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Inspection on 07/10/05 for Valley View Residential Home

Also see our care home review for Valley View Residential Home for more information

This inspection was carried out on 7th October 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.

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 majority of resident comment cards said that they felt they were well cared for at the Home, that staff treated them well, the food was good and that their privacy was respected.

What has improved since the last inspection?

A lot of effort has been made to upgrade a particular area of the Home. Improvements through redecoration and redesign of the layout of the building have helped to create larger bedrooms for some residents and a pleasant lounge and dining area. The manager has been developing some documentation particularly in relation to complaints and recording of staff training and the recruitment process for new staff. This makes sure that the residents are cared for by staff that have been checked out properly before they start working at the Home and that they attend training to help them understand and meet the needs of the residents living at the Home.

What the care home could do better:

Whilst there have been some improvements to the building there is still work needed to improve the design for people with dementia living on the first floor of the Home. This has been discussed with the Registered Provider on several occasions but little action has been taken to address these issues, such as, carpet pattern and where a carpet changes to a different type in the same area, which can be distracting to residents with visual or dementia type problems affecting their mobility and freedom to move around the Home. The cleanliness of some areas of the Home needs to be addressed as it is unhygienic, goes against environmental health and infection control guidelines and is not pleasant for the residents. Several carpets are badly stained and unsightly, food was ingrained in a residents walking trolley, stained bed linen and thick dust a piece of equipment. This has been a matter of concern, which was raised in a complaint made to the Home. The residents care plans show little direction to staff about what the assessed needs of the residents are and how they are to meet those needs, for example, a resident who was hard of hearing but this was not written in their notes and nothing was mentioned about them liking to wear earphones when listening to the radio.

CARE HOMES FOR OLDER PEOPLE Valley View Residential Home Burn Road Winlaton Blaydon Tyne & Wear NE21 6DY Lead Inspector Sharon McDowell Unannounced Inspection 10:00 5 October 2005 th 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 Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Valley View Residential Home Address Burn Road Winlaton Blaydon Tyne & Wear NE21 6DY 0191 414 0752 NO FAX 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) Valley View Residential Homes Limited Care Home 44 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (44), of places Physical disability over 65 years of age (4), Sensory impairment (2) Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th May 2005 Brief Description of the Service: Valley View provides personal care for up to forty-four older persons, with care staff available at all times over the twenty-four hour period. Nursing care is not provided at the home.The building is a two-storey, the first floor being accessed by stairs and a passenger lift. Car parking is available to the front of the home. A large grassed area is available to the rear of the building, which is not yet fully landscaped.Valley view is situated in a semi-rural area on the outskirts of Winlaton Village, close to the shops, bus route and local amenities. However access to the Home from Blaydon is at the top of a steep bank. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over 7.5 hours by two inspectors, Mrs S McDowell and Ms N Shaw. The inspectors met with ten residents and two visitors to discuss their views about care provided at the Home. Five staff were spoken with and a range of documents were reviewed including four residents care plans, drug administration records, accident records, staff training files, fire safety and training records, menus and complaints register. A tour of the building was conducted to review the standard of accommodation and some upgrading work that has been carried out. A total of twelve relative comment cards and ten resident comment cards were returned to the Commission for Social Care Inspection prior to the inspection. Following this inspection a follow up visit was conducted, attended by the Registered Provider, manager, Regulation Manager and Inspector of the Commission for Social Care Inspection. Some positive steps have been taken to act on the findings of the inspection, including increase if domestic staff hours, new care The Registered Provider advised that all carpets are to be replaced with one colour non-patterned type, which will benefit residents with visual impairments and those with dementia. It is hoped that the next inspection will reflect the improvements implemented. What the service does well: What has improved since the last inspection? A lot of effort has been made to upgrade a particular area of the Home. Improvements through redecoration and redesign of the layout of the building have helped to create larger bedrooms for some residents and a pleasant lounge and dining area. The manager has been developing some documentation particularly in relation to complaints and recording of staff training and the recruitment process for new staff. This makes sure that the residents are cared for by staff that have been checked out properly before they start working at the Home and that Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 6 they attend training to help them understand and meet the needs of the residents living at the Home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 There has been little improvement to the standard of pre-admission assessment information, which affects the ability of staff to write a plan of care based on the assessed needs of the individual resident. This might also result in the resident not having their needs met as they might be placed in the wrong environment EVIDENCE: Care plan documents do not all contain detailed care needs assessments of the resident prior to admission to the Home. The Home has a comprehensive preadmission document for use where a care manager assessment has not been made available. Not all sections of the assessment are completed in sufficient detail to enable staff to plan for the care needed by the resident. Where a care manager assessment was available for one resident the assessment stated the person needed care in a dementia care service. However they were living in a part of the Home that was for older persons only therefore were not receiving the care they had been assessed as needing. One resident was admitted to the Home with a care manager assessment that was five months old therefore did not reflect an up to date picture of the residents needs. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Care plan documentation does not provide sufficient detail of residents care needs therefore the Home cannot demonstrate that the health, personal and social care needs of the residents are being met. Medication practices generally ensure that residents are assisted to take their medication in a manner, which promotes their health and well-being. However some practices in relation to storage, administration and recording of medicines does not ensure the safekeeping and management of medicines in the Home. Residents can be generally assured they will be treated with respect during conversations. However some aspects of care practice to not promote or protect the dignity of residents. EVIDENCE: Residents and staff were able to speak about some of the care needs of residents, which were not documented in the care plan, for example, one resident was hard of hearing and when asked if they would like the radio turned up said they liked to have earphones, which were beside their bed. One resident had one care plan for mobility only and yet they had obvious Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 10 needs in relation to nutrition, as they were not eating well. This same resident had a continence record for changing of continence pads but there was no care plan for continence or care of their skin, which might be affected by the incontinence. Care plans demonstrate that district nurses and doctors visit the home to attend to health issues when requested by care staff. A resident had been admitted to the Home from hospital that had been diagnosed as having diabetes. When asked, the Registered Manager stated the staff had not had any training in diabetes and had no knowledge of their dietary needs therefore she was advised to contact the diabetic link nurse from the local Primary Care Trust for advice to ensure the resident received the right care. Issues identified in the previous inspection have been addressed except for a controlled drug (CD) identified as needing to be returned to the pharmacy was found stored in the CD cupboard and was still not recorded in the CD register. This medication had been received in to the Home on the discharge of a resident from hospital. Some medication that is not legally a CD but good practice recommends the medication is treated in a similar manner was found not to be recorded in the CD register, which means unless there is a good medication audit system in place it is more difficult to identify if there are any discrepancies at an early stage. A new medication storage room has been constructed, which is spacious therefore easier to administer and manage medication. The current storage room was found to be messy with lots of debris on the floor and stains in the sink from disposed liquids. This could lead to contamination of medication when staff are dealing with medication in the room. A concern has been raised at the Home about medication for a particular resident, where staff were not following prescribed treatment and some medication was out of date. Throughout the inspection the staff were observed to respect the service user’s privacy by knocking on doors and announcing themselves before entering. Some aspects of the service users personal grooming required attention and these matters were discussed with the manager during the inspection, for example, finger nails needing cleaned and clothing that looked like it had not been ironed. Some similar concerns have been raised with the Home and with the Commission for Social Care Inspection about general cleanliness of a resident. Resident’s state their privacy is respected and that they are able to meet their visitors in private in their bedrooms. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 Visitors are welcome to the Home therefore residents can be assured they can maintain contact with friends and family. Residents can make general decision about their daily life therefore maintaining some independence EVIDENCE: The activities organiser has decided to become a carer in the Home so at present there is no employed activity person. In relation to activities comments included ‘there aren’t many activities’ and some residents said that the Home sometimes provided suitable activities. In later discussion, the manager indicated that there was a volunteer and another lady going to come to the Home to arrange activities and sometimes entertainers do come into the home and there have been some outings to a Garden Centre and local pub. After lunch, however, in the downstairs lounge there was nothing for the service users to do and many fell asleep in their chair. In the first floor lounge staff were more interactive with the staff, encouraging them to take part in a game involving throwing hoops. Relatives and friends are able to visit the service users and there are no restrictions in relation to this. Comments received from relatives included ‘the staff are lovely’ and ‘on the whole the residents are well cared for and very happy at Valley View’. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 12 Residents are able to make choices about everyday living issues, such as, what to eat and drink, what clothes to wear and where they would like to sit in the Home. They can be assisted by staff to make those decisions. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Some improvements have been made to the recording of complaints therefore relatives and residents can be assured there are better methods in place for their concerns to be listened to and dealt with. Adequate training has been implemented to ensure staff have the knowledge and skills to protect residents from actual or potential harm. EVIDENCE: Since the previous inspection the manager has implemented a new complaints recording system and is to develop this further following advice. There has been one complaint in relation to hygiene issues, which involved meeting with the complainant, social services and the manager. The manager advised that most staff have now completed Protection of Vulnerable Adults training with only new staff needing to attend. Staff confirmed they had attended the training, which means staff should have a good base knowledge of how to recognise and what to do in the event of them witnessing harmful practices. The manager was unable to locate the local multi-agency guidelines about Protection of Vulnerable Adults and was advised this is needed as a reference guide for staff. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Despite improvements to some areas of the home there remains some significant aspects of the cleanliness and design of the Home, which do not ensure residents live in a safe environment and demonstrate little consideration has been given to the needs of the residents accommodated despite advice being offered. EVIDENCE: The carpet in the first floor lounge (dementia care unit) remains badly stained and still patched at the TV point despite the Registered Provider stating this would be rectified when the unit was registered. This matter has been a requirement in the previous inspection. Furniture has been arranged in this lounge to make it less institutional therefore resident’s benefit from being able to sit in small groups rather than around the edge of the room in one large group. Advice was again offered as to how the environment could be improved to help to meet the needs of people with dementia: for example: contrasting colours for walls, floors, grab rails, plain carpets (all one colour), names of streets on corridors. This matter has been discussed several times with the Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 15 Registered Provider regarding the importance of environmental design for people with dementia and yet carpets have not been renewed, which might affect the mobility and cognition of the residents accommodated in the dementia care unit. Some of the bedrooms seen were well personalised, comfortable, clean and light. However one bedroom was noted to have faeces on the bed rail bumper pad, linen was stained and the mobile hoist was very dusty. A complaint received at the Home raised similar issues and one resident walking aid was ingrained with old food. In another resident’s bedroom the ventaxia fan in the en-suite was clogged with fluff. Some bedrooms on the first floor of the original building have window coverings that let in a lot of light, which might affect resident’s ability to sleep. The ground floor carpet was heavily stained despite being cleaned. Kitchen cupboards have been fitted in to a corner of the dining room to provide additional storage space. An electrically heated ‘Bain Marie’ has been fitted into the worktop bench of the cupboards, which presents some concern due to the heating elements being open and resident’s risk of burning themselves. The Registered Provider agreed to isolate the ‘on’ switch to the Bain Marie so that residents could not access it and that someone would stay within the area until the heating elements had cooled down. Some discussion took place about this being a drink making area for visitors and residents however there has not been a sink fitted for washing crockery. The garden area has not been developed any further since the previous inspection and provides a large grassed area. However it is not easily accessible for people who have a physical disability as currently access is via a step. The Registered Provider said that he plans to build a summerhouse next year for residents to sit in outdoors. The notice board in the downstairs lounge was blank therefore offered no information to visitors or residents. Water dispensers have now been provided in lounges so that service users can help themselves to refreshments. Refurbishment to the original part of the Home is almost complete with larger bedrooms being created, a smoking room and a new medication storage area. Some of the bathrooms and toilets in this area of the Home have mirrors and toilet roll holders placed in positions that residents would find difficult to use. The area offers a spacious and light sitting and dining area and has been decorated to a good standard with matching soft furnishings and pictures offering pleasant and comfortable rooms for the residents to live in. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 Staffing levels are generally sufficient to meet the needs of the residents accommodated. However some care practices demonstrate that staff are not implementing care in line with good practice recommendations to ensure residents receive good quality care. Recruitment procedures are reasonably robust ensuring that residents are safeguarded and protected from potential harm. EVIDENCE: Thirty-four residents are accommodated at the home, twelve of who live in the dementia care unit. The manager explained there is usually one senior carer and four care staff on duty with the manager additional to this. A deputy manager has just started working at the Home, which will be an additional support to the manager and will increase the ability of the management team to support staff, monitor practices and to be available to speak with residents and their relatives. Care staff carry out laundry duties, which takes them away from their role as carers to the residents. The manager explained that staff are to attend a half-day training session about dementia, which will give a very basic introduction to this subject. However there are courses available that will equip staff with a good level of knowledge to enable them to meet the needs of residents with dementia. Staff personnel files showed that relevant checks are now carried out for staff before they are offered employment at the Home. There is no interview Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 17 format used to provide evidence of the interviewee’s responses and how prospective employees are treated equally during the interview process. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35, 38 Management structures are not clearly identified in the Home, which can lead to confusion for residents, visitors and staff and therefore affect the smooth running of the Home. Processes for measuring the quality of care and services in the Home are not sufficiently developed to ensure resident’s needs are met. Financial procedures are implemented in a robust manner to ensure resident’s finances are managed correctly, safeguarding their best interests. Fire safety training and records of training are not implemented in an adequate manner to ensure that residents are fully safeguarded from potential harm in the event of a fire. EVIDENCE: Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 19 The manager of the Home is not yet registered with the Commission for Social Care Inspection and is to make an application to become the Registered Manager. It was evident that some residents, relatives and care staff were unsure of who the manager was as they thought the administrator was the manager. The administrator shares an office with the manager, which might lead to some confusion and is often at the Home and willing to deal with matters as they are also a family member and director of the company. There is no quality audit system in place at the moment but two potential audit tools were discussed. There have been no residents or relatives meetings held therefore they have little chance to discuss their thoughts about the running of the Home other than speaking to individual staff. Financial records are accurate with two signatures being obtained for all transactions. Receipts are kept as evidence of cash spent on behalf of a resident. Money is kept in a secure facility in the home, however minimal amounts are kept there. It is difficult to ascertain from fire safety training records if staff have attended the required frequency of fire safety training sessions and some new staff stated they had not received any fire training, which means they might not be aware of what to do in the event of a fire and how to assist residents. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 1 STAFFING Standard No Score 27 2 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 1 X 3 X X 2 Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 21 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 OP3 Regulation 14 Requirement The needs of the residents must be fully assessed prior to admission and regularly during their stay at the home. (Previous timescale of 31/7/05 not met) Care plans must reflect the current needs of the resident and how they are to be met. (Previous timescale of 31/9/05 not met) Medication must be managed as required in legislation and good practice guidance. Residents must be helped to maintain their dignity at all times. Activities must be provided to meet the needs of the residents accommodated. Local guidelines for the Protection of Vulnerable Adults procedures must be available in the Home. An action plan to address all issues highlighted in this report regarding the environment must be produced giving timescales for completion of work. (Previous timescale of 31/9/05 not met) DS0000007382.V251567.R01.S.doc Timescale for action 30/11/05 2 OP7 15 31/12/05 3 4 5 6 OP9 OP10 OP12 OP18 13(2) 12(4)(a) 16(2)(n) 13(6) 07/10/05 07/10/05 30/11/05 30/11/05 7 OP19 16 & 23 31/12/05 Valley View Residential Home Version 5.0 Page 22 8 9 OP19 OP27 23 18 10 OP31 8 11 12 OP33 OP38 24 23(4) Advice regarding the design of buildings for people with dementia must be obtained. All staff working with people with dementia must attend appropriate training to enable them to understand and meet their needs. There must be a clear management structure in the Home to ensure residents, relatives and staff know who they should approach to discuss any issues and to know who has management responsibility in the Home. A quality assurance system must be implemented. (Previous timescale of 31/9/05 not met) Evidence that all staff have attended the required frequency of fire training must be available in the Home. 31/12/05 28/02/06 30/11/05 31/01/06 30/12/05 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 2 3 Refer to Standard OP27 OP29 OP31 Good Practice Recommendations Care staff should not be performing laundry duties to enable them to fulfil their role as carers. An interview template should be developed to standardise the recruitment process and ensure equal opportunities are fulfilled. The manager should be located in an office of their own to enable them to conduct their management duties and to meet with people in private. Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Valley View Residential Home DS0000007382.V251567.R01.S.doc Version 5.0 Page 24 - 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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