Care Home: Vine House

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What the care home does well The home provides a comfortable and homely environment with a positive atmosphere. The staff and management of the home are welcoming to all visitors and staff were found to be very helpful, this positive approach was commented on by all people spoken to about the service.The standard of care was found to be good with the health care needs of residents being responded to in a proactive way. The food provided was complimented by residents and based on home cooking. Staff training is well supported by the homes management. What has improved since the last inspection? The laundry floor has been painted to facilitate the cleaning of this. The home is using questionnaires to gain the views of residents. Cleaning in the home has been improved since these questionnaires raised it as a concern. This confirms that the home is responding to resident`s views to improve the service. As the homeowner is currently managing the home he is not completing regulation 26 visits and reports as required at the last inspection. CARE HOMES FOR OLDER PEOPLE Vine House Vanzell Road Easebourne Midhurst West Sussex GU29 9AZ Lead Inspector Melanie Freeman Unannounced Inspection 4th March 2008 10:20 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 Vine House DS0000014819.V359525.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. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Vine House Address Vanzell Road Easebourne Midhurst West Sussex GU29 9AZ 01730 815441 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) Mr Alan David Michael Hill Post Vacant Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th May 2006 Brief Description of the Service: Vine House is a care establishment providing personal care and accommodation for up to seventeen older people (over the age of sixty five years). The home is a large detached house situated in the village of Easebourne, approximately one mile from the town centre of Midhurst with its shops and other amenities. Accommodation is provided in nine single and four double rooms situated on the ground and first floors, most bedrooms have en-suite facilities. There is a car park to the front of the home and a garden to the rear. The double rooms are let as single accommodation unless two people request to share. On the ground floor there is a lounge and dining room and there is a lift to aid access to the first floor. The range of fees charged (at the time of this report) are £444 - £630 per week, with additional charges for chiropody, toiletries, and any newspapers. Hairdressing is arranged and paid for by each individual resident. Intermediate care is not provided at Vine House Care Home. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Vine House Care Home will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with visiting health/social care professionals. The allocated inspector spent approximately five hours in the home and was able to discuss matters with the acting manager who is responsible for the day-to-day care of residents living in the home. During the assessment visit the inspector was able to spend most of her time meeting with the staff, residents and observing practice in the home. A brief tour of the premises was undertaken and a range of documentation was reviewed including the homes statement of purpose and service users guide, pre-admission assessment documents, the systems in place for handling complaints and safeguarding vulnerable adults, staff recruitment files, quality assurance systems and some health and safety records. The care documentation pertaining to two residents were reviewed in depth. At the time of compiling the report, in support of the visit, the Commission received survey forms about the service from four staff members, seven residents and four relatives. The required Annual Quality Assurance Assessment (AQAA) was completed by the home the contents of which have been used to plan the inspection and inform the report. What the service does well: The home provides a comfortable and homely environment with a positive atmosphere. The staff and management of the home are welcoming to all visitors and staff were found to be very helpful, this positive approach was commented on by all people spoken to about the service. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 6 The standard of care was found to be good with the health care needs of residents being responded to in a proactive way. The food provided was complimented by residents and based on home cooking. Staff training is well supported by the homes management. What has improved since the last inspection? What they could do better: A suitable manager needs to be appointed to provide the necessary management in all aspects of the homes running. The care documentation needs to be improved to promote person centred care and to ensure all risks are suitably assessed and responded to. Residents or their representatives need to be involved in the planning of care practice. Risks presented by hot water must be responded to with appropriate control measures being put in place in consultation with the local Environmental Health Department, to ensure resident safety. The home needs to have an appropriate policy and procedure to follow once an allegation or suspicion of abuse is made to ensure appropriate action is taken in response. The recruitment practice needs to be improved to ensure all the necessary checks are completed by the home before staff work in the home. This will ensure robust recruitment practice is followed and will safeguard residents. Staff need to receive regular supervision to monitor their performance and develop their skills. Robust Health and Safety systems need to be adopted in all areas of risk including COSHH to ensure staff and residents safety. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Vine House DS0000014819.V359525.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 Vine House DS0000014819.V359525.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 and 6 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides suitable information about the home to prospective and existing residents. All residents undergo a full assessment of their care needs before being admitted to the home. EVIDENCE: A copy of the homes statement of purpose and service users guide is available on request along with the last inspection report. These documents need to be reviewed and updated and the acting manager was aware of this and confirmed that this would be completed, ensuring that all relevant information is available including a copy of the terms and conditions of residency and the views of residents who have lived in the home. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 10 An assessment of the admission process followed included the review of the documentation used and this recorded that all prospective residents are assessed. All assessments are now completed by the acting manager. The current assessment documentation is adequate although it needs to be signed and completed to record a thorough assessment process that takes into account all aspects of an individuals care needs and relevant professional input. Admissions to the home are subject to a six-week trial period and this allows for a suitable placement to be agreed by the resident and the home. Intermediate care is not provided at Vine house. Vine House DS0000014819.V359525.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 and 10 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home was found to be meeting resident’s health and general needs with assessed additional community support when needed. Residents, where appropriate, are responsible for their own medication and are protected by the practice followed in the home that ensures resident’s medicines are handled safely. Residents are treated with respect and have their privacy and dignity maintained. EVIDENCE: The care documentation pertaining to two residents was reviewed as part of the inspection process and each of these residents were met with during the inspection visit to the home. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 12 The acting manager is implementing new care documentation and is hoping to provide much clearer records. Each resident is assessed following admission to the home and individual plans of care are generated from this information. Although these are written individually they did not record specific guidelines for staff to follow, and did not promote a person centred approach to care. The focus of the care documentation needs further development and the acting manager acknowledged this. In addition there was no evidence to confirm that the plans of care had been discussed or agreed with the resident or their representative. Daily records are maintained which reflect the daily activity and well being of residents. Residents have access to doctors as required and the outcome of any health professional visit is recorded within the care documentation. It was clearly demonstrated through the care records and speaking with residents and staff, and a visiting health professional, that the health care needs of residents are well promoted and maintained. Residents were satisfied that their health care needs were met. Staff demonstrated a good awareness of individual needs. Although some risk assessments are well documented further attention needs to be given to ensure all risks are assessed documented and responded to. A recent visit from an Environmental Health Officer also identified the need for better individual specific risk assessments including those relating to the risk of falls. The acting manager said that this was being addressed in consultation with the homeowners. Nutritional assessments are not completed and the acting manager said that she has been working with a community dietician who has provided staff with training on this area. It is planned that nutritional screening will be put in place for all residents. All residents spoken to were very satisfied with care provided at the home and this view was supported by the surveys received. One relative said ‘Vine House is very impressive in the standard of care to residents and also in a very friendly approach to relatives and friends’. Practice observed confirmed that medicines were being administered in a safe way and the records examined were found to be accurate. Staff involved in the administration of medicines have all received training. Individual risk assessment were also evidenced so that whenever possible residents administer their own medicines. Throughout the inspection visit staff were seen to be attentive and kind to residents and to speak to them in a respectful way. Vine House DS0000014819.V359525.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 and 15 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Links with friends, relatives and the community are encouraged and choices made are respected. Routines of daily living and activities provided are flexible and meals provided promote variety and choice. EVIDENCE: The social care and emotional needs of residents are recorded within care plans although these could be more person centred. Residents were clearly able to spend time where they want to and mostly expressed satisfaction with the routines of daily living and activities provided. Residents confirmed that they can choose what they wish to do and when. Some residents are able to maintain links with the local community and are encouraged to do this. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 14 Some activity and entertainment is provided and this includes visiting musical entertainers and visits to the owners own home where they have a variety of animals. Visiting is well promoted and encouraged with no restrictions all visitors were made to feel very welcome and able to come and go as they wished. Visitors spoken to said that they enjoyed visiting and knew the staff and other residents well. Residents are supported as necessary to exercise choice and control over their lives. A number confirmed that they were able to bring their own furniture and personal possessions into the home when they moved in. The meals were well complimented and there is strong emphasis on home cooking with fresh produce. The meal eaten with residents was served in the communal dining area and was attractive and well enjoyed by the residents apart from one who was a new resident and the home was getting to know her likes and dislikes. Residents confirmed that if they did not like the main meal alternatives were given and they could choose mostly what they wanted for the evening meal. The mealtime was not rushed and was a social community event, however the space was rather limited. The acting manager confirmed that the plan is to improve the programme of activities in the home and the food menus and this was recorded in the AQAA. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Procedures in the home ensure that complaints made are managed appropriately, with residents knowing who to complain to. Training and practice in the home should ensure that adult protection issues are responded to when identified. EVIDENCE: The home has a suitable complaints policy and procedure, and this is available to interested parties within the statement of purpose and service users guide. The home has not received any formal complaints since the last inspection and the acting manager said that staff respond quickly to any issue to avoid complaints developing. There have been no complaints made about the home to the CSCI. Residents said they would make a complaint if they needed to and would speak to either the owner or acting manager. The acting manager has a good understanding of safeguarding vulnerable adults and has attended a recent road show on the subject presented by West Sussex Social Services, which introduced the new local procedures. She Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 16 demonstrated during the visit that she was well aware of how good relationships and how everyone talks and responds to each other in the home is vital to ensure all residents felt safe and happy. Staff training on adult protection has been arranged for the near future. It was however noted that the home does not have a clear policy and procedure to follow when an allegation or suspicion of abuse is made. The acting manager recognised the need for this as a priority and agreed to progress this. Vine House DS0000014819.V359525.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, 21, 25 and 26 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: Vine House is a converted family home that has retained a home like feel. All bedrooms are very personalised, and residents said that they liked their rooms and enjoyed the views that they have of the garden and surrounding countryside. During the visit it was noted that the ground floor bathroom was being used as a storage area and this left the home with one useable bathroom. Discussion Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 18 took place around the promotion of resident’s choice and regular bathing as wanted. The possible provision of a shower to enhance the facilities available and further choice for residents was also discussed. Feedback from surveys received indicated that cleaning was not being completed to a satisfactory standard. This issue was also picked up by the homes own questionnaires, which were responded to. The cleaning was found to be satisfactory on the day of the assessment visit and residents and visitors spoken to felt that the cleaning was now suitable. During the tour of the home it was noted that one radiator was not guarded. The acting manager said that this had been removed to allow the movement of lifting equipment and was turned off during this time. This was no longer needed and she confirmed that the radiator guard would be replaced the next day. Although the homeowner confirmed that all hot water outlets accessible to residents have a temperature control valve fitted in accordance with the homes own risk assessments. It was noted from the homes records that hot water supplied to a bath was being supplied at 50 degrees C. The acting manager and homeowner advised the inspector that the valves would be checked and set to ensure water is supplied at a safe temperature within the week. In addition the acting manager confirmed that until this is completed a specific risk assessment would be undertaken with control measures put in place to ensure resident safety. Vine House has a pleasant lounge with access to the rear garden, which is well maintained, and also provides external seating. The AQAA confirmed that a conservatory is to be built onto the property to provide further communal space. Vine House DS0000014819.V359525.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): 27, 28, 29 and 30 People who use this service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is sufficient staff who are suitably trained on duty to ensure that residents receive the level of care they need. Residents are not fully protected by the home’s recruitment procedure. EVIDENCE: At the time of this assessment visit 11 residents were living at Vine House. Staffing rotas were reviewed during the inspection and these showed that two members of staff are available on both the late and early shift and also a cleaner and cook work on a daily basis. At night there is a waking night carer and one sleep-in person on shift. Discussion with the acting manager confirmed that when the dependency of residents are higher extra staff are provided and that she has 16 hours a week for management work. Care staff complete the laundry and evening catering duties and the staffing provision needs to be kept under review to reflect the occupancy and dependency of the residents and as they increase. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 20 All feedback received indicated that the staffing arrangements were suitable and that all staff were well thought of comments included ‘The staff of the home make it the place that it is. They never fail to be warm and caring’ ‘The staff are caring but allow for independence of thought’. Most staff working at Vine House have achieved an National Vocational Qualification in care level2 or above. There was evidence in the home that ongoing training is being maintained with a programme of proposed training available for inspection. Staff surveys confirmed that staff training is promoted and supported by the homes management. The recruitment files pertaining to the three staff were reviewed as part of the inspection process. This identified that one carer was working without the required Criminal Records Bureau and Protection Of Vulnerable Adults register checks being completed. This was identified to the homeowner who accepted the responsibility for this and said that it was an oversight on this one occasion. Once identified he arranged for this carer’s shifts to be covered and for her not to work in the home until the necessary checks are received by the home. Although staff files included an application, confirmation of an individuals identity and two references. They did not include any evidence that staff are given terms and conditions of employment a copy of the General Social Care Councils code of conduct, complete a health check or supply a recent photograph to be retained by the home. All these shortfalls were raised with the acting manager who said that these matters would be addressed. Vine House DS0000014819.V359525.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, 36 and 38 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Vine House is run in a friendly manner the management arrangements however need to be formalised to ensure suitable staff supervision and appropriate management procedures are followed at all times. Systems for monitoring the quality of care take account of resident’s views and are used to improve the service. Resident’s financial interests are safeguarded. The health, safety and welfare of residents and staff are generally promoted and protected although practice in the home needs to be supported by appropriate policies and procedures and risk assessments. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 22 EVIDENCE: The previous manager retired due to ill health, and the home is now supervised by the homeowner who has been the registered manager in the past. An acting manager is responsible for the day-to-day care of residents and has worked in the home since February 2007 with this responsibility and is completing her Registered Managers Award. She advised that her application for registration is being processed by the CSCI and once this has been progressed she will take on the full role of the registered manager. The homeowner is in regualr contact with the home visiting regularly and is always availble on the telephone for advice. The management arrangments do provide a homely relaxed atmosphere, whilst ensuring good standards of care are maintained. The acting manager has a very good rapport with residents and staff and is able to provide leadership and discipline when necessary and is well motivated. She has a good understanding of the National Minimum Standards and associated legislation. The home has developed a quality monitoring system that includes questionnaires that record residents and their representative’s views. Information gained from these has been acted on to improve the service for residents, which has included a review of the cleaning in the home. The acting manager is aware that these questionnaires need to be reported on with the results being shared with residents. Residents are encouraged to manage their own affairs with the help of relatives or advocates if necessary, the home does not have any involvement with resident’s personal monies. Any extras like chiropody are paid for by the home are invoiced separately to either the resident or their representative. The acting manager confirmed that staff meetings are not being held on a regular basis and there is no formal process to ensure staff receive suitable supervision and appraisal. This would provide staff with the opportunity to discuss all aspects of practice, the philosophy and care in the home and the career development needs of the individual. Although the home has risk assessments these need to be reviewed and updated to ensure they reflect the current risks in the home accurately. The AQAA confirmed that relevant safety checks had been completed in the home Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 23 and although it also recorded that the homes policies and procedures have been reviewed there was no record of this. During the assessment visit it was noted that number of cleaning substances were accessible to residents and that bleach was being used in the kitchen area. These issues were identified to the acting manager who addressed these matters immediately. Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 24 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 2 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 2 3 X X X X X 2 3 STAFFING Standard No Score 27 3 28 X 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 1 X 2 Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15 Requirement Timescale for action 01/05/08 2. 3. OP8 OP18 4. OP25 5. OP29 6. OP31 That individual care plans providing specific guidance on person centred care for staff to follow is devised for each resident in consultation with the resident or their representative 13 That individual risk assessments that cover all residents risk are recorded and responded to. 13(6) That clear up to date procedure is in place to be followed when a suspicion or allegation of abuse is made. 12 (1) 13 That risk assessments in respect (5) of hot water accessible to residents are kept up to date in consultation with the Environmental Health Department and responded to, to ensure resident safety. 19 (1) That a thorough recruitment procedure is operated that includes securing the required checks before staff work in the home. A recent photograph and health questionnaire. 8 (1)(2) That the registered person 9(1)(2)(b) appoints a competent fit person DS0000014819.V359525.R01.S.doc 01/05/08 01/04/08 01/04/08 22/03/08 01/04/08 Vine House Version 5.2 Page 26 (i) 10 7. OP36 18(2) 8. OP38 12 (1) 13 (5) to manage the home and advises the Commission of this appointment. Care staff should receive formal 01/06/08 supervision at least six times a year. The sessions should cover all aspects of practice, the philosophy and care in the Home and the career development needs of the individual. That suitable arrangements are 01/04/08 put in place to deal with risks associated with health and safety to include COSHH. 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 Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Vine House DS0000014819.V359525.R01.S.doc Version 5.2 Page 28 - 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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