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Inspection on 06/05/08 for The Willows Residential Home For The Elderly

Also see our care home review for The Willows Residential Home For The Elderly for more information

This inspection was carried out on 6th May 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Willows offers residents a very pleasant, homely environment in which to live, with a warm, welcoming atmosphere. All bedrooms are singles and pleasantly decorated to suit individual needs. Good standards of cleanliness were observed throughout the home. There is a well-trained, enthusiastic staff team that provides a good standard of care. Staff follow written care plans for each resident that contain enough information to make sure that the right care is provided.Residents are able to make choices about their daily routines and lifestyles, doing things at the times of their choosing. Residents were appreciative that the staff spend time with them individually, talking to them and being there for them, ready to listen if they have a worry. Meals are varied and nutritious and several residents expressed that the food is nice, however one service user survey comment card indicated that the food is bland and sometimes not appetising.

What has improved since the last inspection?

The home has continued to provide good care to residents. There have been no fundamental changes since the last inspection. There are two deputy managers to cover the week and the registered provider calls in regularly, is easily accessible for advice and can be at the home quickly if needed. This seems to have worked quite well and the registered provider is in the process of applying to be the registered manager. The provider has some improvement plans for the home that would greatly improve residents` quality of life. These include the installation of a lift to improve access throughout the home for all residents.

What the care home could do better:

The issue of having a registered manager is currently being addressed. The registered provider is registered as manager at the other home she owns, which is not far from this home. She has been managing both homes for nearly two years with suitable management structures in place in both homes. Rooms occupied or used by residents should be assessed for any risks they present and any necessary action taken to address the risks identified. Recruitment practices are generally sound. A recommendation has been made to make some changes to improve staff records to show that a full employment history is obtained and applicants are requested to provide a satisfactory explanation of any gaps in employment. Evidence of POVA First checks to be kept on staff files.

CARE HOMES FOR OLDER PEOPLE The Willows Residential Home For The Elderly The Willows The Broadway Minster Sheerness Kent ME12 2DE Lead Inspector Sandra Crosby Unannounced Inspection 6th May 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Willows Residential Home For The Elderly DS0000024023.V363105.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 Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Willows Residential Home For The Elderly Address The Willows The Broadway Minster Sheerness Kent ME12 2DE 01795 874975 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 Tracey Melanie Gobbi Post Vacant Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th May 2007 Brief Description of the Service: The home is situated near the coastal road at Minster and offers accommodation for 10 older people. The ten single bedrooms are located on both the ground and the first floor. There is no shaft lift access between floors and the stairs are narrow and incorporate a bend, so the home may not be suitable for anyone with very limited mobility. However, there is a sitting room on both floors, with the one on the first floor having access to a large balcony, with views over the sea. The home is on a bus route, so provides easy access to all the local amenities in the town of Sheerness, which is roughly two miles away. There is limited parking to the front of the property, but unrestricted on-road parking at the side. Service Users mostly come from the local community and retain their own GPs when moving in. Information from the provider in May 2008 indicates that the fees for the home range from £326.00 per week to £420.00 per week. The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. This report contains the findings of the home’s key inspection and takes account of information obtained from various sources since the last inspection of 08 May 2007, including a visit to the home. An unannounced visit took place on 06th May 2008 between 10.00 and 14.10 hours. The visit included talking to the registered provider, deputy manager, staff members, residents, two relatives and observing the interactions between residents and staff. An accompanied tour of some areas of the building was carried out and various records were checked. The care of two residents was case tracked. At the time of the visit there were nine residents. Information contained in the completed Annual Quality Assurance Assessment (AQAA), was comprehensive and information and observations made at the time of the inspection visit have been used when completing this report. Three completed service user surveys have been received providing mainly positive comments about life at the home for example ‘in everyway I could not wish for anything better. I am cared for as if I was family’, ‘care is excellent and given with kindness’ and ‘the home is always kept clean and fresh’. The findings of the inspection visit were discussed in a verbal feedback with the registered person at the end of the visit and agreement reached in relation to the quality judgement rating in that the home provides good outcomes for the residents, but there are some areas around the environment that could be improved. What the service does well: The Willows offers residents a very pleasant, homely environment in which to live, with a warm, welcoming atmosphere. All bedrooms are singles and pleasantly decorated to suit individual needs. Good standards of cleanliness were observed throughout the home. There is a well-trained, enthusiastic staff team that provides a good standard of care. Staff follow written care plans for each resident that contain enough information to make sure that the right care is provided. The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 6 Residents are able to make choices about their daily routines and lifestyles, doing things at the times of their choosing. Residents were appreciative that the staff spend time with them individually, talking to them and being there for them, ready to listen if they have a worry. Meals are varied and nutritious and several residents expressed that the food is nice, however one service user survey comment card indicated that the food is bland and sometimes not appetising. What has improved since the last inspection? What they could do better: The issue of having a registered manager is currently being addressed. The registered provider is registered as manager at the other home she owns, which is not far from this home. She has been managing both homes for nearly two years with suitable management structures in place in both homes. Rooms occupied or used by residents should be assessed for any risks they present and any necessary action taken to address the risks identified. Recruitment practices are generally sound. A recommendation has been made to make some changes to improve staff records to show that a full employment history is obtained and applicants are requested to provide a satisfactory explanation of any gaps in employment. Evidence of POVA First checks to be kept on staff files. The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 7 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 Willows Residential Home For The Elderly DS0000024023.V363105.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 Willows Residential Home For The Elderly DS0000024023.V363105.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): Standards 3 and 6 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can move into the home knowing that their needs have been mainly properly assessed and that the home will endeavour to meet their needs. The home does not admit people for intermediate care, so standard 6 was judged as not applicable. EVIDENCE: The registered provider, or one of the two deputy managers, carry out a thorough assessment of needs for any prospective resident. This includes obtaining a copy of the care management assessment if possible and visiting the person to meet them and discuss their needs with them and their families The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 10 and carers. No decision is made about moving in unless everyone involved agrees that The Willows is suitable home for them. Documentation was seen for one new resident, and this included a completed care management assessment, and some written information obtained by the registered provider. It was discussed with the registered provider that a formal format covering all components as listed in Standard 3 would aid collection of information at the pre-assessment visit. One new resident was spoken to and discussion with them and the care staff indicated that they were still adjusting to living in a home. The care staff have a good understanding of the residents’ needs and evidence seen indicated that the home is meeting their needs appropriately. The Willows Residential Home For The Elderly DS0000024023.V363105.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): Standards 7,8,9 and 10 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system provides staff with the information they need to meet residents’ needs. Residents can be confident that their health care needs are being properly managed and they will be treated with respect for their dignity. EVIDENCE: Care plans contain informative personal profiles, comprehensive assessments and guidance for staff on all aspects of health, personal and social care needs of each resident. Key workers complete monthly reviews and records indicate the resident’s involvement. Care plans draw attention to dignity issues. It was seen that the care planning section of the recently admitted resident was not as yet completed. The deputy manager discussed the care that was The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 12 currently being provided and during the visit completed the appropriate paperwork. Daily records contain details showing how staff support residents with their personal hygiene, encouraging them to do as much for themselves as possible, to maintain independence. Doctors and other health care professionals are contacted where necessary and their visits recorded. Discussion took place in relation to the regular recording of weight as necessary as from the two care plan seen this record had not been completed. Medication records were seen, and indicated that they were up to date and appropriately signed for. Medication storage is not ideal due to lack of space in this small home, but it was ascertained that staff follow safe practices at the last inspection visit. The storage of medication was not checked at this inspection visit. Staff receive training in medication administration. Staff have a good understanding of residents’ needs and were seen treating residents with respect for their privacy and dignity. Observations of staff practices during the last inspection visit to the home indicated good care practice, such as the way a staff member was seen assisting a blind person and the communication methods used with a resident who has impaired speech. Two residents indicated that they feel well cared for in this home. Relatives of one resident spoken with said that they were happy with the care their relative received at the home. The Willows Residential Home For The Elderly DS0000024023.V363105.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): Standards 12,13,14 and 15 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are enabled to exercise choice in their daily lives and experience a lifestyle that matches their social and recreational needs. EVIDENCE: As this is a relatively small home, staff are able to structure each resident’s daily routine according to their choice. At the moment, most of the current residents are content to lead a quiet life, preferring the sort of activities that provide them with a period of one to one time with their key worker, or chatting to other staff on duty. It was reported at the last inspection visit that the majority of residents choose to use the ground floor lounge, where some were seen reading their magazines and watching television. Residents can choose to spend their time in their rooms, and three residents were spoken with in their room indicating that the The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 14 routines within the home are flexible and residents are able to make choices about where and how they spend their time. Staff organise some group activities, such as bingo, softball and exercises to music. Two residents spoken to indicated they were happy living at this home and content with their lifestyles. One service user survey received commented on ‘lack of activities’. Visiting is encouraged and most residents have regular contact with relatives. Meals are served to residents either in their bedrooms or in the lounges. The ground floor lounge does not have a dining table, so residents eat their meals served on over-tables sitting in their armchairs. There is a dining table and chairs in the first floor lounge, which is not currently, used much. The lunchtime meal smelled appetising and several residents spoken to said they enjoy their meals. Records of meals provided indicated a varied nutritious diet. People feel their rights as citizens are recognised and promoted, including fairness, equality, dignity, respect, and autonomy over their chosen way of life. The Willows Residential Home For The Elderly DS0000024023.V363105.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): Standards 16 and 18 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that their complaints will be listened to and acted upon and suitable arrangements are in place for protecting them from abuse. EVIDENCE: A complaints notice is displayed in the entrance hall, and it was seen that the address of the Commission had been updated. Two residents spoken to indicated they would speak to staff if they had any concerns. The registered provider and deputy manager at the last inspection visit said they explain the complaints procedure to residents and their relatives and encourage them to discuss any concerns with them. In practice, things are usually sorted out before they escalate into a complaint. The registered provider said there have been no formal complaints received since the last inspection. Staff indicated their understanding of adult protection procedures and the staff training-matrix confirmed that some staff had received training. The Willows Residential Home For The Elderly DS0000024023.V363105.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): Standards 19,25 and 26 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in an attractive, well-maintained, homely environment. Although there are some limitations of access within the building, care is taken to ensure that the home suits residents’ individual needs. EVIDENCE: The home was very clean and pleasant smelling throughout. The provider recognises that there are some limitations of space due to the size of the building and that some residents might find difficulty in walking up the stairs without help. As there is a spacious lounge on the first floor with lovely sea views. The provider discussed future improvement plans for the home to The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 17 include: the installation of a shaft lift, a separate laundry room, an extension to the ground floor lounge and flattening of the patio area to remove the sloped access. The provider hopes that if all this can be achieved, the lift installation will open up the first floor lounge to more residents and improve their quality of life. The completed AQAA documentation confirms that all maintenance contracts are up to date and that the building complies with the fire safety requirements. It was seen during an accompanied tour of some areas of the home that bedroom doors on the first floor were held open with door wedges. The registered provider is advised to seek advice from the Fire Safety office in relation to a safe method for holding doors open. It was reported at the last inspection visit that radiators are not guarded and the risk of burns was discussed with the registered provider who explained that as most bedrooms are small, the room taken by radiator guards would have more of an adverse effect for residents, because they would not be able to fit all the furniture in the rooms so well. Action to reduce risk includes having thermostatic radiator valves, which staff adjusts to suit individual needs. A requirement was given and the inspector was told at this visit that advice had been sought from the local environmental health officer, and individual risk assessments in relation to the radiators in the home were to be carried out. There is currently a combined laundry and office area. This is not ideal, but the staff have learnt to make the best use of the room to accommodate the dual function as safely as possible. Care is taken when dealing with soiled laundry to follow appropriate infection control procedures. There is no separate hand washbasin in this room, so staff use the sink, which is also used for washing hand wash articles, or they use a hand washbasin in the kitchen nearby. It was recommended that a separate hand washbasin be provided in the laundry. The completed AQAA documentation states that home has purchased 2 new bath chairs and some portable hoisting equipment. General decoration and replacements have taken place and bedrooms re-decorated and carpeted when necessary. The Willows Residential Home For The Elderly DS0000024023.V363105.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): Standards 27,28,29 and 30 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The well-trained, enthusiastic and supportive staff team at this home meets residents’ needs. Adequate recruitment procedures are in place to protect residents but some aspects would benefit from strengthening. EVIDENCE: From discussions with the registered provider, deputy manager, three residents and observations made throughout the visit, it was ascertained that the staffing arrangements are appropriate to meet the needs of the current group of residents. Residents’ dependency needs currently do not require high levels of support from staff, for instance, there are no residents who require more than one member of staff to assist with mobility or personal care. Rotas indicate two carers on duty throughout the day, with an additional person for cleaning duties on five mornings a week. The registered provider is readily available if required for help, advice or support. Arrangements are in place to provide cover for holidays and other staff absences. The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 19 Evidence was seen of good staff training, including National Vocational Qualifications (NVQ) in care level 2 and a wide variety of short courses to equip staff with the knowledge and understanding to do their jobs well. Staff spoken to showed a good understanding of the actions they needed to take to promote and ensure equality and diversity. Two residents with specific needs indicated their confidence in the care staff and this was supported by observations of good staff practices. The home now has a staff-training matrix and this indicates areas where staff training is required together with training that has been completed. Courses in relation to Health and Safety, Fire Training and Moving and Handling are booked to take place in the near future. Two staff files were checked and contained appropriate paperwork. It was discussed at the last inspection visit that the application form could be improved to encourage applicants to provide a full employment history. Criminal records bureau (CRB) checks are obtained, but there was no evidence on file of a protection of vulnerable adults register (POVA) first check. The registered provider confirmed that these are now being obtained and agreed to keep an e-mail print out on staff files in future for verification. People are well supported by a staff team that recognises and responds appropriately to their diverse needs and human rights. The Willows Residential Home For The Elderly DS0000024023.V363105.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): Standards 31,33,35 and 38 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management practices at this home ensure that residents’ best interests are but some record keeping and safety management aspects that need reviewing. EVIDENCE: The registered provider told the inspector that she is currently completing the application documentation to be registered as the manager for the home. The registered provider explained that she owns and manages another home, that is only a two-minute drive from this home and in practice she feels she has successfully managed both homes for nearly two years. The Willows has two competent deputy managers and a stable staff group. The provider has daily The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 21 contact with the home and visits almost every day during the week. registered provider appropriately supervises senior staff. The Evidence obtained at this inspection indicates that the management approach of this home has created an open, positive atmosphere and that the current arrangements are suitable for a small home of this size. The future development plans for the home have been set out under the Environment Section above. Systems for dealing with residents’ monies were seen to be appropriate with records of monies received, expenditure, dates and signatures. These records were not viewed at this visit. Safety precautions include the completion of a fire safety risk assessment, regular fire safety equipment tests and six monthly staff fire instruction. It was discussed with the registered provider and deputy manager the new format available on the Commissions website for the reporting of incidents under Regulation 37. People enjoy as good a quality of life as possible because the home is managed in a way that takes into account and promotes their human rights and equality and diversity needs. The Willows Residential Home For The Elderly DS0000024023.V363105.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 2 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 3 X 3 X 3 X X 2 The Willows Residential Home For The Elderly DS0000024023.V363105.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. Standard Regulation Requirement Timescale for action 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 OP29 Good Practice Recommendations It is recommended that the application form be revised to ensure that a full employment history is obtained and applicants are requested to provide a satisfactory explanation of any gaps in employment. Evidence of POVA First checks to be kept on staff files. 2. 3. OP30 OP38 Introduce Induction training that meets the required standard – Skills for Care was discussed Seek advice from the Fire Safety Office in relation to the use of wooden door wedges seen holding bedroom doors open The Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Willows Residential Home For The Elderly DS0000024023.V363105.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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