Inspection on 15/12/05 for Aston House Care Home

This inspection was carried out on 15th 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

Aston House Care Home 02/06/08

Aston House Care Home 23/07/07

Aston House Care Home 29/01/07

Aston House Care Home 26/06/06

Aston House Care Home 20/07/05

Aston House Care Home 05/01/05

Aston House Care Home 14/06/04

Aston House Care Home 12/06/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Townley Road, 2-3

Chatsworth Care - Tudor Lodge

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

CARE HOMES FOR OLDER PEOPLE Aston House Care Home Angel Lane Hayes Middlesex UB3 2QX Lead Inspector Clare Henderson-Roe Unannounced Inspection 15th December 2005 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 Aston House Care Home DS0000010924.V270630.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. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Aston House Care Home Address Angel Lane Hayes Middlesex UB3 2QX 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) 020 8569 1499 020 8569 1488 Southern Cross Healthcare Services Limited Acting Manager Care Home 48 Category(ies) of Dementia - over 65 years of age (0), Learning registration, with number disability over 65 years of age (0) of places Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To Comply with the Minimum Staffing Notice required by the previous regulator as at 31st March 2002. One service user under the age of 65 may be accommodated at the home as agreed by the NCSC on 20.01.04. This applies to one specific user and is not transferable. One service user, date of birth 22nd December 1946, can be accommodated at the home, as agreed on the 14th July 2004. One service user, date of birth 1st November 1947, can be accommodated at the home, as agreed with the previous registering authority. 20th July 2005 3. 4. Date of last inspection Brief Description of the Service: Aston House is a modern purpose built establishment situated in a residential area of Hayes. It is registered for 48 service users who are accommodated on the ground and first floors of a three-storey building. Thirty-two of the bedrooms are single and 8 are double and most have en suite facilities. There are two communal rooms on both the ground and first floors, with an additional quiet room with snoozelen equipment on the first floor, and an additional small lounge on the ground floor not currently in use. There is an enclosed garden to the rear of the home with garden furniture and room for those in wheelchairs to sit out. The home is easily accessible by public transport. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of 6 hours was spent on the inspection process. The Inspector carried out a tour of the home, and inspected service user plans, staff records, financial records, maintenance and servicing records. 6 service users, 8 staff, 4 visitors and a visiting healthcare professional were spoken with as part of the inspection process. The purpose of this inspection was to follow up the requirements and recommendations from the last inspection, and to view some additional standards. The majority of key standards were viewed at the last inspection and it is recommended that this report be read in conjunction with the last report to gain full inspection information for the home. It must be noted that it is sometimes difficult to ascertain the views of service users with dementia care needs. What the service does well: What has improved since the last inspection? What they could do better: Shortfalls in the management of medications on the first floor need to be addressed. Some environmental aspects of the home, to include the bed Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 6 provision and also the maintaining of the redecoration and refurbishment programme, need to be kept under review and up to date. The Southern Cross procedures must be reviewed to ensure ongoing, consistent management for the home. 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. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 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 Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 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): 3 Service users are assessed prior to admission to ensure the home can meet their needs. EVIDENCE: A pre-admission assessment was viewed. This was comprehensive document and gave a clear picture of the service users needs. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 9 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 and 10 There is a clear system of care planning in place, which provides staff with the information they require to meet service users needs. Medications are generally well managed in the home, however shortfalls identified could potentially place service users at risk. Staff care for service users in a courteous and gentle manner, respecting their privacy and dignity. EVIDENCE: Three service user plans were viewed as part of the inspection. These were comprehensive and up to date. Falls risk assessments had been completed and there was evidence of updating following any falls. Regulation 37 notifications are sent to the CSCI for any falls resulting in injury and/or medical intervention. Evidence of involvement from service users representatives in the service user plan was seen. The documentation had been reviewed monthly and whenever the service users condition changed. There were no service users with pressure sores at the time of inspection. Pressure sore risk assessments were in place. Wound care documentation seen for a service user who had sustained a skin tear was in place, and any unexplained injuries are promptly reported and investigated. Assessments for nutrition, continence and moving & handling were in place, and clear care Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 10 plans had been formulated for any identified needs. Records of GP and other healthcare professional visits are clearly recorded. A daily record is maintained, plus a weekly progress record is also maintained. The home is in the process of transferring the service user plans onto new documentation, and there was evidence that this is being carried out in a measured and comprehensive manner. The medications records were sampled on each floor. A monitored dosage system (MDS) is used in the home. Medication receipts, administration and disposal had been recorded and signed for. Liquid medications were dated when opened. Photographs were available of each service user for identification purposes. Any special administration instructions are recorded for each service user. Medications were stored securely. Medications are now being disposed of in line with current legislation, and a procedure for the disposal of medications needs to be formulated. There were no controlled drugs in use at the time of inspection. The fridge minimum, maximum and actual temperatures plus the room temperatures were being recorded daily and were within safe range. The blood glucose monitoring strips had not been dated when opened. On the first floor code ‘F’ had been used for two different reasons on one service users medication administration record (MAR) chart, and this needed to be clarified. Stock checks on two medications supplied in medication containers rather than the MDS showed discrepancies between the number signed for and the number still in stock, and this was to be investigated. The change in dose of one medication was not clearly altered on the medication box, and this needed to be addressed. For one service user who had recently returned from hospital, there were differing dates entered on the MAR chart for different medications. Whilst the administration had been accurate, this needed reviewing as it posed a potential risk of error. For one medication that had an excess of stock at the last inspection, new stocks had not been ordered for some months, but one container evidenced a recent order, which was not necessary, given the volume of the medication already in stock. On the ground floor no medication issues were identified and the medications were being well managed. A good practice of carrying forward any stocks of medications was also in place. The need for some attention to the management of medications on the first floor was discussed. Staff were seen to converse with service users in an courteous manner. Many of the service users have a marked level of cognitive impairment and it was pleasing to see the gentle, encouraging and respectful approach adopted by staff when providing any care to the service users. Service users and visitors spoken with expressed their satisfaction with the home, and there was a good atmosphere throughout. Service users were dressed in their own clothes, and some of the bedrooms viewed were personalised. The Inspector spoke with a visiting healthcare professional who said that the staff are welcoming, caring and helpful, an are gentle in their approach to the service users. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 11 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 and aspects of 15 The home is aware of the need to provide service users with activities they are interested in, to keep service users as active as they can manage. Visiting is encouraged for service users to maintain contact with family and friends. Service users choices in their care and routines are respected within their capabilities. Food choices are provided and service users preferences are met. EVIDENCE: The new activities co-ordinator was commencing work on 19/12/05. The importance of the provision of an activities programme to meet the needs of the service users was discussed with the Deputy Manager, and a new activities programme will be formulated once the new activities co-ordinator has settled in and been able to assess the interests and hobbies of the service users and how these can best be met. The home has an open visiting policy and there are no restrictions on visiting, except should a specific problem be highlighted. On discussion with the Deputy Manager it was clear that she was experienced in dealing with any problems in relation to this. The visitors spoken with said that they are made welcome at the home and were happy with the care being provided. None of the service users manage their own finances, and arrangements are in place for representatives to deal with this. The home has access to the Rethink Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 12 Advocacy Service and there is an advocate who visits some of the service users. Service users are encouraged to bring in personal possessions in line with health & safety guidelines. Staff were seen caring for service users in a gentle and respectful manner. The kitchen was clean and tidy and the published menu was being adhered to. Service users meal choices are ascertained and recorded. The home has new catering staff, and the chef had been in post for 2 weeks. The lunchtime meal on the day of inspection was well presented and tasty. The lunch mealtime was observed and service users were enjoying their meals. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 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 the following standard(s): 16, 17 and 18 The home has clear complaints procedures in place to address any concerns raised by service users and their visitors. Advocacy services are active in the home and service users legal rights are protected. Systems were in place for the protection of vulnerable adults. EVIDENCE: The home has a clear complaints procedure that contains timescales for action plus contact details for the CSCI. There had been 5 complaints since the last inspection, all of which had been addressed, and there was correspondence for each complaint. The filing system had improved and the information was easily accessible. The home has an advocate from the Re-think advocacy service who attends relatives meetings and advocates for service users when required. Additional advocacy services are also being accessed. All the service users are on the electoral roll, and the opportunity to vote is offered and it would depend on the service users cognitive ability as to whether they wished or felt able to vote. There had been no protection of vulnerable adults (POVA) issues since the last inspection. Staff spoken with generally had a good knowledge of POVA procedures, and said that they would report any concerns. Training was identified for one member of staff recently employed at the home, to ensure they were clear on the POVA procedures. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 24, 26 and aspects of 22 The home is in a reasonable decorative state, but additional work is required in some areas to maintain the homely environment. Improvements in the bathing facility provision have been made, thus better meeting the service users needs. Further work is needed regarding the provision of adjustable height beds in the home, to ensure all service users have a bed that is appropriate for their moving & handling care needs. Bath facilities were being used as storage areas, plus toiletries and other personal items had been left in bath and shower areas, thus posing a potential cross infection risk. EVIDENCE: The Inspector carried out a tour of the home. The home was generally clean and any odours noted were addressed promptly. There was evidence that new carpets had been laid in some areas. Some new furniture had also been purchased. Some areas are in need of redecoration, for example, some communal areas and bedrooms. A copy of the redecoration and refurbishment plan has been forwarded to the CSCI following the inspection. It was noted Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 15 that some of the names of service users, written on labels on some items of furniture, did not tally with the actual service users being accommodated in the rooms. This needs to be addressed. A new assisted bath has been installed on the first floor and this now provides the unit with an appropriate choice of shower and bathing facilities to meet the needs of the service users. Following the inspection, the standard bath on the ground floor, which was very marked, has also been replaced, plus a new mixer tap and shower attachment has been fitted to the standard bath on the first floor. Confirmation of this has been forwarded to the CSCI. 6 new moving & handling slings for the hoists have been purchased and action has been taken to maintain the hoists in working order. The Deputy Manager was aware of the need to ensure that the home has equipment in place suitable to meet the needs of the service users. There has been an ongoing shortfall with the adjustable bed provision. Whilst it is acknowledged that some additional adjustable beds have been purchased, an audit of all beds in conjunction with service users moving & handling requirements still evidences that some service users who have moving & handling needs are provided with divan beds. A rolling programme for the additional beds is required to ensure that the home has adequate numbers of adjustable beds for the service users with moving & handling needs. During the tour of the home some infection control issues were noted. Personal toiletries were found in the shower and bath facilities, and a bathroom on the ground floor was being used as a storage area, with seat cushions, pillows and commodes being stored. Action was taken by staff to address these findings at the time of inspection. There was a damp odour in one bathroom on the ground floor. In the first floor sluice room the clinical waste bin had a broken lid, there were marked commode pots seen, and there was no soap dispenser in the room. The laundry room was clean and tidy and is maintained locked when not attended. Systems are in place to ensure that the care staff do not get deployed to carry out laundry duties. Cleaning schedules were in place. Protective clothing to include gloves and aprons were available on both floors. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 16 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 and 30 The home is appropriately staffed to meet the needs of service users. Staff recruitment procedures are robust and safeguard service users. Staff undergo training to provide them with the skills to meet the needs of the service users. EVIDENCE: The staffing on one floor was down by one member of staff on the morning of the inspection. Otherwise the home was being staffed to meet the needs of the service users. Staff spoken with commented that the Deputy Manager was aware of the staffing issues, and this was evidenced by discussion with the Deputy Manager, who has worked hard with staff recruitment within the home. The Deputy Manager said that the home has 4 care staff with an NVQ in care qualification at level 2 or above. 8 staff are due to commence NVQ in care training in March 2006, after which the plan is to have a rolling programme for NVQ training. One set of staff employment records was viewed. These contained the information required under Schedule 2 of the Care Homes Regulations 2001. The employee application form has been amended to include the ‘reason for leaving’ previous employments. This standard was viewed in depth at the last inspection. The home has induction and foundation programmes that are based on the Skills for Care (formerly TOPSS) core standards. The Deputy Manager said that any new care staff complete this training. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 and 38 The home is once again without a manager, and this has been the case for several months, and this needs to be addressed to provide the home with additional leadership and stability. Auditing procedures ensure that the home is well maintained. Service users monies are well managed and secure procedures are in place. Records are securely stored in the home and kept up to date, providing current information for service users. Staff receive supervision, and more work is to be done to ensure supervising staff have the skills they need to provide supervision. The health and safety management in the home is generally good, thus safeguarding service users, with minor shortfalls easy to address. EVIDENCE: The home had been without a manager for several months and a new manager had been successfully recruited. Senior management within Southern Cross had seen fit to move the manager on a temporary basis after only 2 weeks in post. This has subsequently resulted in the need to recruit again to the home. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 18 The CSCI has been informed that this process is progressing. The senior management for the company must work to promote management stability for this home, as would be expected for the effective management of any care home. It is acknowledged that the Deputy Manager has been very committed to creating a more stable environment within the home and also to positively progressing the areas of management within her remit. Visitors spoken with expressed their satisfaction with the home, and commented on the improvement in several areas, to include staffing and food provision, over the past few months. There is evidence of monthly audits being carried out for areas of care. In addition, health & safety, housekeeping, facilities and COSHH audits have also been carried out. The need to develop a business plan for quality assurance was discussed. Information provided by the home following the inspection shows that policies and procedures have been reviewed within the last 12 months. Information regarding service users personal monies is held on the computer. There was evidence that for several service users with large amounts of savings, and who do not have any next of kin, their money has now been transferred back to become the financial responsibility of the London Borough of Hillingdon, and appropriate power of attorney arrangements put in place. This process is also being followed for service users in the same situation who are placed by other Boroughs. The records viewed were well maintained and up to date. An action plan for formal supervision was sent to the CSCI following the last inspection. The need to ensure that all staff providing care receive formal supervision at least 6 times a year was discussed with the Deputy Manager, who is implementing the system and will provide supervising staff with appropriate training. There had been an improvement in the storage and maintenance of the administration and servicing records within the home. Work in this area must continue to ensure that all documentation is orderly and easily accessible. The service user plans are well maintained, up to date and give a clear picture of service users needs. Records are stored securely in the home. Following the last inspection, the home now has a qualified moving & handling instructor, and action has been taken to update all staff. Staff spoken with said that they had received training and updates in health & safety topics. The maintenance records were sampled and those viewed were up to date. Information received from the home following the inspection shows that the maintenance is up to date and where servicing is due this has been identified. Risk assessments for the laundry needed to be reviewed and updated. Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 19 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 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 3 18 3 2 X 3 3 X 2 X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 3 2 Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 20 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 OP9 Regulation 13(2) Requirement Where codes are used for medication omissions, their meaning must be clearly identified. All medications must be administered as prescribed. Any discrepancies between the number of tablets given and number of doses signed for must be investigated. Any changes in medication dosage must be clearly identified for administration purposes. On each MAR chart, one set of dates of administration must be followed. Ordering and checking of prescriptions must be more thorough to avoid the stockpiling of any medicines In conjunction with service users interests, an activities programme to reflect the interests of the service users must be formulated and actioned. There must be evidence that the programme of redecoration and refurbishment is being adhered DS0000010924.V270630.R01.S.doc Timescale for action 15/12/05 2 OP9 13(2) 01/01/06 3 4 5 OP9 OP9 OP9 13(2) 13(2) 13(2) 15/12/05 15/12/05 15/12/05 6 OP12 16(2)(m) (n) 01/04/06 7 OP19 23(2)(b) (d) 01/04/06 Aston House Care Home Version 5.0 Page 21 8 OP19 12(4) 9 OP24 16(c) 10 11 12 OP26 OP26 OP26 13(3) 13(3) 23(2)(l) 13(3) 13 OP28 18 14 OP31 8 15 16 OP33 OP36 24 18 17 OP38 13(4) to and progressed. The system of putting service users names on items of furniture must be reviewed to ensure it is appropriate and accurate. The audit of bed provision within the home must be reviewed and a rolling programme with timescales formulated for the provision of adjustable beds for those service users with moving & handling needs still provided with divan beds. A copy must be forwarded to the CSCI. Personal toiletries must not be left in communal areas. Bathrooms must not be used as storage areas. Any shortfalls in relation to infection control issues must be addressed, to include appropriate bin provision, soap dispenser provision and cleaning of equipment. An action plan to show the planned programme for NVQ in care training to provide 50 of care staff with an NVQ in care at level 2 or equivalent must be submitted to the CSCI. Appropriate procedures must be in place to provide the home with effective, consistent management. A business and development plan for quality assurance must be formulated. Staff facilitating supervision must be trained and competent to do so. All staff providing care must receive formal supervision a minimum of 6 times per year. Risk assessments for equipment and all health & safety aspects of the home must up to date. This must include laundry equipment and safe working practices. DS0000010924.V270630.R01.S.doc 20/01/06 01/02/06 15/12/05 15/12/05 07/01/06 01/04/06 01/02/06 01/04/06 01/04/06 20/01/06 Aston House Care Home Version 5.0 Page 22 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 Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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 Aston House Care Home DS0000010924.V270630.R01.S.doc Version 5.0 Page 24 - 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!