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Inspection on 31/01/07 for Airedale Residential Care Home

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

This inspection was carried out on 31st January 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

There is a good range of information available to residents and their relatives about the home. The care staff team have worked at the home for a number of years and know the residents very well; they are welcoming and have a good rapport with the residents and their families. Information in care records shows that staff do understand person centred care.

What has improved since the last inspection?

The kitchen has been refurbished. The staffing levels in the kitchen have improved and the kitchen is staffed from 07.30 until 17.30. Improvements at the home have been limited as the registered manager resigned in 2006. A temporary manager has been at the home and has identified a number of issues that she has had to sort out to improve the service and facilities at the home.

What the care home could do better:

The provider must make sure that there is effective management at the home to provide good leadership and direction for the staff. The provider needs to make sure that residents have their needs re-assessed to make sure that those residents at the home are within the home`s registration category. Care plans need to be reviewed and updated on a monthly basis and must contain sufficient detail to help staff properly care for the residents. Risk assessments must be carried out for residents Staff must have the training they need to properly care for the residents. Staff must have formal supervision to help support them in their role. The provider needs to consider refurbishment of the home and this should include the re-provision of the laundry in a more suitable area of the home. A number of requirements and recommendations have been made and appear at the end of the report.

CARE HOMES FOR OLDER PEOPLE Airedale Residential Care Home Church Lane Pudsey Leeds West Yorkshire LS28 7RF Lead Inspector Catherine Paling Key Unannounced Inspection 09:30 31st January 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.V326049.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.V326049.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 Post Vacant 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.V326049.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 14th December 2005 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 only 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 made available. The current range of charges is from £396.15 to £600 per week. Additional charges are made for chiropody, hairdressing, toiletries, and newspapers and for escorts. This information was provided in January 2007 as part of the preinspection information requested in advance of this inspection. Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way care services are inspected. They are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example, Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate”, and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes and copies of past inspection reports are available on our website – www.csci.org.uk Information about the home is gathered from a variety of sources, one being a site visit. Additional site visits may be made that will concentrate on specific areas such as health care or nutrition called random inspections. One inspector carried out this key inspection on 31st January 2007 who was at the home from 09.30 to 16.50. The purpose of this inspection was to assess all the key standards (the key standards are identified in the main body of the report); to assess progress in meeting requirements made following the previous inspection and to assess how the needs of people living in the home are being met. The methods used at the inspection included looking at care records, talking to residents, observing care practices in the home, talking to staff and management, looking at the environment and looking at other paperwork including staff records. The home provided some information to the CSCI in advance of the inspection. Comment cards were left at the home for residents, their relatives and for healthcare professionals who visit the home. None had been returned at the time of writing the report. What the service does well: There is a good range of information available to residents and their relatives about the home. The care staff team have worked at the home for a number of years and know the residents very well; they are welcoming and have a good rapport with the residents and their families. Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 6 Information in care records shows that staff do understand person centred care. 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. Airedale Residential Care Home DS0000001408.V326049.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 Airedale Residential Care Home DS0000001408.V326049.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, 3 and 4. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides sufficient information to allow prospective residents to make an informed choice about moving in. All residents have their needs assessed before admission to the home. Those residents identified as being in need of nursing care or with mental health needs are outside the registration category and cannot be assured that their needs will be met at the home. EVIDENCE: There is an up to date statement of purpose and brochure to give prospective residents information about the services and facilities at the home. There is a range of useful information available in the small reception area, which includes a copy of the most recent inspection report from the CSCI. Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 9 All residents have their needs assessed before they are admitted to the home. Additional assessment information was seen in the records from the local authority and other healthcare professionals involved in the care of the resident. There were a number of residents whose current needs could no longer be met at the home. This was either because they had become in need of nursing care or that they had mental health issues. These residents had been identified by the temporary manager who was working with the residents, their families and other healthcare professional to find more suitable accommodation. It was established one of the recent admissions to the home also had a diagnosis of dementia. The home is not registered for this client group and staff do not have the skills to meet their needs. There needs to be a complete review of residents’ needs at the home. If the decision is made that the needs of any residents outside the registration category can be met then the provider must apply for a variation to the conditions of registration. The current condition of registration for one place, PD, for a named resident is no longer applicable and the provider must apply to the CSCI to have this condition removed. Airedale Residential Care Home DS0000001408.V326049.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. There was some good detail within care records but the lack of evaluation and review provided the opportunity for care needs to be overlooked. Medication practices are safe. Overall, staff respect the privacy and dignity of residents but the glass panels in some bedroom doors could compromise this. EVIDENCE: A small selection of individual case records were looked at and in all cases it was identified that the residents had a history of mental health problems. This is outside the registration category and staff have not had the training and do not have the skills to meet the needs of those residents. The standard of record keeping was variable. Some of the care plans had some good personal information in them and specific detail about the staff interventions that were needed to support the resident. However, evaluation and update was woefully out of date with many care plans not having been reviewed since early 2006. Different care plan formats were seen with some Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 11 written from a person centred point of view, for example, ‘I wear my slippers mostly because my feet get swollen’. These were well written but had not been evaluated since October 2006. There were no care plans to assist staff in understanding or coping with mental health issues such as aggression and other behavioural issues. Daily records gave clear indication that in one case there were behavioural problems but there was no indication of any advice sought or coping mechanisms for staff to protect themselves or other residents. Daily records were kept. There were records of the visits other healthcare professionals such as the general practitioner (GP) and specialist nurses. For one resident with swallowing difficulties specialist advice had been sought and the guidance was in the records for staff to read. Risk assessments formats were seen but had not necessarily been completed in all cases. There was guidance for staff in the form of ‘Safe system of work’ that related to manual handling and moving. The medication administration system had been changed and training had been provided by the pharmacist for all the staff. Audits over the last six months on the medication systems had indicated poor practices but with training and clear guidance for staff from the temporary manager practices have now improved and this could be demonstrated through the in-house audits. A serious medication problem in November 2006 had been correctly notified to the CSCI and the appropriate action taken. Airedale Residential Care Home DS0000001408.V326049.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 adequate. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about their lifestyles and maintain contact with their friends and families. There is a programme of activities although some of the less able residents seemed bored. A varied and nutritious diet is provided which takes into account individual preferences. EVIDENCE: As far as possible residents choose when they got up and when they went to bed. Two residents were enjoying a late breakfast and one resident was just getting up, late morning. Visitors were welcome at the home at any time and some residents regularly go out to spend time with their families. The home overlooks the park and in the summer residents enjoy listening to the regular brass band concerts. Residents spent their time chatting with each other and several received a daily newspaper. Other residents were seen to be less well occupied and were heard to be arguing. A visitor said that this was not unusual and that in their opinion the residents were bored. Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 13 There is a notice board where the January activities programme was displayed. This was a trial programme and meant that timetabled activities took place every afternoon from 13.30 until 15.30. The range of activities was limited and included bingo, skittles, dominoes, keep fit and a quiz. Those residents spoken with enjoyed the activities. There was an activities committee involving the activities organiser and some of the residents. On the day of the visit the manicurist was visiting the home as she does each week. There is an established rota to make sure that she sees all the residents, both men and women, over a period of time. The kitchen has been completely refurbished to a good standard and additional staff have been employed to support the chef who has worked at the home for a number of years. The kitchen can now be staffed from 07.30 until 17.30 over seven days. The chef was very knowledgeable about residents and their likes and dislikes. He is hoping to review the menus in the near future to provide more choice at the evening meal. The lunchtime meal looked and smelt appetising and residents enjoyed it. Portion sizes were generous and were served as to the individual preferences of the residents. The majority of the residents had their lunch in the dinning room where the tables were attractively set with drinks available. Airedale Residential Care Home DS0000001408.V326049.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 poor. This judgement has been made using available evidence including a visit to this service. The complaints policy and procedure ensures that residents are listened to and are protected from abuse. However a lack of staff training in adult protection puts residents at potential risk. 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. A log is kept of complaints received at the home and indicates that complaints dealt with by the temporary manager have been done so in an open and constructive way. Concerns about the home were received by the CSCI and forwarded to the provider for investigation. Records showed that it had been dealt with appropriately. The deputy manager has had training in adult protection and the intention is that she will cascade this training to the rest of the staff. There are no arrangements in place for this to happen as yet. There have been a number of incidents at the home which had an element of adult protection through both staff and residents behaviour. These incidents Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 15 had not been notified to the CSCI and adult protection had not been contacted for advice. Airedale Residential Care Home DS0000001408.V326049.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): 19, 22, 24 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment was clean and largely odour free but was in made of major refurbishment to ensure that residents live in a pleasant and well maintained environment. EVIDENCE: The refurbishment of the kitchen has been completed to a good standard. The rest of the home is in need of redecoration and refurbishment. This includes all communal areas, corridors and resident bedrooms. Some bedroom doors have glass in them and these doors should be replaced in the interests of privacy. Not all rooms had a lockable piece of furniture or lockable doors. Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 17 The temporary manager said that there was a mobile hoist at the home but the width of the corridors made the manoeuvring of this around the home almost impossible. She was not aware of any plans for refurbishment of the home. 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 resident accommodation. Residents personal clothing was hanging on the stair banisters. The situation and management of the laundry arrangements must be reviewed. When asked about control of infection practices staff were hesitant but did respond appropriately. Airedale Residential Care Home DS0000001408.V326049.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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall there are enough staff to care for the residents. There has not been a comprehensive training programme in place so there is a risk that staff may overlook the care needs of some residents, placing them at risk. Robust recruitment procedures protect residents. EVIDENCE: The duty rotas indicated that the staffing numbers were sufficient to care for the needs of the residents. There is also a team of ancillary staff who support the care staff in their work. The temporary manager has worked to provide additional kitchen staff and the kitchen will soon be fully staffed providing full cover from 07.30 until 17.30. There is also a team of domestic staff providing seven-day cover. The laundry is only staffed for four hours a day five days a week. This means that care staff are involved in doing laundry particularly at weekends when there is no cover. Care staff should not be taken away from their caring duties. The recruitment files were looked at and all the required checks were carried out. 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. Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 19 New members of staff undergo the BUPA induction programme, which takes place at another BUPA home. Training was identified as a priority by the temporary manager as she said there was little training in place when she came to the home. There was no programme of formal supervision or appraisal for staff. Staff have now had training update in manual handling and fire safety. Senior care staff have had update in documentation and medication as part of the senior carers course. Staff had not had any specialist training, for example dementia care, to help them care for those residents with mental health needs. Airedale Residential Care Home DS0000001408.V326049.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, 36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management systems have not been effective resulting in some practices that do not promote the health, safety and well being of the residents. The temporary manager provides clear leadership and guidance to staff. She is committed to making sure that the needs of all the residents are understood and met. EVIDENCE: The CSCI was notified of the resignation of the registered manager in November 2006. A temporary manager was brought to the home to provide stability and leadership to the residents and staff. The recruitment process was well underway to appoint a permanent manager and although the Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 21 temporary manager said that she was leaving soon she also said that there were contingency plans in place to make sure that there was some consistency in the level of management at the home. The temporary manager said that since her arrival at the home she has identified several serious issues at the home that she has had to begin to address. These have included making arrangements for the review of the care of several residents whose needs have changed and can no longer be met at the home and also addressing staffing issues. Staff spoken with during the visit acknowledged that the situation at the home had been poor and some residents also said that the home needed ‘sorting out’. But things had improved at the home and staff were complimentary about the positive influence of the temporary manager. The temporary manager had done a number of in-house audits since her arrival and the results had originally been poor. She has since identified improvements. The most recent residents meeting was held in August 2006 when there had been discussions about meal times and menus. A care staff meeting was held in September 2006 when the topics discussed included in-house health and safety audits, care practices, adult protection and confidentiality. A meeting held with the senior care staff discussed documentation and medication practices. Although regular visits are made to the home by the responsible individual for the company the information in the Regulation 26 reports sent to the CSCI has not given enough detail to fully reflect the situation at the home. Notifications to the CSCI as required under regulation 37 have not always been made when they should have been. For example when there have been issues which have affected the running of the home, when staff have been suspended and when the lift was out of use recently. Systems must be in place to make sure that the CSCI receives notification as required. The home does not act as appointees for any residents. The administrator does handle a small amount of personal allowance and there were clear records. Charges for hairdressing are not added to the monthly invoices but dealt with separately by the administrator on a weekly basis. Consideration should be given to invoicing for these additional charges to further reduce the need for any resident money to be handled at the home. Airedale Residential Care Home DS0000001408.V326049.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 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 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 1 2 X X 3 X 2 X 2 STAFFING Standard No Score 27 2 28 2 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 1 X 3 Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 RQN Regulation Care Standards Act 2000 Section 15 15 Requirement The provider must review the needs of the residents and apply for a variation to the conditions of registration for the residents with mental health needs. The individual records must consistently provide detail and evidence of care. Care plans must be in place and contain detailed instructions on how to meet the needs of the residents. The care plan must be reviewed and updated if needed on a monthly basis. 3 OP8 12 Timescale of 27/03/06 not met. The provider must make sure that the there is proper provision for the health and welfare of residents. Where specific needs can no longer be met at the home arrangements must be made for re-assessment. Staff must have training on adult protection and the multi agency approach to the protection of DS0000001408.V326049.R01.S.doc Timescale for action 29/05/07 2 OP7 03/09/07 04/06/07 4 OP18 13 11/06/07 Airedale Residential Care Home Version 5.2 Page 24 vulnerable adults. Timescale of 03/04/06 not met. The provider must make sure that staff are aware of when they should seek the support and advice of the adult protection unit. The provider must make plans for the refurbishment and redecoration of the care home to make sure that residents live in a suitable and well maintained environment. Plans must be made available to the CSCI. The provider must consider the re-siting of the laundry to a more suitable and safe situation within the building NVQ training must continue for care staff to ensure that the target of 50 trained members of care staff is reached by the end of 2007. The provider must make sure that staff have the training they need so that they can effectively meet the needs of the residents. The provider must develop the quality of the reports of the regular visits to the home to make sure that they are informative. Formal supervision must be implemented for all staff. Timescale of 01/04/06 not met. 5 OP19 23 25/06/07 6 OP26 13(3) 25/06/07 7 OP28 18 03/12/07 8 OP30 18 11/06/07 9 OP33 26 29/05/07 10 OP36 18 11/06/07 Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP10 OP24 OP27 OP31 Good Practice Recommendations In the interests of respecting the privacy and dignity of residents the doors fitted with glass observation panels should be replaced. The provider should make sure that all residents are provided with a piece of lockable furniture and bedrooms doors should be fitted with suitable locks. The provider should consider increasing the provision of laundry staff so that care staff are not taken away from their caring duties, particularly at weekends. The provider needs to make sure that there are arrangements to provide continuity and stability at the home. Airedale Residential Care Home DS0000001408.V326049.R01.S.doc Version 5.2 Page 26 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.V326049.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!