Inspection on 23/03/09 for April Cottage

This inspection was carried out on 23rd March 2009.

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

April Cottage 04/01/07

April Cottage 01/11/05

April Cottage 11/08/05

April Cottage 08/12/04

April Cottage 31/08/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

CARE HOMES FOR OLDER PEOPLE April Cottage 54 Belvoir Road Coalville Leicestershire LE67 3PP Lead Inspector Lesley Allison-White Unannounced Inspection 23rd March 2009 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 April Cottage DS0000001804.V374711.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. April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service April Cottage Address 54 Belvoir Road Coalville Leicestershire LE67 3PP 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) 01530 451452 01530 451452 Mr Ian Borland Mrs Gaynor Borland Mr Ian Borland Mrs Gaynor Borland Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No one falling within category OP may be admitted into the home where there are 12 persons of category OP already accommodated within the home. To be able to admit the named person of category OP, aged under 65 years old named in variation application V32040/S51804 dated 07/05/2006. 4th January 2007 Date of last inspection Brief Description of the Service: April Cottage care home cares for twelve older persons in two converted detached properties converted into one building for its present purpose. The home is situated in a residential area and within walking distance of the market town centre of Coalville. Residents have access to a variety of shops and other amenities in the town centre. There is easy access for private and public transport. There is a small area on the front of the drive for parking. The home is situated on a main road. The accommodation is over two floors accessible by use of the vertical lift. There are twelve single bedrooms; some bedrooms have en suite facilities. There are two lounges and dining space for residents use. A garden is situated to the rear of the premises. The fees at the home range from £365.00 to £385.00, and these do not include personal newspapers, hairdressing or chiropody. The certificate of registration from the Commission for Social Care Inspection and the Employers Liability insurance are displayed in the entrance hallway of the home. April Cottage DS0000001804.V374711.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 this service experience adequate quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection is on outcomes for the people who use the service and their views of the service provided. There were eleven people in residence and one empty bed at the home. The home consisted of male and female individuals living at the home. On the day of inspection the owner and person in charge facilitated with the inspection. Discussion was held with three people who live at the care home. Other people were observed during the day. There were no relatives on the day of inspection. The primary method of inspection used was “case tracking”. This involved speaking with individuals at the care home about the service provided to them, looking at two peoples care records, making observations, talking with four people and observing care practices. All the required key standards were inspected during this visit. Areas of concern were discussed from the last inspection report. New requirements have been made. What the service does well: What has improved since the last inspection? April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 6 Some individual’s chose to manage their own money for others the owner will invoice them or their relatives for small items. A record of the transactions is kept. Portable Appliance Testing was advised and the owner is able to say that this has now been done. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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 service consults the assessment information to see if they can meet the prospective person’s needs before they make the decision to accept the application for admission and offer a placement. EVIDENCE: There was evidence of an assessment process having been undertaken prior to anyone being accepted by the care home. Individuals also said that they were invited by the managers of the home to visit and stay for a trial period of up to three months to help them make up their minds to see if the home was right for them. Two people said that they came to look around the home liked it and stayed and they still like it now. People living at the home also receive support from the Community Nursing Services and local Doctors when their care is needed. An evaluation of the care April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 9 assessments are done each year and consultation with the individual and their signature obtained wherever possible. One person made a complaint and this was recorded by the care home as a complaint within the home. The situation was resolved and the person whose mood changes easily was pacified. (This demonstrates a degree of choice and this is good that individuals can feel comfortable to do so). A Statement of Purpose and Service User Guide are provided for each individual or their relatives to take and read. Copies of both are found in the dining room on a table along with the compliments and concerns folder and the latest copy of the Commissions report. In this way the needs of individuals receiving care are met. Standard 6 intermediate care is not offered at this care home. April Cottage DS0000001804.V374711.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): Standards 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. A review of health care needs and improvements in the management of medications are required. EVIDENCE: Two people’s details were looked at in detail this is known as case tracking. People who spoke with the inspector felt their needs were being met. When people need assistance or an escort to the hospital staff or family members of the individual will provide escort. People living at the home have access to the doctor, community nursing services and chiropodist as required. People living at the home confirmed this also. People living at the home remain fairly independent and can explain what they need or want in most cases. People who spoke with the inspector said that staff is available for assistance when they need it. Risk assessments are done and care plans made. However in the case of one person case tracked information that should have been included was missing April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 11 from it. When this person started to feel unwell their behaviour changed and they displayed strange behaviour. The change in behaviour would form part of their treatment plan so that staff would know what action to take and medication to give. None of these signs were recorded in their plan of care but it was recorded as information when someone called the doctor to see them. Regular staff may be aware of this. However any newer staff member would not know about this and this is an essential part of the care and treatment. Missing was patterns of behaviour prior to the need for treatment and any analysis of any patterns. This person was under the care of a hospital consultant. This information would be important to add when different treatments are being tried and changed. The care plan did say that staff was to give the individual their medication to help treat and manage the incidents. The District Nurses wrote the instruction for staff to follow. Staff recorded information about all individuals in the care plan, the daily care notes and the changeover report. Of the two people case tracked one had a photograph of them on their care record and the other did not. The owner said that this was one of the jobs that he was waiting to complete. One person’s signature was evident in their care plan as being involved in the process. Another person had a pre assessment in place by the care home. The details were minimal and there was no assessment by the placing authority. This person had medical needs and the district nurses were called whenever problems arose. At lunchtime a member of staff was seen offering support to one of the people living at the home. The staff member used what is now an illegal form of assistance and held the person under their right arm as support to get up. This is an area that should be revisited as part of staff training. There are now devices that can be provided such as standing aids or moving and handling belts that may offer better assistance and support without the risk of injury to the individual receiving care in this way. It is likely that the persons daily moving and handling assessment needs to be reviewed. The medications trolley was secured to the wall in a place specifically for the storage of medications. The owner took the inspector to view the medications. The person in charge on the day of inspection is normally in charge of medications. All tablets are kept in their individual boxes. The inspector found it difficult to case track the medicines of individuals living at the care home as checking back as to their date of opening each time was difficult to see and did not match up with the daily medicine recording system currently in use at the time of inspection. There were no start dates on the tablets or the liquid medicines and so it was impossible to see when medicines were opened and commenced. One medication used for someone with mouth ulcers was stored in the medicines room. It stated that the medicine was not to be stored above 25 degrees Celsius. There was no thermometer in the room to check on the April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 12 room temperature. Eye drops and one set of tablets were found stored in the unlocked food fridge in the Kitchen. This does not comply with the correct storage of medications and a separate medications fridge with a lock should be provided to ensure the correct storage of medicines and correct degree of security. A requirement will be made for this to happen. The owner explained that although he personally did not issue the medications each day he had changed the system to the current system, as the staff seemed to manage it better. There were three bathrooms available in the home however one bathroom is in the process of being converted to a laundry room, the upstairs bathroom is rarely used by people who live at the home now as it is difficult to get into and out of as it is a low level corner bath and requires greater mobility than the current individuals can manage even with the use of a hoist. There is one bathroom on the downstairs floor that currently everyone has been using. The choice of facilities around bath times has been reduced. The care home operates a key worker system. The role of the key worker is to check that tasks have been done such as nail care, skin care and to go shopping for individuals and tidy their wardrobe. One to one support is given to individuals for moving and handling and other aspects of physical care when needed. People living at this home continue to feel happy with their care and feel supported to maintain a life style that suits their current needs and levels of independence. April Cottage DS0000001804.V374711.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): Standards 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 feel satisfied at the home and are able to maintain contact with their family, friends and the local community. There is some flexibility within their lives at the home and they are provided with a nutritious diet. EVIDENCE: A lunchtime meal was seen. The meal seen was pleasant it comprised of stew, carrots, potatoes and dumplings, The sweet was jam and coconut sponge with custard. People who spoke with the inspector said that they really enjoyed the meals at the care home and looked forward to meals times. One person had a curry at their request. A drink of squash is provided with the meal. One person said that their daughter usually took them out and they went into the town. It was just up the road from the care home. Four people who spoke with the inspector said that they liked the care home very much and that it suited their life style. Those with families or with friends also said that friends and families were made welcome and visited whenever they wanted to. April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 14 One person said that they visited with their family member and did not need a trial visit, as they were so impressed by the cleanliness, layout and small size of the care home. This person also said that they liked their bedroom and had made it homely by adding their family photographs and own radio. On the issue of hobbies and daily activities this person also said that they were not bothered by not doing any hobbies now. Comments on the staff included that ‘they are lovely, they are very helpful and will help in any way that they can’. Choices included the day that they chose for baths and had a strip wash each day it was sufficient for this person. The District Nurses regularly saw this person, as they needed their medical help. At night there was one member of staff and the individual said it was okay. This person enjoyed the meals and described them as very good and had visitors at any time. This person also commented that they chose not to given out their own medicines as there were too many medicines to manage and it was fine for staff to dispense and take care of their medicines for them. April Cottage DS0000001804.V374711.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): Standard 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The system for complaints ensure that concerns are addressed promptly, and individuals are protected by staff who are aware of abuse issues and the owner/manager who is clear about his responsibilities to keep people safe. EVIDENCE: The Commission for Social Care Inspection has received a complaint since the last inspection report. Part of this inspection also included a follow up on the outcomes of the complaint. A problem identified within the complaint has been resolved. People who spoke with the inspector felt that they would know who to go to if they had a concern or they would ask members of their family to raise the concern on their behalf. A copy of the complaint procedure and the details of how to contact the Commission for Social Care Inspection can also be found within the combined Statement Of Purpose and Service User Guide. Staff who spoke with the inspector was able to describe the measures that would be taken to safeguard someone living at the care home. This included completing an application form, employers taking up references before they started, having a Criminal Records Bureau (CRB) check and application form being competed. Staff also explained what they would do if someone was not April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 16 treated correctly and the use of the ‘whistle blowing’ policy. Whistle blowing is where a problem is brought to the attention of the owners of a service but it remains unresolved. Any member of staff can report an incident to external agencies such as Social Services, the Police or to the Commission. In this way the staff that spoke with the inspector were able to explain how they would keep the people in the care home safe. April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 17 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): Standard 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean, and homely throughout and offers a good standard of accommodation to the individuals. It is important for the owner to ensure that advice by service contractors is also completed as it is given to ensure the continued safety of the people who live at the care home. EVIDENCE: The service provides a homely environment. It has a rolling programme to improve the decoration, fixtures and fittings but occasionally there is some slippage. For example there were three bathrooms now only one bathroom is used downstairs, one bathroom is being converted to the laundry room and the one upstairs bathroom although very pleasant is not used by any of the people who live there any more as they find it difficult to get into or out of without help or the use of a lifting device. (It is a corner bath that needs replacing for something more suitable that older people with reduced mobility April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 18 can use). This was discussed with the owner and he said that he did not intend to make any changes to it or to create new bathing areas for the eleven people living at the home due to costs. The gas metre box is placed in a downstairs toilet area. It reduces the appearance of the room again this is an area that could be made more attractive when disguised. The lift was serviced and recommendations for small corrections to be made at the time of inspection, they were not done. In February 2008 an electrical company carried out a five year electrical inspection. Recommendations were left to be completed by the owner at time of inspection, they were not done. The owner informed the inspector that he was an electrical engineer by background and would get round to doing it eventually as he did not intend to spend money unnecessarily. Following a complaint to the Commission for Social Care Inspection improvements at the home for infection control have been made. A yellow container has been obtained for clinical waste and a contract for this was seen. Clinical waste is collected monthly and clinical waste is taken by District Nurses when they call. The two bedrooms seen were clean and tidy. Communal areas were tidy also. However old practices where everyone uses a hand towel in communal areas is unhygienic and paper towels should be provided and non touch bins in all such areas. A recommendation will be made. People who spoke with the inspector said how much they enjoyed their bedrooms. April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 19 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): Standards 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 staffing levels should be reviewed to ensure that they continue to meet the needs of the individuals by day and by night at the home, In this way individuals will continue to be protected from harm. Staff receives training to carry out their roles. EVIDENCE: There is one member of staff at night and someone available on an on call basis but not on the premises. The deputy has a four minute walk to the care home and the owners live three miles away the inspector was told. However, as individual needs change such as someone with regular seizures or an individual with more than gentle support to help them to stand required, staffing levels at night for waking staff should be reviewed. This is also true for the breakfast and tea- time arrangements whereby care staff prepares and serve food in the kitchen for the individuals living at the home. This means that they are unable to provide care at such times. The proprietor explains that one member of staff will make sandwiches in the afternoon and the other member of staff is immediately available should the need arise and the proprietors are also available to assist. People living at the home said that the staff was always friendly and kind to them. April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 20 Two staff records were seen. Missing was a copy of all the staff contracts to verify the date of their actual employment and to check that they receive the minimum standard or above for pay. The owner told the inspector that this information was not available to the inspector. However it is important that the employer does not breach employment law. The owner said that this type of staff detail was kept at his home. Again it is important to remind the owner that information about staff must be kept in accordance with the data protection act especially when being kept at his private residence. A brief register about staff is kept at the home. Staff receives an induction although the records seen by the inspector did not verify this. There was evidence of staff training to allow them do their jobs. Fourteen staff has Moving and Handling training. Fifteen staff has had medication training. There are two internal Moving and Handler trainers at the home. There are twelve First aid at work appointed persons. Nine staff has current infection control training and four staff is currently doing a course in this. Both proprietors have attained their National Vocational Qualification (NVQ) and two staff have attained their NVQ level 4. Both proprietors and one staff have attained their Registered Managers Award (RMA) and another member of staff is in the process of completing this qualification also. One staff member is in the process of achieving a level 3 NVQ in care. The provider has said that 8 staff have an NVQ level 2 in care and a domestic staff has an NVQ level 2 in cleaning. Staff photographs are found on the notice board. A passport photograph is held on staff records where available. One staff member did not have a current employer’s reference. The employee wrote that the factory had closed. There is no record by the owners that they made further enquiries as to when this took place so that they can track any gaps in someone’s employment history. One to one supervisions were conducted for the care staff no records for the cook working in her changed role as a cook was seen. Staff who spoke with the inspector was aware of safeguarding issues. April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 21 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): Standards 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 living at the home are satisfied by the care that they receive. EVIDENCE: The Proprietors’ of the home continue to monitor the quality of the services provided by them and include the latest copy of the inspection report for people to see in the dining/lounge area. There was evidence of some of the quality assurance questionnaires at inspection. Family members and people living at the home who completed the questionnaires said that they were happy with the life style provided by the care home. A record of Fire drills at the home was seen, however only two of the three night staff had had this update and the night staff member is expected to work alone. The deputy manager or owners are available on an on-call basis. April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 22 The annual fire extinguisher checks were done in October 2008. The Fire alarm checks are done weekly by the Proprietor and tests carried out by contractors. At the last inspection a recommendation for Portable Appliance Testing was made. The proprietor said that he has a certificate for this and now does this checking. No certificate was available at inspection. There is no money is kept by the owner on behalf of anyone living at the home and individuals or appointed family members are invoiced when any bills occur on their behalf this may include hairdressing and other small items. Some people living at the home keep their own money and the owner explained that a lockable facility is in each bedroom for people who do so. April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 STAFFING Standard No 27 28 29 30 Score X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 9 10 11 3 X X X X X X 2 2 2 3 N/A 2 2 3 3 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 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 24 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 OP8 Regulation 14 Requirement A regular review of care plan assessments is required so that any patterns of behaviour can be monitored and evaluated. Medications must be stored and administered in a safe manner that complies with current legislation relating to medicines. The staffing levels and skill mix of staff must reflect the numbers and needs of the service users. Consideration must be given to night staff where one staff will cope with someone with regular seizures or anyone who needs more support than a helping hand at elbow level. This is also true for the breakfast and tea- time arrangements whereby care staff prepares and serve food for the individuals living at the home. This means that they are unable to provide care at such times. Timescale for action 23/06/09 2. OP9 13 23/06/09 3. OP27 18 23/06/09 April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP26 Good Practice Recommendations Communal areas should be provided and non-touch bins with lids and paper hand towels to avoid that risk of cross infection. April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 April Cottage DS0000001804.V374711.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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