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Inspection on 05/05/06 for Applecroft Residential Care Home

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

This inspection was carried out on 5th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

There is a friendly and homely atmosphere within the home. Residents said that staff were friendly and attended to their needs in a kind and caring manner. Relatives said they are made feel welcome into the home and that they are kept informed of any changes that may have occurred to their relative. Residents are helped to make choices and maintain their independence as much as possible. The food provided to residents is of a good standard and choice is promoted.

What has improved since the last inspection?

Improvements to the physical environment continue as the owner is in the process of refurbishing the home. Several of the residents` bedrooms have had new carpets fitted since the last inspection. Members of staff have worked very hard on the care plans to ensure that an individual care plan is in place for each resident. The deputy manager has downloaded information from the NHS (internet) site on each resident`s medical condition so that staff are aware of the signs and symptoms of the illness and how the condition may affect the individual resident. This is evidence of good practice. The management of medicines has improved since the last inspection. There is better control of stock so residents are confident they will not run out of their essential medication. The medicine administration record (MAR) sheets are kept up to date and signed so residents can be confident that they are receiving their medicines are prescribed.

What the care home could do better:

Although staff have attended some training since the last inspection, they have not been given the opportunity to attend any training relating to the mental health of residents. As there is a variation currently in place for two residents with specific mental health needs there is a risk that staff may not be able to meet this aspect of their care. This was shown by the fact that one of the residents did not have a care plan to address their specific mental health needs. This is an outstanding requirement from the last two inspections and must now be addressed. There is no quality assurance system in place at the moment. There is nothing to show that monthly visits (in accordance with Regulation 26 of the Care Homes Regulations) are being carried out to check the standard of care and the facilities at the home. A large gap was noted under two of the bedroom doors and a toilet area which were recently refurbished. This is a fire risk to residents and must be addressed without delay. Any refurbishment done at the home must comply with the regulations, in particular fire safety regulations. Staff must also ensure that the fire alarms and emergency lights are tested in accordance with the fire regulations so residents are not placed at risk.

CARE HOMES FOR OLDER PEOPLE Applecroft Residential Care Home 48/50 Brunswick Street Congleton Cheshire CW12 1QF Lead Inspector Helena Dennett Key Unannounced Inspection 5th May 2006 09:30 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 Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 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. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Applecroft Residential Care Home Address 48/50 Brunswick Street Congleton Cheshire CW12 1QF 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) 01260 280336 01260 299862 tracy.bali3@btinternet.com B & L Property Investments Ltd Care Home 25 Category(ies) of Dementia (1), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (1), Old age, not falling within any other category (25), Physical disability (2) Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 25 service users to include: * Up to 25 service users in the category of OP (old age not falling within any other category) * 1 service user in the category of MD(E) (mental disorder over the age of 65) * 2 named service users in the category of PD (physical disability) over the age of 60 within the overall number of registered places * 1 named service user in the category of DE (dementia) The registered provider, must at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection. 18th October 2005 2. 3. Date of last inspection Brief Description of the Service: Applecroft is a privately owned care home located near to Congleton town centre and close to local shops. It was formerly two private dwellings that have been converted and extended to provide a care home for older people. It is a three-storey building and residents can be accommodated on all floors. Access to all floors is via a shaft lift or stairs. Residents’ accommodation consists of 25 single bedrooms, no double rooms. Twelve of the single bedrooms have en-suite facilities, three have showers and three have baths. There are currently only two communal bathrooms in the home as the owner has recently changed one bathroom into a bedroom. There are plans to complete an additional bathroom within three months. There are three communal toilets in the home. Day space consists of two lounges and a dining room. The current range of fees is between £300 - £360 per week. Additional charges are made for newspapers and hairdressing. This information was provided in the pre-inspection questionnaire signed as correct by the owner on 24th April 2006. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 5 The deputy manager confirmed that each resident is provided with a statement of purpose and service user guide so they know the services that are provided by the home. The last CSCI inspection report is displayed on the notice board for anyone to read. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The last inspection of the service took place on 18th October 2005. The visit to the home that was carried out on 5 May was part of an inspection that took into account events that have occurred since then, notifications of incidents or information that has been received at CSCI office as well as the findings of the site visit. A pre inspection questionnaire was completed before the site visit. Surveys were given to residents, and relatives and health and social care professionals in contact with the home were asked for their opinion of the service. The site visit of the premises took place on 5th May 2006 and lasted approx 5 hours. During this time five residents, two sets of relatives and two members of staff were spoken with. Five residents returned completed CSCI questionnaires, six relatives’/visitors’ comment cards, and four health and social care professionals’ comments have been received back. Their comments are included in the report. What the service does well: What has improved since the last inspection? Improvements to the physical environment continue as the owner is in the process of refurbishing the home. Several of the residents’ bedrooms have had new carpets fitted since the last inspection. Members of staff have worked very hard on the care plans to ensure that an individual care plan is in place for each resident. The deputy manager has downloaded information from the NHS (internet) site on each resident’s medical condition so that staff are aware of the signs and symptoms of the illness and how the condition may affect the individual resident. This is evidence of good practice. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 7 The management of medicines has improved since the last inspection. There is better control of stock so residents are confident they will not run out of their essential medication. The medicine administration record (MAR) sheets are kept up to date and signed so residents can be confident that they are receiving their medicines are prescribed. 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. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 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 Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 6 The quality of what the home does to ensure that prospective residents’ needs can be met is good because staff assess their needs before they come into the home. Residents are given contracts so they know what services they will receive. Prospective residents and their relatives/representatives are given the information they need to make a choice about the home. EVIDENCE: Residents’ care records contained an assessment that had been completed by a senior member of staff before the resident moved into the home. This provided all the information necessary for staff to ensure that they could meet the residents’ needs. All of the residents are given a contract that sets out the terms and conditions of their residency. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9,& 10 The home’s performance for the standards assessed at this inspection is good. Care plans are in place for each resident and generally are detailed enough to make sure that staff at the home are aware of residents’ needs and are able to care for them adequately. Residents’ health care needs are met and referrals are made to other professionals as needed. EVIDENCE: Care plans for residents have improved considerably since the last inspection. However the care of one resident’s mental health needs is not documented in sufficient detail to ensure that all aspects of the resident’s mental health needs are met. Discussion took place with the deputy manager on the development of the care plans. As new care plans have been put in place recently these have not yet been evaluated. The deputy manager said that this will be done regularly and the care plan changed as residents’ needs change. The care plans have a printed description of the illnesses that residents suffer from so staff have a better insight into residents’ needs. Five residents completed and returned CSCI questionnaires. Six relatives’/ visitors’ and 4 health and social care professionals surveys were returned to Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 11 CSCI office. All were very positive about the care provided at the home. One relative’s comment was: ‘I feel the staff here care for my relative to an exceptional standard’ ‘They do their up-most to meet his needs at all times and often go beyond the call of duty to maintain his happiness and to keep him comfortable’. One resident’s comment was as follows: ‘Applecroft is a real home from home’. Another resident said they would recommend the home. The inspector spoke with five residents. Four of the five residents said that they felt staff were meeting their needs in full. One resident said she was happy at the home, staff were good and she had no concerns. Comments such as ‘I like living here, I can suit myself’ were made. Two sets of relatives were also spoken with during the site visit. They were very positive about the home and the care provided. They felt their relatives’ personal care needs were met and when a change occurs they are informed without delay. Four comment cards from health and social care professionals were received. All were very positive about the home. One commented ‘have noticed a steady improvement since new management’. A second commented ‘I have been impressed with the standard of care and the friendliness of the care staff’. Care staff were observed interacting in a positive way with residents. They addressed residents with respect and in a friendly manner. Residents said that their needs are met. All said they could have a bath whenever they want and didn’t feel it was a problem. Relatives said that other health professionals such as the chiropodist and the nurse assessor visit as necessary. The management of medicines has improved since the last inspection. Although there is a policy and procedure in the home relating to medication, this should be reviewed to make sure that it covers all aspects of medicine management in the home. Staff keep a record of the stock of residents’ medicines so they are aware if residents may run short and can get additional supplies from pharmacy to make sure that residents receive their medication as prescribed. A controlled drugs cupboard is kept in the medicines room. This is kept locked at all times. The cupboard requires cleaning. A sample of medicine record administration (MAR) sheets was examined. The records contain all the information required to provide evidence that residents are receiving their medication as prescribed. One resident who was admitted to the home for respite care had brought her medicines in. The labels were difficult to read. Discussion took place with staff regarding the necessity to ensure that the labels on medication are clear and that all staff can read them fully. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 The way the home meets these standards is good. Suitable activities are provided for most of the residents at the home so they are kept active and stimulated. Residents receive a healthy, varied diet according to their assessed requirements and choice so they get sufficient food to stay healthy. EVIDENCE: Residents said that there are plenty of activities provided at the home to keep them active and stimulated. Relatives were also positive about the activities at the home. Staff at the home keep a record of all of the activities provided. Relatives said that they are made welcome in the home and can visit at any reasonable hour. The social needs of one resident are currently not being met in full. This was discussed with the manager who agreed to address this issue. Residents said that staff encourage them to make choices. Advocacy services are used for one resident so that he can maintain his independence as much as possible. Residents’ rooms are homely and contain their own personal possessions. One resident said this is ‘her home’ and when in hospital couldn’t wait to get home. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 13 All of the residents, their relatives and the staff were very complimentary about the food offered. The cook said a choice is offered if needed but that she knows residents’ likes/dislikes and accommodates these accordingly. On the day of the site visit, the main meal consisted of pork. The cook explained that one resident does not eat pork and so a lamb chop was provided instead. Residents can choose to eat either in the dining room or in their own room. The food on the day of the site visit looked appetizing. Residents said they enjoyed their lunch. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The processes in place at the home to meet these standards are good. Residents have access to an effective complaints procedure, are protected from abuse and have their legal rights protected. EVIDENCE: Residents and relatives are aware of what to do if they have a complaint. They said they would feel comfortable approaching staff, the deputy manager or the owner if they had a complaint. There have been no complaints to the home or to CSCI since the last inspection. Members of staff know the correct action to be taken if an incident of abuse occurs. One allegation has been made since the last inspection. The deputy manager of the home dealt this with in a satisfactory manner. This was also highlighted as good practice by one of the social workers who said that staff handle issues efficiently and openly. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 24, 26 The quality of the way the home meets these standards is adequate. Although the physical environment continues to improve, care must be taken to make sure that the changes meet building regulations and fire regulations as some of the bedroom doors did not provide full protection for residents in the event of a fire. EVIDENCE: The owner is continuing to refurbish the home. Several bedrooms have been completed on the middle floor since the last inspection. However a gap between the door and the floor was evident on two of the bedrooms and one toilet. The manager agreed to contact the fire safety officer for advice and in the interim said that residents would not be given these rooms to live in. Subsequent to the inspection the deputy manager said that the doors were being replaced so that there would be no risk to residents should a fire occur. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 16 Several of the bedrooms in the home have had new carpets fitted. Some corridor carpets are showing signs of wear and tear and will require checking to ensure they are replaced when necessary. The owner has changed the use of one of the communal bathrooms into a bedroom, which means that residents only have the choice of two bathrooms. However, three bedrooms have en-suite showers and three have en-suite baths. As there are 21 residents living in the home at the moment, their needs can be met; however should the number of residents reach 25 there is a risk that the number of communal baths would be insufficient to meet their needs. The inspector was told of plans to install a new bathroom in the home within the next three months. The kitchen appeared to be clean and tidy. The serving hatch has been closed off and the door kept closed. The last visit by the environmental health department visit took place on 12th November 2005. The deputy manager said that recommendations made at that visit have been acted on. The laundry room was found to be satisfactory in the main. However the washing machine does not have a sluicing facility to deal with soiled or infected linen. This was raised as a problem at the last inspection. The pre-inspection questionnaire indicates that a water heating check to ensure legionella cannot develop is not carried out. The temperature of the hot water was found to be 43°C, which is within an acceptable range. Radiators do not have protective covers and so residents could be at risk of being burnt by them. One radiator in a small corridor was considered very hot and could be a risk. The deputy manager said that most of the radiators have valves that control the temperature; however these could be easily altered, which may leave residents at risk. See Requirement No 1&2. See Recommendation 1 &2. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 The home met these standards adequately. There were enough staff working at the home to meet the needs of the residents. However, insufficient checks were carried out on staff before they were employed to ensure that residents were not placed at risk. In addition, staff have not attended the required training on mental health needs and so there may be a risk residents needs are not met. EVIDENCE: There were plenty of staff working at the home on the day of the site visit. The deputy manager was supernumerary to the number of staff needed to carry out care tasks so that she could undertake necessary management tasks. Residents said that there is always a member of staff available to help them as necessary. Relatives were also complimentary about the staff and felt that they were very capable and competent. In the resident/relative comment cards comments such as ‘I feel the staff here care for my granddad to an exceptional standard’ were made. All of the residents spoken with said that the staff were good. Five of the care staff hold an NVQ level 2 or equivalent qualification. Seven of the staff are working towards it at the moment. Six care staff hold a current first aid certificate. Because the home accommodates two residents with mental health needs a requirement was made at the last inspection that staff Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 18 have some training so that they can have a better understanding of residents’ conditions and needs. This has not taken place. There was no record of formal induction in the two personnel files viewed. Plans have been put in place for all staff to attend induction training at the local college. Two personnel records were looked at. Although all the necessary checks were in place it was noted that the two members of staff started work at the home before their Criminal Record Bureau check (CRB) had been received back. A POVAfirst check had not been carried out. This could have placed residents at risk. See Requirements 3 & 4 Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 The way in which the home meets the standards checked at this inspection is adequate. The management approach of the home is open and friendly so residents’ views are listened to and acted on. However, fire alarms and emergency lights are not tested often enough to ensure the safety of residents. EVIDENCE: The manager of the home has left and a new manager has not yet been appointed. The deputy manager is ‘acting up’ in the interim. She has put into place some changes she has felt necessary to improve standards of care to residents. These have included improved care planning, revised medicine storage and practice and instigated a change in shift times so residents’ needs can be met. Residents do not appear to have been affected unduly by the change in management. All of them know the deputy manager and the other staff and feel they can approach any member of staff if they have concerns or suggestions to make about the running of the home. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 20 There is no formal quality assurance system in place. Resident questionnaires have been sent out from the home and several have been returned. These contained positive comments such as ‘we are very pleased with the care mum has received whilst in your care. We think we have made a very good choice of home’. Although the deputy manager said that action would be taken should an issue arise from the findings of the questionnaires, these are not collated or published. The owner of the home has not completed reports of the monthly visits required under Regulation 26 of Care Homes Regulations and so the quality of care has not been monitored. Resident and relative meetings are not currently held. Personal allowances are kept on behalf of residents for use for smaller items and incidentals. Two residents’ accounts were checked. One resident did not have any personal allowances and staff said they were arranging for a review of her care with the social worker so that this problem could be addressed. A sample of three members of staff achievement records was looked at. The records detailed the training staff had attended in the previous year. Training courses such as visual impairment awareness, administration of medication, adult protection and fire awareness were documented. All members of staff have not had moving and handling training in the past year. The owner of the home has addressed the requirements made by the fire officer following a visit in November 2005. The fire book was examined during this site visit. Fire alarms and emergency lights are not tested as regularly as they should be. This could place residents at risk. Risk assessments of the building are done. See Requirement 5 Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 2 X 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 23 Requirement The building must comply with the requirements of the fire service and fire alarms must be tested weekly, emergency lights monthly. Pipework and radiators must be guarded or have guaranteed low temperature surfaces. Timescale 18/11/05 not met A member of staff must not commence employment at the home without a satisfactory CRB check or in exceptional circumstances a POVAfirst check and full supervision whilst waiting for the return of the CRB check Arrangements must be made for all staff to attend training on mental health issues specific to residents currently living in the home. Timescale 31/8/05 and 30/12/05 not met. The registered person must ensure that an unannounced visit to the care home take place at least once a month and produce a written report on the conduct of the care home DS0000045159.V289675.R01.S.doc Timescale for action 05/06/06 2 OP25 13 01/09/06 3 OP29 19 05/06/06 4 OP30 18 05/07/06 5 OP33 26 05/06/06 Applecroft Residential Care Home Version 5.1 Page 23 6 OP38 13 following the visit. Fire alarm and emergency lighting systems must be tested at the recommended frequencies to ensure that they are working correctly. 05/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2. Refer to Standard OP25 OP26 Good Practice Recommendations Water heating checks to ensure legionella cannot develop should be carried out. Consideration should be given to the provision of a washing machine with a sluicing facility. This is outstanding from the previous inspection. Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Applecroft Residential Care Home DS0000045159.V289675.R01.S.doc Version 5.1 Page 25 - 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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