Inspection on 24/11/06 for Willowbank Residential Home

This inspection was carried out on 24th November 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Willowbank Residential Home 28/10/08

Willowbank Residential Home 26/02/08

Willowbank Residential Home 27/02/07

Willowbank Residential Home 13/01/06

Willowbank Residential Home 20/07/05

Willowbank Residential Home 14/02/05

Willowbank Residential Home 29/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Willowbank Residential Home 134/136 Seymour Road South Clayton Manchester M11 4PS Lead Inspector Sarah Oldham Unannounced Inspection 24th November 2006 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 Willowbank Residential Home DS0000061407.V319905.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. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Willowbank Residential Home Address 134/136 Seymour Road South Clayton Manchester M11 4PS 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) 0161 370 9080 Nageeb Aubdool Nazmah Aubdool Nageeb Aubdool Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The numbers of service users accommodated must not exceed thirteen (13) service users who require personal care only by reason of old age (OP). Staffing arrangements at the home must be maintained in line with minimum levels specified in the Residential Forum guidance ` Care Staffing in Care Homes for Older People`. The home must employ, at all times, a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 13th January 2006 Date of last inspection Brief Description of the Service: Willowbank is a residential care home offering accommodation and personal care for up to 13 elderly persons. At the time of the inspection there were 8 residents accommodated with 5 vacant places. The home is situated in Clayton in the north of the city in a quiet residential area close to local amenities. The home was previously two semi-detached houses, which have been adapted to form one property with ramp access to the front of the building. The home has small well-maintained gardens and a patio area accessed by patio doors from the lounge. Parking is available on the road and at the side of the building. The home offers accommodation in 3 double and 7 single bedrooms. There are two lounges with combined dining space. The designated smoking area is situated in the hallway. The fees charged for the home are £358.14 per week. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector went to the home without telling anyone she was going to visit on the 24 November 2006. The total time spent at the home was 4 hours. This included meeting a number of residents. The inspector also: • Spoke with the manager. • Looked at some files. • Completed a tour of the premises • Watched how the residents were cared for by the staff. • Spoke with relatives of residents living at the home. To help the inspector to write the report the home was asked to provide a selfassessment report /questionnaire which was completed by the manager and received by the Commission. The inspector also took into account other information, which the commission knew about the home. There were some important things the inspector wanted to find out about the care given by the home. These were: • • • • How How How How the the the the health needs of residents were met. residents’ personal care needs were met. staff helped to kept residents safe. home respected residents’ rights, diversity and identity. If you want to get a full picture of what it is like to stay at Willowbank you might like to read the last report as well. You can find the address or website details on page 2 where you can obtain the report. The term of address preferred by the users of the service was confirmed as “residents”. What the service does well: There were some good things that the inspector found out about the home, these included:• • • Relatives felt that the manager and staff kept them well informed about the care needs of their relative and if there was any change to them. The staffs’ approach to residents gave the families the impression that the residents’ were cared for. The manager and staff listened and kept families informed. DS0000061407.V319905.R01.S.doc Version 5.2 Page 6 Willowbank Residential Home • • • • Information about the home was available for all people who were thinking about living at the home. People were able to visit the home to see for themselves the services that were available. People could visit the home on a number of occasions to get a better overall view of the home before they made a decision about moving into the home People could, following agreement with the manager, have some of their furniture from their own home in their bedroom to make themselves feel more at home. Residents at the home said that the staff were nice and treated them with respect. The residents’ said that they were happy at the home and felt that they were part of “one big family”. The home provided a number of activities on a planned and unplanned basis that the residents’ could join in with if they wanted to, these included gentle exercise, bingo and talking about things that had happened in the past. What has improved since the last inspection? What they could do better: The home did not have any spare staff hours to enable extra activities or any one to one work with residents to take place. The staff did not have any formal supervision where they were able to discuss with the manager any issues or training needs that they had. As the manager Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 7 also worked some of his hours as a member of the care team this limited the time available for him to formally supervise the staff. Staff training was not recorded on individual staff files and it was difficult for the inspector to see what training individual staff had done to help them undertake their job as care staff supporting the residents’ living at the home. Staff had not received training regarding the Protection of Vulnerable Adults (POVA) and this could place residents at risk if the staff were unsure of the different kinds of abuse that could happen and the procedure that they needed to follow to report this. The home did not have strong recruitment and selection procedures in place to ensure that staff employed at the home had the necessary skills, qualifications and documents to work at the home. The manager had started to develop individual staff files but this was not complete. The home had been redecorated in some areas but further redecoration was required to some of the bedrooms. At the time of the visit to the home one of the bathrooms did not appear to have heating although the heating was working throughout the building. Another of the bathrooms on the first floor was not in use due to a leak which had been repaired but the flooring had been removed whilst the leak was mended. The second bathroom on the first floor had been used as a storage area as well as a bathroom. The manager said that this was being cleared to ensure that the bathroom was fit for purpose and the surroundings were pleasant for the residents to use. It is important that the two other bathrooms were repaired and heating made available to make sure that they could be used by the residents. 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. Willowbank Residential Home DS0000061407.V319905.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 Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Existing and prospective residents were provide with updated information about the home, to assist them in making informed decisions about their care needs. A full assessment of care needs was undertaken prior to arranging the admission of a resident into the home. EVIDENCE: The home had a Statement of Purpose and a Service Users’ Guide. Both documents had been reviewed and contained current information about the home and the services that it provided. The manager said that all prospective residents’ and/or representatives would be given a copy of the documents to enable them to have details about the home. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 10 Prospective residents were also able to visit the home. One resident spoken to said that they had visited the home and had a look at the bedroom that was available and also spent time talking with residents at the home prior to making a decision to move there. All residents at the home had an assessment of their needs. The manager of the home also completed an assessment to ensure that the home was able to meet the needs of the prospective resident. The assessment was discussed with the resident and their representatives. All placements at the home were on an initial trial basis. This was to ensure that the resident was settled there and that the home was able to continue to meet their needs. The home did not provide intermediate care. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans were inconsistent in their content and did not provide details of intervention and support to meet the needs of residents in the home. Residents were treated with respect and their right to privacy was upheld. EVIDENCE: All of the residents at the home had a care plan that detailed their individual needs and how those needs would be met. At the time of the visit to the home the manager was updating all of the care plans to ensure that there was a consistent recording format. This would enable staff working at the home to have a clear understanding of individual resident’s needs. The details regarding the residents’ health needs were recorded on the care plan. Records of any visits undertaken by a health professional were not clearly documented. It was recommended to the manager that a separate sheet was used to record any health care appointments to enable staff to establish any patterns to health care needs. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 12 At the time of the visit to the home none of the residents managed their own medication. All medication was administered to residents by senior staff at the home. It was recommended that the manager undertook a risk assessment as part of the care planning process for any resident wishing to manage their own medication. Medication was stored in a lockable medication trolley that was secured to the wall. Controlled medication was stored in a lockable cabinet away from the medication trolley. Medication Administration Record (MAR) sheets were examined and found to be recorded appropriately. The controlled drugs book was also viewed and it was noted that two people signed this book although there was one occasion when the book had only been signed by the person administering the medication, there was not a signature of a witness to this administration. It is important that medication procedures are followed to ensure that the health and safety of the resident is promoted at all times. Residents’ spoken to by the inspector said that they felt that they were treated with dignity and respect by the staff at the home. Staff were observed talking to the residents in an appropriate manner. There appeared to be a good rapport between the staff and residents. Two residents said that staff were helpful and supportive. Another resident said “ the staff here are kind and friendly here. I think of this as my home and don’t want to leave here”. Visitors to the home said that they were made to feel welcome and that they were kept informed with regards their relative’s health and any issues relating to their relative. They said that since their relative had been a resident at the home they were able to see an improvement in their general health and well being. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines in the home demonstrated that residents were encouraged to maintain control over their lives, maintain contact with family and friends and to participate in leisure activities. Mealtimes were a relaxed with menus providing nutritionally balanced meals. EVIDENCE: The home provided a range of activities for the residents on both an informal and formal basis. Each morning the residents undertook a session of gentle exercises. The residents spoken to said that they enjoyed this very much. They said that they chose the music that they did their exercises to. One resident said “it’s fun and helps to keep me active” another resident said “ I look forward to it”. Other activities included reminiscence sessions, board games, watching movies, bingo and general discussion groups. The manager said that residents had the choice of activities that they wished to participate in. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 14 The home had a four week menu plan that was discussed with the residents. There was a main choice of meal and an alternative available. The residents said that the food was “very good” and there was always a choice available. At the time of the visit to the home the home did not have a cook in post. The manager and his wife undertook this role due to the number of residents currently in the home. The manager said that there were plans to appoint a cook in the near future especially when the number of residents increased. Families spoken with all indicated they were made to feel welcome when they visited the home. They described their experiences as very positive. This included staff always offering them a drink, keeping them well informed about their relatives care and involving them with the ongoing care of their relative if this is what they wished to do. Willowbank Residential Home DS0000061407.V319905.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Polices and procedures were in place to enable concerns to be raised and to protect residents from neglect and abuse, however, staff were not fully trained in adult protection procedures and this could potentially place residents at risk. EVIDENCE: The home had a complaints procedure that was detailed in both the Statement of Purpose and the Service Users’ Guide. Residents spoken to said that if they had any concerns they would discuss them with the manager or the staff. Relatives spoken to said that they had found the manager very approachable and if they had any concerns or complaints they would, in the first instance discuss them with the manager. Relatives were aware that they could contact the Commission for Social Care Inspection if they wished to do so. The home maintained a record of complaints received and at the time of the visit to the home, none had been received. Discussion with the manager identified that staff had not received training with regard the Protection of Vulnerable Adults (POVA) and the manager was himself waiting to attend an up to date course relating to this. The manager had previous experience of Protection of Vulnerable Adults within his role working for the National Health Service. He said that he had a copy of the ‘No Secrets’ document and the Manchester Multi Agency policy and procedure. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 16 Further discussion with the manager identified that there was a need for updated training and a requirement was made regarding this. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was clean and tidy providing residents with a comfortable environment. A programme of refurbishment was ongoing. EVIDENCE: A programme of refurbishment and redecoration had commenced although the manager acknowledged that this was ongoing. The living room and dining room had been redecorated. The carpet to this area showed signs of wear and tear and should be should be considered for refurbishment or replacement over the next period of planned maintenance. Several of the bedrooms had been redecorated and new curtains fitted although one of the shared rooms did not have a privacy curtain in place. The Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 18 room was not currently occupied and the manager said that one would be fitted prior to it being occupied. Some new bedroom furniture had been purchased as part of the refurbishment programme. Residents’ were able to bring their own bedroom furniture into the home following consultation with the manager. Residents’ spoken to felt that this made their rooms feel more like their own home and felt that this was important. The home had appropriate numbers of bathrooms, however on the day of the visit to the home one of the bathrooms on the ground floor did not have any heating on although the heating system was working. The manager was made aware of this and was addressing this issue. Upstairs on the first floor there were two further bathrooms. One of these was not in use due to a recent leak that had been repaired but the flooring needed to be relaid. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The recruitment and selection process at the home did not demonstrate that it was robust to promote and protect the residents’ health and safety. EVIDENCE: At the time of the visit to the home the home was registered for up to thirteen residents but the current occupancy level was eight with vacancies for five additional residents. The manager who is also the home owner, had reduced staffing levels to reflect the decrease in resident numbers. The manager and his wife worked additional hours as care staff to continue to meet the minimum staffing levels in accordance with the Residential Forum Guidance. A sample of care hours were examined and reflected that the home met the minimum care hours required although there was no additional care hours built in to cover for staff training. This was discussed with the manager at the time of the visit to the home. The manager said that staff hours could be increased to accommodate this and that training was planned for December. It was recommended that staffing hours were kept under review to ensure that the needs of the residents continued to be met. It was also important to ensure that reviews of service users’ needs were undertaken on a regular basis and a record made of any change in their needs.. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 20 The manager was in the process of ensuring that each member of staff had a personnel file that met with Schedule 2 of the Care Home Regulations and included appropriate application forms, references, enhanced Criminal Record Bureau (CRB) disclosures and evidence of qualifications. Two staff files were examined and found that not all of the information required under Schedule two of the Care Home Regulations was evidenced on file. Examples included one file that had copies of certificates that did not relate to the file being examined. Another staff file did not contain appropriate information regarding work permits. The staff files viewed did not contain sufficient information to ensure that the residents at the home were protected by the home’s recruitment and selection process. A requirement has been made regarding this. Staff files did not contain evidence of training that had been undertaken. The manager said that staff had undertaken induction training but this was not recorded individual staff files. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33,35, & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Deployment of staff in the building did not always enable them to meet individual needs of residents which could potentially place residents at risk. EVIDENCE: The manager was able to demonstrate that he had a good knowledge of the needs of the residents’ living at the home. The manager had previous experience of working as a nurse and was able to demonstrate to staff the requirements of their role. The manager had reviewed the staffing level at the home due to the decreased occupancy and although the level met the minimum level required by the Residential Forum guidance it did not allow for a flexible service. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 22 The service had not undertaken a quality assurance survey with residents, relatives and people who commissioned the service. Therefore there was no planned response to any suggestions or comments made. The manager said that staff received supervision on a daily basis however, the staff did not receive forma recorded supervision or annual appraisal. The home did not hold residents’ monies and the manager ensured that a record was maintained of the personal allowance given to the resident each week. Residents or their representatives signed when the allowance had been given. Residents and / or family members spoken to confirmed that they received all allowances on time and in full. The home did not act as appointee to any resident. The manager ensured that equipment was serviced and maintained in accordance with the requirements to ensure that the safety of the residents. Fire equipment was checked on a regular basis and training had been provided to staff. It was recommended that the manager recorded fire safety and training as part of the induction process for new members of staff. At the previous inspection a the inspector observed that the locks that had been fitted to the residents’ bedroom doors could not be over ridden in case of an emergency. The manager said that at the time of this visit to the home they had not been replaced. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 1 3 3 2 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 3 2 Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 14 (1)(c) (2)(a)(b) Requirement Resident’s care plans must be developed in consultation with the resident and be reviewed, with any changes recorded clearly. The manager must provide a programme of renewal for the fabric and decorating throughout the home. (Timescale of 13/05/06 not met). The manager must ensure that staff have appropriate training relating to the Protection of Vulneranle Adults(POVA) to ensure the safety and wellbeing of the residents’ living at the home. The manager must ensure that all documents as identified in Schedule 2 of the Care Home Regulations (paragraph 1- 7) are obtained prior to an individual commencing employment at the home. The locks to the residents’ rooms must ensure that bedrooms are easily accessible in the event of of an emergency. DS0000061407.V319905.R01.S.doc Timescale for action 30/12/06 2. OP25 23 30/12/06 3 OP18 18(1)(a) (c)(i)(ii) 30/01/07 4 OP29 19 (2)(b) (i) 30/12/06 5 OP38 13(4)(c) 30/12/06 Willowbank Residential Home Version 5.2 Page 25 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 4 Refer to Standard OP8 OP9 OP36 OP27 Good Practice Recommendations It is recommended that the home records any health care visits or intervention clearly on a separate sheet in resident’s care file. It is recommended that the manager undertakes a risk assessment for residents who wish to manage their own medication The manager should ensure that staff have formal supervision a minimum of 6 times per year and a record of supervision maintained It is recommended that staffing hours are kept under review to ensure that the needs of the residents are met at all times. Willowbank Residential Home DS0000061407.V319905.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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. 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