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Inspection on 05/12/06 for Abbeydale Residential Home

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

This inspection was carried out on 5th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 new members of staff employed at Abbeydale are friendly and welcoming to anyone visiting the home. The employees have also developed good working relationships with the residents living there, treating them with respect and kindness. A varied programme of activities is arranged for the residents; these events are much appreciated and enjoyed by the people living in this home. A good standard and variety of food is served at Abbeydale There is also a good focus on quality improvement with any identified issues addressed appropriately.

What has improved since the last inspection?

This is the first inspection of this home under the new ownership. Considerable progress has already been achieved in improving the care processes, staffing issues and general management at Abbeydale. Residents strongly confirmed that they were very comfortable with the new regime at their home.

What the care home could do better:

Detailed assessments and fully documented care plans must be prepared for each resident to ensure that all members of staff have clear guidance on the care that is required. Some improvements in medication management are also required although, on the whole, these are addressed well. Improvements must be made in the recruitment processes and additional staff training needs must be addressed as soon as can be arranged. Ongoing work on the hot water systems must be completed to ensure the safety of the residents.

CARE HOMES FOR OLDER PEOPLE Abbeydale Residential Home 281 Gloucester Road Cheltenham Glos GL51 7AD Lead Inspector Mrs Eleanor Fox Key Unannounced Inspection 5th December 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Abbeydale Residential Home DS0000067444.V318614.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. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeydale Residential Home Address 281 Gloucester Road Cheltenham Glos GL51 7AD 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) 01242 525107 Charlton Care Ltd To be appointed Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Abbeydale is an adapted older property situated in the residential area of St Marks, within easy reach of local shops and the railway station. The Home is also on a bus route to Cheltenham town centre. Ownership of this home changed in July 2006 when Charlton Care Ltd purchased the business. The Commission for Social Care Inspection is currently processing an application for Registered Manager. Single accommodation for eleven elderly service users, who require personal care, is provided on two floors, accessed by a stair lift. All the bedrooms are pleasantly decorated comfortably furnished and have en-suite facilities. Communal facilities are provided on the ground floor and consist of a comfortable lounge and a large conservatory, which is used as a dining room. The attractive well maintained garden has easy access and may be enjoyed by the service users during the summer months. Current fees range from £349 to £600. Prices for hairdressing, chiropody and any personal items are available on request. A copy of the most recent CSCI report is contained in an information folder located in the main hall of the home. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the home and takes into account the views and experiences of people using the service. One inspector undertook the first unannounced inspection of Abbeydale under the new ownership over two days in December 2006. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide, the statement of terms and conditions (also known as contract of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people receive about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. During the visit, the inspector chose the care of four of the residents for particular scrutiny. She spoke to each of these people and in two cases a relative, read their care records, visited their bedrooms and, where possible, observed their interaction with members of staff. The inspector read selected personnel and recruitment records, walked around the property and observed the service of a mid day meal during her visit. She also spoke with some of the staff who were on duty on these days. Finally, she had the opportunity to talk to the acting Manager and to his deputy, particularly in relation to general management issues. Both were open and most cooperative in providing information as requested. CSCI surveys were distributed to residents, relatives and members of staff working at the home. One was returned from a resident; unfortunately no completed surveys were received from staff but seven comment cards were sent in from relatives and advocates. Many of their comments and opinions are reflected in the content of this report. Abbeydale Residential Home DS0000067444.V318614.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: 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. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 7 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 Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 8 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, 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory assessment process plus the provision of detailed information and an invitation to visit the property, enables prospective residents to make an informed decision regarding their admission and gives them assurance that their needs will be met. EVIDENCE: The new owner has fully reviewed the home’s Statement of Purpose and Service User Guide to reflect the recent changes at Abbeydale. The details are clearly recorded and provided to each new resident at the home. People who were consulted as part of the case tracking exercise confirmed that they had been given the documents and one person commented how helpful the information had been. A copy of this information is also contained in a file, which is maintained in the front hall of the home. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 9 Each prospective resident or their advocate is provided with the terms and conditions for admission to the home. Evidence of this was seen in the personal files and confirmed by those consulted on the matter. However, further precise details about costs must be provided, particularly in relation to any additional services. This has been discussed with the acting manager and will now be addressed. A senior member of staff normally assesses each prospective resident prior to admission to Abbeydale to ensure that the home can meet their needs. One resident described how the initial meeting with the acting manager had progressed. At present only very limited details about the process are recorded, giving staff at the home insufficient information about the prospective resident. This will now be rectified. The home does also have the benefit of any Social Services Assessments or reports supplied by any individuals previously responsible for providing care to the prospective resident. These are filed in the care records. When possible prospective residents spend a few hours in the home to meet everyone there and to see all the facilities prior to their admission. One described the visit, she commented, “The staff were very welcoming and reassuring.” Intermediate care is not provided at this home. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The care planning systems in place do not fully provide the staff with the information they require to care for all the residents’ needs. However residents do receive appropriate care. Improvements are also required in the management of medication systems to ensure that residents are not put at any risk of potential errors. Residents are treated with courtesy and respect. EVIDENCE: Typewritten care plans are prepared for each resident; when completed the details are checked and agreed with the resident and/or advocate. The records are maintained in a locked desk in the home. The care records relating to the four selected residents were read in detail on this visit. It was evident that the plans are reviewed and updated once a month although these must be dated and signed on completion. Currently previous care plan documents are discarded but the registered person is reminded that the Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 11 records must be retained for not less than 3 years from the date of the last entry. Care plans are developed on the basis of an assessment of care needs. However, some of these are limited and require more detail on specific needs; others provide very clear instruction to the carers. One person suffered from anxiety and had mobility difficulties; another was at risk of developing pressure sores. There were no plans to address these needs. Risk assessments had been completed but these also required more detail to provide adequate advice for the staff. These shortcomings were discussed with the acting manager and will now be addressed. The records did show that residents receive timely care and support from other healthcare professionals as required. Details of any care provided by community nurses and general practitioners were clearly recorded. The residents in this home now receive regular chiropody. The medication administration systems relating to the four selected residents were scrutinised on this occasion. Medication storage and the management of controlled drugs were also observed. Medications are now maintained in a mobile trolley, which is located in a secure cupboard on the ground floor. A dedicated lockable refrigerator has also been provided. A fixed medication storage cabinet has been sourced for Abbeydale; this must now be installed as a matter of urgency. Photographs are provided for each resident to assist identification Drugs, including controlled medications, were administered correctly. It was confirmed that only those members of staff who have undertaken formal medication administration training take responsibility for these processes. It was observed that the medication reference book provided for staff is now out of date and should be replaced. Throughout both days of the inspection, members of staff were observed and overheard addressing the residents in a respectful but friendly and encouraging fashion. All personal care appeared to be given behind closed doors. Carers were also observed knocking on doors prior to entering bedrooms. One relative wrote, “Residents are treated with respect, dignity and good humour”. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good opportunities are provided for varied and stimulating activities to occupy the residents and thus improve their quality of life. Residents are facilitated to maintain any links they wish with family, friends and the local community, thus adding interest to their lives through social contact. The meals are nutritious and balanced, offering a good choice and variety to the residents. EVIDENCE: There is a most evident improvement in the lifestyles of people living at this home. Discussions with the residents revealed that they now have freedom to spend their days how and where they choose within their own capabilities. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 13 A very varied programme of activities is arranged; including visits from external entertainers and trips out to places of interest. One person described a recent visit to the Cotswolds, which she had particularly enjoyed. This resident also strongly confirmed how much happier she been at Abbeydale since the new owners had taken over. As there are a number of people with short-term memory loss, it is recommended that particular activities to suit the special needs of these people should be developed. Some possible suggestions were discussed during the inspection. Families and friends are welcome to visit the home whenever the residents wish to see them. They are also invited to special events at Abbeydale; a Christmas celebration was being planned for later in the month. Staff have developed a good rapport with the relatives, they were heard to welcome them in a friendly relaxed manner. All the people who responded to the questionnaires or spoke to the inspector were most positive about the home, making comments such as, “ I cannot speak highly enough of the care and friendship of the staff.” And “My Mother really enjoys the stimulating activities, trips and entertainment.” Residents were observed exercising choice in a variety of ways particularly in relation to their food, and how they spent their day. Residents’ signatures on care records showed that they had had sight of and input into care plans, which had been written about them. A resident commented that, “Abbeydale is the next best thing to home. The staff are like a new family”. The service of the mid day meal was observed on this visit. The majority of residents sat in the dining room with a few preferring to remain in their bedrooms. Observation of the meal and the records showed that residents receive a good standard and variety of food; alternatives are served if requested. Everyone was given the chance to eat his or her meal in a relaxed unhurried manner. The majority of those questioned enjoyed the food served although one person did say that she would prefer more salt in her food; however she is able to add salt to her meals when she wishes. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints system enables residents and their families to feel assured that their views would be listened to and acted upon. Residents are offered a good level of protection against abuse. EVIDENCE: The home has developed a Complaints Procedure, the details of which are provided in the front hall of the home and in the Service User Guide. No formal complaints have been received in the home in recent months but arrangements are in place to record these if necessary. On questioning one person commented, “I have had no need to make any complaints. Everyone is so helpful, I rarely have any problems.” All the relatives who responded to the questionnaires confirmed that they were aware of the processes to follow if they needed to. There are policies and procedures in place to address all forms of abuse. Employees working in the home have signed to say that they have read these documents. It was observed, however, that the ‘Whistle Blowing’ policy requires review as it still refers to ‘NCSC’. 50 of the staff have now had formal training on abuse issues; the remaining members will be booked to attend the course in the next few months when places are available. POVA (Protection of Vulnerable Adults) legislation is correctly followed at Abbeydale. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 15 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, 24, and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a good standard of clean, warm and comfortable accommodation. EVIDENCE: During a walk around the building, it was observed that the whole home was clean and fresh. The entire property was decorated and furnished to a good standard. An additional stair lift has now been provided and a stronger support rail installed on the upper staircase. The small enclosed garden remains well maintained and continues to provide an attractive feature for the home Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 16 A visit was made to the bedroom of each person who had been selected for case tracking. All the rooms had been personalised with photographs and treasured possessions. Each had the benefit of en suite facilities. One person did identify that his en suite toilet had been faulty for “a few days”. This was referred to the acting manager for attention. The laundry room on the ground floor was reasonably tidy and well organised; carers take responsibility for laundry duties; members of staff observe strict infection control protocols. It was noted that residents’ personal clothing was ironed prior to return to each person’s bedroom. It is recommended that disposable paper towels and liquid soap be provided in all the communal toilets to promote good hygiene practice. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents receive care from a stable workforce but improved recruitment and additional staff training would help to ensure residents are fully protected. EVIDENCE: On the first day of the inspection there were eleven residents living in the home. The deputy manager and a carer were on duty to look after the residents. There was also a cleaner working that day and the acting manager returned to the home later that morning. Two carers were scheduled to be on duty in the evening with two carers also working overnight. Everyone who responded to the questionnaires or spoke to the inspector felt that there was now an adequate number of staff on duty to care for the residents at all times. Of the six care staff employed at the home, one has already achieved a National Vocational Qualification, (NVQ) Level 3 in Care and a further three people, are about to commence the course. The home is working well to achieving the standard that at least 50 of care staff should be trained to NVQ, Level 2 or equivalent. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 18 Following the change in ownership, the home has been successful in recruiting six new members of staff; their personnel files were seen on this occasion. In each instance, the prospective employee had completed an application form although not always providing details of his or her employment history; records had been made of the interview processes, albeit very brief in some cases; and correct POVA (Protection of Vulnerable Adults) and CRB (Criminal Record Bureau) screening had been completed for each person. Two written references had been provided for the applicants but in one case, no reference had been obtained from the most recent employer where the person had been working as a carer. There were written records for only some of the staff that they had completed full induction to their roles. These anomalies were identified for urgent attention. Arrangements are being made to ensure that each member of staff attends mandatory and appropriate additional training to undertake their duties. The records showed that good progress is being made to ensure that this programme is completed. This is particularly commendable given the difficulties in releasing staff from a small care team. However, it was concerning to see that there were carers working in the home who had not yet had any training in correct manual handling techniques; this issue must be addressed as a matter of urgency. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 19 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, and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are management systems in place to ensure that the financial interests, and the health, safety and welfare of people using the service are safeguarded; some minor improvements would be of benefit to the home. There is an evident commitment in the Home to improve the services for the benefit of the residents living there. EVIDENCE: The Commission for Social Care Inspection is currently processing the acting manager’s application to be Registered Manager of Abbeydale. He has good experience in the care of elderly people; has completed the Registered Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 20 Manager’s Award (RMA) and is now studying for a National Vocational Qualification, Level 4 in Care. The new owner and acting manager have shown commitment in improving the quality of the service given to the residents. This is clearly evident in the documented ‘Aims and Objectives’ of the home. Questionnaires were circulated to residents’ families in the autumn to elicit their views about the home. Completed surveys were shown to the inspector and evidence seen that any issues arising were addressed in a timely fashion. Residents or relatives meetings have not yet commenced but the acting manager appears to have established good relationships with both groups and gets regular feedback on their views. At the current time, none of the residents have requested that the Manager looks after their personal monies. There were records to show that residents’ status in relation to ‘Power of Attorney’ is ascertained on admission. Records were provided to show that statutory maintenance/inspection of equipment and services is arranged in a timely fashion. Where faults are identified, these are rectified as necessary. Ongoing work is being undertaken to ensure that the hot water systems are correctly controlled. Water temperatures are not yet checked at outlets on a monthly basis; this practice should now be introduced. The home was able to demonstrate that the hot water systems have been tested for Legionella. An Environmental Health Inspection was undertaken in August; most of the issues have been fully addressed or are in the process of being rectified. Fire prevention training is addressed well. The fire alarms were unexpectedly activated during the inspection and each member of staff carried out their duties correctly, ensuring that all the residents were fully reassured during the incident. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 21 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 2 2 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 x x x x 2 x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 22 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 OP2 Regulation 5A (2) Requirement Each resident or advocate must be provided with specific information about the fees charged. This must also include any additional costs. The care needs of each resident must be fully assessed and a record made of the processes. Care records must be retained in the home for not less than three years from the date of the last entry. Care plans must be provided to address residents’ care needs, particularly in relation to pressure relief, maintaining a safe environment and emotional needs. Any identified risks to residents, particularly in relation to mobility and pressure area care, must be clearly recorded. Controlled drugs must be stored safely. The remaining staff must undertake training on Abuse issues and must display an understanding of these issues. The ‘Whistle blowing’ policy must DS0000067444.V318614.R01.S.doc Timescale for action 31/01/07 2 3 OP3 OP7 14 (1)(b) 17 (4) 31/01/07 31/12/06 4 OP7 15 (1) and (2) 31/12/06 5 OP7 13 (4) (c) 31/12/06 6 7 OP9 OP18 13(2) 13 (6) 31/12/06 31/01/07 Abbeydale Residential Home Version 5.2 Page 23 8 9 OP24 OP29 23 (2) (j) Schedule 2.6 Schedule 2.3 Schedule 4.6 (g) 10 OP30 18 (1) (c) be reviewed and updated to reflect current information. Repairs must be made to the 31/12/06 faulty toilet identified during the inspection 31/12/06 Correct recruitment processes must be followed at the home, particularly that 1. Each applicant must provide a full employment history with a satisfactory written explanation for any gaps in employment 2. A reference must be obtained that relates to the applicant’s last period of employment, which involved work with vulnerable adults. 3. A record must be kept of induction training Care staff must receive training in manual handling techniques as part of their induction. This training must be updated on an annual basis. The hot water temperatures at outlets must be maintained at safe levels. 31/01/07 11 OP38 13(4) & 23(2j) 31/01/07 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 Refer to Standard OP7 OP9 OP12 Good Practice Recommendations It is recommended that all reviews of care plans and risk assessment should be signed and clearly dated A recent edition of the British National Formulary should be provided for staff reference. It is recommended that activities to suit the special needs DS0000067444.V318614.R01.S.doc Version 5.2 Page 24 Abbeydale Residential Home 4 5 6 7 OP26 OP28 OP29 OP38 of the residents suffering from short term memory loss should be developed. It is recommended that disposable paper towels and liquid soap be provided in the communal toilets to promote good hygiene practice. It is recommended that at least 50 of care staff should be trained to NVQ, level 2 or equivalent. It is recommended that a written record should be maintained of the interview processes. Hot water temperatures should be checked at outlets on a regular basis. Abbeydale Residential Home DS0000067444.V318614.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Abbeydale Residential Home DS0000067444.V318614.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!