CARE HOMES FOR OLDER PEOPLE
Aaron House 255 Preston New Road Blackburn Lancs BB2 6PL Lead Inspector
Mrs Jennifer M Turner Key Unannounced Inspection 02.15 4 and 5th July 2007
th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Aaron House DS0000005802.V337135.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. Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Aaron House Address 255 Preston New Road Blackburn Lancs BB2 6PL 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) 01254 56208 01254 56208 Mr Ahmad Ahmadi Mrs Badrolmolouk Abbaszadi Mrs Alison Foster Care Home 23 Category(ies) of Dementia - over 65 years of age (23) registration, with number of places Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home must, at all times, employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. 22nd November 2006 Date of last inspection Brief Description of the Service: Aaron House is registered to provide personal care and accommodation for 23 older people with dementia. The home is situated on the outskirts of Blackburn on the Blackburn to Preston main road. The main public park, shops and churches are nearby. The town centre is within walking distance. Aaron House is a detached property and the small front garden leads onto the busy main road. At the rear of the house is a small parking area leading to an enclosed grassed area. The interior of the home is on four levels. The dining room is situated at basement level and leads into the conservatory. The office and staff room and three bedrooms are also situated at basement level. The car park and rear garden are accessed via a ramp from the dining room. There are two lounges on the ground floor and residents are able to access the dining room only via a passenger lift. The upper floors are accessed via the staircase or the passenger lift. The majority of bedrooms have single occupancy but there are some double rooms available. One single bedroom has an en-suite facility. At the time of this inspection visit the fees charged were £389.00. There were additional optional charges for hairdressing, personal toiletries over and above those provided, personal periodicals over and above those provided, taxis for social activities and dry cleaning. Written information about Aaron House was available at the dining room entrance and on request. Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. A key unannounced inspection, including a visit to the home, took place on the 4th and 5th July 2007 over a ten-hour period. At the time of the inspection the occupancy level was fourteen. The manager, assistant manager, care staff, domestic staff, the cook, a number of residents, three relatives and two visiting health professionals were spoken to. During the course of the inspection, a number of residents and staff files were examined, procedures and records were also examined, lunch was taken with the residents, activities were observed and the premises were viewed. Feedback was offered to the manager at the end of the inspection. Information from an Annual Quality Assurance Assessment document, one survey form received from a resident, one survey form received from a health professional and two survey forms received from relatives contributed towards the findings. Requirements and recommendations made from the previous inspection were looked at for progress made. The home was assessed against the National Minimum Standards for Older People. What the service does well:
Aaron House had a welcoming and supportive atmosphere and was being managed by a competent, experienced person. The staff were friendly and enthusiastic. One relative spoken with said that he was “more than happy with the care provided”. There were some good care practices at Aaron House, including the arrangements for finding out about peoples’ needs, abilities, likes and dislikes before they moved into the home, so that there care could be considered and planned for. One relative mentioned that he “came to see the home before mum was admitted”. The residents personal privacy needs were being dealt with sensitively and they were being treated with respect and as individuals. Relatives spoken with felt that their relatives were being looked after well. One commented, “everything fine, nothing could be better. My wife is treated with respect”. There were various activities on offer, usually in the afternoon period, and entertainment was occasionally provided at the home. Staff were responsible on a monthly rota for providing entertainment. Routines in the home were fairly flexible, so people had some freedom in how they spent their time.
Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 6 The residents spoken with commented that “the food is nice”. “I like what I am given and there is a choice”. Visiting times were flexible so friends and relatives could call at different times, the residents could see people in private. Relatives indicated they were always made to feel welcome at the home, one said “we can call anytime and they always let me know about things”. The home was clean, warm and generally in good order. The residents had been encouraged to personalise their rooms, by bringing with them their own belongings, such as pictures and ornaments. This had helped create a sense of home and belonging. There were enough staff on duty to care for the residents. The residents appreciated the staff team. One said, “the carers are very good and kind. They always come if I ring the bell”. What has improved since the last inspection?
Letters are now being sent to relatives asking if they wish to attend resident’s reviews. If not, when they visit they are shown the review information and the decisions taken and asked to sign and date that they have seen it. This ensures that relatives are able to see the support the resident is receiving if the resident is unable to understand decisions taken on their behalf. Care plans have been revised making it easier for staff to understand and carry out the required care. Medication procedures and administrative practices have been reviewed and improved. This ensures that staff are competent and residents safe when medication is being administered. Many bedrooms have been refurbished since the last inspection. This provides comfortable and safe surroundings for the residents. A call point has been fitted in the conservatory along with a single handrail on the steps leading into conservatory. This ensures a safe environment and promotes independence for residents. Bathroom and WC doors have been fitted with appropriate door locks as have resident’s bedrooms. This ensures privacy. Locked bedside cabinets have been made available in resident’s rooms. A second sitting has been introduced at mealtimes in order for staff to be available to assist those residents who required help. This help was seen to be offered in a sensitive and unhurried manner.
Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 7 Information in respect of the protection of vulnerable adults has been improved. This ensures that staff are fully aware of their responsibilities. Staff induction is now in line with “Skills for Care” documentation. This ensures that staff are being trained within the national framework. Staff training has increased ensuring that staff are more aware of the jobs they are doing. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Aaron House DS0000005802.V337135.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 Aaron House DS0000005802.V337135.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): 3:6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comprehensive assessment procedure was carried out prior to people moving into the home. This meant that their diverse needs were known and met. EVIDENCE: Although there had been no new admissions since the previous inspection, records seen showed that assessment information had been obtained, as appropriate, from Social Services. Information written on a pre assessment form, completed by the manager, included all the required details and included various health and social care needs and abilities. This information was obtained during a pre admission visit to the home or when the manager visited people in their own home or in hospital. Relatives spoken with said they had previously visited Aaron House prior to a placement being accepted. There was evidence that, following the pre admission assessment, a letter was sent to people confirming the outcome. Residents completed a “Getting to know you”
Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 10 form shortly after admission and this information was included in their care plan. Aaron House does not provide Intermediate Care. Aaron House DS0000005802.V337135.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 good. This judgement has been made using available evidence including a visit to this service. Residents’ diverse healthcare needs were identified and met. Personal care was delivered in a way that promoted residents’ privacy and dignity. EVIDENCE: Care plans seen were well written. A variety of risk assessments were completed in response to individual needs and circumstances, and information was included in the care plan. Records showed that these were reviewed, along with the care plan and with the inclusion of both residents and their relatives on a monthly basis. Relatives and staff spoken with indicated that people received appropriate medical and health support when required. Moving and handling assessments were carried out as appropriate. Records showed that people received attention from a variety of health care professionals. All contact was recorded in residents’ files. Various health care policies and procedures were available.
Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 12 All of the issues raised in the previous inspection relating to medication issues had been acted upon appropriately. Storage was good, secure clean and tidy. Medication management policies procedures were available. Records showed that medication ordered, received, administered and returned were maintained and signed accordingly. The Medication records of three residents were spotchecked. All medication was correctly stored and designated staff who had received training, were responsible for administering the medication. The Medical Device Alert relating to Lancing Devices was discussed. The home has the relevant information, but District Nurses deal with all injections. Visitors spoken with felt that their relatives were “treated with respect”. Care practices observed, showed privacy needs were being promoted, for example residents were supported to see visitors in the privacy of their own rooms. Staff spoken with explained how they promoted individuality and dignity within their daily work, they responded positively to peoples differing needs. It was apparent people were being supported by their key worker to take care of their appearance. Curtains were provided in a room shared by two people between the beds and around the wash hand basin. A lockable facility was provided for each person to enable them to keep personal items safely and securely. Aaron House DS0000005802.V337135.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. Residents’ dietary, social, cultural and spiritual needs were being met. They were able to make choices and decisions about their life at the home so that their lifestyle met their preferences. EVIDENCE: The activities on offer were displayed on the notice board in the dining room and included dominoes and hand massage. Any planned events, such as visiting entertainers and parties, were also displayed. Staff spoken with had an awareness of peoples’ backgrounds and their daily routines. They said they usually had time to spend with people during an afternoon either chatting or organising activities. A record was made in a persons file whenever they were involved in any type of activity. A rota had been initiated since the last inspection that showed when care staff were responsible for organising activities for a month. Residents spoken with were satisfied with the activities on offer, although one relative commented that there was little arranged for people in a morning. The library service was visiting regularly and specific books could be requested. Photographs on display showed residents’
Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 14 participation in activities. People said they could use their rooms as and when they liked. Spiritual needs were met by Spiritual Leaders who visited the home on a regular basis to offer the Sacrament. Visiting arrangements were outlined in the Service Users Guide. Residents spoken with said they could have visitors at anytime. Several relatives visited the home during the inspection visit and those spoken with said they always felt welcome at the home and made very positive comments about the care and attention provided. It was observed that people had been encouraged to bring their own personal possessions and furnishings with them into the home. Records of belongings were seen in resident’s files. Menus showed that a balanced diet was being offered. There was a four-week cycle of menus with a hot meal offered at both lunch and teatime. Choices were offered and alternatives to the menu were also specified. Fresh fruit was available. Specific diets, such as diabetic, were being catered for. There were two sittings for meals so that those who required individual attention could be offered this. Residents could have their meals in their rooms if they wished but were encouraged to eat in the dining room for the social interaction. Drinks were served with every meal and also in-between times. The meal on the day of the inspection was nicely presented and looked appetising. The atmosphere in the dining room was pleasant and unhurried. Assistance by staff was offered in a discrete way. Aaron House DS0000005802.V337135.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): 16:18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were protected from abuse and had access to the homes complaints procedure. EVIDENCE: A Complaints Procedure was displayed on the notice board. It was also included in the Service Users Guide. Appropriate information was included. Residents said that they were “confident to approach a member of the management team if they had any concerns” and they “would contact their family or a Social Worker if the home did not sort things out”. A complaints book was available and there had been one concern raised since the last inspection. This had been dealt with satisfactorily. The manager said that any concerns of an internal nature were dealt with quickly and proficiently. Relatives said that “they knew who to talk to” if they had any concerns. Compliments and letters of appreciation were directed toward the members of staff concerned. All of the issues raised in the previous inspection relating to Protection of Vulnerable Adult (POVA) issues had been acted upon appropriately. Documentation had been produced in line with the Local Authorities POVA procedures. Records of training and discussions with staff and the manager showed most staff had attended a protection of vulnerable adults (POVA) course provided by the local Council. Blackburn with Darwen protocols and
Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 16 guidelines on protecting adults were available at the home. Staff spoken with were confident in respect of their roles in respect of abuse issues. Aaron House DS0000005802.V337135.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): 19:20:21:22:24:25:26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was warm, clean and comfortable with a good standard of hygiene being achieved. EVIDENCE: The main lounge and dining area were pleasantly decorated. The manager explained that a number of bedrooms had been redecorated to provide more calming, subdued environments for the residents. The Development Plan showed that there were plans to convert the quiet/visitors lounge into a sensory room for the residents. Funds have been obtained from a “Dignity in Care” grant offered by the Local Authority. There were several communal areas available for residents and visitors. Consideration was being given to replace the fluorescent light fittings in the communal areas to a more domestic type of lighting.
Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 18 There were bedrooms in the basement area but no bathing facilities on this level. The area of bathing facilities was being addressed in the Development Plan. All bathroom and toilet facilities were provided with suitable locks that could be accessed by staff in case of emergency. Since the last inspection a call point had been fitted in the conservatory area and a suitable handrail had been fitted onto the steps, to assist with mobility. All bedrooms had call points fitted but the call point in Room 21 required to be re-sited in order for the resident to use it, if required, when in bed. The residents’ bedrooms seen were pleasantly decorated and had been personalised with their own belongings to reflect their character and background. Suitable door locks were fitted which ensured that peoples privacy and protection of personal space was protected. A lockable drawer/cupboard was also provided in resident’s rooms. Not all single bedrooms had the required number of electric sockets fitted. A permanent socket should replace the double extension lead in Room 23. This will prevent any danger of tripping by the occupant or members of staff. The residents spoken with were generally satisfied with the accommodation provided including their bedrooms. Consideration should be given to providing an alternative to fluorescent light fittings in bedrooms. This will provide a more homely atmosphere in resident’s personal space. The home was found to be clean and mostly free from unpleasant odours. Residents and relatives completing surveys indicated the home was always clean and fresh. Domestic cleaning records were seen. Appropriate laundry equipment was available. Alcohol based hand rub was provided for staff. Aaron House DS0000005802.V337135.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): 27:28:29:30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were recruited using current guidance and received appropriate training. This meant that the diverse needs of the residents were met. EVIDENCE: Residents spoken with were complimentary about the staff team. Staff were seen to provide support and interact with the residents in a positive and sensitive manner. One of the residents’ surveys indicated staff were ‘usually’ available when they needed them and that they “always” listened and acted on what they were asked. All relative/visitor comment cards indicated that in their opinion, staff were always supportive. Staff spoken with considered, although some days were busier than others, they had enough time to care for the residents. Staff rotas and records showed that previously agreed staffing levels were in place. Arrangements were in place to cover catering and cleaning duties. Records showed that of the fourteen care staff, eleven had completed a national vocational qualification at level 2 or above (78 ). A further two staff were undertaking the course.
Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 20 The recruitment records of the two newest employed staff showed the required information had been sought and initial clearance checks carried out. It was advised that references should be obtained from people who are in a position to have a satisfactory knowledge of the person in question. (One reference had been received from a person who knew the staff member for a week). It was advised that the content of verbal references should be recorded. Staff were provided with contracts of employment. Staff training and development was ongoing, such as dementia care, foot care and moving and handling. A training matrix was seen showing planned and undertaken training. Staff records included copies of certificates and individual training records were seen. Staff spoken with said training was encouraged and they were enthusiastic about their work and expressed a good understanding of their role in supporting the residents. Staff induction was now in line with “Skills For Care” and induction records were seen in staff files. Aaron House DS0000005802.V337135.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. In general, the management and administration arrangements promoted the smooth running of Aaron House for the benefit of the residents, staff and visitors. The management of some residents’ monies did not protect those concerned from the disadvantage should the home run into financial difficulties. EVIDENCE: The manager had more than two years experience in her role and had attained a national vocational qualification at level 4 in care management and had
Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 22 completed the Registered Managers Award. The manager considered the homeowners to be supportive. The homeowners were fulfilling their responsibilities to visit the home unannounced and had forwarded reports of their findings to the Commission. Clear lines of accountability were available in the Statement of Purpose. Blackburn with Darwen Social Services had recently undertaken a quality assurance evaluation at the home and the Investors In People award was also in place. Results of stakeholder and client opinion surveys were evident in the Service Users Guide. People were also asked to complete a “Getting to Know You” survey shortly after admission with the help of relatives and staff. This information provided extra content to care plans. A business plan was seen. A comment received from a General Practitioner, via a comment card, was that “the manager is usually available and is very helpful”. The Service Users Guide included some information about financial matters. Records of two residents seen indicated that systems were in place to manage their personal allowances. Secure storage was available. However there was concern that the monies for five residents were paid directly into an account in the name of the business. Each week the manager said that she estimated what she needed for each resident and asked the Proprietor for this. This was sent to her and the manager did keep individual records of monies received and spent. However, there was no money held in the home for the inspector to check. It was explained that if the home ever had financial difficulties, the residents’ monies would not be protected if it were in an account belonging to the business. Since the inspection the manager has been sent a copy of appropriate guidance in respect of how to address this situation. Staff spoken with said that they received appropriate support from the manager and senior staff. However records indicated that although formal supervision was held, this was less than six times a year. The manager was to discuss with senior staff for formal supervision to be increased. Staff meetings took place and the minutes were seen on the staff notice board and were available for the staff to sign after they had read them. Information in the Annual Quality Assurance Assessment indicated that equipment had been serviced and that installations and maintenance checks were ongoing. Records were seen of various checks. A fire drill was due and arrangements were in place for one to take place. Records showed that the fire alarm system was tested weekly. The annual fire risk assessment had been reviewed. Health and Safety risk assessments had been completed and health and safety policies were available. Training in safe working practices was ongoing. The annual Gas Safety inspection was completed. Aaron House DS0000005802.V337135.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 2 2 X 2 2 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 2 2 X 3 Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 24 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 OP35 Regulation 17 Schedule 4 Timescale for action Residents’ individual monies 05/09/07 must be held in individual accounts and not in an account held by the business. Requirement 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 OP20 OP21 OP22 OP24 Good Practice Recommendations Consideration should be given to providing an alternative to the fluorescent light fittings in communal rooms. This will provide a more homely atmosphere in the home. The suitability and location of bathing facilities should be implemented as shown in the Business Plan. The call point in Room 21 needs to be moved nearer the bed in order for the resident to access it in case of an emergency All bedrooms should have a minimum of 2 double electric sockets installed. A permanent socket should replace the double extension lead in Room 23. This will prevent any danger of tripping by the occupant or members of staff. Consideration should be given to providing an alternative to fluorescent light fittings in bedrooms. This will provide a more homely atmosphere in resident’s personal space.
DS0000005802.V337135.R01.S.doc Version 5.2 Page 25 5 OP25 Aaron House 6 7 OP29 OP36 References should be obtained from people who are in a position to have satisfactory knowledge of the person in question. Verbal references should be recorded. Staff supervision should be held 6 times a year Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Aaron House DS0000005802.V337135.R01.S.doc Version 5.2 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
