Inspection on 17/06/08 for Avonbloom Rest Home

This inspection was carried out on 17th June 2008.

CSCI found this care home to be providing an Adequate service.

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

Other inspections for this house

Avonbloom Rest Home 07/06/06

Avonbloom Rest Home 06/02/06

Avonbloom Rest Home 25/04/05

Avonbloom Rest Home 08/12/04

Avonbloom Rest Home 29/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Avonbloom Rest Home 351 Squires Gate Lane Blackpool Lancashire FY4 3RG Lead Inspector Mrs Jackie Riley Unannounced Inspection 17th June 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Avonbloom Rest Home Address 351 Squires Gate Lane Blackpool Lancashire FY4 3RG 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) 01253 401455 F/P 01253 401455 Mrs Mandy Jackson Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 15 Date of last inspection 7th June 2006 Brief Description of the Service: Avonbloom is registered under the Care Standards Act 2000, to accommodate fifteen older persons. The accommodation includes one double room, six single en suite rooms and seven single rooms without en suite. Bathing and shower facilities are available. There are three comfortable lounge areas one of which is the designated smoking room situated on the first floor accessed by passenger lift. There is also a pleasantly furnished dining room. The premises are situated on a busy main road in the south shore area of Blackpool. The home is close to local amenities and facilities and has good access to all transport services and routes. Some of the residents go out independently. The home is run in an informal manner and aims to provide a homely environment for people who use the service. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. The most recent inspection report is available in the hallway area for people to view. At the time of the site visit the range of fees were, £241.50 to £278.60. Additional costs to the residents include Papers, magazines, personal toiletries and Chiropody. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was an unannounced visit that took place on the 17th June 2008, over a period of approximately 4.0 hours as part of the inspection process. We spoke to the registered proprietor, who is also the manager in day to day control of the home, three staff members, two individual residents and a group of residents in the lounge. Residents living at the home have a range of conditions associated with old age, and some were found to have difficulty communicating. A lot of the comments made in this report are based upon what we saw although comments will be included from other sources such as staff and relatives as well as from surveys received prior to the site visit to the home. During the time spent at the home we made general observations of the interaction between residents, staff and management. We talked to people using the service, and asked staff about those peoples needs. We also looked at care plans, records, and daily notes for three people, this is called case tracking. We also toured the home to look at the environment. There were nine responses from surveys sent to people who use the service for their views on how the home is run. There were no surveys returned from GP surgeries. Comments were very positive about the standard of care and support provided by the staff and management of the home. The records of three members of staff were also looked at. What the service does well: We found the home is run in a flexible manner for the benefit of people who live there. Some residents have lived at the home for a number of years and have developed friendships, which was seen to be evident throughout the time spent at the home. Comments included, nobody could do more for me, nothing is too much trouble for any of the staff, all the staff are great. I am very happy it’s like being with my own family, “the Avonbloom is a very happy and friendly home. The residents are always cheerful as are the wonderful staff”. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 6 We talked to staff members who confirmed they have a good knowledge of the individual care needs, social and cultural needs of residents living at the home so that they are not disadvantaged in any way. Comments included, “ we know the residents needs because most of them have lived here for a long time”. “Its very flexible how we work because all the residents are different”. What has improved since the last inspection? What they could do better: There should be improvements made in how the home used its quality assurance information, so that there is evidence of how the home is meeting its stated aims and objectives of the service. General decoration to some of the first floor rooms, and the improved maintenance of some of the furniture in those rooms would make the environment more homely for the people living there. Radiator covers in one unused bedroom must be fixed to the wall so that the room is suitable for occupancy at any time. All service user plans must be completed and show evidence reviews are taking place so that people living at the home are not disadvantaged in any way and staff are aware of the specific needs of the individual. In order to comply with confidentiality protocols the way daily records are maintained for residents should be reviewed so that the information is confidential to the individual. The ‘signing in’ book for visitors to the home should only be used for that purpose and not for making notes about who the doctor or district nurse will be seeing, so that peoples right to privacy is respected. Staff files would benefit from review so that the information is collated in a way, which is clear and easy to follow, and a structured application document would enable applicants to provide information about their suitability for the role. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 7 Staff who have attended courses such as moving and handling and food hygiene, which are time related, need to have updated training so that their qualification in these areas is current. The way the home looks after residents allowances should be reviewed so that there is evidence the allowances are managed individually for the purposes of a clear audit. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 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 Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admission and assessment procedures are taking place by professionals and the home so that they can meet individual needs, however lack of completion of records has the potential to disadvantage people. EVIDENCE: We looked at the records of four resident’s, they had assessment details recorded, so that staff had an insight into what the needs of residents are and how they will be met. However in all instances the assessment information was limited, with some gaps in areas such as nutritional screening, some of the records had not been signed or dated thereby reducing the ability to audit the records. The records we looked at showed evidence the home is receiving information and reviews from the placing authorities so the home has information prior to and during the residents stay. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 10 We talked to the manager who said she always likes to visit a prospective resident prior to admission to the home to make sure the home is suitable to meet the needs of the resident. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is limited information in care plans, which has the potential to disadvantage people living at the home. EVIDENCE: We looked at four care plans. They were found to include limited information about the residents needs. The assessment booklets are comprehensive in that they provide a good design to score all the areas of care needed and to provide additional information in individual areas so that the staff team can follow this guide and meet the needs of the resident. However, in all instances there were gaps in information relating to moving and handling, nutritional assessment, lack of additional information which, would be useful for staff in areas of a specific dietary need. We spoke to the manager about this, and whilst it is recognised the staff team are aware of the individual needs of the residents as many of them have lived in the home for many years, there is a Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 12 requirement to make sure all the needs of the residents are recorded so that a good level of care can be provided by an informed staff team. We looked at the way the home reviews the resident’s needs. Whilst we saw there are areas of the service user plan to record the reviews there was only one instance where this had occurred recently. We talked to the manager about this, who stated residents are reviewed on a continuous basis however this is not always recorded. It is essential there is a recording system to identify and make changes in the way people receive care so that the home is responding to the changing needs of the residents. The way the home communicates information about residents should be reviewed. We saw information is recorded about individual residents in a daily communications book. However, this method of communication infringes a resident’s rights to privacy and records must ensure the protocols of privacy are being upheld so that nobody is disadvantaged. We discussed this with the provider and it was agreed in future records would only relate to the individual. There was evidence on all files seen that risk assessments are taking place so that people are protected. The risk assessment now takes into account moving around the home and personal risk. We saw in all instances residents have access to other healthcare professionals including a doctor, district nurse and dietician, so that their individual health needs are being met. Comments included, “They get the doctor if I need him, he was only here the other day”, “the district nurse comes twice a week now instead of three because my ankle is getting better”. We saw staff speak to residents sensitively and with respect. Staff we spoke to are aware of the need to make sure residents rights to dignity and privacy are maintained. They were seen to knock on doors before entering. We saw evidence of staff going to assist residents with personal tasks, with utmost Privacy in that they were discreet. We looked at how the home manages the medication system for storage and administration. There is a locked medicines cabinet situated in between the ground floor lounges secured to the wall for the safe storage of all medications used in the home. Staff we spoke to had a good knowledge of the system and felt confident in carrying out administration of medication. Comments included, “I’ve had the necessary training for this and work with the manager”. We looked at the medication records of three people we were following during the inspection process. Their medication records were complete and recorded well, by staff who have received training in medication administration and recording. There is a returns book, which showed the manager is making sure medication which Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 13 is not used is returned to the pharmacist so that there is no excessive storage of medication in the home. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily life and social activities are designed to be flexible to meet the needs of people living in the care home. EVIDENCE: There is no dedicated cook at the home; members of the staff team are responsible for the preparation of food. We saw a varied menu, which is flexible to meet the individual needs of residents living in the home. Comments included, “every meal is good home cooked food”, “food is good there is lots of it and there is a choice every day, “very good food. There is plenty of it, there is always fresh fruit to help ourselves to”. We saw all dining tables have a bowl of fresh fruit available to residents whenever they choose it. We observed the lunchtime meal, which was seen to be enjoyed by all residents. The dining experience was seen to be a positive one and one where residents communicate freely with other residents and staff. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 15 Special diets can be catered for including low fat and diabetic controlled diets. In one instance there is a specific dietary need for a resident, who requires specialist feeding, this is being monitored by a dietician and staff have had specific training for this procedure so that the residents dietary needs are being met. This is also being recorded in the resident records. Staff spoken to say, “we have special teas for any birthdays or celebrations”. There is a flexible activity programme in place, based upon what the individual choices of the residents are. Staff said to us that they like to take things day by day depending on the choice and mood of the residents. We spoke to a resident who goes out with a friend regularly and also attends day care. Other residents who have limited mobility are assisted by the staff team to carry out various tasks or activities. We were told there are regular trips to Fairhaven Lake, and the Solarium. We found residents like to make their own choice in their day to day lives, and we found that staff respect this. Comments included, “I like to do my tapestry and knit and sit side by side to my friend”, “every month we have entertainment or a party for someone’s birthday”. The manager said “residents have their likes and dislikes when it comes to activities, residents have their favourite things they like to do”. We saw there were no restrictions on visiting by relatives or friends. Comments received said, “I call in most days, its open house”. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. Staff have access to safeguarding adults training for the protection of users of the service. EVIDENCE: The home has a complaints procedure, which is made available to them or their relative or advocate during the admission process. All surveys we received confirmed people are aware how to make a complaint, one comment said, “If I’m not happy about something I always tell the manager and it gets seen to”. The staff team confirmed they know how to deal with complaints and we found there is an open system of communication so that any concerns raised are dealt with by the manager at the time of the concern. There were no concerns recorded at the time of the site visit. Comments included, “we encourage residents to say if they are not happy about something so that we can put it right”. There has been one complaint received by the Commission in the previous twelve-month period. The Commission investigated the complaint and the issues were addressed by the home and we were notified of the outcomes. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 17 The home has a procedure in place for dealing with allegations of abuse. Staff spoken to are aware of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect, and have received training in this area. Staff comments included, “we’ve have had training for it, so we know what to look out for and what to do”. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises provide an environment in which residents can feel comfortable, however decoration and the condition of some furniture was showing signs of wear and would benefit from improvement so that it is a well maintained environment for people to live in. EVIDENCE: We looked around the home. It is designed to be homely and comfortable for residents to live in. There are a range of aids and adaptations including specialist bath seats, hand rails at intervals in the corridors, a passenger lift, shower facilities as well as baths so people have a choice of how they wish to be bathed. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 19 All residents have their own rooms, which we saw to be personalised, and some residents said they like to use their rooms whenever they choose. One resident said they choose to stay in their room at all times and that the staff always come when called for. We found there are a number of areas in the home, which require maintenance, they include, the first floor bedrooms, which would benefit from redecoration and decoration to the ceiling of a first floor room, which has had a previous water leak. Furniture including damaged wardrobes in two first floor rooms requires attention so that people using the rooms live in a suitably maintained environment. A radiator cover in the unused first floor bedroom requires fixing to the wall so that it is safe. Painting of radiator covers would improve their appearance. Residents can use their rooms as and when they choose and this was confirmed by talking to two residents currently living at the home. Staff spoken to say they encourage residents to personalise their rooms so that they feel homely with personal possessions around them. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures have been improved so that people are protected. Staff training is made available to all staff working in the home, however staff should receive updated training in areas, which are time constrained. EVIDENCE: We found there has been only one change of staff since the previous inspection. We spoke to the manager who said the staff are flexible in how they work, and most of the staff team have worked at the home for a number of years, comments included, “the manager makes me feel like I’m part of one happy family”, “the home is very good to work in and residents come first”. We looked at three staff files and found they were disorganised and would benefit from a review so that the information is clear. The way staff recruitment takes place has been reviewed and improved so that the provider follows the correct protocols to make sure staff are safe to work in the home. We looked at the information the home asks for when recruiting staff, and found this is limited. There should be evidence the home is providing the applicant with the opportunity to state their experience and their fitness for the role, so that an informed decision can be made to their suitability for the Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 21 job. This could be done by way of an application document, which gives the applicant the opportunity to provide this information. We talked with the manager and home owner about staff training. We found the staff team have all attained vocational qualifications at various levels, and other qualifications in meeting the needs of residents who live at the care home. Areas of training such as moving and handling and food hygiene are time constrained and therefore staff should be updating these qualifications at regular intervals. We looked at how the home is staffed and found it is staffed to meet the needs of the people who live there, this is done by making sure there is always a senior member of staff on duty and that staffing levels are adjusted according to the needs of the people living at the home. Comments relating to the staff were very positive and included; “The home is like a small family run home- The residents are treated with respect at all times. I have worked in other homes and this is very good. Residents always come first, it’s a good place to work”, “all the staff are great. I am very happy it’s like being with my own family”, “I am very happy every day and well looked after”. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well and systems and policies in place for the protection and safety of staff and residents have improved, however lack of quality assurance has the potential to hinder the development of the service. EVIDENCE: The manager has the necessary skills and experience required to support the staff and residents and enable the home to meet its stated purpose and objectives. Comments from people who use the service say they feel the manager is supportive and is a good listener. “The manager is always there for you, I couldn’t ask for any more” Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 23 Staff spoken to say they find the manager to be supportive providing clear leadership. Comments included, “we are well supported by the manager”, “it’s a small home and we all get on well together”. We talked to the provider about quality assurance issues and were told, there is ongoing quality monitoring carried out through informal discussion with all users of the service including staff. We say this should be formalised in some way so that there is a clear audit trail and evidence of the decision making process where changes are being made for the benefit of the service. Staff meetings are carried out informally due to the small staff team however we found evidence the views of people who live and work in the home are taken into account. We spoke to the manager about how information and comments are received and she stated all comments are taken seriously and listened to, so that issues raised are addressed and recorded if necessary. We talked about the way residents allowances are managed and were told there is only one instance where this occurs and the system is under review so that the home is no longer responsible for this process. All appliances in the home are checked regularly for the health and safety of all users of the service. Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 24 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 X X 3 Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 25 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 Service user plans in the home must be completed and show the individual needs of the residents in order to provide a tailored service to meet the assessed needs of the resident. The resident’s service user plans must be kept under regular review in all instances so that changes, which are necessary, can be seen and the reasons behind the changes are clear . The home must make sure all radiator covers are attached to the wall to make sure they are secure and do not pose a risk to any user of the service. Timescale for action 31/08/08 2. OP7 15(2)(a) 31/08/08 3. OP38 23(2)(b) 31/07/08 Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 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. 3. .4. Refer to Standard OP19 OP30 OP35 OP37 Good Practice Recommendations Decoration and replacement furniture on some first floor rooms should be undertaken to make sure the rooms are pleasant and comfortable to live in. Staff qualifications that are time limited should be renewed as and when necessary so that they are always current and up to date. A review of how resident’s allowances are held should be carried out so that there is evidence of a clear audit. Daily records should be maintained in a confidential way by using individual records for each resident when recording any information about them to ensure their privacy. Staff files should be kept in an organised way so that information is sequential and can be followed easily. .5. OP37 Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Avonbloom Rest Home DS0000009785.V362590.R01.S.doc Version 5.2 Page 28 - 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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