Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 28/05/08 for Abbeycroft Residential Care Home

Also see our care home review for Abbeycroft Residential Care Home for more information

This inspection was carried out on 28th May 2008.

CSCI found this care home to be providing an Adequate service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a homely and welcoming environment and residents spoken to told us that they were happy at the home. We observed staff interacting with residents and there was a good relationship between residents and staff There is a range of varied activities and staff offers support to enable residents to take part if they wish Residents at the home are treated with dignity and respect and there right to privacy is upheld. Over 80% of the care staff employed by the home have either achieved or are working towards National Vocational Qualifications. They are committed to their role and work well together as a team.

What has improved since the last inspection?

Since the last inspection a number of improvements have been made and the following improvements were noted: The homes medication procedures have been improved and recording and storage of medication is appropriate. Residents have been consulted and their privacy and dignity is supported and their leisure interests and hobbies have been recorded so that appropriate activities are now being provided to provide stimulation for residents. Staff at the home are being supported to undertake appropriate training and to obtain recognised qualifications in line with the National Minimum Standards.

CARE HOMES FOR OLDER PEOPLE Abbeycroft Residential Care Home 147 Swift Road Woolston Southampton Hampshire SO19 9ES Lead Inspector Neil Kingman Unannounced Inspection 28 May 2008 12:35 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 Abbeycroft Residential Care Home DS0000041730.V363516.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. Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeycroft Residential Care Home Address 147 Swift Road Woolston Southampton Hampshire SO19 9ES 023 8042 0820 023 8057 94444 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) Abbeycroft Care Limited Post vacant Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To accommodate two named service users under the age of 65 years. Date of last inspection 14th February 2008 Brief Description of the Service: Abbeycroft is a home providing care and accommodation for up to 20 older people with age related mental health problems and illness associated with dementia. It is one of a number of homes in the Abbeycroft Care Ltd group. The home is situated in Swift Road Woolston about a ¾ mile from the local shops and about the same distance from Weston Shore. All but one of the rooms are for single occupancy and arranged over two floors. Access to the first floor is via a stair lift. Communal areas consist of a lounge, separate dining room and a conservatory. There is a toilet and shower facility on the first floor, and two bathrooms and several toilets on the ground floor. There is a driveway and car park to the front, from which there is level access into the home via the front door. The home is surrounded by gardens with seating areas, accessible to residents via ramps. The home provides 24 hours staffing. Weekly fees range between £395. 64 and £600. The manager states that a copy of the home’s service user’s guide is provided to all residents or their representatives where applicable. Abbeycroft Residential Care Home DS0000041730.V363516.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 1 star. This means the people who use this service experience adequate quality outcomes. This report details the results of the second key inspection of Abbeycroft Residential Care Home since May 2007, and focuses on the home’s response to the requirements identified at the last key inspection on 26 November 2008. At that inspection there were fifteen requirements identified and the home was judged overall to be providing poor outcomes for people who use the service. A warning letter was sent to the provider, followed by a statutory requirement notice with timescales for compliance. On 14 February 2008 we made an unannounced random inspection of the home to monitor compliance with the statutory requirement notice. There was evidence during the random inspection to demonstrate minimal activity to achieve compliance with the notice. However, the actions did not show that the improvements would be sustained over time and result in lasting improvement to the safety, protection and well being of people living at the home. In April 2008 the provider wrote to the Commission explaining that a suitable person was being trained to take over the management of the home. In addition, the provider outlined the steps being taken to meet the outstanding requirements. Included in this inspection was an unannounced site visit to the home by a Regulation Inspector and a Regulation Manager on 28 May 2008. At the visit we had an opportunity to speak with the acting manager, staff on duty and several residents. Due to the needs of the residents it was not possible to fully engage with all of them. We also toured the building and looked at a selection of records. At this inspection we noted significant improvements had been made. Prior to the site visit the manager sent to the Commission a selection of information about the service including an Annual Quality Assurance Assessment (referred to as ‘the assessment’ during the report), which has been used with other information to inform the various judgements made about the service. The home is registered to provide support for 20 people and at the time of the inspection there were 14 residents accommodated in the home. Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: There were 5 requirements made as a result of this visit and other points, which need to be addressed to help improve the service provided for residents are contained within the main body of the report. General observations were Although improvements to the care planning system have been made, more work is still required. Care plans must contain clear information for staff so that they are fully aware of what support residents require and they should Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 7 contain clear guidelines on how and when this support should be given. This will ensure that residents receive the care and support they require. The home currently administers insulin for one resident and also monitor blood glucose levels. In order for staff to carry out these tasks the home must ensure that staff receive appropriate training, with clear records that include evidence of competency. There must also be a clear protocol in place to ensure that relevant health care professionals are consulted and are in agreement with the homes practice in this area. The home is clean and tidy, however whilst touring the building we noticed odours in some areas and the home will need to monitor to prevent this becoming a problem. At the time of the visit the staffing levels were sufficient for the number of residents who are accommodated (14), however the provider will need to keep staffing levels under review if resident numbers increase, to ensure that there are sufficient staff on duty at all times to meet the needs of residents. Recruitment practices are generally satisfactory, however the reference request form that the home uses needs to be improved to provide sufficient space for them to be signed and dated and to allow room for additional comments. This will help to ensure that recruitment procedures are robust and protect residents. The homes health and safety procedures provide protection for staff and residents but during the visit we found no records of fire drills taking place. It is essential that regular fire drills are carried out so that residents and staff know the action they should take in the event of a fire. There were suitable certificates in place for the testing of equipment however we were not able to view an electrical wiring certificate for the homes fixed wiring and this will need to be obtained to evidence that the electrical wiring in the home is safe. 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. Abbeycroft Residential Care Home DS0000041730.V363516.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 Abbeycroft Residential Care Home DS0000041730.V363516.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 and 6 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that the care home can support them. This is because there would be an accurate assessment of their needs that they, or people close to them, have been involved in. This would tell the home all about them, what they hope for and want to achieve, and the support they need. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. EVIDENCE: At the last key inspection it was noted that the in house assessments carried out by the manager contained limited information, which in some sections amounted to one or two word responses to the questions posed. The assessments also bore no relation to peoples’ care plans and were therefore of Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 10 little use in decisions about their needs. A requirement was made to ensure improvements in this area. At this inspection the acting manager told us that a new pre-admission assessment tool had been produced. However, as there had been no new admissions to the home since the last inspection there had not been an opportunity to use it. We looked at the new documentation and noted it covered all areas of a person’s needs and could be used in the development of a plan of care for daily living. In discussions the acting manager showed a good understanding of the importance of a thorough pre-admission assessment in the process of choosing the right home. People who live at Abbeycroft tend to be long term. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. However, respite care is provided if there is a room available. Abbeycroft Residential Care Home DS0000041730.V363516.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 the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: At the last key inspection the care plans reviewed during the site visit were poorly maintained and failed to identify or address many of the basic needs of the people who use the service. As a result requirements were made in respect of care plans and risk assessments. At the random inspection In February it was noted that care plans and assessments had been updated and new formats were seen in use. At this site visit we noted significant improvements. We looked at a sample of four plans. The intention was to look at the outcomes for people who use the service in general by assessing all areas of care for those sampled. It was clear from our observations and discussions with the acting manager that a great deal of work has taken place to improve the care planning process Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 12 and the care plans seen were person centred and had information on physical health, behaviour, nutrition, mental awareness, heath care contacts, daily routines, contacts, social interests and they also contained a pen picture of the individual. Care plans were reviewed monthly and there were separate daily records, which gave details of what had taken place during the day. One care plan seen indicated that a resident displays behaviour which can challenge the service but there was no information on how this behaviour presents itself nor was there any information for staff on what action they should take to calm the situation. Another care plan stated that a person needed help with eating however the nutritional screening assessment did not identify that any help was required and this was confusing for staff. One resident’s plan indicated that they were at risk of falls in their room when accessing the commode and there was clear information on how this risk was managed and also details of any progress that was being made. Key workers, assist residents with appointments and help residents to gain any specific information they may need and help update their care plans, this ensures that residents receive the care they need. All residents are registered with a local GP surgery and staff at the home told us that they were fully aware of the need to monitor residents who may be vulnerable to pressure areas, they knew what they should do and what to look out for, they told us that if they saw any signs they would liaise with the District Nurse. One resident was noted as having a Urinary Tract Infection and the acting manager was arranging for the GP to visit. Medication records were seen and these were all completed with no gaps, there was clear information recorded for the non-administration of medication and medicines were stored appropriately. Medication is provided via a monitored dose system from a local pharmacist and there was a returns book, which gave details of any medication that was returned to the pharmacist. There was one handwritten entry for flucloxacillin but this medication had not been signed as checked when coming into the home. We were informed that new forms were being introduced to assist with auditing medication. One resident is diabetic and staff administer insulin, however there was no evidence that staff have been given appropriate training nor was there any evidence of staff competence to carry out this task. The home must liaise with the district nurse and other health care professionals to ensure staff are suitably training and deemed competent to administer insulin. Abbeycroft Residential Care Home DS0000041730.V363516.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 People who use the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service The home provides a range of activities for residents, which meet their expectations and their recreational needs are met. Residents are able to maintain contact with family and friends and visitors are welcome at any time. Residents are supported to exercise choice and control over their lives as much as possible and they are provided with a balanced diet in pleasant surroundings at time convenient to them. EVIDENCE: Activities at the home are displayed on the notice board and there is a four weekly rota of activities and these include: visiting entertainers, Bingo, exercise class, games, music and reminisance. Resident’s files also contained details of hobbies and interest. Staff compiles an activities log, which gives details of who participated in activities. One resident told us that they like to stay in their room and staff respected this choice. The home has a clear visitors policy and there are no set times, visitors sign in at the home and the visitors book is kept in the hallway, residents are able to see visitors in their own rooms, the dining room or lounge and also in the quiet room. Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 14 We observed staff supporting residents and they were consulted about life in the home. Staff were observed knocking on residents doors and waiting for an answer before entering rooms and staff used residents preferred form of address. The majority of residents had bought some of their own possessions into the home and rooms seen had been personalised. Residents spoken with were happy with the choice of food provided by the home. Comments received were “ the food is very good” and “its great everyday”. At present no residents require their food to be pureed and there is a choice of meals available. Residents’ mealtimes were unhurried and staff provided suitable support for those residents who required it. Food was seen to be well presented and residents told us that they are able to eat their meals in the dining room or elsewhere if they prefer. Abbeycroft Residential Care Home DS0000041730.V363516.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): People who use the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. The homes policies and procedures protect service users for any form of abuse. EVIDENCE: The home has a clear complaints procedure and a copy is displayed on the wall in the hall of the home, this gives clear information on the procedure to be followed, however the address for contacting the CSCI needs updating and the acting manager advised us that she would do this. The home keeps a record of all complaints and there have been 3 complaints to the home since the last key inspection, these had been appropriately recorded and responded to. Staff have received training on adult protection and POVA and the homes procedures meet local guidelines. Staff spoken to were aware of their responsibilities in this area and knew what to do should they suspect any form of abuse had taken place and knew that any incidents should be reported immediately. Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 16 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): People who use the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a safe and well-maintained environment and have access to comfortable indoor and outdoor facilities. Resident’s have the specialist equipment they require to maximise their independence and the home was generally clean, pleasant and hygienic, however there were some odours in certain areas of the home. EVIDENCE: We had a look around the home during the visit and all areas of the home were clean and tidy and furniture was in a good state of repair. The lounge had new furniture and there was a pleasant quiet room, which has recently been decorated. There is a rear garden with small steps up to a patio area. There is a stair lift to the fist floor and residents spoken with said they were happy at the home. There is now a full time cleaner employed at the home who keeps the home clean and tidy, however whilst touring the building we noticed odours in some Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 17 areas and the home needs to keep on top of this to prevent this becoming a problem. The home has a laundry, which provides a full laundry service for residents and staff have received training on infection control. Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 18 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 People who use the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a mix of staff that has a range of skills and there were sufficient numbers of staff on duty to meet the needs of the current number of residents, however staffing levels need to be kept under review. The homes recruitment policy and practice generally supports and protects residents, however more attention is required with recruitment checks for staff. Residents benefit from a staff team that has had sufficient training to meet their needs. EVIDENCE: The homes staff rota was examined and this showed that the home provides 2 staff member on duty throughout the day and these are in addition to the manager. At night there are 2 carers awake throughout the night. In addition to care staff there is domestic and maintenance staff. We discussed staffing numbers with the homes assistant manager and at present staffing levels were sufficient for the current number of residents, however the provider will need to keep staffing levels under review if resident numbers increase, to ensure that there are sufficient staff on duty at all times to meet the needs of residents. The home currently employs a total of nine care staff and of these nine, seven have completed NVQ2 with the other 2 looking to complete this qualification. Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 19 Recruitment records were seen for 3 members of staff and these contained Criminal Record Bureau(CRB) and Protection of Vulnerable Adult(POVA) checks, application form and 2 x references. Although recruitment checks were carried out it was noticed that on one file the written reference from one employer was not signed or dated, another file did not contain any proof of identification and there was an incomplete working history. The reference request form needs to be improved to provide sufficient space for them to be signed and dated and to allow room for additional comments. Training records showed that staff have received training in POVA, first aid, health and safety, infection control and medication, staff also had NVQ training. The homes induction procedure could be improved by bringing it in line with “skills for care” guide lines and it was noted that several of the induction tasks were ticked off on the same day. We were informed by the assistant manager that the home has an ongoing training programme for staff. Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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 People who use the service experience Adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. In general the acting manager of the service provides effective management of the home and it is run in the resident’s best interests, however there are areas for improvement. The financial interests of residents are protected by the homes policies and procedures and the health, safety and welfare of residents and staff are generally promoted and protected, however the home needs to ensure that fire drills are carried out within the specified timescales and the home must obtain an in date certificate for the homes fixed electrical wiring. EVIDENCE: The acting manager has been in post since February 2008 and is not yet registered with the CSCI but she informed us that she has forwarded an application to be registered. She is currently being supported in her role by 2 other managers in the homes group. Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 21 The home has a quality control system in place to monitor standards and the home receives regular regulation 26 visits. Feedback is obtained from GPs and district nurses, visitors surveys and residents and staff meetings. The home has a development plan to move the service forward. We were informed by the acting manager that the home has no involvement with the management or administration of resident’s finances and they do not hold any monies on behalf of residents. The home can provide a secure facility for residents on request. The fire logbook was up to date and all relevant testing is carried out within the specified timescales. However we found no records of fire drills taking place and we were not able to view an electrical wiring certificate for the homes fixed wiring. Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 23 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 (1) Requirement To ensure that the care needs of residents are met care plans must provide clear information so staff have all the details they require to ensure that each individual service users needs in respect of his/her care and welfare can be met. The registered person must ensure that staff have a clear protocol with regard to the administration of insulin injections and they must receive appropriate training in order for them to carry out this task. So as to fully protect residents, the recruitment checks for new staff must ensure that all relevant documentation is obtained and kept at the home as laid down in Schedule 2 of the Care Home Regulations. To ensure that residents and staff are protected the home must obtain an in date certificate for the homes fixed electrical wiring. To provide protection for staff and residents the home must DS0000041730.V363516.R01.S.doc Timescale for action 30/08/08 2 OP9 13(2) 30/08/08 3 OP29 19 and Schedule 2 30/07/08 4 OP38 23(4) 30/08/08 5 OP38 13(4) 30/07/08 Abbeycroft Residential Care Home Version 5.2 Page 24 ensure that fire drills are carried out within the specified timescales 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 Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 25 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 Abbeycroft Residential Care Home DS0000041730.V363516.R01.S.doc Version 5.2 Page 26 - 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!