Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 14/11/06 for Alexandra Rose Residential Care Home

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

This inspection was carried out on 14th November 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 home is run for the benefit of its service users and provides care and support in a pleasant environment. There is a homely atmosphere and the home is well maintained and decoration is of a good standard. Visitors to the home are always made welcome and relations in the home were relaxed and friendly. Observations by the inspector showed that staff were friendly and got on well together. Service users were treated with dignity and respect and there was good interaction between service users and staff. The home has an effective quality assurance system in place so that it can gain the views of interested parties on how the home is performing. All service users spoken to were happy with the home and how they were cared for. Comments received included: " I am very happy at the home" "Everyone is very friendly, I am so glad I live here" " I couldn`t wish for anywhere better" "staff are always around to help". Staff stated that they enjoyed working at the home and that they were provided with regular training and updates in order for them to do their job effectively.

What has improved since the last inspection?

Since the last inspection all of the building work at the home has been completed and the home has been able to increase the number of service users it can accommodate from 29 to 32 and the number of double rooms has been reduced. A total of 16 rooms at the home have been refurbished and the lounge and dining area has been redecorated. A great deal of work has gone on to improve the standard of accommodation for service users and service users have benefited from this work.

What the care home could do better:

The inspector looked at care plans and some of these need to be amended to ensure that there is clear information for staff so that they have all the information they need to give the right support for service users and this will improve the care that service users receive. Medication procedures were generally sound but clear information is required for staff with regard to the monitoring and subsequent actions to be taken with regard to blood glucose levels for those service users with diabetes, this will help to ensure that service users are responded to appropriately if blood glucose levels fall outside the individual service users normal range.

CARE HOMES FOR OLDER PEOPLE Alexandra Rose Residential Care Home 358 Havant Road Farlington Portsmouth Hampshire PO6 INE Lead Inspector Michael Gough Unannounced Inspection 10:00 14 November 2006 th 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 Alexandra Rose Residential Care Home DS0000055562.V315850.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. Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Alexandra Rose Residential Care Home Address 358 Havant Road Farlington Portsmouth Hampshire PO6 INE 02392 382944 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) Riva Limited Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. To accommodate one service user in the OP category under the age of 65 years. 4th January 2006 Date of last inspection Brief Description of the Service: Alexandra Rose Care Home is a residential home that is registered to accommodate 32 service users over the age of 65 years. The home is situated in the Farlington area of Portsmouth and is close to shops and transport links to the city of Portsmouth. The home fits well into its residential surroundings. The building is set out over two floors and has a shaft lift to enable service users access to the first floor. The ethos of a caring homely service was demonstrated throughout the inspection and all those contacted during the inspection process spoke positively about the home. Fees at the home range from £450 - £645 per week and service users are responsible for paying for their own toiletries, hairdressing, chiropody and items of a personal or luxury nature. Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the evaluation of the quality of the service provided at Alexander Rose Residential Care Home and takes into account the accumulated evidence of the activity at the home since the last inspection, which was carried out on the 4 January 2006. Included in the inspection was an unannounced site visit to the home, which took place on the 14 November 2006, the inspection took place over 5.5 hours. Evidence for this report was obtained by speaking with the homes manager, who assisted the inspector throughout the visit, from reading and inspecting records, touring the home and from observing the interaction between staff and service users. It was also possible to gain the views of people living at the home and the inspector had the opportunity to speak with 14 service users, 4 members of staff and also a visiting care manager. What the service does well: What has improved since the last inspection? Since the last inspection all of the building work at the home has been completed and the home has been able to increase the number of service users it can accommodate from 29 to 32 and the number of double rooms has been reduced. A total of 16 rooms at the home have been refurbished and the lounge and dining area has been redecorated. A great deal of work has gone on to improve the standard of accommodation for service users and service users have benefited from this work. Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 6 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. Alexandra Rose Residential Care Home DS0000055562.V315850.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 Alexandra Rose Residential Care Home DS0000055562.V315850.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): 3&6 Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. New service users have a needs assessment undertaken prior to moving into the home this allows both the home and the service users and their relatives the opportunity to see if the home can meet the service users needs. The home does not provide intermediate care. EVIDENCE: Information from previous inspections and from viewing records showed that the home carries out an individual needs assessment prior to service users moving into the home and there is a clear admission process. Assessments, (including local authority assessments where appropriate) were on file at the home and were looked at for the four service users who were case tracked. Intermediate care is not provided. Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 9 Alexandra Rose Residential Care Home DS0000055562.V315850.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 & 10 Quality in this outcome area is (Adequate) This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of service users are set out in an individual plan of care, however these did not always give details of the care to be provided and how this care should be given and some care plans need to be amended to ensure that there is clear information for staff so that they have all the information they need to give the right support for service users, this will help to improve the care that service users receive. The home ensures that all service users have access to all relevant health care professionals and the health care needs of service users are met. Service users are protected by the homes policies and procedures for dealing with medicines and generally medication procedures are good, however clear information is required for staff with regard to the monitoring and subsequent actions to be taken with regard to blood glucose levels for service users who are diabetic, this will help to provide a better response to service users in this area. Service users at the home are treated with dignity and respect and their right to privacy is upheld. Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 11 EVIDENCE: Care plans were seen for 4 service users and 3 of these were printed sheets with general information but were not always personalised and did not always have information on how care should be delivered. There was also a note in one care plan that a service user was prone to falls and would drop to the floor without any warning, there was no information for staff on what they should do if this happens or any information that the reason for this had been explored. There was information on one care plan that the service user was diabetic and there was a note that staff should check blood glucose levels weekly. There was no information on who should do this and the inspector could find no information that this had ever taken place and there was no information that staff had received any training to undertake this task. One care plan that had recently been drawn up by the new manager had clear information on personal life history, information for dressing and undressing, washing and bathing, continence, mobility, nutritional screening, personal care, and recreation and leisure. This care plan was clear and easy to follow and provided information on the person’s ability, their problems and needs, the aims of the care plan and the method of care delivery. There was clear information in this care plan on risk assessments including information on the risk and how this could be minimised and how staff should support the service users. The issue of care plans was discussed with the new manager and she will be changing all the care plans at the home to ensure that plans are personalised to the individual service user. Care plans are reviewed monthly, and the new manager is introducing 3 monthly reviews with service users and their family as she is keen to get families actively involved in the care planning process. Service users at the home are registered with a number of different GP’s and are able to keep their own GP if they wish. Service users have access to all relevant health care professionals. The home has a visiting chiropodist who calls every 6-8 weeks, dental checks are carried out privately for some service users while others use the local health centre, there is a visiting optician who calls regularly while others have their own optician and a continence nurse provides advice to the home. Other health care professionals are accessed through GP referral. The home uses a monitored dose system for medication and medication records were found to be up to date with no gaps. The home has some controlled drugs and these are stored correctly and 2 signatures are recorded in a controlled drug register when they are administered. One service user has a pen injection system for the self-administering of her own insulin. Staff bring the pen to her and set the dose and the service users then administers this. At present there is no protocol or procedure for this and there was no information for staff on what procedure they should follow and no information that staff had received any training in this area. Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 12 Staff were seen to behave appropriately with residents and the inspectors observed staff interacting with service users and using service users preferred form of address was used. Staff were seen to knock on service users doors before entering and visitors spoken to confirmed that staff treat service users with dignity and respect. Alexandra Rose Residential Care Home DS0000055562.V315850.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 (Good) This judgement has been made using available evidence including a visit to this service. The home provides a range of activities for service users, which meet their expectations and the religious and recreational interests of service users at the home are provided for. Service users are able to maintain contact with family and friends and visitors are welcome at any time. Service users are supported to exercise choice and control over their lives as much as possible and they are provided with a balanced diet in pleasant surroundings at time convenient to them. EVIDENCE: The home has an activities programme and this is displayed on the notice board at the home and the inspector saw a list of the activities being provided. An activities book is kept by the home to evidence what activities have taken place and who choose to participate. The manager said that she is looking to organise more trips out into the community and has asked a service users at the home to help co-ordinate this, the service user is speaking with all the residents and is drawing up a list of things that the service users wish to do and the manager will try to make sure that these happen. She is planning to Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 14 take some of the service users out into town to see the Christmas lights and to do their Christmas shopping. Activities at the home include, cards games, board games, skittles, sing a longs, music, hand and foot massage, manicure’s arts and crafts and the service users have recently started to make Christmas cards. Comments cards seen by the inspector from service users and relatives indicated that service users are happy with the activities provided at the home and on the day of the visit those service users spoken to said that the activities provided were entertaining but now that the winter was here more afternoon activities would be beneficial and the manager said that she would be responding positively to their request. The home has a clear visitors policy and there are no set times, visitors sign in at the home and the visitors book is kept in the hallway, the inspector checked the visitors book and there is a regular stream of visitors to the home. Service users spoken to said that their visitors were always made welcome. The inspector observed staff supporting service users and it was clear that service users were consulted about life in the home, service users spoken to confirmed that they are able to make informed choices and are able to control their own lives, they stated that they were consulted regularly and that staff at the home respected their views and that if they wanted anything all they had to do was ask. The majority of service users had bought some of their own possessions into the home and rooms had been personalised. The home operates a four week rolling menu and service users were very happy with the food provided by the home. They stated that the food was plentiful and good and service users are offered a choice at meal times. Service users are able to eat their meals in the dining room or elsewhere if they prefer. Lunch on the day of the inspection was roast lamb with roast potatoes and fresh vegetables, followed by cherry pie and custard. The inspector observed lunch being taken in the dining room and also meals being delivered to service users rooms. Meals were unhurried and staff provided suitable support for service users if needed. Alexandra Rose Residential Care Home DS0000055562.V315850.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. There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. The homes policies and procedures help protect service users from any form of abuse. EVIDENCE: Previous inspections and information seen at this visit showed that the home has a clear complaints procedure, which contains all of the required information and service users spoken to were confident about raising any concerns they may have and stated that they would address any complaint they may have to a staff member or to the homes manager. Staff members spoken to were aware of the complaints procedure and said that they would support any service user to make a complaint if they wished to do so. Staff have received training on adult protection and the home has a whistle blowing policy and also a copy of the Hampshire Adult Protection procedure. Staff spoken to were aware of their responsibilities in this area and knew what to do should they suspect any form of abuse had taken place. Alexandra Rose Residential Care Home DS0000055562.V315850.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 & 26 Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well maintained environment and have access to comfortable indoor and outdoor facilities and the home is clean pleasant and hygienic. EVIDENCE: The inspector toured the building and all areas of the home were clean and tidy and furniture was in a good state of repair. A great deal of work has been carried out in the home to improve the ratio of double to single rooms and this has improved the appearance and fabric of the home and this was appreciated by the service users spoken to who were very happy with the home and also the facilities provided. Accommodation is over 2 floors and the lounge & dining area is situated on the ground floor, which also benefits from 2 Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 17 conservatories. Service users were seen to be using the main lounge in the home and this was bright and airy, although others preferred to stay in their rooms. There are attractive landscaped gardens both front and rear of the property with suitable seating for service users. The home has a laundry, which provides a full laundry service for service users and this is equipped with an industrial washing machine that can wash clothing at suitable temperatures and also has an industrial tumble drier. Care staff carry out laundry duties throughout the day and night and dirty laundry is placed in bags and is brought down to the laundry room. Any soiled laundry is placed in red sacks so that staff is aware of the contents. The home has infection control policies and procedures in place and suitable protective clothing is provided for staff. All areas of the home were clean and there were no offensive odours. Alexandra Rose Residential Care Home DS0000055562.V315850.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 & 30 Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Staffing numbers and the mix of staff currently meets the needs of service users. Staff morale was good and there was a good rapport between service users and staff. Service users are protected by the homes recruitment procedures and the home provides training for staff to enable staff to support service users effectively. EVIDENCE: The homes staff rota was examined and this showed that the home provides one senior staff member plus 3 carers between 0800 – 1400. Between 1400 – 2000 there is one senior staff member plus 2 care staff on duty and between 2000 – 0800 there is one senior staff member and one other care staff member on duty. Staffing numbers were discussed with the homes manager and the inspector was told that at present she felt that staffing levels were sufficient. However she said that she is currently undertaking a review of staffing levels and will continue to monitor staffing levels based on service user needs. In addition to care staff there is a domestic staff member on duty between 0800 – 1400 Monday to Friday and a cook is employed between 0900 – 1500 every day. The home employs a total of 18 care staff, and 10 of the care staff already hold or are working to achieve NVQII or above. Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 19 The home has policies and procedures in place with regard to recruitment and staff recruitment records were inspected for 3 staff members and those seen contained all the required information including 2 references and a record of POVA/CRB checks. The inspector discussed staff training with the manager and she is currently carrying out an audit of staff training. She has discussed training issues with the provider who has agreed to purchase a training programme for staff that includes, a comprehensive induction programme and also provides training in: medication, food hygiene, fire safety, moving and handling, adult protection, first aid, equality and diversity, principles of care, COSHH, risk assessment, dementia training and challenging behaviour. Staff training records were inspected and these were kept in individual staff files, those seen showed that staff were provided with the training required to enable them to support service users effectively. Staff records were kept secure in the administrator’s office. Alexandra Rose Residential Care Home DS0000055562.V315850.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 & 38 Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The manager is experienced and there is clear leadership, however she has only been at the home for a short period and is still settling in. The home is run in the best interests of service users and the financial interests of service users are promoted and protected. The home is aware of its responsibilities with regard to the health, safety and welfare of staff and service users, and these are promoted and protected Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager has only been in post for 2 weeks but she is an experienced manager who has completed the Registered Managers Award and NVQ4 and has previously been registered with the Commission for Social Care Inspection. The inspector had a long discussion with the manager and she is currently reviewing all of the homes care plans and is reviewing staffing levels. She will be applying to the CSCI for registration in due course. The home has a quality control system in place to monitor standards and the manager undertakes internal audits of documentation. A service user satisfaction survey has been sent out to service users and visitors and the inspector viewed the survey results as part of the visit. 28 questionnaires were returned from service users and there were 12 questionnaires returned from visitors to the home. The results were positive and the survey covered a range of topics such as: the homes physical environment, care received, attitude of staff, meals and choice of food, cleanliness, complaints, laundry and social activities. The inspector also spoke to service users at the home who confirmed that they were consulted about how the home is performing and comments received from service users included “ I am well cared for here”’ “I am happy here”’. ‘Staff are always around to help out” “I am glad I am here”. The manager said that she intends to have a service user meeting shortly and also hopes to hold a relatives meeting. A visiting care manager who was at the home was spoken with, she reports that she does not attend the home frequently but said that she has no concerns about the home and considers the care and the home in general to be good’ The home does not manage any of the service users finances, however it does keep some personal spending money for service users. The inspector looked at financial records and there was a clear audit trail with records of all transactions recorded and receipts kept. The inspector checked the balances for 3 service users and these were all found to be in order and correct. The homes pre inspection questionnaire, which was returned before the visit indicated that annual tests of fire fighting equipment was carried out on 29/8/06, fire alarm system 29/8/06, boilers and gas installation 21/7/06, electrical wiring on 21/3/06, hoists and lifting equipment on 5/10/06 and the lift was serviced on 1/6/06. The fire log was inspected and all relevant training and testing is carried out within the specified timescales. All service users and staff spoken to were happy with the health and safety arrangements in the home. Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 22 Alexandra Rose Residential Care Home DS0000055562.V315850.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? 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 OP7 Regulation 15(1) Requirement Timescale for action 31/01/07 2 OP9 13(2) 3 OP9 13(4)(c) Care plans must be amended to ensure that there is clear information for staff so that they have all the information they need to give the right support for service users. The home must draw up a 01/12/06 protocol and procedure for staff to follow with regard to the pen injection of insulin for one service user at the home and appropriate training for staff must to be provided. There must also be a risk assessment for a service user who selfadministers her own insulin through a pen injection system. The home must provide suitable 30/12/06 training for staff to enable the blood glucose monitoring of service users with diabetes to take place. Alexandra Rose Residential Care Home DS0000055562.V315850.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. Refer to Standard OP9 Good Practice Recommendations It is recommended that a specifically identified code be used on the MAR sheets for drugs that are prescribed on a PRN basis and are not needed. It is recommended that medication being stored in the cupboard for service users who are in hospital, be returned to pharmacy to avoid confusion when the service user returns home with 28 days supply of medication from the hospital. It is recommended that a copy of the application form for any management position applied for, be maintained in the recruitment file for that person. 2. OP9 3. OP29 Alexandra Rose Residential Care Home DS0000055562.V315850.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Alexandra Rose Residential Care Home DS0000055562.V315850.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!