Inspection on 29/10/08 for Allan Court

This inspection was carried out on 29th October 2008.

CSCI found this care home to be providing an Adequate service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Allan Court 16/09/09

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

CARE HOMES FOR OLDER PEOPLE Allan Court Benwell Lane Benwell Newcastle Upon Tyne Tyne & Wear NE15 6RU Lead Inspector Janet Thompson Key Unannounced Inspection 29th October 2008 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 Allan Court DS0000072101.V373044.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. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Allan Court Address Benwell Lane Benwell Newcastle Upon Tyne Tyne & Wear NE15 6RU 0191 274 1100 0191 274 1122 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) Southern Cross OPCO Ltd Jane Marie Tworkowski Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Old Age, not falling within any other category, Code OP - maximum number of places 60 The maximum number of service users who can be accommodated is: 60 22 November 2006 2. Date of last inspection Brief Description of the Service: Allan Court is a purpose built three- storey building situated in the heart of Benwell. The home is at the end of a sloping drive where car parking is provided to the front of the building. There is a landscaped area to the front of the home. Local facilities are a short walk away and the city of Newcastle is easily accessible through public transport. Allan Court accommodates sixty elderly people with a physical frailty, some of who require nursing care. All rooms are single occupancy. The top floor of the home is not being used at present. The organisation is considering the future use of this floor. The fees for the home vary and are available from the home on request. Further information about the home is available in the service user guide, which contains the statement of purpose and previous inspection reports. This is kept in the reception area of the home. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use the service experience adequate quality outcomes. Before the visit we looked at: Information we have received since the last inspection visit. How the service dealt with any complaints or concerns since the last visit. Any changes to how the home is run. The manager’s views of how well they care for people. During the unannounced visit we: Talked with people who use the service and some of the staff. Looked at the information about people who use the service and how well their needs are met. Looked at other records the home is required to keep. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, comfortable and safe. Checked what improvements had been made since the last inspection visit. The manager was not present at the inspection. A manager from another home attended the inspection. Feedback was given to him throughout the inspection. What the service does well: Residents’ bedrooms were comfortable and nicely decorated. The laundry and linen stores were kept very clean and tidy. Dining areas on both floors were clean. The furniture was attractive and suitable and tables were nicely set. We tasted the food on the day. It was steak and mushroom pie with turnip, peas and spring onion mashed potatoes. The food tasted good, it was hot enough and well presented. The chef makes his own cakes. Medication was stored and administered properly. Residents’ monies appeared to be well managed. The manager regularly audits the financial system. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 6 Staff recruitment files showed that staff are checked before employment to ensure that they are suitable to work with vulnerable adults. The residents on the lower ground floor looked clean and well cared for. One resident told us that the care was good. Residents said that there was a good relationship between themselves and staff. There is an activities co-ordinator employed at the home full time. There were a lot of one-to-one activities taking place with residents, which is good. The home was well decorated for Halloween. What has improved since the last inspection? What they could do better: On the ground floor the carpet in the lounge was heavily stained. There were strong odours in this room. The bathroom on this floor was in need of redecoration as the walls were badly scuffed. The shower room (shower 2) smelled strongly of drains. Another bathroom on this floor was full of equipment that was no longer in use. The lower ground floor was better decorated and maintained throughout. However, on exiting the lift at this floor it appears as though you have reached an ancillary area. There is no carpet on the floor. The doors are broken and scraped. There are no signs to direct you away from the laundry and into the residential area. The entrance door to this unit is plain, solid brown and opens directly into the lounge. The kitchen, though clean and tidy, is decorated with wallpaper that is difficult to wash down. There are no protective splashbacks on the walls making cleaning even more difficult. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 7 A handyman has recently been employed. Since his employment internal safety checks have been well documented. Before his employment there are gaps in the safety records. There was not enough evidence that issues raised in the safety records had been resolved. The safety certificates for Gas and Electricity were not available. On the ground floor a male resident was noted to be unshaven. His fingernails were dirty and he had bandages on his legs that were wrinkled and falling off. There were no records indicating that this man had been shaved. Records said he received a wash most days but there were gaps of four to five days with no recording. The personal hygiene records for some days stated that he carried out his care independently. This assessment did not match our observations of this person’s ability. On the ground floor one resident was nursed in bed. Her en-suite door had been left wide open blocking a view into the room. The room was very untidy and was not clean. The en-suite was also untidy. There were creams and dressings on the shelves and in a box on the floor. Records of residents’ wound care and personal hygiene were not in the care plans but kept separately in folders. There was also a bath list indicating which day residents would be bathed. This practice does not encourage person centred care. Records of social activities consisted of a code sheet for individual events. The records could be more person centred to include how activities were enjoyed and the level of participation. Residents spoken to were not aware of the activities calendar and this could be because they are posted on notice boards which residents do not always look at. 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. Allan Court DS0000072101.V373044.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 Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed, taking account of their needs and wishes, so that they can be assured this is a suitable home and receive an individual care service. EVIDENCE: Three pre-admission assessments were seen. They contained enough information to enable staff to assess if they could meet the individual needs before admission. Information from other health professionals and carers was included in the assessment. We spoke to residents about the admissions procedure but they could not remember the details. We spoke to a staff member about admissions and she showed a good understanding of the needs of residents moving into the home. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Not all people receive personal care that is well planned or takes account of their diverse needs. EVIDENCE: Four care plans were examined and three were case tracked. This means that we spoke to the individual residents or observed their care then matched our observations to what was written in the care plan. There appeared to be a difference between the two floors of the home in relation to the standard of care planning and care delivery. On the lower ground floor one resident’s care was case tracked. The care plan did reflect the actual needs of this person. Assessments were in place and had been regularly updated. The care plans were specific and covered all areas of need. Dependency assessments showed a decrease in dependency and increase in independence and social ability. This matches the resident’s description of their life in the last few months. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 11 The resident told us: ‘I am well looked after. I get a bath twice per week and can more or less do as I please. Since I came here I feel happier in myself and stronger’. The remaining residents on this floor looked clean and well cared for. A relative said, “we were struggling at home, it is a relief to be able to visit any time and find everything sorted out”. They said the staff were helpful and they had no complaints to make about the care. On the ground floor care was tracked for two residents. One resident was nursed in bed. The double doors to her en-suite had been left open blocking the view into her room. We asked the visiting manager to accompany us in the room and found that it was untidy and not clean enough. Continence products were left on her bedside table. A wet face cloth was on top of ornaments on a chest of drawers. The view in to the en-suite showed that it was crammed with walking equipment and a wheelchair, there were some body creams, a box of Resolve and some Vick’s vapour rub on a shelf. A box containing dressings was on the floor. There were more continence products near the toilet. The care plan for this resident showed that she was a low risk for pressure sores yet she had a grade four sore. There were entries and a body map dated in June that showed her skin was intact. This remained so until August when an entry describes a 6cmX6cm grade two pressure sore. A tissue viability nurse was involved in September but one of the wounds has continued to deteriorate. This resident had also lost weight. The recording was insufficient to explain why a wound had deteriorated and how the first record of a wound was when it was a grade two sore measuring 6cm. One resident on the ground floor was in the lounge with dressings on his legs. They were noted to have fallen down and were wrinkled. He was unshaven and his fingernails were dirty. The record of wound care states that the dressings are applied following the advice of the tissue viability nurse and are for protection only. The visiting manager was going to check this advice again as the dressings appear to be left for a week and are not staying in place. The personal care records of this resident did not mention a shave at all. The records showed that a general bath was not given at all, the resident appeared to have a bed bath most days. There was no reason for this recorded. There were several days missing and on some occasions four to five days with no record of personal care being given. Records showed that on some days this resident did his own personal care. This included carrying out his own shave and checking his own skin integrity! We concluded, and the visiting manager agreed, that from our observations he would not have been able to carry out these tasks. Further examination of the hygiene records showed that more residents were recorded as carrying out their own independent bed baths, checking their own Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 12 skin integrity and performing their own spectacle care and slipper care. One resident was only recorded as having one bath and one bed bath in a month. Some residents were recorded as receiving a regular bath then suddenly performing this task independently. The staff signatures on these records showed a pattern of the same staff making the entries for independent bathing. The visiting manager will ask for an investigation into these records. Some of the information in care plans was kept in other files. There was also a ‘bath book’. This does not encourage person centred care. Medication ordering, administration, storage and disposal were examined. The manager audits all medicines monthly. All medicines were accounted for and all those administered were signed for. Three amounts of controlled drug were checked and were correct. Allan Court DS0000072101.V373044.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to lead a healthy and fulfilling personal lifestyle. This takes account of their wishes and diverse abilities. EVIDENCE: An activities co-ordinator is employed at the home full time. She supports residents to use a range of services within the local community. Residents are encouraged to be in control of their own lives and enjoy their own interests and hobbies. The home was well decorated for Halloween. There was information on the notice board telling residents what was available in the activities calendar. Residents spoken to were not aware of the events taking place or could not remember. The individual activities sheet records how much residents have participated by code boxes. This does not give any detail of how they enjoyed it or the extent of their participation. The activities coordinator tries to do a lot of one to one things with more dependent people, which is good. Residents said they liked the food. They said they had plenty of choice and it was usually hot enough. We ate the food at the home. It was well presented. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 14 The food was hot enough and very tasty. The standard of the cooking was good. There were a number of relatives in the home during the inspection. They appeared to be at ease and familiar with staff and their surroundings. One relative told us that they have visited at all times of the day and have not had any problems. One resident told us that he thought he had plenty of choice in how he lived his life. He said that he could lie in bed if he wished or go to bed later. Staff were observed to offer residents choice in where to sit and what to do. Staff spoke to residents in a pleasant manner. Allan Court DS0000072101.V373044.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are protected from harm through thorough policies, procedures and staff training. EVIDENCE: Staff follow the home’s policies and procedures relating to the management of complaints and allegations of abuse. Staff are kept up to date with information and training. Staff have received training on the protection of vulnerable adults. Residents are told how to complain through the complaints procedure. This was clearly visible within the home. Residents spoken to said they would complain if they needed to but none of them had any current complaints. Allan Court DS0000072101.V373044.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, 21 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Not all areas of the home were clean or well maintained. EVIDENCE: The standard of furnishings and décor in residents’ bedrooms was generally good. As mentioned in other sections of this report staff do not always tidy residents’ rooms when they have finished attending to them. The carpet in lounge one on the ground floor was very stained and there were strong odours in this room. The ground floor bathing facilities are not good enough. One bathroom had walls that were very scuffed and marked. Shower room 2 smelled strongly of drains. Another bathroom was full to the door of walking frames, wheelchairs, pictures and boxes. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 17 The fire exit on the ground floor had boxes, bags and a chest of drawers stored there internally. Externally, on the fire escape ramp, were trolleys used for deliveries to the kitchen. These were blocking a large portion of the ramp. They were said to be there temporarily and were removed by the visiting manager. The kitchen was very clean and tidy but the walls were decorated with domestic type wallpaper, which makes cleaning them difficult. There were not any splash backs around the kitchen equipment, making cleaning even more difficult. The laundry was very clean and tidy as were the linen store cupboards. The laundry door had bare plaster around it following some repairs. It should be painted to facilitate easy cleaning. Some areas of the home have improved. The dining areas are now bright and cheerful. Some new dining furniture has been purchased and these are pleasant places for residents to eat. Tables were nicely set for lunch and there was a good atmosphere during lunch. The lower ground floor décor was better maintained as it has more recently opened. Here all areas were clean and tidy. There were no odours. However, on exiting the lift at this floor it appears as though you have reached an ancillary area. There is no carpet on the floor. The doors are broken and scraped. There are no signs to direct you away from the laundry and into the residential area. The entrance door to this unit is plain, solid brown and opens directly into the lounge. There is an alternative entrance to the unit accessed from outside but staff reported that this is not used and is kept locked. This unit has a very nice conservatory that was also reportedly not used. This was locked at the time of inspection. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People using the service are supported and protected through staff skill and ability but not adequate numbers of staff. EVIDENCE: The home is currently staffed to: Daytime. 8am-8pm. Four care staff and two qualified nurses on the ground floor. One senior carer and two carers on the lower ground floor. However, staff reported that there was only a senior carer for two days per week on the lower ground floor. Records confirmed this. This is not enough. This unit is self contained and should have a senior on duty at all times. Staff on the ground floor reported that they were too busy and sometimes had too many residents to bath, which made them even busier. Comments made in the healthcare section of this report would support this. Training records showed and staff confirmed that 87 of staff had achieved NVQ level 2. Essential training was mostly up to date and some more was planned. Records showed that low percentages of staff had received training Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 19 in COSHH, infection control and first aid. This training was booked to be carried out in the next month. Four staff recruitment files were examined. These were for one new carer, one nurse, one senior carer and the handyman. All files contained good information. Thorough background checks had been carried out before employment. Residents were protected through checking of criminal records information for all employees. Interviews were conducted against a person specification list to ensure fair and equal employment. An equality and diversity monitoring form is also used to demonstrate fairness in employment. Allan Court DS0000072101.V373044.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 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People using this service are not fully protected through reflective management taking account of the diverse needs of the service. EVIDENCE: The manager appears competent and skilled enough to run the home. The manager was not at the inspection. The home was represented by a manager from another home within the group. He was able to provide all of the information needed and take action on some issues that needed immediate attention. Staff spoken to were clear about their role and responsibilities. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 21 The home operates a quality assurance system. A lot of auditing of systems and clinical issues takes place. However, the issues raised in the healthcare section of this report have a direct impact on the well being of residents. Auditing did not pick up these issues and there is not enough evidence that staff are given adequate direction and supervision to ensure the home is run in the best interests of residents. Servicing and maintenance agreements are in place for facilities and equipment. This included water chlorination, checking of portable electrical appliances and servicing of lifts and hoists. Safety certificates for the main gas and electricity supply could not be found. All fire safety checks, tests and instructions to staff are conducted at the required frequency and recorded. The handyman carried out some fire drills in the home. His reporting of the performance of staff during these was very good. There were some omissions in the health and safety checks before the employment of the current handyman. The handyman also checks hot water temperatures, the nurse call system and the window restrictors. There were no checks done for these in September, before his employment. There were some problems noted in the health and safety checks, which have been reported but do not seem to have been resolved. These are: The water system seems cold, some hot water is only provided at 32oC. Some emergency lights are not working on battery or mains. Some intumescent seals need to be replaced on fire doors. There were no obvious trip hazards in the home. Residents personal monies were well accounted for. Southern Cross operates a pooled account system therefore monies could not be counted. The manager had recently audited the system. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 Requirement Review all care plans to ensure that they are person centred, consistent and reflect the actual needs of residents. Investigate the apparent falsifying of care records and provide an account of that investigation. Provide an account of how the service is to be improved to meet all care needs of all residents. Timescale for action 01/01/09 2. OP8 12 01/01/09 3. 4. OP19 OP21 13 5. OP26 Ensure fire exits are kept clear 01/12/08 and the safety of users of the building is not compromised. 16, 23 Review the use and décor of 01/01/09 bathrooms on the ground floor to ensure they are all in good operative odour and provide a clean and pleasant place to bathe. 13, 23, 16 Address the offensive odours on 01/01/09 the lounge. Ensure that all ancillary and catering areas are provided with easy to clean surfaces. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 24 6. OP38 13 Redecorate and provide signs to the internal entrance of the lower ground floor unit. Provide CSCI with evidence of up to date gas and electricity safety certificates. Ensure that all health and safety checks are carried out in the absence of the person designated to do them. Provide evidence that the issues raised during safety checks are addressed. 01/12/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP10 OP12 OP27 OP33 Good Practice Recommendations Provide staff with training which enables them to provide person centred care and promotes privacy and dignity. Give consideration as to how to better inform residents of forthcoming activities and record their participation. Review staffing levels throughout the home to ensure that staff have enough time to meet the needs of residents and staff left in charge of a unit are managerially competent. Put in place measures that ensure the home is run in the best interests of residents. Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Allan Court DS0000072101.V373044.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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