Inspection on 31/05/08 for Belle Vue House

This inspection was carried out on 31st May 2008.

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

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

Belle Vue House 29/05/07

Belle Vue House 09/05/06

Belle Vue House 23/11/05

Belle Vue House 30/06/05

Belle Vue House 07/02/05

Belle Vue House 29/07/04

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

CARE HOMES FOR OLDER PEOPLE Belle Vue House 1-3 Mowbray Close Hendon Sunderland SR2 8JB Lead Inspector Sam Doku Key Unannounced Inspection 30th May 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 Belle Vue House DS0000015705.V365845.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. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belle Vue House Address 1-3 Mowbray Close Hendon Sunderland SR2 8JB Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0191 567 3681 0191 565 7405 c.scott.hcg@googlemail.com Mr Devinder Mohan Malhotra Mrs Christine Scott Care Home 27 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (27) of places Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category 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, maximum number of places: 27 2. Dementia - Code DE, maximum number of places: 15 The maximum number of service users who can be accommodated is: 27 29th May 2007 Date of last inspection Brief Description of the Service: Belle Vue House is located on a private mews close to Mowbray Park and comprises of 3 converted Victorian terraced houses. The original part of the building is three storeys high, with a two-storey extension having been added in recent years. It provides personal care for 27 older people, 15 of whom may have dementia. The home does not provide nursing care. Many of the original features, including large fireplaces in the lounges and some bedrooms, have been retained, giving the building its character. On the ground floor there is a choice of lounges with a central dining room; a small number of bedrooms; a bathroom/WCs and kitchen/laundry facilities. Other bathrooms/WCs are located on the other floors. Access to other parts of the home is via a shaft lift, however this is not able to reach all parts of the home where mezzanine levels have been created when the buildings became adjoined. Although the main entrance is stepped, two ramped access points are available at opposite ends of the home and enable easy access for those people with physical disabilities. The home is located just off the main public transport routes and on the outskirts of Sunderland town centre. The scale of charges for the home is between £402.00 and £417.00 per week. Belle Vue House DS0000015705.V365845.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. The inspection was unannounced and started on 30 May 2008 and completed on the same day. Before the visit the inspector looked at: Information we have received since the last key inspection visit on 29 May 2007; How the home dealt with any complaints & concerns since the last visit; • Any changes to how the home is run; • The provider’s view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQUAA); • The views of the residents who use the service and their relatives. During the visits the inspector: • talked to the residents, manager and care staff; • looked at information about the residents and how well their needs are met; • looked at other records which must be kept; • checked that staff had the knowledge, skills & training to meet the needs of the residents; • looked around the building to make sure it was safe & secure; • checked what improvements had been made since the last visit; • the inspector told the provider what he found. All of these activities contributed to the inspection findings. What the service does well: The home is compiling details of residents day and night routines. The information collected is useful and helps in devising care plans for the residents. The staff carry out residents and relatives surveys. These are very complementary about the service received. The staff continue to support residents to access community facilities, including arrangements to support individuals to visit shopping centres. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 6 The home is good at providing recreational activities for the residents. Five residents are supported to maintain their interest in gardening. They have been provided with a greenhouse in order for them to continue with their past time activities. The home maintains a warm and friendly atmosphere. Staff work hard in the home and have good understanding of the residents’ needs. The manager and the staff team make sure that the home is run in the best interests of the residents. Residents’ comments include: “It is home from home. I will be hard pressed to find any faults with the staff here”. “The staff are always there when you need them”. “I have lived in a care home before and this is the best. I am glad I chose this one”. “There is always plenty to eat and the food is really good here”. “The staff are kind and supportive”. Residents commented positively on the quality and quantity of the food provided. The home operates in a way that ensures that individual preferences are catered for. For example, the arrangements for breakfast are flexible to accommodate what individuals prefer. The manager, staff and residents confirmed this flexibility and attention to individual preferences. Consequently breakfast is from 07:00 a.m. to 10:00 a.m. Staff are courteous to the residents and carry out their jobs very well and professionally. What has improved since the last inspection? Since the last inspection the manager and her senior team have started reassessing the residents’ needs and to formulate new care plans that accurately reflect the needs of the residents. The residents’ care plans are also now regularly reviewed and updated where necessary. The peeling wall paper in the hallway has been repaired. The home now follows the company’s recruitment policies, ensuring that appropriate references are obtained before employment is offered. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Belle Vue House DS0000015705.V365845.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 Belle Vue House DS0000015705.V365845.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): 2, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care needs assessments are carried out by the home and the social worker before admission is arranged, ensuring that the care needs are clearly identified and care plans put in place to meet the needs of the individual. Furthermore, prospective residents and/or their relatives are provided with the opportunity to assess the home for themselves, before making their decision about coming to live there. EVIDENCE: A full assessment of prospective residents is carried out by social workers and copies made available to the home as part of the admission process. The Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 10 service also carries out their assessments of the individual in their own home, to make sure Belle Vue House has the necessary skills and facilities to meet the needs of the prospective resident. Residents’ files show evidence of assessments being carried before admissions were arranged. There is no written contract with residents who are privately funded. A new contract has been produced by the provider but this has not been issued to the residents. Discussions with the line manger for home indicates that the provider will be issuing contract to all the residents shortly. The service encourages prospective residents and/or their relatives to visit the home before admission is arranged. This is the policy of the home and the manager stated that they always make the offer for people to visit to see the place for themselves, before making up their minds about coming to live there. However, for some people, it is not always been possible for them to visit the home and see it for themselves before admission is arranged. In these cases families or advocates are encouraged to do so on their behalf. Three residents confirmed that they were given the opportunity to visit the home and to meet with the staff before admission was finally agreed. Belle Vue House DS0000015705.V365845.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 good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs of the residents are fully met. The home has good procedures in place for the safe administration of medicines. This promotes and health and welfare of the service users. Furthermore, the residents are treated with respect and dignity, thus enhancing their sense of wellbeing. EVIDENCE: New care plans have been introduced since the last inspection. The care plans are standard “tick box” type and do not reflect the individuals resident’s specific care needs. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 12 However, there are other care plans that do not use the “tick box” type format, and these were found to be more effective in identifying residents’ needs. The registered manager was advised to review the “tick box” care plan format as these do not truly reflect a person centred approach to care planning. Suitable arrangements are in place for meeting the healthcare needs of the residents. Record of contacts with healthcare professionals, including GPs, psychiatrist, chiropody service, dentist, optician and other healthcare services are maintained. The daily report records contain details of contact with medical practitioners and other professionals. There are good arrangements in place for the storage and administration of medicines in the home. The drugs administration system was examined and there were no discrepancies. The home carries out regular check of medicines to make sure that any mistakes are identified and the corrected in time. However, copies of prescriptions received from the GPs are not kept in the home to ensure medicines received from the chemist match those on the prescription sheets. Residents confirmed that they receive visits from their doctors when they need it. Residents also spoke about seeing the chiropodist and visiting the optician. The residents confirmed that the staff treat them with respect and dignity. Observations of staff also confirmed this. They knocked on service users’ doors before making entry, thus promoting their privacy and dignity. Assistance with personal and intimate care was provided in a discreet and dignified manner. Staff were courteous and respectful to the residents. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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. The home supports and encourages residents to maintain close relations with their friends and families. Furthermore, opportunities are provided for residents to exercise control and choice, which promote independence and self-determination. The residents are offered good variety of wholesome and nutritious meals in comfortable and pleasant surroundings, which promote their health and wellbeing. EVIDENCE: The home maintains good practices relating to daily life and social activities for the residents. There is flexibility in the way social and recreational activities are organised for the residents. The manager, staff and residents confirmed Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 14 that activities are very often carried out spontaneously, although sometimes these come as a request from the residents. Some of the activities include arts and crafts, board games and the occasional visit to the home by an entertainer. Residents confirmed that they regularly go for a bus ride in the mini bus. The home has good links with the local community and has occasional visits from local schoolchildren. Relatives and visitors are welcome at any reasonable time, throughout the day and evening. A number of the residents have regular visits from their relatives as the visitors’ sign-in book shows. Visitors will usually meet with their relatives in the privacy of their own room or in the homes lounges or dining room. Residents are able to get up and go to bed when they choose. This was evident on the day of the visit when some residents were still in bed at 9.30 in the morning and arrangements were made for them to have breakfast in bed or in their rooms. Mealtimes remain flexible and relaxed and residents are offered a choice of healthy and nutritious meals. The home has in a place a 4 weekly menu, which is planned with service users. Meals are generally served in the dining room, which is nicely decorated and benefits from plenty of space to enable staff and service users to sit together and for the residents to enjoy their meals. If service users prefer not to eat in the dining room staff will support them to have their meals in their preferred area. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17. 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives have information about how to make a complaint and are confident that any complaint will be acted upon by the management, thus promoting their right to complain about the service if they feel they need to. All Staff are aware of the Protection of Vulnerable Adults procedure, and suitable training has been provided. This protects the residents from abuse. EVIDENCE: A summary of the complaints procedure is in the Service User Guide and copies are made available to all the residents. Relatives are also aware of the procedure. A relative commented that she is aware of the procedure but she said she has never had a reason to complain or express dissatisfaction with the service. Residents said they would feel confident complaining if they are not happy. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 16 The majority of the staff members have received training in “safeguarding adults from abuse”.The staff training plan shows that all staff will continue to receive updates on safeguarding training. The home’s procedure is in line with the City of Sunderland “Safeguarding Adults” procedures. Staff showed an understanding of the safeguarding issues and know what to do if they observed any incident that could be considered as abuse. There is a system for recording complaints received. For the second year running there has been no complaints or concern received by the home and this is reflected in the complaints/concerns book. The issue of complaints and concerns were discussed with the manager and she has been advised to reexamine what constitutes a complaint or concern. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 17 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, 23, 24, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers an accommodation and an environment that is safe, clean and well maintained. This promotes the general welfare, dignity and comfort of the service users. EVIDENCE: The home provides a good standard of accommodation which meets the needs of the residents. Bedrooms are individually decorated and reflect individual taste. Residents are encouraged to furnish their rooms with personal items, making it pleasant and familiar environment for the occupants. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 18 However, in the case of one resident, her room had no personal effects and looked like an unoccupied room. The bedrooms are generally spacious and allow the residents to accommodate their personal belongings. Access into and within the home is generally good. Window restrictors have been fixed to all windows and all radiators have suitable coverings, which ensure security and safety for the service users. The home has written policies and procedures relating to safe handling of hazardous materials, for staff to follow. The manager indicated that staff have had training in health and safety, infection control and food hygiene. The home was noted to be clean and free from offensive odours. The laundry machines have facilities for sluicing and washing foul linen at very high temperature to avoid the spread of infection. The laundry room was well organised and all appropriate health and safety notices were on display. The kitchen was clean and maintained to a good standard. There were plenty of food items in the home to cater for individual preferences. However, the storage of food items on the floor of the pantry should be reviewed as this does not meet food safety standards. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 19 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. The staffing numbers are satisfactory and promote the safety and welfare of the residents. Furthermore, the company adheres to good recruitment practices, which safeguards the welfare of the residents. The company also provides training for staff but some staff training need to be updated to ensure staff have up-to-date knowledge in best practice. EVIDENCE: The home employs sufficient number of staff to meet the needs of the residents. The residents commented that there are always sufficient staff on duty to meet their needs. Care staff also stated that they feel that there are sufficient staff on duty at all times. There are also sufficient domestic and catering staff to meet the needs of the residents and the home. The staff have had appropriate training to equip them for their roles. The manager confirmed that the training includes moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety training. This was confirmed in the staff training log that was available in the Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 20 home. However, some of the staff need refresher training to update them on the statutory training. Dementia awareness training has been provided but the staff training log shows that not all staff have received this training. Also there was very little awareness amongst staff of the Mental Capacity Act. The provider should provide training in the Mental Capacity Act so that the staff can be aware of their responsibility regarding residents who may lack capacity. Since the last inspection there has only been one staff appointment. The file contained evidence of good recruitment procedures being followed. However, the induction was not evident in the file although she described her initial induction day and the “shadowing” with an experienced carer when she started work. All the staff have had enhanced CRB and ID checks done and were all in order. The staff retention rate is good. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 21 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, 36, 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally well run but the manager is not fully meeting some of her management responsibilities. This, if not addressed could compromise the welfare of the residents. There are however good systems in place to safeguard the finances of the service users and staff work well to maintain a safe environment and protect service users’ safety and well-being. EVIDENCE: Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 22 The provider is required to make arrangements for someone to visit the home on a monthly basis and report on how the home is running. This has not been taking place as regularly as required. Where such a visit has taken place, the quality of the report is poor and does not highlight some key issues in the home, which were highlighted in this report, such as staff supervision. Since the last inspection and up to the time of this inspection visit, there had been a number of incidents in the home of which the Commission should have been notified but no such notifications have been received. One such incident included escape of gas in the home where the Gas Board was alerted as an emergency. There were also a number of accidents in the home in which the Commission should have been notified. Staff supervision has not been taking place. However, the staff indicated that the manager is always available to talk to and to provide the necessary advice and support when needed. The home has a good system in place for managing the personal allowances for the service users. Details of purchases and receipts are available for those whose monies are held by the home. The company’s Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). There is evidence that staff adhere to the policies as set by the company. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection take place. However, the records relating to fire safety instructions showed that the night staff have not received the three monthly fire safety instructions as recommended by the fire authority. The last fire safety instruction for some of the night staff was in December 2007. Servicing records confirm that all portable appliances have been tested. Regular servicing of fire equipment, gas and electrical appliances have been carried out by the contracted companies. All the servicing records that were examined were up to date. These included servicing of passenger lift, hoists, water treatment, electrical installation and gas servicing. The company has a quality assurance system in place. There are regular surveys of residents and relatives to find out how the service is meeting their needs. The comments from the surveys were very complementary of the staff and service provided. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 23 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 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 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 2 18 3 3 X X X 3 2 X 3 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 x 2 Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP2 Regulation 5(1)(c) Requirement The company must take appropriate steps to ensure that residents are provided with contracts setting out the terms and condition of residence. (previous timescale 30/09/07 has not been met). Timescale for action 01/09/08 2 OP17 13(6) 3 OP28 23(4)(e) All staff must be given training in 30/09/08 the Mental Capacity Act 2005 to ensure that they have the knowledge and understanding of their responsibilities care staff. All staff must receive regular fire 30/07/08 instructions to ensure that safety and wellbeing of the service users. (previous timescale 01/08/07 has not been met). The Commission must be notified 30/06/08 of all incidents in the home, which affect the wellbeing of the residents. The provider must make suitable 30/06/08 arrangements to ensure that the Regulation 26 visits are conducted regularly. This protects the interest of the residents. DS0000015705.V365845.R01.S.doc Version 5.2 Page 25 4 OP31 37 5 OP31 OP33 26 Belle Vue House 6 OP36 18(2)(a) 7 OP38 12(1)(a) Suitable arrangements must be made for all staff to receive regular supervision. Written details of staff supervision must be maintained by the registered manager. Food items must be stored on shelves and not on the floor in the pantry as this is contrary to food safety standards. 01/08/08 30/08/08 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 OP2 OP7 OP9 OP24 Good Practice Recommendations The provider should make arrangements to provide contracts for those residents who have no such contracts. The “tick box” care plans should be reviewed and it effectiveness re-assessed to make sure that it clearly provides a person-centred approach to care planning. A photocopy of the doctors prescriptions should be retained in the home and used to check against the medicines received from the local chemist. Staff should seeks ways to ensure that the residents who have been assessed as lacking capacity are assisted to make sure that their bedrooms that are furnished are furnished with personal effects and reflect their lifestyle. Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Belle Vue House DS0000015705.V365845.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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