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Inspection on 18/05/05 for Whiteladies Residential Home

Also see our care home review for Whiteladies Residential Home for more information

This inspection was carried out on 18th May 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 care of each resident is looked at individually and is reviewed shortly after admission to ensure that Whiteladies is the best place to receive personal care. Residents receive the opportunity to receive good health care and get the support they need. The food provided in the home is good and individual tastes and diets are catered for where possible. Staff morale is good and communication with residents is very good. All residents looked relaxed with the staff providing their care. Relatives and friends are encouraged to visit and are made very welcome. They are confident that their complaints will be acted on swiftly and they will receive a response. An activities coordinator visits the home twice a week and residents benefit from the activities she organises as well as those that the staff arrange both in the home and social outings to places of local interest. Whiteladies is very comfortable , homely and reasonably clean. The recruitment process has improved and safe guards have been put in place to ensure that all checks on staff take place before they are employed.

What has improved since the last inspection?

Whiteladies have a Statement of Purpose in place and service users guide which they now provide to prospective residents and their advocates so that they can make a more informed decision about whether they want to live there. Care staff are beginning to receive supervision on a regular basis to help them provide more consistent care. So that staff are well trained to meet residents care needs a new deputy manager has been appointed who is also an NVQ Assessor. NVQ2 training has now started and six members of staff have enrolled.

What the care home could do better:

Although prospective new residents are now given information about the home before admission the information is still not completely up to date. This needs to be amended so that people can fully understand what the service provides Information provided should also advise people how to contact the Commission for Social Care Inspection Staff caring for people who have dementia must be sufficiently trained to meet their special care needs So that their preferences are accounted for residents and their representatives (where appropriate) must be allowed to plan their care with staff. Storage in residents` rooms must be improved so that residents can keep their medication, money more securely.So that residents are not put at risk of harm the manager and staff must have training in the protection of vulnerable adults and supporting policies and procedures must be put in place. In addition the home`s policy on the restraint of residents must be urgently reviewed to prevent potential harm to residents. Domestic staff must be available everyday to ensure the residents` environment is kept clean. Residents` privacy must be safe guarded in their bedrooms and arrangements must be organised so they can access their own money when they choose to. Arrangements must be put in place for inspectors to examine the records held in the home to ensure that resident health and safety are fully protected at all times.

CARE HOMES FOR OLDER PEOPLE Whiteladies Residential Home 22 Redland Park Redland Bristol BS6 6SD Lead Inspector Sandra Gibson Unannounced 18 May 2005 11:15 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whiteladies Residential Home Address 22 Redland Park Redland Bristol BS6 6SD 0117 9739083 0117 9237662 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Whiteladies Residential Home Limited Mrs Carol Verlander PC Care home only 25 Category(ies) of OP Old age (23) registration, with number DE(E) Dementia - over 65 (2) of places Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to two person with Dementia (DE(E)). Date of last inspection 01.03.05 Brief Description of the Service: Whiteladies Residential Home is a privately owned home registered by The Commission for Social Care Inspection to provide personal care to twenty three older people and two older peole with dementa. It is situated in a busy urban area in the city of Bristol and can be accessed by car or bus. The home is a converted older property providing single room accommodation on three floors, all of which can be accessed by a lift. A suitable number of bathrooms and toilet are available and have been adapted to meet the care needs of people in the home. Each room has an alarm call system. The home is situated in its own grounds with gardens to the rear. Visitors are welcome at any time and refreshments are readily available. Inhouse activities and entertainments are also provided. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a Wednesday between the hours of 11.15 am and 6.00pm. Evidence was gathered from: • Talking to residents • Talking to the new deputy manager • Talking to staff • Talking to a visitor • Talking to the activities coordinator • Talking to the administrator • Observation • Participating in communal lunch • Looking at the premises • Records • Policies and procedures What the service does well: The care of each resident is looked at individually and is reviewed shortly after admission to ensure that Whiteladies is the best place to receive personal care. Residents receive the opportunity to receive good health care and get the support they need. The food provided in the home is good and individual tastes and diets are catered for where possible. Staff morale is good and communication with residents is very good. All residents looked relaxed with the staff providing their care. Relatives and friends are encouraged to visit and are made very welcome. They are confident that their complaints will be acted on swiftly and they will receive a response. An activities coordinator visits the home twice a week and residents benefit from the activities she organises as well as those that the staff arrange both in the home and social outings to places of local interest. Whiteladies is very comfortable , homely and reasonably clean. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 6 The recruitment process has improved and safe guards have been put in place to ensure that all checks on staff take place before they are employed. What has improved since the last inspection? What they could do better: Although prospective new residents are now given information about the home before admission the information is still not completely up to date. This needs to be amended so that people can fully understand what the service provides Information provided should also advise people how to contact the Commission for Social Care Inspection Staff caring for people who have dementia must be sufficiently trained to meet their special care needs So that their preferences are accounted for residents and their representatives (where appropriate) must be allowed to plan their care with staff. Storage in residents’ rooms must be improved so that residents can keep their medication, money more securely. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 7 So that residents are not put at risk of harm the manager and staff must have training in the protection of vulnerable adults and supporting policies and procedures must be put in place. In addition the home’s policy on the restraint of residents must be urgently reviewed to prevent potential harm to residents. Domestic staff must be available everyday to ensure the residents’ environment is kept clean. Residents’ privacy must be safe guarded in their bedrooms and arrangements must be organised so they can access their own money when they choose to. Arrangements must be put in place for inspectors to examine the records held in the home to ensure that resident health and safety are fully protected at all times. 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. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 5. Standard 6 is not applicable Information provided to prospective residents was not wholly accurate and could be misleading. People moving to Whiteladies can be sure that their needs can be adequately met. EVIDENCE: The statement of purpose states that Whiteladies is home is registered to accommodate 25 persons both male and female over sixty-five years. This is correct, but the home also has a condition in place that it can accommodate two named residents with dementia. This is not reflected in the statement of purpose. No extra training and support is available to provide this care. NVQ training has only recently started in this home. There are currently no staff who hold this qualification although the statement of purpose says they do. A relative confirmed that she had received a service users guide prior to her mother being admitted. She also confirmed that she was aware that there was a complaints procedure, but was unclear about the role of The Commission for Social Care Inspection and how to contact the local office. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 10 The statement of purpose gives clear details about the admission and review processes. This information was confirmed by a relative who said her mother had intially been admitted for respite and then later returned to Whiteladies as part of a planned admission. Residents admitted to the home have the opportunity to have a formal review with the support of their relatives within 4-6 weeks to ensure that the quality, facilities and suitability of Whiteladies meets their needs. A review was due to take place before a recent placement was to be made permament. Comments received were “ … staff are very approachable “. “They look after my mother very well”. They are very respectful” “I am always made welcome when I visit my mother”. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,and10, Further attention needs to be given to the completition of care plans with residents and their represenatatives to ensure that residents’ needs are fully identified and met. The health care needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. Residents’ property including medication may be at risk as they are not provided with lockable storage. EVIDENCE: A sample of care plans were seen and were found to be lacking in detail. There was no indication that the resident or their family member had been involved in putting these plans of care together. One relative spoken with was unclear what the care plan was or if she had seen one. The deputy manager said that a care plan was held in each resident’s room. None were seen during this inspection. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 12 The District nurse visits Whiteladies to give a resident who has diabetes insulin injections. The resident’s daughter confirmed that the home monitor her mother’s blood sugar levels which other care homes have refused to do. She also said that her mother is provided with appetising meals that help to control the diabetes and keep her well. The individual care records confirmed that residents are appropriately refered to health professionals and commmunication with the staff team is good. Medication was found on top of a resident’s wardrobe and bedside cabinet. There was no lockable storage cupboard available in the bedroom. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 , 15 Whiteladies provides residents the opportunity to experience a stimulating and varied life where various informal activities are regularly made available. Visitors are made very welcome and meals are well managed and provide daily variation, good nutrition and social contact for people. EVIDENCE: The statement of purpose states that “staff encourage and help service users to pursue their hobbies and interests. We employ an Activities \Coordinator and have a full range of activities available”. Activities listed include games such as cards, scrabble etc, activities with staff include chatting to individual service users, armchair exercise, reading letters and news papers and sing a longs etc, outings include visits to a pantomime or play and visits to a garden centre. The Activities Coordinator who was visiting at the time of the inspection confirmed that these activities with staff took place and that during her two visits a week she organised a variety of activities including reading short stories to a group of residents by request. This activity was observed taking place in the lounge and residents looked content and relaxed. Records confirmed that social outings take place. Two residents said that “there was Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 14 enough going on to keep them occupied” The activities coordinator said that “there are regular visits to the home by family members and that staff provide lots of support to residents to join in with activities”. One visitor confirmed that she was made very welcome in the home and that staff were very approachable. Menus were inspected and were found to be balanced and appetising. Meal times are also flexible enough to accommodate individual preferences. A couple of residents choose to eat in their bedrooms. The inspector joined in with the relaxed communal lunch. Residents were seen being assisted by staff members to make choices about the meal they wanted and one resident talked about her diabetic diet. The two residents the inspector sat with confirmed that they liked the food and that there was plenty of choice available. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Residents and their relatives are confident that their concerns will be listened too and have been made aware of the complaints procedure Arrangements for protecting residents from harm are not satisfactory placing residents at possible risk or harm. EVIDENCE: Residents, one visitor and staff interviewed told the inspector that they were comfortable talking to the manager or one of the senior care staff about any concerns. The home’s complaints procedure which contains details of The Commission for Social care Inspection is given to all residents and their families. Unfortunately the copy in the dining area is out of date as it gives details of the National care standards Commission. No complaints had been received by The Commission for Social Care Inspection during the last year but three complaints have been received by the manager. Information in place confirmed that two complaints had been dealt with satisfactorily but the third complaint which was an abuse allegation had not been handled well. A copy of No Secrets in Bristol (Local authority Adult Protection procedure) is in place in the home. However, the manager chose not to follow it on this occasion. The abuse and whistle blowing guidance in the home does not link in Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 16 with the Local Authority guidance and the restraint policy in place in the home is out of date. If any of these policies are followed by the staff they may put residents at risk of harm. None of the staff except the new deputy manager have received up to date adult protection training that explains the Local Authority Adult Protection Procedure. Risk assessments and strategies to protect residents are in place. However, there is sometimes a time delay in The Commission for Social Care Inspection being informed about adult protection incidents. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20,21,22,23,24,25,26 A comfortable, clean, safe standard of accommodation is provided for the residents of Whiteladies. However, standards of cleaning deteriorate when there are no domestic staff available. Residents’ privacy is not respected in their bedrooms EVIDENCE: The environment is well maintained and suited to residents needs. Disabled access is available in the lower ground floor. There is also a five person lift available in the home so residents can access each floor. Whiteladies is decorated and furnished to a good standard which creates a comfortable homely atmosphere. There are a number of lounges through out the home in the care home which residents and relatives were seen using and appeared comfortable and relaxed. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 18 Residents’ bedrooms looked homely and were personalised with residents’ personal possessions and furniture. However, none of the rooms can be locked by the residents and there were no risk assessments in place giving reasons why this privacy was not available. The toilet and bathroom facilities are sufficient to meet the needs of the residents. There were no unpleasant smells in the home and the majority of rooms were cleaned to a reasonable standard. However, it was observed that one resident’s bedroom was in need of hoovering. This situation had arisen as a result of the domestic assistant being on holiday for one week and no domestic cover in place except for the care staff providing basic cleaning support. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28,29, 30 There is a robust recruitment procedure in place. Staff are employed in sufficient numbers to meet the residents needs, but they may not always be fully trained and competent to do their job. EVIDENCE: The staff files of three staff members employed indicated that the home had undertaken all the necessary recruitment checks to ensure the protection of residents. Trial periods are offered to all staff. The staffing levels on the day of the inspection were adequate except for the lack of domestic support as discussed earlier in the report. The activities coordinator was also available that afternoon. Residents spoken to said that staff were very helpful and supportive, that they were treated with respect and they had no concerns. One visitor and the activities coordinator confirmed this information. Staff receive induction training which includes first aid, fire regulations and emergency action, lifting and food hygiene and kitchen. However, no staff have received Dementia care training whilst employed by the home despite the home being registered for two residents with dementia. None of the staff except the new deputy manager have received up to date adult protection training. NVQ training has only just started in this home and may not reach the national minimum target of 50 of the care staff being trained to NVQ2 by December 2005 Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33, 35, 36, 37, 38 The manager is supported reasonably well by her senior staff in providing leadership throughout the home. However there is some confusion about the roles and responsibilities of some of the senior staff following the recent appointment of a new deputy manager. The security of residents’ finances and personal records need to be improved. Residents are not able to access any finances held for them when they choose too. Therefore residents’ rights and best interests are not protected. Support to care staff is improving with the introduction of regular supervision by a senior member of staff and more frequent staff meetings. The system for accessing records that must be available for an inspection is very poor. EVIDENCE: The manager was not available during the inspection however, the new deputy was present. Staff and residents interviewed were not aware that the transfer of responsibility from another member of the management team to the new deputy had taken place. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 21 Residents’ monies held by the home is not secure. Residents can only access their own money when the manager or administrator is present. The facilities for residents to look after their own money and valuables is not secure. Three members of staff confirmed that they are beginning to receive regular supervision and that staff meetings are taking place on a regular basis. The arrangements for the inspector to examine records such as personnel files, fire log and financial records are not satisfactory as they are held separately from the home and are made available only when the manager or administrator are present. Arrangements were made for the inspector to check the staff personnel files, complaints records and residents’ financial records, but the fire log could not be found. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 1 x x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 2 3 2 STAFFING Standard No Score 27 3 28 1 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 1 x 2 3 x 2 3 2 2 Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 23 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard op1 Regulation 6 Requirement The statement of purpose must be reviewed and information updated to ensure that it is accurate The service users guide must include the telephone number of The Commission gfor Social Care Inspection All care staff must receive training in working with people with dementia Care plans must be completed in consultation with residents and their families where appropriate Secure Lockable storge facilities must be provided for residents who self medicate Compliants procedure in dining area must be up dated with details of The Commission for Social Care Inspection The home must have an adult protection policy and procedure in place which links with NO Secrets In Bristol (Local Authority Adult Proection guidance ) The restraint policy in place must be reviewed and guidance sought about its contents to prevent residents being put at Timescale for action 18th July 2005 18h July 2005 18th November 2005 30th June 2005 18th July 2005 30th June 2005 18th July 2005 2. op1 5 3. 4. 5. 6. op1 op7 op9 op16 18(1(( c) 15 13(2) 22(7) 7. op18 13(6) 8. op18 13(6) 18th July 2005 Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 24 risk of harm 9. op18 13(6) All staff including the manager must receive Adult protection training that includes the information on the Local Authority Adult Protection guidance The Commission for Social Care Inspection must be contacted inmediately about any allegation of abuse All residents must be supplied with a key to their bedroom unless a risk assessment demonstates otherwise Domestic staff must be available to clean residents bedrooms as required l 50 of the care staff must have gained NVQ2 by December 2005 The manager must ensure that all staff are notified about any changes in the management team as soon as reasonably possible The security of residents finances and personnel records must be improved All records required for inspection must be available at any time Residents must be able to access any money held for them when they choose to The fire log must be availble for inspection at any time 18th November 20058 10. op18 37 18th May 2005 18th August 2005 18th June 2005 31st December 2005 18th May 2005 11. op24 16( c ) 12. 13. 14. op26 op28 op32 23 (2)(d) 18 12 15. 16. 17. 18. op35 op37 op33 op38 23 17 12 23(4)( c) 18th July 2005 18th July 2005 18th July 2005 18/05/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 25 Whiteladies Residential Home 1. 2. 3. Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 300 Aztec West Almondsbury South Glos BS32 4RG 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 Whiteladies Residential Home D56_51206_Whiteladies_227810_180505_Stage 4.doc Version 1.30 Page 27 - 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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