Inspection on 20/12/05 for Ashlea Park Residential Home

This inspection was carried out on 20th December 2005.

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

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

Other inspections for this house

Ashlea Park Residential Home 27/04/07

Ashlea Park Residential Home 19/04/06

Ashlea Park Residential Home 08/06/05

Ashlea Park Residential Home 17/01/05

Ashlea Park Residential Home 09/07/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ashlea Park Residential Home Archer Road Farringdon Sunderland SR3 3DJ Lead Inspector Mr Lee Bennett Announced Inspection 09:30 20th December 2005, 4 January 2006. th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 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. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ashlea Park Residential Home Address Archer Road Farringdon Sunderland SR3 3DJ 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) 0191 522 5977 0191 528 2044 Winnie Care Limited Mrs Jean Robson Care Home 40 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (28), of places Physical disability over 65 years of age (8), Sensory Impairment over 65 years of age (5) Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The SI(E) service user category relates to current service users only. Date of last inspection 8th June 2005 Brief Description of the Service: Ashlea Park is care home, providing personal care for up to 40 older people, some of whom may have dementia related needs. Nursing care is not provided, but District Nursing services can be arranged where necessary. It is a purpose built care home with accommodation provided over two floors, with level access throughout. A lift provides access between the two floor of the home. There is a garden area in front of the home, which includes a paved seating area. The home is situated on the outskirts of Sunderland near to local public transport links. It is also situated near to a range of local facilities, including a doctors surgery, shops, pubs and places of worship. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over two separate days in December 2005 and January 2006 and was a scheduled announced inspection. The inspection included a separate review and analysis of the pre-inspection questionnaire (completed by the manager), and comment cards received from service users and their relatives before, during and after the inspection. In line with CSCI policy, this report also includes details of any complaints and adult protection referrals in respect of this care home investigated by CSCI. This report also includes reference to evidence obtained from ‘monitoring inspections’, conducted on 26/7/05, 24/8/05 and 27/9/05. A tour of the building took place, and a sample of staffing and service users records was inspected. Service users, staff, the registered manager and visitors were spoken with, and the inspector took a meal with service users on the first floor. The judgements made are based on the evidence available to the inspector during the inspection, the pre-inspection questionnaire supplied by the prospective manager and the comment cards completed by service users and their relatives. Judgements relating to the management of service users savings are based on evidence provided centrally by Winnie Care, and meetings held with the registered person and information supplied by them. What the service does well: What has improved since the last inspection? The manager is keen to improve the standard of service provided at Ashlea Park, and has gradually attended to issues identified during previous inspections, that are within her power to address. Care staffing levels have been increased within the home, which now means that service users needs can more effectively be addressed, for example at meal times and in relation to personal care. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 6 Care plans and risk assessments have been updated following specific advice and recommendations from the inspector. Some work has been progressed to improve the way medication is handled and managed within the home. Further work is still required though. The manager has sought the input from an Occupational Therapist to develop guidance on the use of a reclining chair for an individual service user. Staff also now use manual handling equipment to assist service users who need help to move around the home, or, for example, to get up from their chair to their wheelchair. Additional clinical waste facilities have been sought and now obtained. Some positive comments were made by relatives and visitors. These included: “In the times I have visited the home all residents have great care and courtesy.” “The home is excellent – can not find fault.” What they could do better: Although some progress has been noted, improvements are still required in a number of important areas. The way in which Winnie Care has administered the savings of several service users living at Ashlea Park (as well as at other homes) gives the inspector serious cause for concern and raises doubts over the competency of the company to continue to provide this service and safeguard service users best interests. The registered person has indicated his plans to stop managing these savings, however a fair and transparent reallocation of the monies held by Winnie Care has yet to be undertaken. This will be subject to continued scrutiny and oversight from CSCI and Social Services. The ability to rectify these issues is beyond the manager’s powers, and lies with the home’s owners. The way in which medication stocks are recorded has been improved, however the medication policy and procedures require review. Significant omissions are apparent, and the procedures are disjointed, having been developed in an ad hoc manner. It would benefit from being indexed. The reproduction of the Royal Pharmaceutical Society of Great Britain guidance does not constitute a review of policy and updating of procedures. What is required is that the local policy and procedures, specific to the home, are developed in line with the guidance, and not simply its reproduction, which does not relate to the specific circumstances within Ashlea Park. Arrangements for activities and occupation are poorly developed and not, to any significant degree, subject to a planned and co-ordinated approach based on the interests and wishes of service users. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 7 Some relatives and visitors made some suggestions for change: • • • “The home could improve on meals. My mum often does not like what is being served. This is not a complaint as overall food is not that bad. Just a suggestion.” “Sometimes do not get correct clothing back after it is washed, even though it is named.” “Bedding – poor quality, sometimes residents are left without supervision, jugs of juice in the lounge without proper lids. Residents given same cups to drink out of. Unpleasant smells not dealt with in the main areas, i.e. lounge, corridor. Very little activity, television in main lounge – inadequate size and positioning. Not enough senior staff available.” Referring to service user confined to their room; “Breakfast dishes and pads are left in the room and not taken away till after lunch. They should pop in (the) room more often.” • 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. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 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 Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 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): Standard 2. Each service user has a written contract / statement of terms and conditions with the home, which provides information on the rights and obligations of both parties. This would benefit from review and updating with regard to notice periods for increases in fees. EVIDENCE: Each service user is provided with a contract, outlining various terms and conditions regarding their occupancy within the home. Where a service user has been placed with the assistance of a local authority their residency is also determined by the detail of the contract between the local authority and the home. Should a person move to the home under a ‘private’ arrangement then they would be supplied with a standard form of contract between the home and service user only. Service user deemed as ‘self-funding’ by the local authority can still, if assessed by that authority, be placed under the local authority contract. The Commission for Social Care Inspection received a letter of enquiry relating to the contract, and it’s implementation. The Commission has a limited Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 10 regulatory role in respect of agreements between care homes and service users, and in effect they are a matter between the signatories. Nevertheless, the contract, on inspection, was found to state that fees may be increased upon one weeks written notice. This would not provide sufficient time to allow alternative care to be sought should a service user be unhappy with the fees increase, does not detail in what circumstances fees might be increased, or identify any appeals mechanism. It is recommended that this be reviewed, and amended in the light of this review. Further advice may be available from the Office of Fair Trading, who have recently published a detailed report on the fairness of contracts between care homes and service users. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 11 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): Standards 7, 8 and 9. Service users’ care plans are in place, and increasingly reflect their observed needs. This can offer guidance to care staff regarding care practice and consistency. Service users’ health care needs have been identified, and areas such as pressure care and falls prevention have been subject to improved supervision and practice. The medication policy requires significant review, as it is disjointed and does not systematically outline local practices regarding the prescription, ordering, receipt, storage, administration, recording and disposal arrangements adopted in the home. EVIDENCE: Each service user has a plan of care in place, and the manager and senior carers have undertaken significant revisions of these over the last six months. Each service user’s care file follows a standardised format, and a template file has been developed to act as a guide. A progression from an assessment, to Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 12 the development a care plan, which is then monitored, evaluated and reviewed is gradually being developed for service users. Specific advice continues to be offered to the manager regarding individual care plans, such as those relating to activities and the promotion of continence. Monitoring of specific needs occurs by using monitoring charts (for pressure relief, continence and diabetes) and through daily progress notes. Highlighted risk areas, such as smoking, are also care planned/risk assessed, but care plans are not always revised to reflect changing needs and care practices. Care plans and risk assessments relating to falls and pressure relief have been developed following previous recommendations. The management and administration of service users’ medication is governed by a set of policies and procedures, available to staff responsible for this task. This has been developed in a gradual way to respond to identified omissions, and inspection requirements and recommendations. These documents are not currently indexed, and areas such as the ordering, disposal and audit are not included. A systematic review and overhaul of the homes policy and procedures, reflective of the Royal Pharmaceutical Society of Great Britain guidelines entitled The Control and Administration of Medicines in Care Homes and Childrens Services, is an outstanding requirement. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. Arrangements to provide activities and occupation are underdeveloped within the home. The development of a planned, structured and well delivered activities programme can contribute to a more interesting and stimulating lifestyle for service users. Service users are able to maintain family and other contacts should they wish. This can help ensure they do not become socially isolated. Service users are encouraged to exercise choice and control over their lives. This can help promote their independence. Service users receive a varied and well presented, choice based, menu. This can help promote their general health and wellbeing. EVIDENCE: The home no longer employs a worker specifically to plan and coordinate activities for service users. Activities are still carried out, however, these do not appear well planned, and staff have insufficient time, training and expertise to effectively develop this role. Further development of activities remains an outstanding requirement. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 14 Visitors regularly call to the home, and all of the questionnaires received from service user’s relatives and representatives indicated that they are welcomed in the home, and that they are able to visit their relative or friend in private. The home has a variety of communal lounges available, should service users wish to meet people in private outside of their own room. Meals are provided within two large lounge areas, one on each floor. Some service users take meals within their own bedrooms. Service users are offered a range of choices for meal times and at other meal times. Staff, are attentive to service users’ requests, and provide support and prompts where necessary. The lunch-time meal was attractively presented and service users were very complimentary about the food provided. Staffing support at mealtimes has been increased which allows support to be offered to service users and for difficult behaviours to be addressed and managed. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16. A clear complaints procedure is available and is now being more fully implemented. This can allow service users’, and their relatives, confidence in the process, and provide opportunity for the management team to improve the service provided. EVIDENCE: Since the last inspection there have been no complaints referred directly to CSCI to investigate, although some of the recommendations made following previous complaints are still to be fully addressed. Service users and relatives indicated that, on the whole, they were aware of the home’s complaints process. Of the 13 comment cards received from service users all stated that they were aware of who to speak to if they were unhappy with their care. 19 relatives stated that they were aware of the home’s complaints procedure. 12 were not. Several stated that they had accessed this. The homes own records indicate that 10 complaints have been received during the last twelve months. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 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): Standards 19, 20, 24, 25 and 26. The home is generally clean, well decorated and maintained. This can help promote a positive image for service users, and ensure they remain safe. The majority of lounge chairs are worn and need to be repaired or replaced, as they do not promote good hygiene, or a positive image of the home and those living there. Service users’ bedrooms, communal areas and bathing/WC facilities are accessible to meet service users’ mobility needs. EVIDENCE: The service users rooms were clean and many contained furniture and possessions personal to the individual. New carpets have been fitted in some areas of the home. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 17 Service users own rooms have en-suite facilities. Some en-suites benefit from natural lighting, and although windows have been frosted, they lack blinds to ensure the privacy of service users. These must be provided, and this is a requirement of this report. Much of the bedroom furniture, such as wardrobes, chests of drawers and bedside tables, were purchased when the home first opened. Several are worn and stained inside. These require replacement. The majority of dining room chairs have worn covers and must be repaired or replaced. Spare covers should be obtained to ensure cushions remain covered whilst laundering is being progressed. Additional clinical waste facilities have been obtained to assist in ensuring general hygiene in the home and the dignity of service users is maintained. These are now available at each end of the building on both floors. Corridors and WC / bathing facilities have been provided with grab rails, and other adaptations to enable access for service users who are disabled or who are physically frail. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 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): Standards 27, 29 and 30. Staffing levels have been increased to allow service users’ needs to be effectively met. Service users are not always protected by the home’s recruitment procedures. This could lead to unsuitable candidates gaining employment in the home. Staff have received some training relevant to their job roles, but require broader and more frequent training opportunities. This can contribute to their understanding of service users’ needs and competence to undertake their job. EVIDENCE: There are six care staff deployed within the home during the daytime (08:00 to 22:00) one of whom acts in a senior capacity. One member of care staff commences duty at 07:00 to provide additional assistance to the night shift workers, who finish duty at 08:00. Staff records indicate that the manager does has not received an ‘enhanced’ Criminal Records Bureau disclosure prior to staff commencing duties. On no occasion have staff have commenced duty prior to a POVA first check being received. Two references are always obtained prior to employment being offered. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 19 The registered manager must ensure that full, enhanced CRB disclosures are obtained prior to staff commencing duty, except in exceptional circumstances, and subject to prior approval from CSCI. Care staff have received training in fire safety and adult protection, food hygiene, manual handling, infection control, aging and disability, dementia care, first aid and medication during 2005. Several have undertaken a course of study to attain an NVQ award in care. Several care specific courses are planned for 2006, and this will be monitored during 2006 to ensure that this is implemented. The manager has indicated that 55 of the care staff team have attained an NVQ qualification in care, at level 2 or higher. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 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): Standards 31, 33, 35 and 38. External management support and oversight arrangements are inadequate. Internal quality assurance systems have been developed to allow the views of service users, relatives and others to be occasionally sought and the internal quality management of the service to be progressed. Centralised arrangements for the handling of service users’ personal savings do not serve their interests well and may put them at risk of being financially disadvantaged. Risks to the health and safety of service users, visitors and staff are minimised. EVIDENCE: Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 21 The registered manager has compiled a quality assurance file, which incorporates the views of service users and their relatives. At the time of the inspection, there was no regular, professionally based support, oversight and supervision of the home. The registered person, or someone acting on their behalf, is also required to undertake monthly inspections of the home, and these have also not been progressed, and must be. The focus of these visits needs to ensure that the quality, practices and procedures operated within the home are subject to regular scrutiny, and where necessary subject to professional support and guidance. This can form part of an effective quality assurance and management system. The current process tends to focus on the premises and is not regularly implemented. The home is kept clear of hazards to the health and safety of service users, visitors and staff. Risks to service users are subject to periodic assessments, and staff receive training on health and safety related topics. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 2 X X X 2 3 2 STAFFING Standard No Score 27 3 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 2 X 1 X X 3 Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Timescale for action 14/04/06 2 OP12 16 The registered manager must review care planning arrangements to ensure that care plans are monitored and reviewed regularly, and linked to daily recording. This requirement has been largely addressed, however this requirement was first identified at the inspection of 9/7/04, and the previous action plan dates for this element were 1/7/05 and 17/9/05.. The registered manager must 14/04/06 ensure that a programme of group and one to one activities, based on service users needs and preferences, is developed and implemented within the home. This requirement was first identified at the inspection of 9/7/04 and the previous action plan dates were 1/7/05 and 17/9/05. Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 24 3 OP35 20 4 OP9 13(2) 5 OP22 23(2)(c) 6 OP35 13(6), 20(1)(a & b) 7 OP35 13(6), 20(1)(a & b) The registered person must review service users financial arrangements. This requirement was first identified at the inspection of 9/7/04 and the previous action plan dates were 1/7/05 and 17/9/05. The registered manager must ensure that policies and procedures, covering all aspects of medicines management (including correct ordering procedures, covert administration and dealing with drug errors) are reviewed in line with current Royal Pharmaceutical Society of Great Britain guidelines entitled The Control and Administration of Medicines in Care Homes and Childrens Services. The previous action plan dates for this requirement were 30/6/05 and 17/9/05. The registered manager must arrange for the repair or replacement of lounge chairs that have worn covers. The previous action plan date for this requirement was 8/7/05. The registered person must arrange for individual savings accounts to be established for those service users whose savings are held within the pooled service users savings account. The previous action plan date for this requirement was 17/10/05. The registered person must equitably allocate to service users (or should they have died their estate) the interest earned on their savings, but not paid out to them. The previous action plan date for this requirement was 17/10/05. DS0000034305.V259191.R01.S.doc 14/04/06 14/04/06 14/04/06 14/04/06 14/04/06 Ashlea Park Residential Home Version 5.0 Page 25 8 OP9 13(2) 9 OP24 23(2)(c) 10 OP24 12(4)(a), 16(2)(c) 11 OP29 19(4) (a to c) 12 OP31 26 The registered manager must ensure that the actual amount of medication administered is recorded on the medication administration record for all variable dose medications. This is a new requirement. The registered person must replace bedroom furnishings that are worn and / or heavily stained. This is a new requirement. The registered person must arrange for blinds to be fitted to service users’ en-suite windows to help ensure their privacy. This is a new requirement. The registered manager must ensure that staff commence work only after the receipt of full and satisfactory pre employment checks, including an enhanced CRB disclosure. This is a new requirement. The registered person must ensure that the care home is subject to regular, professional external management support and oversight. This is a new requirement. 04/01/06 14/06/06 14/04/06 04/01/06 14/04/06 Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 26 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 OP2 OP12 Good Practice Recommendations The registered person should undertake a review of the statement of terms and conditions in respect of notice periods for increases in fee levels. The registered person should employ a worker responsible for the co-ordination and implementation of an activities programme, including group and one to one activities for service users. The registered person should actively seek the views of stakeholders about the services provided at the care home and should have an annual development plan. The registered manager should develop criteria for the administration of when required and variable dose medication for all service users prescribed such items. The registered manager should ensure that a second member of staff should witness all hand written annotations on Medication Administration Record charts. The registered manager should introduce a falls prevention strategy within the home. 3 4 5 6 OP33 OP9 OP9 OP8OP38 Ashlea Park Residential Home DS0000034305.V259191.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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. 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