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Inspection on 26/10/06 for Albert Residential Home

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

This inspection was carried out on 26th October 2006.

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.

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 care worker demonstrated an open, inclusive and person centred approach to the residents care and demonstrated a good understanding of the residents care needs. A relative commented that the care worker was kind, caring and gentle and knew her job. The home promotes and encourages contact with family/friends and the local community. Care needs assessments and care plan documentation is of a good standard, providing staff with comprehensive information on a resident.

What has improved since the last inspection?

The requirements made at the previous inspection have been met. The manager commented that the opportunities for staff training had improved.

What the care home could do better:

On the whole daily records in respect of a residents day were satisfactory but only recorded what happened during the day shift. Improvements are required in order to provide a clearer record of a residents 24 hour day. Food provision was poor, as all of the food supplied at the home was frozen. Residents did not have access to any fresh food at all. Kitchen practices and procedures were poor, foodstuffs stored in the fridge were not dated on opening and had the potential to pose a hazard to both residents and staff health and safety. Improvements are required in respect of some aspects of the homes medication policies and procedures. In order to ensure the safety and wellbeing of the residents the medication storage cabinet must be fixed to a wall and all medications must be stored in it. A controlled drug register with numbered pages must be used to record any controlled medication used at the home. There were concerns around the lack of storage space at the home, with various training portfolios and documents being left in the resident`s sitting room. Boxes of incontinence pads were stored on the floors of resident`s bedrooms and in the bathroom, which did not promote a residents dignity. Attention should be paid to the storage of the homes policies, procedures and other service records, as on the day of the site visit many of the required documents could not be located. Confidential information was left in the homes sitting room. There were concerns around the some health and safety aspects at the home. Clinical waste was not stored and disposed of appropriately posing a potential risk to resident`s staff and the wider public. Water temperatures in some of the rooms were variable, for example, in one of the residents bedrooms the water was extremely hot, in another it was cold. All of the carpets in the home were found to be rising up causing potential trip hazards to staff and visitors. Health and safety checks are routinely carried out at the home, but there was no evidence to suggest that fire extinguishers had been serviced, which if not addressed has the potential to pose a significant risk to the residents and staffs safety, health and well being. Requirements were made in respect of these areas. Please refer to pages 25 and 26 of this report.

CARE HOMES FOR OLDER PEOPLE Albert Residential Home 40 The Warren Worcester Park Surrey KT4 7DL Lead Inspector Pauline Long Key Unannounced Inspection 24th October 2006 10:00 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 Albert Residential Home DS0000013546.V317100.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. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Albert Residential Home Address 40 The Warren Worcester Park Surrey KT4 7DL 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) 020 8337 2265 Mr Kanwarjit Singh Mrs N Singh Mr Kanwarjit Singh Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (2), Physical disability over 65 years of age (1) of places Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be 3 (three) over the age of 65 years. 15th August 2005 Date of last inspection Brief Description of the Service: Albert Residential Home is a small three bed home catering for the needs of older people. It is located in a residential area of Worcester Park and is close to local amenities. There is a purpose built ramp to the front of the property for good access and off street parking. Residents also have access to a well stocked garden to the rear of the property. The fees at the home are £300 pounds per week. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit of the key inspection, it was carried out by the lead inspector for the service and lasted for 3.5 hours, commencing at 10.00 and ending at 13.30. Discussions were held with residents, a relative and a care worker. The manager was not on duty at the time and was contacted by phone on the 27th Documentation was sampled and included service users files, care plans, staff records, and some service files. The care workers interactions with residents was observed as she went about her work. A tour of the home took place. Verbal feedback from the resident’s at home on the day was limited, in view of their communication difficulties. However their body language, facial expressions and discussions evidenced a state of general wellbeing. CSCI would like to thank the residents, manager and care worker for their hospitality, co-operation and assistance during the inspection. What the service does well: What has improved since the last inspection? The requirements made at the previous inspection have been met. The manager commented that the opportunities for staff training had improved. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 6 What they could do better: On the whole daily records in respect of a residents day were satisfactory but only recorded what happened during the day shift. Improvements are required in order to provide a clearer record of a residents 24 hour day. Food provision was poor, as all of the food supplied at the home was frozen. Residents did not have access to any fresh food at all. Kitchen practices and procedures were poor, foodstuffs stored in the fridge were not dated on opening and had the potential to pose a hazard to both residents and staff health and safety. Improvements are required in respect of some aspects of the homes medication policies and procedures. In order to ensure the safety and wellbeing of the residents the medication storage cabinet must be fixed to a wall and all medications must be stored in it. A controlled drug register with numbered pages must be used to record any controlled medication used at the home. There were concerns around the lack of storage space at the home, with various training portfolios and documents being left in the resident’s sitting room. Boxes of incontinence pads were stored on the floors of resident’s bedrooms and in the bathroom, which did not promote a residents dignity. Attention should be paid to the storage of the homes policies, procedures and other service records, as on the day of the site visit many of the required documents could not be located. Confidential information was left in the homes sitting room. There were concerns around the some health and safety aspects at the home. Clinical waste was not stored and disposed of appropriately posing a potential risk to resident’s staff and the wider public. Water temperatures in some of the rooms were variable, for example, in one of the residents bedrooms the water was extremely hot, in another it was cold. All of the carpets in the home were found to be rising up causing potential trip hazards to staff and visitors. Health and safety checks are routinely carried out at the home, but there was no evidence to suggest that fire extinguishers had been serviced, which if not addressed has the potential to pose a significant risk to the residents and staffs safety, health and well being. Requirements were made in respect of these areas. Please refer to pages 25 and 26 of this report. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 7 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. Albert Residential Home DS0000013546.V317100.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 Albert Residential Home DS0000013546.V317100.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): 2,3,6 Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. Each resident is provided with a contract of the care service provided at the home. Care and social needs assessments are completed prior to a resident being admitted to the home, indicating that the home would have an understanding of a residents needs. This home does not provide an intermediate care service for residents. EVIDENCE: Both of the residents files sampled had a contract of the care services provided at the home, all had been signed by the resident or their representative and a representative of the home. The contracts were detailed and provided the reader with clear details of the care provided. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 10 The home provides a care service to both social services and privately funded clients. The files sampled evidenced that the home undertook a full care needs assessment prior to admission, however there was no evidence to indicate that a care management community care needs assessment had been sought prior to a social services client being admitted. For future admissions the manager must obtain a social services care management community care needs assessment. The care needs assessments sampled were satisfactory and included all activities of daily living, giving a good holistic view of a service users needs. The home does not provide an intermediate care service. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is (adequate) This judgement has been made using available evidence including a visit to this service. Each resident had an individual care plan and the staff on duty had a good understanding of the resident’s health and personal care needs, which were well met on the day. The care assistant on duty was observed to treat residents respectfully. Some improvements are required in respect of the homes medication policies and procedures. EVIDENCE: The residents care plans were satisfactory, they were type written and signed by the manager and a resident or representative. The documentation contained information regarding all activities of daily living, changes in healthcare needs and various visits from health care professionals. The care plans had been recently been reviewed. The records with regard to the activities and care being given whilst well written, did not provide the reader Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 12 with a holistic view of the 24 hour day. There was nothing written about a resident’s night, for example if they had a good night or poor night sleep or if they had been up during the night, or if they required personal care during the night. Medication practice and procedures were sampled. Medication record sheets were sampled and were found to be well kept, with no gaps in signatures. One resident has been prescribed controlled medication, this was not being recorded appropriately in a controlled drug register with numbered pages. A recommendation was made following the previous inspection for the home to store medication in an appropriate cabinet. Whilst a cabinet has been supplied it was not fixed to the wall and was small enough to carry away. Discussions were had with the care worker on duty in respect of the homes medication policies and procedures. It was evident through discussions, that she had a good understanding of these policies and procedures, she commented that she had recently undertaken training in this respect. Training records evidenced this. Through out the inspection process, she was observed carrying out various aspects of personal care for the residents, in a familiar yet a respectful manner. Bedroom and bathroom doors were not left open whilst attending to personal care. A visitor and resident commented that staff, were always polite and courteous. Requirements have been made in respect of these standards. pages 25 and 26 of this report. Please refer to Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is (adequate). This judgement has been made using available evidence including a visit to this service. The residents are encouraged and enabled to maintain fulfilling lifestyles in and outside the home. The home promotes contact with family, friends and the local community. Meal times in the home were observed as being a positive experience for the residents, however the food did not look appetizing or wholesome. Kitchen practices were poor and improvements are required to ensure the continued health, safety and well being of the residents. EVIDENCE: The home is committed to ensuring that the residents maintain their relationships with their family and friends. Residents receive regular visits from families and friends, one was visiting the home on the day. There was no evidence to indicate that activities were planed on a daily basis. One resident commented that he enjoyed sitting in his wheelchair all day. This issue was addressed at the previous inspection and a recommendation was made. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 14 Discussions were had with the manager about the need to include this in the resident’s care plan. The manager stated that one of the residents enjoyed buying and potting plants for the garden, and that, in the good weather he spent time in the garden. The residents also go out on shopping trips with their families and the staff. The home has access to a minibus to facilitate these trips. On the day there was no evidence of a planned activity in the home. The care assistant commented that the residents have a choice of food through out the day and was observed discussing the choices for lunch with the residents. The residents decided on cottage pie and apple tart and custard. The meal was served in bowls to both residents, it did not look appetizing, however one of the residents commented that it was nice. Both residents required supervision and encouragement to eat their meal. One resident was unable to feed herself, the care assistant was careful to take time to help both residents to eat their meal, the support was offered in a sensitive manner. The lunch time activity took approximately one and a half hours. It was a concern to note the food hygiene practices and the lack of fresh food. Whilst it was noted that residents made choices in respect of their meals it was a concern to note that the fridge was poorly stocked, there was no fresh meat, fish, vegetables, or fruit. The manager and care worker commented that all meals were prepared from frozen food. There were several containers of blended food, however there was no way of identifying what the food was, none of the food had been dated on opening. It was noted that some stewed apples had been stored in a container, which had been used for fish food. One visitor to the home commented that the food in the home was good and that her relative was now eating porridge for breakfast as opposed to a small sandwich whilst living in her own home, she also commented that they have fruit from time to time. Requirements have been made in respect of these areas. Please refer to pages 25 and 26 of this report. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. The residents are protected by the homes policies and procedures around concerns, complaints and the protection of the residents. EVIDENCE: The CSCI have received no complaints about this home since the last inspection. Relatives commented that they were aware of the complaints procedures and if they had to make a complaint they were confident that it would be dealt with a timely manner. No referrals have been made under the Surrey County Council Multi Agency Safeguarding Adults procedures. Discussions were had with the care staff on duty and scenarios put to her in respect of the homes Safeguarding Adults procedures. She demonstrated a good understanding of the policies and procedures. The manager stated that he had undertaken the local authority safeguarding adults training and that he had also undertaken the training for trainers in this respect. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 16 Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,26 Quality in this outcome area is (adequate) The standard of the environment within this home is satisfactory, and meets the needs of the service users. Improvements must be made in respect of the disposal of clinical waste, water temperatures and malodours and to the overall storage provision at the home. EVIDENCE: Albert residential home is an older property and therefore presents challenges for the provider in respect of the ongoing need for updating and refurbishment. The furnishing and decoration in the communal areas will require updating in due course. There is a marked lack of storage areas, incontinence aids were found stored on the floors in two of the bedrooms and the bathroom, this did not promote a residents dignity. The managers bedroom/office area was very cramped and had limited storage space for the service records, overall the Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 18 cleanliness was satisfactory, one relative commented, it is such a lovely home, it is always nice and clean. The resident’s bedrooms were tidy and there was evidence of many personal items. The beds and mattress were checked and found to be satisfactory, however one bed had a malodour. Discussions were had with the care worker in respect of the frequency of changing the bedclothes. Water temperatures were checked in both bedrooms, one was found to be extremely hot, the other one cold. This was discussed with the care worker at the time and she stated that the wash hand basins were not used and did not present a risk to the residents. The water in the bathroom was found to be within safe limits. The home benefits from reasonably new carpets throughout. The carpets were seen to be bubbling in several places. The joins in the carpet between a bedroom and hallway had come apart and presented a considerable trip hazard to residents, staff and visitors. This was brought to the care workers attention who, did what she could to rectify the situation. The home does not have the appropriate arrangements in place for the disposal of clinical waste. Incontinence pads were placed in plastic bags and then placed in the normal domestic waste bins outside the home. Requirements were made in respect of these standards. Please refer to pages 25 and 26 of this report. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29,30 Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The staffing levels were adequate for the resident’s dependency levels. Recruitment practices and training at the home are good. EVIDENCE: Albert Residential care home is a small home and provides care for 2 residents. The manager has only recently employed a further member of staff. On the day staffing levels were adequate for the dependency levels of the residents and consisted of one care worker. The homes recruitment practices and procedures were sampled and found to be good. The staff file sampled was found to contain all of the required paperwork. CRB (Criminal Records) and POVA (Protection of Vulnerable) checks had been completed. Discussions were had with the care worker, who talked about her job role and responsibilities. Work based observations evidenced a competent and confident member of staff, carrying out her various tasks. Staff training is given a high priority in this home, and training records demonstrated that statutory and current good practice training had been undertaken since the Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 20 care worker was requited. The care worker hopes to undertake an NVQ (National Vocation Qualification) in early 2007. A relative commented that, the care worker was very caring, gentle and, good at her job. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 33,36,37,38 Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. To ensure the health, safety and welfare of residents and staff are promoted and protected, improvements are required in respect of food provision, kitchen procedures and practices. The disposal of clinical waste and the storage of records, policies and procedures. EVIDENCE: Discussions were had with the manager in respect of seeking service users views as to how the home is doing. He explained that he used to undertake regular resident meetings the last one being in early 2005. These no longer take place as only one resident has the ability to make his views known. He Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 22 stated that he has regular discussions with him, however these discussions are not documented. Discussions were had around the benefits of circulating service user questionnaires to residents, relatives and other professionals for example General Practitioners, District Nurses, Care Manager. Discussions with care worker indicated that a formal one to one staff supervision programme had been implemented in the home. Records were sampled, and evidenced that the care worker had recently received a formal one to one supervision meeting with the manager. Overall the standard of records, which the inspector had access to was good. However the inspector was unable to locate various records, policies and procedures and these will be a focus of the next inspection. Health and safety checks are routinely carried out at the home by the manager, with good records kept, for example water temperatures 14/10/06, legionella test 31/03/06, fire procedures checks 07/08/06. There was evidence that the manager checks the fire extinguisher on a monthly basis, however there was no evidence that the fire extinguishers had been properly serviced. As discussed earlier in this report there were concerns around kitchen practices and procedures, infection control and trip hazards in respect of the flooring. Requirements have been made in respect of these standards. Please refer to pages 25 and 26 of this report. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X 3 2 X 2 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X 3 3 3 Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP37 Regulation 12(1)(a) 17(1)(a) 12(1)(a) 13(4)(c) Requirement The registered person(s) must ensure that records are kept in respect of a resident’s 24 hour day. The registered person(s) must ensure that food hygiene regulations are adhered to. Foodstuffs stored in the fridge must be dated on opening. The registered person(s) must review the food provision at the home. The registered person(s) must ensure that the medication storage cupboard is fixed to an appropriate wall. The registered person(s) must ensure that a controlled drugs register is used to record the controlled drugs used in the home. The book must contain numbered pages. The registered person(s) must ensure the dignity of residents at all times. Alternative storage must be found for incontinence aids. The registered person(s) must ensure that arrangements are DS0000013546.V317100.R01.S.doc Timescale for action 24/11/06 2. OP38 24/11/06 3. 4 OP15 OP9 12(1)(a) 16(2)(i) 12(1)(a) 24/11/06 24/11/06 5 OP9 12(1)(a) 13(2) 24/11/06 6 OP10 12(1)(a) 12(4)(a) 24/11/06 7. OP38 13(3) 16(2)(k) 24/12/06 Albert Residential Home Version 5.2 Page 25 8. OP38 13(4)(a) (c ) 9. OP38 13(4)(a) 10. OP38 12(1)(a) 23(4) (c )(iv) 23(2)(i) 11. OP37 put in place for the correct disposal of clinical waste. The registered person(s) must ensure that the temperature of the water in resident’s bedrooms is maintained at 43 degrees centigrade. The registered person(s) must ensure that all areas of the home are free from potential trip hazards. Attention must be paid to the carpets. The registered person(s) must ensure that fire safety procedures are followed. The fire extinguishers must be serviced. The registered person(s) must ensure that confidential information is stored appropriately and not left in the resident’s sitting room. 24/11/06 24/12/06 24/12/06 24/11/06 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. Refer to Standard OP37 OP38 Good Practice Recommendations The registered person(s) should consider reviewing the storage of the homes policies, procedures and service records. The registered person(s) should consider reviewing the overall storage provision at the home. Albert Residential Home DS0000013546.V317100.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Albert Residential Home DS0000013546.V317100.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. 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