Inspection on 06/07/06 for Aldercar Care Home

This inspection was carried out on 6th July 2006.

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

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

Other inspections for this house

Aldercar Care Home 16/08/07

Aldercar Care Home 09/01/06

Aldercar Care Home 11/05/05

Aldercar Care Home 25/10/04

Aldercar Care Home 28/06/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Aldercar Care Home 36 Wood Lane Hucknall Nottingham NG15 6LR Lead Inspector Rehana Rashid Key Unannounced Inspection 6th July 2006 11:30a 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 Aldercar Care Home DS0000008615.V302369.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. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aldercar Care Home Address 36 Wood Lane Hucknall Nottingham NG15 6LR 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) 0115 963 7797 0115 956 6531 Mrs Amirchetty Anuradha Rao Mrs Amirchetty Anuradha Rao Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. One bed is registered for D (E) for the named Service User as stated in the Notice of Proposal. The placement is reviewed by the end of January 2006. Staff are provided with Dementia training. Date of last inspection 9th January 2006 Brief Description of the Service: Aldercar is 28 bedded home offering personal care to older people. The home is located in a quiet residential area in Hucknall, a small town, which has local community facilities, shops and there is easy access to public transport. The home is set in attractive gardens, providing a pleasant outlook for the majority of bedrooms and communal areas. There are 2 double and 24 single bedrooms. The majority of the bedrooms are available on the ground floor and a stair lift provides access to the four single rooms available on the first floor of the home. There is a choice of lounge areas, including a conservatory. There are a variety of aids and adaptations throughout the home, including assisted bathing facilities. The homes current weekly fee range is £277 to £319. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out on 7th July 2006 for the duration of 4.5 hours. This was the homes first inspection for this financial/inspection year April 2006. The main method of inspection was case tracking, which involved randomly selecting three residents and examining their care records. Case tracking is used to establish if the needs of the residents are being appropriately assessed by the home and their needs are being catered for. Indirect and direct observation of practice and interaction between staff and residents was also carried out as part of the inspection methodology. The deputy care manager gave the inspector a partial tour of the building. Which included the communal areas, 1 bathroom, 1 shower room and three bedrooms. Residents were briefly observed during lunch. Other documentation including health and safety records were also examined. The management of medication was partly assessed. During the course of the inspection the Inspectors spoke with three residents, the feedback was positive about the level of care received. These residents spoke positively about the care staff and about the service provided by the home. During the inspection no relatives were present so the inspector was unable to gain relatives/representative views. The deputy Care Manager assisted in the inspection process. Three members of staff were spoken with and two staff files were viewed. As the registered manager was on leave the deputy care manager assisted in the inspection process together with the staff on duty. The deputy care manager and staff members were helpful and pleasant to the inspector throughout the inspection. The focus of the inspection was to concentrate on the key standards, which were assessed under the new methodology of Inspecting for Better Lives (IBL). Requirements and recommendations made at the previous inspection were also explored with the deputy care manager. What the service does well: Aldercar offers a homely and well-maintained environment. The management and staff encourage residents to be as independent as possible and to be part of the day-to-day running of the home. Residents are treated with a high level of dignity and respect and staff have an excellent understanding of the individual needs, preferences and personalities of each resident. There is a warm rapport between staff and residents. Residents presented as well groomed and there was lots of conversation between residents and the staff. Residents spoken with were very complimentary about the home and the way they are treated and cared for by the staff. One resident spoken with stated that their her physical well being had improved since living at the home. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 6 Care plans are comprehensive and form a good basis for an assessment of need and to provide the day-to-day support to enable residents to maintain their independence and be provided with appropriate care and support. Health care needs are well met and the staff at the home liaise well with health care and medical agencies. During the inspection the inspector was told that a resident required hospital admission. The GP who was present at the home together with the staff co-ordinated the admission. Staff were observed to be extremely sensitive and respectful when speaking with the family over the telephone. Bedrooms viewed by the inspector were clean and personalised with personal photographs of the residents. On the day of inspection there was no malodour observed. The home was clean, despite there being refurbishment-taking place in the foyer area and the lounge. The health and safety of residents is generally promoted and protected. 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. Aldercar Care Home DS0000008615.V302369.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 Aldercar Care Home DS0000008615.V302369.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. Prospective residents individual aspirations and needs are assessed prior to moving to the home. Prospective residents and their relatives and friends have an opportunity to visit the home assessing the facilities and suitability. EVIDENCE: There is an assessment of need process, records are available and these are included in each care plan. Discussion with the manager, the residents and inspection of care plans demonstrate that the resident, family members and representatives are included in the assessment process. Assessments of residents’ needs were thorough and well detailed. During the inspection one resident spoken with stated that the deputy care manager visited her at home prior to the commencement of the placement and carried out a preadmission assessment at the resident’s home. Other residents spoken with stated that their relatives viewed the home ensuring it would meet the needs of the relative to be placed at the home. One resident stated there is no place like home but commented that “I could not find a better place to live in than Aldercar care home.” Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health, personal and social care needs are set out in and individual plan of care, there are some areas, which require further improvement. This is to ensure that the resident’s needs are fully met. Medicine management is improving. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: At this inspection three residents files were randomly selected. All three resident files contained care plans, needs assessments and risk assessments. The care plan was generally clear describing the resident’s needs and the action staff needed to take to meet the needs. There was evidence that the care plans and risk assessments viewed have been reviewed regularly and recently. The files indicated that residents health needs are addressed and when appropriate or necessary the home seek input from local health care professionals such as GP, Dentist, District Nurse and Chiropodist. Visits by health professionals are recorded within resident records. Residents were very pleased with the health care and support provided by the home. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 10 One resident commented that in her opinion she had gained weight and felt stronger since living at the home. On the day of the inspection one of the resident’s health had deteriorated rapidly during the inspection the GP visited. The GP contact records confirmed that the home had been in contact with the GP as the resident had been unwell. Staff had been monitoring the resident’s condition and contacted the GP, as they were concerned about the change in the resident’s condition. The staff at the home updated the resident’s relative about the deterioration whilst arranging the hospital admission. The inspector indirectly observed a telephone conversation with the resident’s relative, the staff member was very sensitive and respectful whilst updating the relative. The resident was taken to hospital via an ambulance. Medication was observed to be stored securely in a lockable trolley. The home uses a dosette box system for the majority of the medicines. The inspector directly observed a member of staff dispensing and administering medication. The administration of the medicines was handled by the staff in a way, which promoted independence and dignity. The staff member administering the medication reported that she had received training in medication management. The MAR sheets contained photographs and were found to be well organised in a file and there was no gaps in the entries. During the inspection staff were observed to preserve the privacy and dignity of residents. Residents spoken with stated staff are respectful and polite towards them. Residents stated that staff are friendly and caring. The residents stated staff are welcoming towards their visitors. Residents spoken with stated they receive correspondence unopened. Residents have access to the telephone, which is placed in the foyer. Staff use the term of address as preferred by the residents. Observation throughout the inspection evidenced that the staff are sensitive and respectful towards residents. Residents spoken with stated it was standard practice at the home and staff knocked on the door prior to entering. The inspector observed positive interaction between staff and residents. Residents stated that personal care takes place either in their bedroom or bathroom Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents find the lifestyle experienced in the home matches their expectations and preferences. The home arranges social activities for the residents. They maintain contact with family, friends and exercise control over their lives. Residents receive a balanced diet. EVIDENCE: Care plans documented the residents’ cultural, religious, social and family arrangements and preferences. Staff had an in depth and individualistic knowledge of the likes, dislikes and dispositions of all the residents living in the home. This knowledge was reflected in their personal approaches to residents, understanding who liked to be private and quiet, who liked to join in and have a joke and those individuals who were unable to fully communicate their needs and needed more guidance or help in expressing their wishes and views. Two residents spoken with stated they are happy with the level of social activities. During the inspection residents were observed sitting in the lounge, foyer and dinning area. All the residents spoken with on this visit happily commented on the warm and friendly approaches in the home, stating that they can choose how and when they do things; like getting up, where and who they sit with and joining in activities. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 12 One resident commented that they did not like the background music that is played round the home. The entertainment for the week includes sing-along and bingo. A resident stated she is able to watch television in her own room and has been following the world cup and was looking forward to the final at the weekend. The mealtime was a pleasant and social time, with well-prepared food and residents chatting to each other and staff. Residents said that the cook asks them for their choice from the menu on a daily basis. Residents spoken with stated the food is good. The home operates a four weekly menu, which was viewed; the cook keeps a record of the meals served in the home. She records the temperature of all hot meals daily and fridge and freezer temperatures. The food preparation area viewed was clean and organised. Food with a short shelf is dated on the day it is opened, evidence of this was seen in the fridge. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users complaints are taken seriously. Staff members spoken to during the inspection were aware of the issues of protection of service users from abuse. EVIDENCE: On the day of the inspection the complaints procedure was not displayed in the home as the residents noticed had been removed, as the foyer was being decorated. Residents spoken with were confident that if they had to make a complaint the manager will take it seriously and were aware of the complaints process. One resident stated, “There is no need to make a complaint as we are treated well.” Since the last inspection there have been no complaints. The complaints book was viewed at the inspection, which confirmed that the last complaint was received 2005. A staff member spoken with demonstrated that she had an understanding of the whistle blowing procedure and were aware on the seriousness of the issues around abuse. The home has a protection of vulnerable adults policy in place. Staff spoken with stated that they had not received training in adult protection. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,25, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a wellmaintained environment, which is clean, pleasant and hygienic. The home was clean. Bedrooms are well equipped and personalised according to personal choice with resident’s own possessions around them. EVIDENCE: On the day of the inspection the home was clean and free from mal-odour. The foyer area was being decorated, whilst the inspection was taking place this was completed. The decorators moved into the top lounge, which was going to be painted. The deputy care manager stated she is optimistic that the work will be completed by the end of the week. All lounges and the dining room were viewed and presented as clean, well decorated and very homely, with comfortable furnishings, lots of picture, ornaments, plants and flowers. The lounge by the foyer contained framed pictures of the different parts of Hucknall in 1904, 1905 and 1910. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 15 A partial tour of the home was carried out; a number of bedrooms were viewed. Each bedroom presented its own individual style, dependent on the wishes and likes of the resident. All bedrooms were well furnished, safely maintained, well decorated and clean. Residents said they liked their bedrooms; the choice of lounges available and they were particularly complimentary about the well-kept gardens and views from the majority of rooms in the home. On the day of the inspection it was a very warm day, the inside of the home was warm and humid. The windows were open in the home and there was an air cooler system in the lounge attached to the conservatory area. During the afternoon it was a little cooler in the home. Residents spoken with stated due to the hot weather during the last few days they were finding it warm in the home. One resident stated there was not adequate ventilation in the home and felt more fans were required. This was discussed with the deputy care manager who stated that the registered manager who is also one of the owner will be back at the weekend and she will discuss with her further measures the home will take to ensure adequate ventilation in areas used by the residents. There was an ointment tub with a prescription label attached to it left in the shower room. This was pointed out to the deputy care manager at the inspection. It was discussed with her that once staff have used the prescription creams to return them to the resident’s rooms. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Staff numbers meet the current number of residents. Residents are in safe hands. The home’s recruitment practices continue to require improvements and staff require further training to ensure they are able to meet the needs of all the residents including the named resident with dementia. EVIDENCE: Staff were friendly and welcoming to the inspector and had positive relationships with the residents, demonstrating a caring attitude. The employ Senior Care staff, Care Assistants, Domestic and catering staff. Residents spoken with reported there were enough staff on duty to meet their needs; they also said that the staff were kind, caring and considerate. One resident stated the home could possibly do with an extra carer in the mornings, when in her opinion staff are very busy. Staff member spoken with stated they enjoy working at the home. The duty care manager and many of the staff have worked at the home for an extensive period of time and provide a good level of experience. Regular training, including NVQ, is provided. All the residents spoken with on this visit gave positive comments about the staff and said they felt safe and well looked after, with staff encouraging them to be independent and providing support when needed and requested. Discussion with the deputy manager and staff demonstrated that staff were knowledgeable about the needs of the residents, were aware of the policies and procedures of the home and the inspector observed appropriate care Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 17 practices throughout the inspection. Care plans were well documented and staff were observed to be carrying out tasks according to information given in the care plan and District Nurse notes. Two staff files were viewed on the whole, well organised. Both contained evidence that the two staff members have satisfactory CRB checks in place. Recruitment practices at the home need to be more robust offering protection to the residents. One staff file viewed did not contain all the information as listed in Schedule 2 of the Care Home Regulations 2001. One staff file contained two open references this should not be accepted unless the manager has checked them with the referee and recorded the result. The best practice is for the home to write to the referees requesting a reference. The homes condition of registration states that staff receive training in dementia care this is to ensure the one named resident with dementia care needs are being appropriately met. However the deputy care manager stated that staff had not received training in dementia care. Two staff members spoken with stated they had not been on any adult protection training. The inspector viewed the most recent employee’s staff file, which showed no evidence of training in any mandatory areas. One staff file viewed confirmed she had achieved NVQ level 3 and attended a moving and handling course April 2006. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Aldercar Care Home is run and managed by a person of good character who is fit to be in charge. Resident’s financial interests are safeguarded. The health & safety of residents and staff at Aldercar Care Home is generally promoted and protected EVIDENCE: The Registered Manager is registered with the Commission for Social Care Inspection. The deputy care manager stated she has 14 years of experience in the care profession. Member of Staff spoken with on the day of the inspection stated the management are supportive and approachable. At the inspection the inspector was shown a file, which contained visits under regulation 26 by one of the homeowners, to establish views of the residents regarding the running of the home. Not all of the visits had been signed to verify who had carried out the visits. The deputy care manager was unable to Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 19 locate the quality control audit questionnaires. She was confident that the home has a quality assurance process but no evidence was seen confirming this. Resident’s money is kept in a secure lockable safe. On the day of the inspection three financial records were viewed, which were satisfactory. The home maintains these records and keeps receipts for amounts spent for hairdressing and chiropody. Residents have lockable space in their bedrooms. The deputy care manager has completed the Pre-Inspection Questionnaire and provided details of maintenance and associated records. During the inspection the inspector randomly viewed a selection of records relating to health and safety. On the day of the inspection the foyer and the top lounge were being decorated. No certificates were displayed on the walls as the notice board was removed so that the wallpaper could be put on the walls. At the inspection the Employers Liability Insurance Certificate was viewed this had expired on 4th July 2006, however the deputy care manager stated that the insurance company was due to post the new certificate, no evidence was shown to the inspector confirming this. On the day of the inspection records viewed regarding fire testing confirmed emergency lighting and fire alarms are checked at regular intervals as advised by the fire officer. Some doors were wedged open on the day of the inspection. The deputy care manager reported that following a requirement set at the last, the home have liaised with the fire officer to carry out a fire risk assessment in the next week. The letter sent from the fire officer confirming the planned visit was not available to be viewed on the day of the inspection. The gas-servicing certificate was viewed which confirmed last service took place 29th December 2005. The stair lift was serviced 7th January 2006. Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 20 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 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X 2 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 X X 2 Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 21 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 OP25 Regulation 23(p) Requirement The registered person shall have regard to the number and needs of the residents ensuring that ventilation is provided in all parts of the care home used by residents. Due to the hot weather adequate ventilation should be provided. New staff must not commence work until 2 satisfactory written references have been received. Open references must not be accepted without proof of authenticity. Liaise with the fire safety officer regarding the practice of wedging open doors and document a fire risk assessment for the home (outstanding from the last inspection) Ensure the personal creams and any prescribed medications/shampoo of residents are not left in bathrooms or used for anyone other than for the person it is prescribed for. The registered manager shall make arrangements by training staff in the area of adult protection. DS0000008615.V302369.R01.S.doc Timescale for action 13/07/06 2. OP29 19 Sch.2 13/08/06 3. OP38 23.4 07/08/06 4. OP26 12, 13, 14, 16 07/08/06 5. OP18 13 07/10/06 Aldercar Care Home Version 5.2 Page 22 6. OP30 12, 18 Ensure all staff undertake 07/09/06 training in mandatory areas, ensuring the needs of the residents are met. Also staff must be trained in dementia care ensuring they are meeting the needs of the named resident with dementia care. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 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 Aldercar Care Home DS0000008615.V302369.R01.S.doc Version 5.2 Page 24 - 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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