are quite independent and said they prefer to follow their own interests rather than organised activities. These include TV, radio, art and reading. Two service users attend a local club for the elderly and said they enjoy raffles, bingo, reminiscence and talks. It was seen that the home supports service users to be as independent as possible. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 14 In discussion with service users it was clear that they are encouraged to receive visitors and to go out to see friends and relatives. Two service users go out into the community independently and, although potential risks have been considered, these need to be documented. Some service users have their own telephones in their rooms. A priest visits the home every six weeks to give communion. The home supports service users to use advocacy services if needed. The home does not handle service users finances; family or friends deal with these. Service users were very complimentary about the meals provided, which are all home cooked. They said there is always choice and breakfast is brought to them in their rooms. They said there is a good choice at teatime. Lunch is served in the formal dining room and the inspector joined a group of service users for a lunchtime meal. Lunch was a sociable affair and some service users chose to have a sherry or glass of wine with their lunch. It was seen that some service users chose a different meal and that comments about the food are quickly acted upon. There are no special cultural or religious dietary needs but staff confirmed that these would be met if needed. Diabetic service users are catered for. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users know how to make a complaint and feel they are listened to and that action is taken. Staff have been given POVA training but the manager and senior staff need more training and awareness about the local Protection of Vulnerable Adults procedures. EVIDENCE: No information has been received from service users or their relatives about complaints made about the service. Only one concern has been received by the home and this has been satisfactorily dealt with. There is no separate complaints record and they are recorded with the many compliments received. Advice was given to separate these to make it easier to audit complaints. Service users confirmed they had received a copy of the home’s complaints procedure and that they know who to tell if they are not happy. They said that any minor concerns they have are dealt with quickly. The home has not made or received any safeguarding adults referrals. Most staff have had Protection Of Vulnerable Adults training and one staff member is due for this. There was a lack of clarity about local procedures, and the owner/manager and senior staff must undertake POVA 2 training and make sure they are familiar with the local Vulnerable Adults Procedure and who the Social Services contact person is. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 23, 24 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a high standard of accommodation that is homely, well furnished and maintained. The home is kept clean and hygienic. EVIDENCE: The home is very clean, well furnished and maintained. The home has been extended since the last inspection and there are four new ground floor bedrooms with en-suite toilet and washbasin (one also has a bidet at request of the service user.) There are now seven single and one double bedrooms. An existing bedroom on the ground floor has now been converted to a new laundry and ground floor communal bathroom. There are two new oil fired central heating boilers. The stair carpet is due to be replaced and kitchen refurbishments are planned. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 17 Service users confirmed that they are able to bring their own furniture and are pleased with the high standard of accommodation. Several service users said that they had heard of the home’s good reputation and they had been on a waiting list for the new rooms being built. They said that compared to other homes they had looked at, the standard of accommodation and family-sized environment at Tower House had made them choose this home. All service users have their own en-suite toilet and washbasin and a double room has an en-suite bathroom. There are two communal bathrooms with assisted baths. The ground floor bathroom also has a walk-in shower and a hoist. A previous requirement that suitable adaptations be provided where necessary in service user’s own rooms has been met. There is a new laundry with new industrial type washing and drying machines. The home does not currently have a machine with a disinfecting programme to deal with incontinence linen, but incontinence needs are low. This type of machine should be considered if needs change. In discussion with staff it was found that they are aware of safe laundering practice. Service users confirmed that their clothes are well laundered and are washed separately from other service users’ laundry. It was noted from staff files sampled that they receive training in infection control and the control of substances hazardous to health (COSHH). The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive support from sufficient trained staff. Some improvements are needed to make sure the recruitment procedure is robust. EVIDENCE: Since the last inspection staffing levels have been increased to meet the needs of three extra beds. Staff deployment enables a minimum two to three staff during daytime shifts and one waking night staff. The proprietor/manager is on site for the majority of time and is available to be called at night in an emergency. Staff spoken with said that they enjoyed working in the home and welcomed the reintroduction of staff meetings. Service users were complimentary about staff and the help they give them. There is a programme of National Vocational Qualification training in place. Two staff have Level 2 and one is currently taking Level 2. The home will achieve 50 of staff with this qualification in the near future. The home has a recruitment procedure that includes carrying out Criminal Records Bureau checks and Protection of Vulnerable Adults List checks. A requirement to make sure that agency staff have been properly recruited and trained has been met. Evidence of this is now kept on files in the home. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 19 In recruiting permanent staff for the home, two references are sought and these were seen on files sampled. It was noted that references given were not always from the previous employer and that some references were not on headed company paper. The manager must make sure that full employment histories are sought and that phone calls to verify that references are genuine are recorded on file. A requirement that staff members’ mandatory training is kept up to date has been met. Staff files sampled showed up to date certificates. Staff confirmed that they receive a thorough induction when starting work at the home. An induction checklist should be developed to evidence this good practice. Induction includes staff shadowing the proprietor/manager for a week to make sure that they are competent to work alone. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed by an experienced manager who is undertaking further training. A system for seeking the views of service users and others to help develop the service is being put in place. Health and safety systems are mostly good but some improvements are needed in the recording and frequency of some health and safety checks. EVIDENCE: The registered manager has had many years’ experience caring for the elderly and is a qualified nurse. She is undertaking the Registered Managers Award/NVQ Level 4. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 21 There are good relationships between the manager and service users and staff. Service users said they feel secure because the manager lives on site. A previous requirement to put a quality assurance system in place has been met. The manager has purchased a quality assurance audit tool that enables monitoring of the home’s systems and highlights areas for development. Questionnaires are being developed to seek the views of service users, families and professionals involved in service users’ care. The home does not handle any service users’ finances, as relatives look after these. Staff in the home are supervised on a daily basis by the proprietor/manager who lives on site. Staff said, ‘It is lovely to work here, Mrs Kidd is very accessible’. In staff files sampled and in discussion with staff there was no evidence of formal staff supervision taking place. It is recommended that care staff receive formal recorded supervision at least six times per year. Staff meetings have just been reinstigated, and the first one was held on 12 July 2007. Health and safety systems in the home are mostly good and there was evidence of regular servicing and maintenance of equipment. There are some areas that need further development. Hot water outlet temperatures are controlled by thermostatic valves and are checked monthly. This needs to be carried out weekly with a suitable calibrated thermometer, and records kept. Records of regular checks carried out to the fire safety system were disorganised and it was not possible to see if they were up to date. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 22 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 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 4 X 4 3 4 4 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X N/A 2 X 2 The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 23 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 OP9 Regulation 13 (2) • Requirement Medication induction must be documented and staff competency reviewed every six months A stock control system needs to be developed for PRN (taken only when needed) medication. Self-medication risk assessments must be developed and reviewed regularly to monitor that service users continue to be safe to do this. Timescale for action 24/09/07 • • 2 OP18 13 (6) The owner/manager and senior 24/10/07 staff must undertake POVA 2 training and make sure they are familiar with the local Vulnerable Adults Procedure and who the Social Services contact person is. The manager must make sure that full employment histories are sought and that phone calls to verify that references are genuine are recorded on file. DS0000040609.V339937.R01.S.doc 3 OP29 17 (2) Schedule 4. 6 24/09/07 The Tower House Version 5.2 Page 24 4 OP38 13 © • Review the frequency of testing and recording of hot water temperatures to show that hot water is delivered to service users at a safe temperature. Review the recording format of fire safety testing to evidence that this is carried out regularly. 24/09/07 • RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP10 OP30 OP36 Good Practice Recommendations Consider the need for suitable locks for communal bathrooms to ensure privacy. An induction checklist should be developed to show what is carried out. Care staff should receive formal recorded supervision at least six times per year. The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Tower House DS0000040609.V339937.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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