Inspection on 12/07/07 for Airedale Residential Care Home

This inspection was carried out on 12th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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.

Other inspections for this house

Airedale Residential Care Home 03/07/08

Airedale Residential Care Home 31/01/07

Airedale Residential Care Home 14/12/05

Airedale Residential Care Home 20/05/05

Airedale Residential Care Home 03/02/05

Airedale Residential Care Home 24/06/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Airedale Residential Care Home Church Lane Pudsey Leeds West Yorkshire LS28 7RF Lead Inspector Catherine Paling Key Unannounced Inspection 09:25 12th July 2007 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 Airedale Residential Care Home DS0000001408.V335790.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. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Airedale Residential Care Home Address Church Lane Pudsey Leeds West Yorkshire LS28 7RF 0113 257 2138 0113 236 3935 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) www.bupa.co.uk BUPA Care Homes (GL) Ltd vacant post Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (1) of places Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The place for PD is specifically for the service user referred to in the application dated 7 December 2005 31st January 2007 Date of last inspection Brief Description of the Service: Airedale Residential Home is a former vicarage situated between a park and the church grounds in the small town of Pudsey on the outskirts of Leeds. It is accessible by public transport and is close to a whole range of good local amenities. Although the home does not have its own garden residents are able to sit out on paved areas overlooking the attractive park gardens. The home is registered for forty places to provide personal care for older people. Nursing care is not provided. Accommodation is provided over three floors. There are thirty-six rooms with four shared rooms. Twenty-one have en-suite facilities. There are a number of shared communal sanitary facilities situated around the home. Every room is equipped with a staff call system. There is a passenger lift to access the majority of the areas and a stair lift to access one area. Written information about the home is available in the form of a statement of purpose and a brochure. A copy of the most recent inspection report and other useful information was also available in the entrance area. The current range of charges is from £409.22 to £612.15 per week. Additional charges are made for chiropody, hairdressing, toiletries, and newspapers and for escorts. This information was provided during the inspection of July 2007. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) inspects homes at a frequency determined by how the home has been risk assessed. The inspection process is a cycle of activity rather than a series of one-off events. This means that although a report will be produced annually for each home a site visit will not always have been carried out. The key inspection is a major evaluation of the quality of a service and any risk it might present. It focuses on the outcomes for the people using it. All of the core National Minimum Standards are assessed and this forms the evidence of the outcomes experienced by the people who live at the home. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk This visit was unannounced and one inspector was at the home from 09.25 until 17.15 on 12th July 2007. The purpose of the inspection was to make sure the home was operating and being managed for the benefit and well being of the people who live at the home and in accordance with requirements. Before the inspection accumulated evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. This information was used to plan the inspection visit. A number of documents were looked at during the visit and all areas of the home used by the people who lived there were visited. A good proportion of time was spent talking with the people at the home as well as with the manager and the staff. An Annual Quality Assurance Assessment (AQAA) had been completed by the home before the visit to provide additional information. This is a selfassessment of the service provided. Survey forms were sent to the home prior to the inspection for the manager to distribute providing the opportunity for people at the home; visitors and healthcare professionals visiting the home to comment, if they wish. Information provided in this way may be shared with the provider but the source will not be identified. A small number of surveys were returned and positive comments were made about the service. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? A permanent manager has been appointed who has provided stability at the home for both the people who live there and the staff. The new manager comes from a training background and is a qualified trainer. People living at the home said clearly that ‘things are improving’ and staff said that they felt that the home was ‘the best it’s ever been’. There is a programme of training and staff have now have adult protection training. The manager has worked with other agencies in the reassessment of some people whose needs could no longer be met at the home and these people have now been moved to more suitable accommodation. The pre-admission process has improved to prevent this situation arising again. People are now encouraged to visit the home as part of the admission process to help them make up their mind about whether they want to move into the home. Individual care records have improved in that the information about care needs was easier to find. The management of the laundry has improved and although there is still a need for clothes to hang outside the laundry this is done in a more suitable way. There has been some redecoration of some areas of the home. The majority of requirements and recommendations made at the previous inspection have been addressed. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 7 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. Airedale Residential Care Home DS0000001408.V335790.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 Airedale Residential Care Home DS0000001408.V335790.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. (Standard 6 does not apply to this service) People who use the service experience good quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. People have enough information to be able to make a decision about moving into the home. The admission process is good and includes introductory visits wherever possible. EVIDENCE: Everyone who is thinking of moving into the home has a pre-admission assessment carried out by the manager. This is a thorough process and now includes an invitation to spend some time at the home. This gives the staff more information about the needs of the person and also allows the person to make a more informed decision about whether they want to move into the home. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 10 Since the last inspection a great deal of work has taken place in the reassessment of peoples needs and those whose needs could not be met at the home have been helped to find more suitable accommodation. The new manager is clear about what care needs can be met and people moving in can be confident that they will be properly looked after. Airedale Residential Care Home DS0000001408.V335790.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 judgment using available evidence including a visit to this service. The health and personal care needs of the people living at the home are met. There was some good detail within care records but the lack of evaluation and review provided the opportunity for some care needs to be overlooked. People living at the home are protected by safe medication practices. The staff respect the privacy and dignity of the people living at the home. EVIDENCE: The care of three people was case tracked and this included looking at their individual case records. Several other people were also spoken with about their care at the home. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 12 Since the new manager started working at the home he has worked hard with the staff in reviewing the individual case files. This was to make sure that there was enough information for the staff to know how to care for the people at the home. The information in the files was easier to access and up to date care plans were in place. Although the information was brief there was some good specific personal detail included. For example, ‘prefers to wear jogging bottoms as he can’t fasten buttons’. In other cases the information was sketchy. For example, ‘will require assistance with washing and also with a bath once a week’ and ‘requires assistance with dressing and undressing’, ‘ensure that she receives assistance from any one member of the care team each day’. This information does not tell staff exactly what help and support is needed, what the person can do and what they need help with. In another case the care plan showed an attempt at writing the plan from a more ‘person centred’ point of view. For example, ‘I like to have a bath once a week with the help of one care assistant. I wash myself on a daily basis independently’. There was a good communication plan in this case documenting clearly that the person did not like to wear their hearing aid and how they could manage to understand if someone faced them directly when they spoke with them. Night care plans contained good information about preferred times to go to bed and get up, if the person preferred a light on and whether they wanted staff to come in and check on them in the night. Daily records are made but these were not detailed and contained little useful information in some cases. The daily records did not give information about the condition and well being of the person. There was evidence that the care plans were being reviewed on a monthly basis. As was discussed with the manager during the visit the reviews need to be more detailed and should be a proper evaluation of the effectiveness of the plan over the previous month. That is, what has worked well, what may not have worked and what has changed using the care plan and the daily records over the month. The lack of detail in the care plans and daily records makes meaningful evaluation difficult. There is a whole range of risk assessments in place both for specific individual risk and for ‘Safe systems of working’ providing staff with information on how to manage the identified risk. Where there were manual handling risks there was clear guidance on the numbers of staff needed and equipment to be used. The company are introducing a new format for individual records on a rolling programme to all their homes. The training for this is to start at the home at the end of July. The system will be in place by the end of August. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 13 Despite the changes in management there is a core group of staff who have worked at the home for a number of years and they know the people living at the home very well. All the people spoken with said that the staff knew how to look after them. There is a strong ethos of respect for privacy and dignity at the home and through company training. This was evident when observing interactions between staff and the people at the home. There were clear records of the visits of other healthcare professionals such as the general practitioner (GP) and specialist nurses. The manager completed audits for each member of staff regarding medication practices. This helped review staff knowledge and identify any shortfalls. The manager has arranged for distance learning training packages for all the staff from the local pharmacist. This training is accredited and will be assessed by the pharmacist. Medication practices were safe and the medication administration records (MAR) were up to date with codes used appropriately for any omissions. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. People who live at the home are able to exercise choice in their daily routines and their social and cultural expectations are met. People living at the home are provided with a varied and nutritious diet. EVIDENCE: People are encouraged to spend their time how they want and they choose when they get up and go to bed. People seemed content chatting with each other and some receive their own daily newspaper. There were several visitors to the home who were made welcome. People are encouraged to go out with their families. The home overlooks the park and in the summer people enjoy listening to the regular brass band concerts. The July activities programme was displayed on the notice board in the hall. The range of activities included bingo, crafts and dominoes, keep fit and a quiz. At the time of this visit people were busy knitting dishcloths for the Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 15 Summer Fair. The activities committee, involving the activities organiser and some of the residents, has been re-established to meet on a monthly basis. A newsletter is produced to publicise the available activities. Not all the people at the home were aware of the meetings. People living at the home are supported in maintaining community links and if unable to go out to church services arrangements are made for clergy to visit. The kitchen is staffed from 07.30 until 17.30 over seven days meaning that care staff do not have to spend any time in the kitchen. The menus have been reviewed and a ‘Nite bite’ menu has been introduced which means there are snacks available overnight should anybody be hungry. The manager was aware that people needed to be encouraged to use this service. The lunchtime meal looked and smelt appetising and people seemed to enjoy it. Portion sizes were generous and were served as to people’s individual preferences. People were able to eat at their own pace. The majority of people had their lunch in the dinning room where the tables were attractively set with hot and cold drinks available. There were some mixed comments made about the variety of food served. These comments were shared with the manager. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. There is a clear complaints procedure available to people at the home. The people who live at the home feel confident that they will be listened to and can be assured that action will be taken when necessary. There are robust adult protection procedures and staff have received training. People can be assured that they are safe at the home. EVIDENCE: The complaints procedure is clearly displayed in the entrance area of the home. There are also leaflets available about how to make a complaint. The ‘Welcome packs’ seen in bedrooms also include information about how to complain. Eleven complaints have been received at the home since the last inspection and ten were substantiated. A log is kept of all the complaints received at the home and this showed that complaints are taken seriously and are dealt with in an open and constructive way. There have not been any complaints since April. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 17 Since the last inspection the vast majority of the staff have received training in safeguarding vulnerable adults. New staff are given the training when they start work at the home. Further training sessions have been arranged for November 2007. The manager and the staff are clear about their responsibilities to the people living at the home. The manager has had training about the Mental Capacity Act and has planned to cascade this training to staff in August 2007. People at the home were confident about discussing any concerns with the staff and feel that they are listened to. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 18 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 and 26. People who use the service experience adequate quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. The environment was clean and odour free. Redecoration and refurbishment is needed to make sure that people live in a pleasant and well maintained environment. EVIDENCE: Since the last visit work has been done on the environment to improve the decoration with some communal areas and a small number of bedrooms have been decorated. The home is in need of redecoration and refurbishment and there are plans for this to be done. Some bedroom doors were not effectively closing and the intumescent strips were coming unfastened in some cases or were missing, creating a risk in the Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 19 event of a fire. The manager was asked to arrange for all the doors to be checked. The laundry is situated on the second floor adjacent to the lift and is housed in two small rooms on either side of the corridor leading to people’s bedrooms. Due to the limited space there continues to be the need to have clothes on the corridor near to the lift. These are now hung appropriately on a clothes rail designed for the purpose. The manager has identified training in infection control as a priority, as only a small number of staff have had this training. All areas visited were clean and there were no odours. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. The number and skill mix of staff is sufficient to meet the needs of the people living at the home. People living at the home are protected by robust staff recruitment procedures. Staff are well trained and competent to meet the needs of the people living at the home. EVIDENCE: The duty rotas indicated that there are enough staff to meet the needs of the people living at the home. The care staff are supported in their role by a team of ancillary staff over the full seven day period. Although there have been a number of managers in recent months and there have been some staff changes, there is a core team of care staff who have continued to provide continuity for the people at the home. Some training has already taken place and much more is planned to make sure that staff are knowledgeable and competent to meet the needs of the people at the home. The training provision for staff is much improved since the previous inspection. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 21 Two recruitment files were looked at of recently employed staff and all the required checks are carried out before staff start work at the home. There were records of interview and copies of letters confirming the job offer. Copies of staff terms and conditions were also seen on the files. New members of staff undergo the BUPA induction programme, which takes place at another BUPA home. It is the manager’s intention that all the care staff will complete the induction and foundation courses as preparation for the National Vocational Qualification (NVQ) in care at level 2. The home has yet to achieve 50 of care staff with NVQ level 2. The new manager has been in post for only a few weeks but has already provided stability for the staff. One member of staff, who had worked at the home for a number of years, said that working at the home ‘was the best its ever been’ and that she was again happy to come to work each day. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 22 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. People who use the service experience adequate quality outcomes in this area. We have made this judgment using available evidence including a visit to this service. The home is well managed. The interests of the people who live there are seen as very important to the manager and her staff and are safeguarded at all times. EVIDENCE: The manager, Mike Andrew, has only been in post for a short time and has already provided stability at the home for the staff and for the people living there. He has an NVQ at level 4 in the management of care and is to undertake the Registered Managers Award. His formal induction as a manager Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 23 with BUPA is booked for the end of July 2007. He is a professional trainer registered with the Chartered Institute of Environmental Health and is committed to making sure that the staff are properly trained to fulfil their role. His application to be registered with the CSCI is being processed by the regional registration team. Since taking up post the manager has carried out a full audit of the services and facilities at the home to help him prioritise his approach to addressing shortfalls identified at the previous inspection and improving the service. Customer satisfaction surveys are due to be sent out in September. The manager was not clear whether surveys were sent out or not last year. The manager has given priority to reconvening health and safety meetings at the home. Notes of the meeting were available. Regular staff meetings are yet to be established, as are formal meetings with relatives. The people living at the home have a monthly meeting to discuss and plan activities and outings as well as taking the opportunity to raise any other concerns or issues. Notes of this meeting are circulated in the ‘Airedale Chronicle’, which also includes the monthly activities programme. Not all the people at the home were aware of these meetings. The manager agreed that he would review how these are publicised to make sure that people were able to attend if they wanted to. There are safe systems in place for handling people’s money at the home. Records are kept of all transactions and receipts are kept. Records are kept of accidents involving people living at the home. The manager has identified that the current way of handling the information means that he does not have an overview of the frequency or causes of accidents to help him identify any issues or trends. He intends to address this as one of his priorities. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 23(4) Requirement Timescale for action 31/08/07 2 OP28 18 The manager must make sure that all doors effectively close and that intumescent door strips are correctly fitted, in the interests of fire safety. This is so that the people living at the home are not put at risk. NVQ training must continue for 03/12/07 care staff to ensure that the target of 50 trained members of care staff is reached by the end of 2007. This is to make sure that people are looked after by trained and competent staff. 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 Refer to Standard OP7 Good Practice Recommendations The manager should continue to work with staff to make sure that the care plans contain enough detail so that staff know how to look after people properly. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 26 2 3 4 OP19 OP26 OP33 The manager should also make sure that records contain evidence of the care provided. The redecoration and refurbishment of the building should continue to make sure that people live in a comfortable and well maintained environment. The manager should make sure that all staff receive training in infection control to protect the people living at the home from the risk of infection. The manager should continue to develop the quality assurance procedures making sure that those people who use the service and other interested parties are consulted and involved. Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Airedale Residential Care Home DS0000001408.V335790.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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