Inspection on 23/01/07 for Alma Green Care Home

This inspection was carried out on 23rd January 2007.

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

The inspector 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

Alma Green Care Home 27/11/07

Alma Green Care Home 13/03/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Alma Green Care Home Alma Green Hall Green Upholland Skelmersdale West Lancashire WN8 0PA Lead Inspector Mrs Janet Proctor Unannounced Inspection 10:00 23 and 24 January 2007 rd 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 Alma Green Care Home DS0000062739.V319976.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. Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Alma Green Care Home Address Alma Green Hall Green Upholland Skelmersdale West Lancashire WN8 0PA 01695 622504 01695 622504 MBOWKER5@AOL.COM 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) Cranford Care Homes Limited Mrs Joanne Bowker Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 29 service users of the category of OP (Old age, not falling within any other category. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in Care Homes. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Rooms 8 and 9 may only be used as a bedroom for single occupancy or for shared occupancy in the case of married couples or like partnerships where both parties have expressed the wish to share. 13th March 2006 3. 4. Date of last inspection Brief Description of the Service: Alma Green is located in the small village of Upholland, which is part of the town of Skelmersdale. There is easy access to local community services such as shops, library, pharmacy, Post office and local bus route. The home is registered to provide 24 hour personal care for twenty-nine older adults of either sex, over the age of sixty-five. Alma Green is purpose built and privately owned by Cranford Care Homes Limited. Responsibility for the day-today running of the home is that of the registered manager, Joanne Bowker. The building is set over two floors accessed by a passenger lift. There are twenty-five bedrooms and two double rooms for anyone choosing to share. All have en-suite facilities. Five small communal sitting rooms are available, one of which is a designated smoking lounge. Information is available to prospective residents in a Service User’s Guide. This tells them about the home and what it provides. The fees charged in January 2007 were £366-00 per week. Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the service, was conducted at Alma Green Care Home on the 23rd and 24th January 2007. The previous inspection was done on the 15th March 2006 and information on the findings of this can be obtained from the home or from www. CSCI.org.uk . No additional visits have been made since the previous inspection. Prior to the inspection information had been submitted by the Manager in a pre-inspection questionnaire. Surveys had also been returned by some residents and relatives. On the day of the inspection there were 24 residents at the home, Information was obtained from staff records, care records, and policies and procedures. Information was also got from talking to residents, the Manager and staff members. A tour of the building took place. Wherever possible the views of residents were obtained about their life at the home and their comments are included in this report. What the service does well: All residents received a thorough assessment before they came to live at the home. This meant that their needs were known and arrangements could be made to meet these. All residents spoken to praised the staff that worked at the home. Some of the comments included, “The staff are good, very nice. Friendly and polite”, “The staff are nice I can’t fault them.” “The staff are great, they can’t do too much for you and kind with it” and “The staff are kind. They’re careful with you when helping you.” This meant that there was a good relationship between staff and residents. Visitors were made welcome at the home and could see their relative in private. A resident said, “My family come and see me – you can sit wherever you want with them”. This meant that contact with loved ones was promoted. Residents were encouraged and able to make choices. This gave them some control over how they lived their lives. Residents said, “I get up about 5.00 am, I’ve always got up early. I go to bed about 10.00 pm after the news. That’s my choice”, “I stay in my room and do my puzzle books”,“ I’m up between 8.00 – 8.30 am and that suits me fine” and “I’ve always been very independent and they let me do as much as possible for myself.” Residents spoken to said that they enjoyed the meals served at the home. They said, “The food’s good. I don’t eat a lot but it’s good. They come round Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 6 each day and ask you what you want.” This meant that they were provided with food that was to their liking. Residents were happy with the environment of the home and found it a pleasant place to live. A resident said, “I chose this room. My nephew and nieces brought me to look around and I liked this one”. What has improved since the last inspection? What they could do better: Following the assessment of their needs all prospective residents must receive confirmation in writing that their needs can be met. This is so they can be assured that their needs can be met at the home. The care plans should contain more precise information for staff so that they know exactly what to do for residents. This ensures that the care is given in a consistent manner. When reviewed there should be some indication of what progress has been made over the last month. This allows it to seen if the care being given is right for the resident. Staff administering medication should ensure that they complete the Medication Administration Recording chart correctly. This is so that there is an accurate record of what medication has been taken and when. In order that the health and safety of residents is not put at risk the temperature of the hot water to the baths must be kept on or around 43 degrees Celsius. This is so that no-one is accidently scalded. Advise must be Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 7 taken about the fire protection on the main corridor to ensure that this is sufficient. The recruitment procedures must be followed properly so that all necessary documents are received before the person starts work. Failure to do this may put residents at risk. 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. Alma Green Care Home DS0000062739.V319976.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 Alma Green Care Home DS0000062739.V319976.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of residents were assessed before moving into the home. This meant that their needs were known and arrangements could be made to ensure that these were properly met. EVIDENCE: The files for three residents were examined. These showed that the Manager had done a thorough assessment prior to the resident coming to live at the care home. The assessment identified the individual needs of the resident. The prospective resident did not receive confirmation in writing that their needs could be met although the Manager said that she spoke to them about the result of the assessment. This should be given to them in writing so that they have been assured that they will receive the care they need. Intermediate care was not provided at Alma Green Care Home. Alma Green Care Home DS0000062739.V319976.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 good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal needs were identified and met and their medications were dealt with correctly. All this protected residents’ health. The privacy and dignity of residents was respected by staff. EVIDENCE: The care plans examined showed that the information gathered during the assessment had been included in the plan of care. Whilst there was information on the needs of the residents the directions to staff were not precise and exact. This is needed to ensure that the correct care will always given in a consistent manner. This would be especially important if there were new staff or Agency staff on duty who would not be familiar with the resident and have to rely on the details in the plan of care. The plans of care were reviewed every month. The review did not always give an indication of the progress made towards meeting the stated aims. Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 11 The plans of care had been signed by the resident or relative to show that they had been involved in the care planning process. The eight relative surveys returned said that they were all kept informed of important matters and were consulted about the care if the resident could not make decisions. A nutritional assessment was now being done and the weight of the resident was monitored regularly. A risk assessment was done for development of pressure sores and there was evidence that equipment was supplied and used as needed. However, if the resident was identified as being at risk there were no directions in the plan of care for staff to follow. This meant that they might not know what actions or equipment to use so that this risk could be managed or reduced. A moving and handling assessment was done that included details on risk of falls. In this resident group it is better practice to treat the risk of falls as a separate issue due to the potential frequency and effect of falls. It was evident that residents had access to all medical and nursing input that they required. Staff ensured that referrals were made as and when needed and that residents attended all appointments. Of the ten resident surveys returned nine said that they always received the care and support they needed. There were some good practices in respect of medications. These included good records of medications ordered, received, and returned. Information leaflets on the medications prescribed were kept available for both staff and residents. The Controlled Drugs were appropriately stored and recorded. Dates of opening were recorded on eye drops. The room were the medications were stored did not have any natural ventilation and this may lead to the temperature rising above the recommended maximum of 25 degrees Celsius. There was one tablet left in a blister pack but the Medication Administration Recording chart was signed to say that this had been given. Missing doses of medication may have a potential harmful effect on the health of the resident. Observation of practice during the inspection showed that staff treated residents with respect. The induction training given to new staff included instruction on privacy, dignity and respect so that staff had knowledge and understanding of this before they started to give care to residents. The preferred term of address was recorded and used. Care was given in private and medical treatment in residents’ own rooms. Shampoo and other hygiene products were seen in bathrooms. These could potentially be used communally if not returned to residents’ room. Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ social and recreational needs were met by activities and contact with friends and family. The daily routines were flexible allowing residents to exercise choice over their lifestyle. They received a balanced diet and the meals were to their liking. EVIDENCE: The past interest and hobbies of the resident were discussed in the assessment process. This information was then included in the care plan, which noted what the resident liked to do. A diary of events and activities was on display. This included things such as nail painting, baking, and a pampering day. A record was kept of who attended the activities and a note made of those who declined to join in. There were mixed reports from residents about activities. A resident said, “There’s no entertainment, nothing at all” another said “We have concerts and parties.” Of the ten resident surveys returned four said there was always something for them to take part in. Three people wrote that they chose not to attend for various reasons. Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 13 The policy about visiting was on display in the foyer. Residents could choose who they saw and whether this was in their room or the communal lounge areas. All of the relatives surveys returned said that they were made to feel welcome and could visit their relative in private. Residents said they could get up and go to bed when they wanted and could use their own room as and when they like. Some residents chose to stay in their rooms for the majority of the time and ate their meals in their rooms as well. A resident said, “I asked the Manager if I could have my meals in my room and she said of course you can.” At the time of the inspection the tables were nicely set with condiments, cloth napkins, table-cloths, place-mats, and table ornaments. Staff were seen to give appropriate assistance to residents at lunch-time. Residents had a choice of food at each meal. Alternatives to the menu could be requested. Residents’ known likes and dislikes in respect of food were filed in the kitchen. This record also stated whether they needed any specialised equipment or not. This meant that staff were aware of their preferences and needs and could ensure that these were met. Night staff staff had access to the kitchen so they could make snacks if anyone was hungry in the night. Records were kept of cooking temperatures, fridge and freezer temperatures. This ensured that the food was stored and prepared correctly. Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were confident that their concerns would be listened to and acted upon. The procedures in the home ensured that residents were protected from abuse. EVIDENCE: The complaints procedure was displayed in the reception foyer of the home. If anyone wished to make a complaint there was a form and a box in the reception foyer. As these were ‘loose’ forms it was discussed with the manager about the need to number these so she would be aware if any were lost or mislaid. No complaints had been made to the home or the Commission. The Manager said that she would record the investigation and action in response if a complaint was made. Of the ten residents surveys returned nine said that they knew who to speak to if they were not happy. One person wrote that any minor complaints have always been attended to by the Manager. There was information on abuse and whistle-blowing and the relevant contact details on display in the reception foyer. This meant that everyone who entered the home could make themselves aware of how the home would deal with any incidents and could be aware of who to contact if they had concerns. Awareness of abuse was covered during the interview process when the purpose of the Criminal Records Bureau check was explained. All new staff had Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 15 Safeguarding Adults training in their Induction programme. Safeguarding Adults training was part of a rolling programme of training that all staff had to attend. A resident spoken to said, “ I feel very safe and well looked after here.” Alma Green Care Home DS0000062739.V319976.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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provided a pleasant and comfortable place for residents to live. The hot water temperatures of the baths and the fire detection system on the corridor may potentially lead to safety being affected. EVIDENCE: The home had five small communal sitting rooms one of which was a designated smoking lounge. All areas were clean, tidy and nicely decorated. There was a homely atmosphere. There were notice boards with pictures of events and information for residents and visitors. A handyman was employed so that minor repairs could be done as soon as possible. Of the ten resident surveys returned eight said the home was always fresh and clean. Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 17 There were twenty-five single bedrooms and two double rooms. There was evidence that residents could bring in small items of their own furniture. All had an en-suite facility, which encouraged privacy and independence for residents. All of the bedroom doors had a lock and everyone had a lockable storage space. This also gave residents some control over their privacy. There were sufficient bathrooms on each floor. The temperature of the hot water for baths was very hot, ranging from 50 .9 degrees Celsius to 56.1 degrees Celsius. This had the potential to put residents at risk of scalding. The Manager immediately rang for a plumber to come and adjust the Thermostatic Mixing Valves. A cupboard on the corridor had laundry stored in it. There was also an electrical meter in the cupboard and no smoke detection system in the immediate vicinity. There was a separate laundry room, which had a suitable washer and a dryer. There was storage space for the clean clothes before they were returned to the residents’ bedrooms. Liquid soap and paper towels were seen in bathrooms and toilets. Plastic aprons and gloves were available for staff and they were seen to use these. This promoted good infection control. Alma Green Care Home DS0000062739.V319976.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. The skill mix of and number of staff on duty was sufficient to ensure the needs of residents were met. The recruitment procedures were not thorough enough to protect residents. Training was given to new and existing staff so they had the skills and knowledge to do their work. EVIDENCE: There was a duty rota on display that gave the name, designation and hours worked. This now showed the hours worked by the Manager’s hours. The number of care and ancillary staff was sufficient to meet the needs of the residents. Of the ten resident surveys returned six said staff were always available when they were needed and four said usually. A resident spoken to said, “I just pull the buzzer and they come as quick as they can.” Of the eight relatives surveys returned all said they though there were enough staff on duty. Whilst there were some good practices in respect of recruitment the files for three members of staff were examined and showed that two of these had started work prior to their check for Protection of Vulnerable Adults being returned. This potentially puts residents at risk. One member of staff had also started work before the second reference had been returned. The good Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 19 practice included obtaining proof of identity, job descriptions and giving the GCSS code of practice and conduct to new staff. All new staff started on an Induction programme that gave them the basic skills to carry out their work. A training and development plan had been produced for 2007. This showed a rolling programme for mandatory subjects so that all staff would have the opportunity to attend training over the year. Fire safety training had been done in January. A record of training undertaken was kept in the individual staff files. There were 18 carers employed of which 14 had a National Vocational Qualification in care at level 2 or 3. Another three staff were enrolled on the course. This meant that staff had the knowledge and skills to do their work in a competent manner. Alma Green Care Home DS0000062739.V319976.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 good. This judgement has been made using available evidence including a visit to this service. The home was managed in a way that promoted the best interests of the residents. Health and safety procedures and training protected the welfare of residents and staff. EVIDENCE: The Registered Manager of the home had many years experience of working in care. She had the necessary qualifications to show that she had the knowledge to manage the home. In discussion she spoke of her commitment to run the home in the best interests of the residents. Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 21 The manager said she had just a few in–house quality assessments but did a daily visual check of the home to reassure herself that everything was running satisfactorily. The home had received a RDB quality rating of 4 stars. This had recently been reviewed by the RDB quality assessment. Residents meetings were held quarterly and relatives were also invited to this. A survey had prepared and gone out to residents and relatives but all the forms were not yet back. The results of the survey will be acted upon. Staff meetings were held and the issues discussed and actions agreed recorded. There were policies and procedures in place for staff to refer to and these were updated as and when needed. The home had a policy of not handling personal allowances for residents. Any money brought in by relatives for residents was stored in the home’s safe. Records were kept of any money handed in for safekeeping and receipts kept for any purchases made on behalf of residents. The records were checked against the balances of money held and found to be correct. There were records to show that all equipment and facilities were checked and serviced as required. Regular fire safety checks were done and nearly all of the staff had received fire safety training in January 2007. Other training in safe working practices was scheduled throughout the coming year so all staff could attend. Alma Green Care Home DS0000062739.V319976.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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14(1)(d) Requirement All prospective residents must receive confirmation in writing that their needs can be met at the home The temperature of the hot water supply to the baths must be maintained at or around 43 degrees Celsius. The Lancashire Fire and Rescue Service must be consulted about the suitability of fire detection around the cupboard on the corridor. No new member of staff must start work until the necessary checks have been returned. This includes two written references and a POVA First. Timescale for action 28/02/07 2 OP19 13(4)(c) 25/01/07 3 OP19 23(4)(c) (i) 28/02/07 4 OP29 19 Schedule 2 25/01/07 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 Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 24 1 2 3 4 5 6 7 8 OP7 OP7 OP8 OP8 OP9 OP9 OP10 OP19 The directions in the plan of care for staff to follow should be written in more precise details When the care plan is reviewed there should be an indication of the progress made over the previous month. If a resident is identified as being at risk of developing pressure sores there must be direction for staff to follow in the plan of care A separate falls risk assessment should be done for residents. Direction should be given in the plan of care to staff on how to reduce or manage this. The temperature of the medication storage room should be monitored daily to ensure that it does not rise above 25 degrees Celsius If a dose of medication is missed for any reason then this should be recorded appropriately on the chart. Shampoos and other bathing products should be returned to the individual resident’s bedroom. The temperature of the hot water supply to the baths should be monitored on a regular basis. Alma Green Care Home DS0000062739.V319976.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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. 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