Inspection on 18/05/06 for Ash Court Care Home

This inspection was carried out on 18th 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.

Other inspections for this house

Ash Court Care Home 04/03/08

Ash Court Care Home 11/01/06

Ash Court Care Home 27/05/05

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 Ashcourt Care Home Brookside Avenue Liverpool Merseyside L14 7NB Lead Inspector Mrs Julie Garrity Unannounced Inspection 18th May 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ashcourt Care Home DS0000063424.V295239.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. Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashcourt Care Home Address Brookside Avenue Liverpool Merseyside L14 7NB 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) 0151 259 7522 Meridian Care Limited Mrs Sarah Ann Molloy Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Ashcourt is a purpose built home, which was built 5 years ago. It was January 2005 purchased by Meridian Care Limited who since the last inspection has almost completed a refurbishment programme, which has increased the number of single bedrooms at the home from 37 to 40 all, have en suite facilities. A reconfiguration of the rooms at the home has seen a new assisted bathroom and walk in shower room being installed. All communal spaces and service users bedrooms have been redecorated and the presentation is of a good standard. The home has two lounges a dinning room and a conservatory where smoking is allowed. There is also a main foyer that doubles as a seating area for residents and visitors. The home tries to limit smoking to this area in order to safeguard all the residents. Car parking is available at the side of the building. All areas of the building are accessible by the residents and aids to mobility such as ramps and handrails are in place to assist the residents and visitors. The home is located in a residential area of Liverpool and is within easy access to bus routes, churches and local amenities. Communal space within the home consists of a conservatory and three lounge areas, one of which is equipped with facilities for service users/visitors to make their own drinks /snacks. There is a garden area at the front of the home and a small area to the rear, which has a water feature for service users to enjoy. It is anticipated that the refurbishment will be completed early February 2006. Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a period of one day. The inspector arrived at the home at 10:15 and left at 20:10. The inspector spoke with 9 residents, 1 visitor, 4 relatives, 5 staff, the manager and the Operations manager. The inspectors completed the inspection by a site visit to Ash Court, a review of records available in Ash Court and CSCI offices, discussions with residents, relatives, visitors, staff and management. Copies of records were submitted to CSCI for review in this inspection. The inspector followed an inspection plan written before the start of the inspection to ensure that all areas identified in need of review where covered. All of the Key standards were covered in this inspection, these are detailed in the report. Feedback was given to the manager during and at the end of the inspection. What the service does well: What has improved since the last inspection? A stable management team has resulted in a more proactive management that has helped the residents and the staff’s morale. Residents spoken with were complimentary about the manager and the staff. Meridian Care has continued to improve the environment and undertakes to audit a variety of areas in the home to identify quality areas and improve the services that they provide. Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ashcourt Care Home DS0000063424.V295239.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 Ashcourt Care Home DS0000063424.V295239.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 (standard 6 not applicable) Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to Ash Court. There is enough information, including an assessment to enable residents and their families to understand the care that they will receive whilst living in Ash Court. EVIDENCE: Two newly admitted residents described their experience of assessment and the opportunity to view the home and see if they liked it before they moved in. One said, it was just so nice and I had to move in and another said the manager came and spoke to me she told me about living here and I like the sound of it. All residents are offered an assessed prior to admission with a copy available to help form the care plan. The assessment covers the areas that the manager needs to know in order that the staff can decide if they can meet the resident’s needs. The home has information regarding the services provided given to all the residents and their families. It details the alternatives and choices that residents can make regarding their stay in the home. Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 9 Meridian care who owns Ash Court are reviewing the current statement of terms and conditions (contract) available to the residents upon admission and new copies of these will be available to the residents in the near future Ashcourt Care Home DS0000063424.V295239.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is Poor. This judgement has been made using available evidence including a visit to Ash Court. Overly complicated and unused care plans do not provide clear instructions to staff as to the care needs of the residents. Medications are poorly managed and unsafe. However residents privacy and dignity is well maintained and medical services are accessed as appropriate. EVIDENCE: A resident spoken with said that she received “very good care”, another said staff were “very good”. Three relatives spoken with were complimentary about the care delivered an example included “my mum is safe and well-cared for”. Each resident has an individual care plan. These were overly large and complicated. Areas of need and risk were included where the resident had no risk and a resident who needed a risk assessment for dealing with their own medications did not have one. Several residents were prescribed eye drops and creams the purpose of this was not always clearly described in the care plan. Residents, relatives and staff were not included in writing, reviewing and updating care plans. None of residents spoken with were aware of their care Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 11 plan. The staff did not read the care plans unless it was a quiet day and I had the time. Care plans were written by senior care staff and reviewed by them alone. Daily records did not detail the care that a resident had received. Much of the care information is detailed at a daily handover and from the senior’s daily records. Subsequently staff relied on verbal communications. Staff had differing points of view as to the care residents needed. The home has records that detail when external medical care is requested such as GP visits and hospital care. Two residents are also receiving relevant care from mental health services. An audit of the medicines revealed that in two cases medications were not consistently given in accordance with the GP’s instructions. Clear instructions to staff in writing were not always. Instructions as to external preparations were not available in any documentation in the home. The medicines had been audited recently by the company and issues identified, however no action had been taken. A review of the policy and procedure regarding medications detailed gaps in its development this included at the ordering of medicines, self-administrating, homely remedies and staff training and competency. Observations of the staff during the day detailed that the treated residence with dignity at all times. Staff demonstrated a genuinely kind and caring attitude towards the care that they provided. A resident said “staff are very kind, lovely and always respectful”. Privacy and dignity training is covered at induction and is also included in staff meetings and staff supervision. Ashcourt Care Home DS0000063424.V295239.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to Ash Court. Activities have a low priority in the home and exploration of activities to promote the independence of residents should be developed. All the residents enjoy the food in the home, but special diets that suit the resident’s medical needs are in need of further development. EVIDENCE: Residents spoken with detailed that they can “virtually do what I want”, “there is no set bedtime routine I go to bed when I like and am always asked if I want to get up”. Residents are encouraged to eat in the dinning room but are supported to eat in their down rooms if they wish to do so. Although activities take place these are “as and when staff are available”. There was an activities co-ordinator who left and has not been replaced. The care plans contained little reference to resident’s personal choices and preferences for their daily living activities. Most of the residents spoken with were “happy” with the activities available however this was not true of all. One stated “bingo is always available I’d like a bit more choice”. Another resident spoke about wanting to go the pictures to see a recently released film, whilst staff spoke about the film with the resident the means to support her to go and watch the film was not discussed. Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 13 Two residents have mental health needs and confusion, there were no activities that were specific to their needs. There was no activities programme available for the residents or their families. The home has tried to incorporate resident’s bedtime routines in their care plans, but these largely go unread by the staff. The menus detail a choice of meals that residents are asked about that day. The choices also explore the vegetables that they would like. Residents spoken with were generally happy with the food and included comments such as “well cooked”, “very tasty” and “ quite nice”. One resident said that they would like a “little more variety”. The home has circulated questionnaires about the food in the home, however these have not been shared with the cook who is in the process of updating the menu. The cook and the staff did not have a clear understanding of special diets such as diabetic diet. A care plan meant for a resident who needs diabetic diet contained inaccurate information. There was no evidence that diabetic specialists such as the diabetic nurse or dietician had input into the menus for the resident with diabetes. Residents meetings have been commenced by the home initial attendance was good however the attendance is reducing. Minutes are not widely circulated to all the residents and their relatives. Ashcourt Care Home DS0000063424.V295239.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to Ash Court. Residents and staff are aware of how to raise concerns. All concerns are addressed and acted on. EVIDENCE: There are suitable policies such as complaints, Protection of Vulnerable Adults and whistleblowing. Staff were aware of these policies and had read them. Although some staff did say that it was a significant time ago. Training records did detail training but was out of date and it was not possible to determine if all staff had received up to date training. One member of staff undertook this during other training but this was some time ago. Staff induction into the home includes training for Protection of Vulnerable Adults. An Information leaflet on Protection of Vulnerable Adults available in the home and general office. This indicates that the company would investigate concerns in this area and does not link in with the local policy from Social services on dealing with Protection of Vulnerable Adults. A copy of Social Services policy was not available in the home. Discussions with staff detailed that they were able to raise concerns but were not aware of the process once a concerns had been raised. This was more relevant for the senior carers who would be in charge in the absence of the manager. A copy of the complaints procedure is available in the information given to newly admitted residents. The relatives of one resident said that they had received a copy. Other relatives spoken with detailed “any issues I have are Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 15 dealt with immediately, even the little things, like where mum likes her radio”. “It’s fantastic here never had any reasons to raise a problem”. The home keeps records regarding complaints and the outcome and uses them to influence an increase in the quality of service that they provide. Ashcourt Care Home DS0000063424.V295239.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25, 26 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to Ash Court. Investment in the environment has been greatly appreciated by residents, staff and visitors. The home is presented very well, it is clean and tidy. EVIDENCE: Meridian Care has invested a considerable amount of money in refurbishing the home. All of the main areas have been redecorated and new furniture supplied. The plans also include replacing all the furniture in resident’s bedrooms. All of the residents, relatives and staff spoken with said that the investment had had a positive impact on the home. Residents who had lived in the home for several years particularly appreciated this. One resident said, “It’s lovely now, it’s nice to have lovely rooms to sit in”. All areas viewed were modern, clean and well maintained, another said, “home is lovely now, so much nicer than before”. The majority of the residents were consulted as to the colours they wanted in their bedrooms. There is a variety of different décor in the bedrooms including, Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 17 bedding, walls and curtains, staff try to keep these co-ordinated to keep the rooms as the resident chose it. The home has a variety of communal space including a tiled conservatory, 2 lounges, 1 activities room, and 1 dinning room. The conservatory is the communal space that residents can use for smoking. Residents use the quiet upstairs lounge to see their relatives. A newly admitted resident was meeting her relatives in the lounge. The relatives said that the appearance and facilities of the home “was one of the reasons we chose the home it’s beautiful”. Although the home was well presented, one relative raised concerns regarding cleaning staff shortages. The manager was aware of this and was addressing it. The Kitchen and laundry areas where well equipped and maintained. Although the cooker was in need of replacing due to age. The manager has requested this as part of future continued maintenance and it is clear that the company is committed to having good maintenance standards. Ashcourt Care Home DS0000063424.V295239.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to Ash Court. Records within the home are not of sufficient standard to make sure that all staff receive and remain in date with appropriate training. Supervision that helps to determine staff skills is in need of development. EVIDENCE: A resident spoken with said, “there is enough staff. I’m not rushed and they always come quickly if I need them”. Staff stated there is sufficient staff available most of the time. There have been issues with a staff not attending the home at weekends and the manager has addressed this. The home rarely employees agency staff preferring to maintain the same staff and tries to have their own staff cover absent colleagues. The last occasion the manager had attended however they had been short staffed for the morning. The home has monitored resident’s needs and supplied staff to meet those needs however this has not been recently done. Several staff have started or completed the NVQ (a training qualifications specific for care assistants), this covers a variety of care areas and helps staff up to date in their training. Training records were out of date and did not reflect the training received by staff. 2 staff members spoken with had not received an update in moving and handling training. There was no training specific to the residents needs such as diabetes, dementia and epilepsy. One resident detailed that one member of staff was unaware of what a diabetic diet should be. Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 19 Staffing files had not been updated. All staff had had a Protection of Vulnerable Adults check and a Criminal Records Bureau. One member of staff employed by the previous manager currently had poor references these had not been explored. Staff spoken with said that they had received an induction on starting, different inductions were noted in staff files. The current induction undertaken by Meridian Care takes three days and covers essential areas such as health and safety, moving and handling and Protection of Vulnerable Adults. As staffing files have not been updated it was difficult to determine if supervision of the staff was appropriate. Staff spoken with stated that they had, had supervision but this was not that frequent. Not all staff have received supervision every two months. Ancillary staff supervision is undertaken twice a year. Ashcourt Care Home DS0000063424.V295239.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to Ash Court. Residents, relatives and staff are supported by the manager to say how they would like the home to be run. The manager has impacted positively on the staff morale and residents feel that the changes in the home have increased the quality of the care they receive. EVIDENCE: The manager has been in post for just under twelve months. She is registered with CSCI and has previously been the manager of other residential care homes. Residents and staff were very complimentary. Previous reports had indicated that a lack of a stable manager had reduced resident and staff morale. All spoken with were clear that this was no longer an issue. Residents were complimentary one said, “the manager is lovely she’s kind and very caring”. Staff say, “the manager is very approachable.” Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 21 Residents meetings have been commenced with varying degrees of success. Initially the majority of residents attended, however this has reduced. The manager is thinking of different ways to approach this and to encourage residents to give their opinions. Residents spoken with were “very happy “ in the home and “feel safe and well cared for”. Staff meetings are also regularly, these discuss the running of the home and communicate residents needs. The communication of residents needs is also discussed at a daily report, where the changing staff are told of any changes in the residents care. A quality assurance is in place that looks at resident’s opinions of the home and this is in the process of being used to formulate a development plan. Other questionnaires are being created to get residents involved in the running of the home. The company also audits the running of the home such as medicines. This is good practice as it identifies issues to the manager and points out good practice. The home keeps receipts and good accounts for all residents’ funds. It is explained to residents that only small amounts of money are retained on site. Residents spoken with are aware of the means to access their funds. They had been informed small items easily obtained however larger amounts needed ordering. Health and safety training is available to staff as part of their induction. Staff who had undertaken an induction detailed that the areas covered included health and safety such as fire training. Induction records also detailed this aspect. Training records make it difficult to determine all training such as fire safety, fire drills and moving and handling. All certificates for the home including electrical, gas, equipment were up to date. Risk assessments within the home are in need of updating following the refurbishment and should include aspects such as propping open the laundry door, lack of door restrictors in bedrooms and smoking. All residents accidents are recorded, although these are not reviewed on a regular basis to determine particular residents or areas at risk. Additionally CSCI are not sent all the notifiable incidents. This was discussed with the manager and several have been sent to CSCI since the site visit. Ashcourt Care Home DS0000063424.V295239.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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X X 3 3 3 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 3 3 X 3 2 X 3 Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15 (1) Requirement Care plans must reflect clearly the needs of residents. The care plans must provide staff with the information that they need to care for the resident. This is for all aspects of their lives, e.g. social, medical, physical, risks, personal care, choices and preferences. They must be written in a format that is suitable to be accessed by residents and staff. (Part of this requirement is outstanding from a previous report) The Registered person shall make arrangements for the recording, handling safekeeping safe administration and disposal of medications into the care home. Audits that identify issues must be acted on. (This requirement is outstanding from the previous report). Timescale for action 18/08/06 2. OP9 13 (2) 18/06/06 3. OP12 16 (2)(m) The registered person shall 18/06/06 ensure that organised activities for residents are facilitated in the care home, according to the DS0000063424.V295239.R01.S.doc Version 5.2 Page 24 Ashcourt Care Home 4. OP29 19 (1) (a) (b) (c) 5. OP38 18 (1) (c)(i) (ii) 6. OP38 13 (4) (a) (b) (c) choices and preferences of the service users. (This requirement is outstanding from the previous report). Staffing files must be reviewed, employment checks such as Criminal Records Bureau’s, Protection of Vulnerable Adults and references fully recorded. The registered person shall ensure that unnecessary risks to the health safety and welfare of service users and staff are identified and as far as possible eliminated. By staff having access to training appropriate to the work they are to perform which includes updating of all mandatory training. (This requirement is outstanding from the previous report). The registered person shall ensure that unnecessary risks to the health or safety of service users and staff are identified and so far as possible eliminated. This includes risk assessments for the building and individual risk assessments such as selfmedication arrangements. (This requirement is outstanding from the previous report). 18/08/06 18/06/06 18/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 25 1. 2. OP1 OP9 Care plans are readily accessed by staff and the recording system made far more simple Medication policy is reviewed to include, no prescribed medications, external preparations, ordering of medications, competency of staff, training in medications and risk assessments for self-medication. Resident’s personal preferences should be further explored. These should be made available for all staff including the kitchen staff to be used to form menus and a published activities programme. A copy of Social Services policy “safeguarding adults” should be available within the home with the staff in the home familiarised with the policy. Meridian should review the leaflet available regarding Protection of Vulnerable Adults in the home and make sure that it clearly demonstrates the involvement of Social Services. Staff should receive supervision six times a year for care staff. The local fire authority should be contacted to assist in reviewing the fire risk assessments within the home. 3. OP12 4. 5. OP18 OP18 6. 7. OP36 OP38 Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Ashcourt Care Home DS0000063424.V295239.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!