Inspection on 04/05/05 for Ashlee Care Home

This inspection was carried out on 4th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ashlee Care Home 25/07/07

Ashlee Care Home 24/04/06

Ashlee Care Home 22/09/05

Ashlee Care Home 24/07/04

Ashlee Care Home 10/05/04

Ashlee Care Home 11/12/03

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE ASHLEE CARE HOME 89 Nottingham Road Long Eaton Derbyshire NG10 2BU Lead Inspector Jenny Thornton and Jo Wright Announced 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 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. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Ashlee Care Home Address 89 Nottingham Road, Long Eaton, Nottinghamshire, NG10 2BU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0115 9721732 0115 922 2541 Bheewa@AOL.COM Mr Mahadoo Pending-Mr Mahadoo Care Home 21 Category(ies) of Older People registration, with number of places ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24 July 2004 Brief Description of the Service: Ashlee is a care home for twently one older people aged 65 years and over. It is a detached house in a residential area of Long Eaton close to the town centre and local facilities. The home has seventeen single and two shared rooms, five single rooms have ensuite facilities. The home is on two floors accessed by stairs and a passenger lift. Residents have acces to a garden area. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and started at 9am. It took place over eight hours. The Inspectors spoke to ten residents, one relative, four members of staff and the manager and registered person. Several residents had difficulties in expressing themselves in words and were unable to contribute directly to the inspection, but they were observed throughout the visit as to how well their needs were being met by staff. The Inspectors looked around the home and examined various records. After the visit telephone calls were made to six resident’s relatives. Two additional unannounced visits have been made during the last six months specifically to look at the medicines in the home. What the service does well: What has improved since the last inspection? Staff had completed a detailed assessment of resident’s needs and preferences, and improvements have been made to residents’ care plans. The home’s information book has been updated and a copy had been made available to residents. Changes had been made to the weekly planned menus to include residents’ preferences and comments. Further improvements have been made to the decoration. Considerable improvements have been made to the bath and shower facilities to provide a range of facilities to meet resident’s needs. Procedures for the safe keeping and handling of medicines have been strengthened. Further policies and procedures have been provided to support that the home is well managed. A staff handbook has been produced which contains a good level of information for new staff. Domestic hours were being increased to provide cover in the evening. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 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 standard(s) 1, 2, 3, and 5 Good progress has been made to ensure that residents’ needs are properly assessed prior to and following admission to the home. Procedures require strengthening to show that residents or their representative have received a contract of residence, which safeguards their interests. EVIDENCE: Copies of the statement of purpose and service users guide were available in the home. Both documents had been updated to include the required information. The manager agreed to make some minor changes to the wording of the statement of purpose and the service users guide. A copy of the service users guide was available in residents’ bedrooms. The home’s assessment forms had been updated to ensure that resident’s needs are properly assessed and identified, prior to and following admission to the home. Four care plans examined contained a good level of information about resident’s needs, although preferred routines were not always recorded. The records did not show that residents or their families had been involved in completing the assessment. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 9 The home’s contract of residence set out the services provided at the home, and safeguards residents interests. Efforts have been made to provide all resident’s who purchased their care privately with a copy of the home’s contract. However not all copies had been signed and returned by families to support this. The home’s terms and conditions were included in the service users guide, and a copy of the guide was available in all bedrooms. The home’s contract and service users guide states that resident’s are encouraged to visit the home prior to making a decision to move to Ashlee. A resident that had recently been admitted said that she had visited the home prior to moving in. All resident’s spoken with said they had formed good relationships with staff and considered that their needs were being met. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 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 standard(s) 7, 8, 10 Care plans need to be put in place to show that resident’s needs are identified and are being appropriately met. EVIDENCE: Discussions with residents and staff indicated that residents’ needs were being met. However clear care plans were not in place to show that all resident’s needs were planned for, and to enable staff to deliver appropriate care. Discussions took place with the manager about how this might be achieved. Daily entries contained a good level of information about residents, and staff completed a monthly general report on resident’s wellbeing. Not all residents had signed their care plan to show that they had been involved in completing this. The manager said that some resident’s were reluctant or unable to sign their care plan to show that it had been discussed with them. The manager acknowledged that care plans did not include a statement to say that the care plan had been discussed with the resident, but they had refused or were unable to sign their care plan. Various risk assessments were completed which included aspects of moving and handling; moving and handling risks were not always detailed in the documentation. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 11 Resident’s records indicated that their health and personal needs were well managed, although a clear care plan was not in place relating to health and personal care needs. Standards relating to medicines were not checked on this inspection. However, recent un-announced visits to the home showed that considerable work had been carried out to ensure that medicines are appropriately handled and stored. Policies and procedures were in place relating to the care of residents in the end stages of their lives. Although information relating to residents’ wishes was not recorded in all care plans. Not all staff had received training on caring for people with a terminal illness and dying. Resident’s spoken with said that their privacy and dignity is respected. Door locks were fitted to bedrooms, and several residents chose to lock their bedroom door. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 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 standard(s) 12, 13 and 15 Social activities need to be developed to meet individual interests and abilities. The home provides a good variety and choice of foods, which residents enjoy. EVIDENCE: The home had made progress in meeting individual’s interests and needs for example taking resident’s out, and providing some planned activities in the home. Resident’s social interests and needs were identified but were not care planned for. Records showed that some weekly activities were provided although these were limited. Discussions with residents’ and feedback from recent residents’ survey identified the need for more activities inside and outside the home. It was evident from discussions with residents and relatives that the home supports contact with family and friends. Relatives said they were able to visit at any time. All residents spoke highly of the meals provided at the home and said that their needs and preferences were met. Residents said that the meals include home cooked foods, which they enjoy. The menus provided a good variety of meals and included resident’s choice. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 13 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 standard(s) 16 and 18 Residents and relatives spoken with considered that their concerns are listened to and acted upon. The home’s procedures required strengthening to safeguard residents from abuse. EVIDENCE: The home has a clear complaints procedure, which was displayed in the home and included in the service users guide. Relatives and residents spoken with said that they were aware of the complaints procedure, and felt able to discuss their concerns with the manager and that issues would be acted upon. Records showed that the home had received two complaints in the last six months, which indicated that the concerns raised were acted upon. The complainant did not share this view. Complaints received were recorded in a book; discussions took place with the manager about the need to record complaints on an appropriate form. The Commission recently received a complaint relating to the care and services at the home, which had yet to be investigated and concluded. The home’s policy and procedure relating to the protection of vulnerable adults was not in line with the Local Authority’s procedure, in that it indicated that an allegation of abuse would be immediately investigated and only passed onto Social Services with the resident’s consent. The manager agreed to amend the home’s procedure. Staff said that they had received a copy of the Local Authority’s procedure on vulnerable adults, and were aware of the home’s procedure. The manager was due to attend local Social Services training on vulnerable adults and planned for all senior staff to attend this, following which all staff would receive training on this. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 14 ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 21, 22, 25, and 26 The environment is safe and well maintained to ensure residents’ comfort. Improvements have been made to the bathrooms to provide a range of bathing facilities for residents. EVIDENCE: Residents’ spoken with considered that the environment is homely and comfortable. Bedrooms contained resident’s own belongings and reflected individual’s preferences. Arrangements were in place to ensure that the home is well maintained. Improvements have been made to the decoration since the last inspection. Considerable investment has been made in providing a range of bathing facilities to meet residents’ needs, including an assisted bath and shower. Residents and staff welcomed the new facilities. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 16 Records showed that a risk assessment of the radiators had been completed, and that appropriate guards have been fitted to a number of the radiators that were identified as a high risk to resident’s. Not all pipe work had been risk assessed or covered. The registered person planned to fit further radiator guards following completion of building work and refurbishment. The home was clean and generally free from odours at the time of the inspection, although two ground floor bedrooms contained an odour. The manager agreed to address this issue. The manager stated that the domestic hours had increased and a new domestic was due to take up post to cover the evening period, to ensure the home is kept clean and free from odours. Residents and relatives spoken with said that personal clothes were adequately laundered by the home, although due care and attention was not always paid to the ironing of clothes and the presentation of clothes in wardrobes and drawers. Hand washing facilities were available adjacent to the laundry. Discussion took place with the manager regarding the need for hand washing facilities in the laundry area. The manager acknowledged the need to provide this facility, however due to the size and layout of the laundry it was difficult to provide suitable hand washing facilities. Following completion of planned building work the registered person intends to provide hand-washing facilities in the new laundry. The home provides a range of equipment to maximise resident’s independence although the home has limited areas to store equipment. The home’s mobile hoist was stored in a resident’s shared bedroom at the time of the inspection; neither resident used the hoist. One resident commented that he had a motorised scooter at his own home, but he was unable to use this at the care home as there was no where to keep it. The manager said that planned building work would include some storage areas. The home has ramped access by which wheelchair users can access the garden area. The gradient of the ramp from the conservatory is considered rather steep, although the manager said that staff and resident’s accessed the ramp safely and without difficulties. The garden area was open and was close to a busy main road, which did not provide good access to residents who needed to be supervised. The manager stated that a new enclosed garden area and improved ramped access would be provided on completion of planned building work. The garden areas required tidying; the maintenance person spent some time attending to the garden. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 The home is sufficiently staffed to meet residents’ needs. Staff are supported to attend regular training, although a clear training plan needs to be put in place to further develop staff’s skills and knowledge. EVIDENCE: Staff and resident’s spoken with considered that sufficient staff were provided to meet residents needs. The home does not use agency staff support, which results in residents receiving care from staff they know. The manager was looking to appoint a deputy manager to take on some of the management duties. The staffing rota did not clearly show what hours ‘working’ night staff worked; the manager agreed to record this information. The files of four members of staff last employed to work in the home showed that the required information and documents had been obtained to safeguard residents, with exception of the following: • Application forms requested 5 years employment history and provided limited space to record this information. One person’s file contained only 2 years employment history; no gaps in employment were recorded. • Written confirmation had not been obtained against the Protection of Vulnerable Adults list for three members of staff that had taken up post in 2005. Their file contained a satisfactory criminal record disclosure certificate from their previous employer. • Files did not contain a record of staff interviews. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 18 Staff confirmed that they had received a copy of the code of conduct and practice set out by the General Social Care Council, which requires that they work to an approved code of conduct. A new staff handbook had recently been produced, which contained a good level of information including various policies and procedures. The manager said that all staff would be issued a copy of the handbook. Staff files did not include written terms and conditions of employment. The manager said that staff had received terms and conditions from their previous employer. The Inspector was shown a new contract of employment, which the registered person planned to issue to all staff. Discussions with staff and records showed that care staff had attended various training. However the home did not have a clear annual training and development plan, to ensure that all staff receives appropriate training. An individual training and development plan had yet to be put in place for all staff. Records showed that six members of staff had a nursing qualification, and a further member of staff was undertaking nurse training. One member of staff had achieved a national approved qualification (N.V.Q) to support that they are trained and competent to do their job. The manager had set up N.V.Q. training for staff through a local college, and several care staff were due to commence this. Several resident’s in the home had varying levels of dementia. The manager acknowledged that not all staff had received training on dementia, and was arranging further training on caring for persons with dementia. Records showed that care staff recently appointed to work at Ashlee had completed the home’s induction training programme, to ensure they receive essential information. The manager said that a foundation-training programme was being put into place; a local college would come into the home to complete this with care staff, once they had completed induction training. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 36, and 38 Good progress has been made in establishing formal supervision for staff. Procedures require strengthening to ensure the home is well managed. EVIDENCE: Mr. Mahadoo submitted an application for registration as the home’s manager in September 2004, and has yet to be approved as the registered manager by the Commission for Social Care Inspection. Mr. Mahadoo is a registered general nurse and has considerable experience and management skills, and was undertaking an approved management course. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 20 A quality assurance policy had been produced, and procedures were being put in place to review the quality of care and services at the home. Residents said that they were consulted about the care and services at the home, and had recently completed a satisfaction questionnaire about the care they received. The manager said that he followed up issues raised but did not complete a report of the findings. The registered person completes an annual evaluation report of the care and services provided at the home, which identifies various areas for improvement over the next year. A monthly evaluation report supports the annual report. The home had a policy and procedure relating to the management of residents’ finances and money. The manager confirmed that resident’s, relatives or an independent person managed their finances and personal allowance. At the time of the inspection the majority of residents had a small amount of money in safe keeping at the home. Records kept of money in safekeeping required strengthening to safeguard resident’s interests. The registered person agreed to address this. The home has a policy on staff supervision and staff had signed a contract in regards to supervision meetings. Records showed that the manager had carried out one to one supervision meetings with staff to ensure they are appropriately supervised. The manager reported that all staff received regular planned supervision. New forms had been introduced to enhance the recording of staff supervision, which covered training and development needs. Staff files contained records of supervision meetings, and an annual review of their work, except for staff that had recently been appointed. The manager acknowledged that not all new staff had attended all the required mandatory training; further training in food hygiene and first aid was planned. Additional policies and procedures had been developed as required in National Minimum Standards. Procedures were being strengthened to ensure that staff are aware of the home’s policies and procedures. The home provides a detailed health and safety policy, which promotes safe working practices. Discussions with staff and observations on inspection supported that safe working practices were followed; however the following was noted: • Several bottles of cleaning solutions, which would cause harm to residents, were present in the laundry, which was unlocked. The cleaning products were not clearly labelled in line with labelling requirements. The manager agreed to ensure that all products are kept in a locked area when not in use, and are appropriately labelled. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 21 Records showed that the required service and maintenance checks had been carried out, except for the last service report of the mobile hoist. The Inspectors have since seen a copy of the service report, which supports that the hoist has been serviced and is safe to use. Records showed that various written risk assessments had been completed, and that action had been taken to reduce risks, where identified. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 2 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x 3 3 x x 2 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 Standard No 16 17 18 Score 3 x 2 x x 2 x 2 2 x 2 ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 23 yes Are there any outstanding requirements from the last inspection? 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 2 Regulation 5 Requirement The home must be able to demonstrate that all resident’s/representative who purchase their care privately have received a copy of the home’s contract of residence. Care plans must set out how resident’s needs are being met following admission to the home. A moving and handling risk assessment must be completed for all residents following admission to the home. This must be regularly reviewed. Social activities must meet residents needs and preferences. Care plans must show how residents needs are being met. The home’s policy and procedure relating to the protection of vulnerable adults must be in line with the Local Authority’s procedures. All staff must receive training to prevent residents from being placed at risk of harm or abuse. Review the homes risk assessment of the radiators to include all pipe work. Take appropriate action to minimise identified risks. C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Timescale for action 31 July 2005 2. 3. 7 7 15 13 31 July 2005 31 July 2005 4. 12 16 31 July 2005 31 July 2005 5. 18 13 6. 7. 18 25 13 13 30 September 2005 30 September 2005 ASHLEE CARE HOME Version 1.20 Page 24 8. 9. 26 26 16 23 Keep all areas of the home free from offensive odours The registered person must provide a timescale for providing hand-washing facilities in the laundry. The registered person must provide a timescale for providing suitable storage facilities for equipment. The registered person must provide a timescale for providing a safe garden area for residents and improved ramp access. A full employment history must be obtained, together with a satisfactory explanation of any gaps in employment for all staff working at the home. All person’s applying to work in the home must have a satisfactory check against the Protection of Vulnerable Adults list. All staff must receive appropraite training to carry out their work, including foundation training within the first six months. Required records must kept of residents money in safekeeping, which safeguards their interests. All staff must attend training in fire prevention, moving and handling and first aid. All cleaning products that may cause harm to residents must be appropriately labelled and stored securely when not in use. 31 July 2005 31 July 2005 31 July 2005 31 July 2005 31 July 2005 10. 19 23 11. 19 23 12. 29 19 Schedule 2 19 Schedule 2 18 13. 29 31 July 2005 14. 30 30 September 2005 31 July 2005 30 September 2005 31 July 2005 15. 16. 17. 35 38 38 17 13 13 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 Good Practice Recommendations C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 25 ASHLEE CARE HOME 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Standard 3 3 11 11 16 26 19 29 29 30 28 30 33 33 Assessment of residents needs should include preferred routines and preferences Care plans should demonstrate involvement of residents/relative in all stages of care planning. Where this is not possible it should be clearly recorded. Care plans should include information about residents wishes in the end stages of their lives. All staff should receive training on caring for people with a terminal illness, dying and death. Complaints received should be recorded on an appropriate form Further care and attention should be paid to the ironing and presentation of residents clothes. The garden areas should be kept tidy and attractive for residents A record of staff interviews should be kept to a consistent and adequate standard. All staff receive a contract of employment and a copy of the staff handbook An annual training and development plan should be developed to ensure all staff receive appropriate training. Further care staff should achieve N.V.Q Level 2 qualification or equivalent. All staff should have an individual training and development plan. The manager should complete a report and action plan of the findings from residents satisfaction questionnaires. This should be made available to residents. The registered peron should complete a report and action plan of the findings of all resident satisfaction surveys. ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 Page 26 Commission for Social Care Inspection Cardinal Square Nottingham Road Derby DE1 3QT 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 ASHLEE CARE HOME C52 C02 S44372 Ashlee V220640 040505.Stage 4.doc Version 1.20 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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