Inspection on 22/06/05 for Bennett House

This inspection was carried out on 22nd June 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bennett House 18/12/06

Bennett House 28/06/06

Bennett House 21/12/05

Bennett House 23/01/05

Bennett House 10/09/04

Bennett House 16/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE BENNETT HOUSE PARK LANE WOODSIDE TELFORD TF7 5HR Lead Inspector JANET ADAMS 22 ND Announced JUNE 2005 09.30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service BENNETT HOUSE Address PARK LANE WOODSIDE TELFORD SHROPSHIRE TF7 5HR 01952 582588 01952 582080 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) ACCORD HOUSING ASSOCIATION LTD CARE HOME 45 Category(ies) of 26 DEMENTIA registration, with number 19 OLD AGE of places BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a maximum of 45 service users. 2. The home may accommodate a maximum of 45 elderly persons of whom 26 may be suffering from Dementia. 3. The person named in the attached Schedule 1 (which is not to be displayed) may be accommodated in the home from 15th March 2005 until 15th March 2006 for respite care providing her needs are assessed and reviewed prior to each admission. Date of last inspection 23rd January 2005 Brief Description of the Service: Bennett House is registered as a care home for up to 45 older people requiring personal care, which may include up to 26 older people designated as having dementia Some people come to live at the facility on a short term respite basis. Many people move into the home after attending the day care centre which is also on the site of Bennett House. The Accord Housing Association owns the home, the registered managers position has been recently filled following the appointment of Stephanie Matthews, an experienced manager already employed by Accord Housing and who will be transferring to Bennett house in the very near future. The home, situated in the Woodside area of Telford, is a purpose-built bungalow style building, which during the past year has been subject to a lot of financial investment, refurbishment and team effort to improve the living accommodation provided there. It is divided into four separate units, each unit comprises of single bedrooms, bathroom, separate toilets, a lounge area and a kitchen/dining area. As the home is in the centre of the extensive regeneration project which is ongoing within the locality, it is anticipated it will benefit from the local community facilities which are being upgraded in the very near future. BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and commenced at 9.30am lasting eight hours. It included observing activity within the home, inspecting the premises, looking at records, ‘case tracking’, talking and listening to residents their visitors and staff working at the home in a variety of roles. The staff on duty were welcoming and helpful throughout the inspection. The newly appointed manager was in attendance for the inspection, although she had not started her new position at that time. The home has been without a Registered Manager for six months, and the Deputy Manager who has been ‘acting up’ during this time was present throughout the inspection. It was obvious a lot of preparation had been undertaken to make sure all information needed was available, and the details the home provided to CSCI (Commission for Social Care Inspection) before the inspection was most worthwhile. A variety of information confirmed what was seen at the inspection, including the results of a survey where 34 out of 45 of residents, many visitors and several visiting professionals gave information about life at Bennett House. 45 people were reported to be living at the home at the time of the inspection; - including two people were staying at the home for short stay respite care. Two of the 45 residents were in hospital. On this occasion a total of 28 out of 38 National Minimum Standards were assessed. It was found that most of these had been met with mainly minor exceptions. No new requirements were made as a result of this inspection. What the service does well: It was impressive to see that the home had more than met National Minimum Standards for several parts of the service and support it provides for its residents. The home meets the individual personal and health care needs of the elderly people living at Bennett house in a most desirable manner. This reflects that despite not having a registered manager, the staff team have worked together following Accord Housing policies to provide a good quality of life for its residents. It was commendable to hear of ‘success stories’ how changes in the management of health conditions by the involvement of healthcare professionals had improved some residents’ independence and quality of life. Furthermore, the sensitive issue of caring for a person’s needs in the event of their passing away was reported by families to be carried out in a commendable manner. All 34 comment cards filled in by residents as part of the inspection survey contained information that they all felt safe, and were well cared for. All BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 6 responses from relatives and healthcare professionals also showed that they were all satisfied with the overall care provided at Bennett House. One person said: “The moment I met the staff I knew I would be safe. Seeing the way other people with dementia were making progress and improving has triggered me to want to get the support from the people here.” Keeping all residents busy in a variety of daily life and social activities is considered to be vital at Bennett House. The whole care team embrace the issue of activities to make sure people have the support they need to live as full a life as possible. - This has also involved forging many links with a variety of local organisations in the locality. What has improved since the last inspection? What they could do better: As recorded earlier, improvements seen to be necessary are relatively few, and many issues were in hand, including finding replacement commodes. Although recordkeeping was seen to have improved somewhat, residents records still need to be further developed to make sure they have the BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 7 information which shows that they are issued with the home’s terms and conditions of living at the home when they move in. To compliment the home’s up to date complaints policy, a minor issue observed to be addressed was to make sure the complaints notice in the hallway stated the contact details for the local CSCI office so that people know they can contact them at any stage of a complaint if they wished to do so. 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. BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 &4 The homes statement of purpose and service user guide are good providing service users with details of the services Bennett House provides, enabling an informed decision about admission to the home. Although Bennett House undertakes all necessary assessments for successful and satisfactory admissions to take place, further development of the residents’ recordkeeping needs attention. EVIDENCE: A copy of the home Statement of Purpose dated April 2005 and a copy of the home’s Service User guide dated February 2005 were looked at. These were seen to be very well presented and easy to read with a wealth of information to help a person decide if Bennett house could meet their needs. The use of colour photographs and well designed layout further enhanced these booklets. It was seen that the list of useful addresses in the back of the information contained some very useful contacts, including the Vulnerable Adult team. It was notable to see copies of this information easily accessible in various parts of the home. Three residents files were looked at to see if a requirement made at the last BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 10 inspection to make sure everyone who lived at the home had been given a Bennett House contract of terms and conditions when they came to stay at the home had been met – Only one of the files had this information in place. One file did not have a contract at all, and the third lacked information about the room number, what the fees were to live at Bennett house, and who had to pay them. Documentation examined for four residents showed that individuals now have a comprehensive assessment of their needs prior to admission, which is reviewed and amended as requirements change. Observations and discussions with residents, staff, and home management team indicated that the home meets the individual needs of the elderly people living at Bennett house in a desirable manner. Several written comments received from residents confirmed this .The following examples reflect many of these: “ My father goes into Bennett House on a respite basis – they look after his needs so well” “The staff are all very kind and helpful, when I walked into the place I said to my daughter – ‘this is it. This is home - and I’ve never regretted it’ BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10, & 11 There is a good, consistent care planning system in place, which confirms residents get the care they need and expect. The staff are sensitive to the individual needs of each service user and meet these in a professional manner. Improvements to the systems for the management of medication in the home demonstrate the home’s ongoing commitment to make sure suitable arrangements are in place to meet all residents’ medication needs. EVIDENCE: The care plans of four residents at the home were looked at, including records of a person who had been admitted to the home for short-term respite care. Residents health, personal and social care needs were seen to be set out in appropriate detail in their records to give a full picture of the way the person prefers them to be carried out. All residents spoken to confirmed they were fully involved with what was written about their needs. The home has a special welcome form for people who come to stay at the home for a short time, to make sure the person gets settled in to the ‘Bennett Lifestyle’ and staff are aware of any details to do with that person’s stay at the home. One such resident spoken to said it was the second time she had been to stay BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 12 at the home and she said ‘It’s a smashing place.’ All residents spoken to confirmed they were fully involved with what was written about their needs. All contact with residents confirmed they agreed their privacy was respected. On the inspection day they were seen being treated with respect by staff working both professionally and sensitively in meeting individual needs. Knowledgeable staff shared information how a person was bathed to meet her cultural needs whilst she stayed at the home for respite care. It was commendable to hear of ‘success stories’ how changes in the management of three resident’s medical conditions by the involvement of specialist support, had improved their independence and quality of life. A local GP wrote these comments about the home: ‘Excellent standard of care in all areas –certainly one of the best in the Telford and Wrekin area.’ The sensitive issue of caring for a person’s needs in the event of their passing away was also seen to be dealt with in a commendable manner. Written remarks seen received at the home in February and March of this year expressed gratitude to staff for their care, attending the person’s funeral and bothering to send the family recent photographs of the person looking content and smiling. When another resident passed away suddenly, relatives living in the South of England wrote to the home to express sincere thanks for the kind way the sad news was broken to them. Furthermore, the design of the care plans about this matter made sure staff were prompted to take appropriate details of the persons wishes and any preferred funeral arrangements. Following a series of shortfalls in the management of medication in the home, a project has been undertaken by the staff in an effort to permanently improve how the home deals with this matter. It was commendable to see the effort and research that has been put into this project. BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14, & 15 The Bennett House team work in close liaison with residents and their relatives to understand their individual lifestyles and preferences in order that these can be continued or further enhanced when they live there. Full involvement with individuals living at the home or their relatives if appropriate, raises staff awareness to promote choice and control over their lives where ever possible. Meals at the home are of a good homely type offering both choice and variety and catering for special dietary needs EVIDENCE: It was impressive to see changes to the provision of activities, which further enhance an already excellent part of the service Bennett House provides. It was confirmed that since the last inspection, the home now has three activity organisers, including one who is specifically responsible to ensure service users with dementia related conditions receive encouragement, support and stimulation to enjoy a fulfilled lifestyle. Art therapy was reported to have provided a lot of satisfaction to residents with dementia, and the standard of work was so high, it has been entered for a competition to be used to compile a calendar for a charity, which supports this condition. Other residents were seen to have created their own ‘back gardens’ in parts of the grounds, and were overheard to be enthusiastically discussing their plants. One was BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 14 overheard talking about plans with a staff member about getting his own lawn mower. A ‘Wildlife Garden’ created in partnership with Shropshire Wildlife on a piece of land the home has inherited as part of a local regeneration project was seen to provide another quiet area for residents to access. One resident recalled how they had recently enjoyed a ‘Dig for Victory’ project with local schoolchildren. Residents were also involved in a ‘Veterans Reunited’ project, which has stemmed from their expertise gained from using the newly refurbished computer suite -supplied to the home courtesy of a successful venture with a major bank. Recycling has become very topical in the home, and residents are involved in a variety of activities in promoting this. The home even has a ‘worm hotel’ to provide compost from food waste for the gardens. The home has such a busy activity programme one resident commented that they could do with a second bus to get them out and about. Furthermore, it was confirmed that the senior activity coordinator in the home was actively involved in setting up an ‘activity organiser group’ for homes within the Telford and Wrekin Primary Care Trust. This reflects the local reputation the home is gaining for its continued commitment to activities for older people. It was seen that individuals were encouraged and empowered as far as it was practical to maximise their independence and be involved in choices about all aspects of daily life in the home. Systems to do this were seen to have been further enhanced by the introduction of prompt cards to enable people with memory problems or dementia related conditions make decisions. These cards were devised as a result of specialist training staff have undertaken to support the people living in the home. The above information also confirms that the whole care team embrace the issue of activities to make sure people have the support they need to lives as full a life as possible. Despite there being a change in the catering personnel, the standard of service presentation and provision for meals remains very good and continues to exceed National Minimum Standards. One Resident commented on the day of the inspection that the food had improved during the past six months. Another commented the food was as good as what she recently enjoyed at a restaurant. Soon after the inspection the home received a ‘Gold Healthy Eating Award’ from the Environmental Health Department. BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Policies and practices in the home ensure that any concerns or complaints at Bennett house are listened to and acted upon. EVIDENCE: From the information provided to CSCI before the inspection it was confirmed that one complaint had been received in the past 12 months. The complaint was about an issue CSCI were aware of and it had been dealt with appropriately. A minor issue observed to be addressed was that complaints notice in the hallway needed to be updated to ensure that it clearly outlined the contact details for CSCI to make sure complainants could contact CSCI at any stage of a complaint if they wished to do so. All comment cards received back from relatives and visitors contained details to confirm that they knew how to make a complaint if they needed to, although they all acknowledged they had not made a complaint. All feedback from visiting professionals such as the doctors, social workers and district nurse confirmed that they had not dealt with any complaints about the home. BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,22,23,24,25, &26 The ongoing commitment of Accord Housing ensures the standard of the environment continues to be improved to provide residents with a safe, wellmaintained environment to live in. EVIDENCE: Since the last inspection refurbishment of communal areas such as kitchenettes, lounges and bathrooms was seen to have made a marked difference in the appearance of the home. Likewise, the installation of the new therapeutic baths and shower facilities have had a positive impact for people to choose how they prefer their hygiene needs to be met safely and effectively. The inspector was invited to look at many residents bedrooms. All seen had been personalised according to the preferences of the person it was allocated to. One lady who asked to talk to an inspector said that when she moved into her bedroom she did not like her bedroom carpet, and said ‘but the staff were very good, they listened, and they changed it.’ She also went on to comment that the surroundings impressed her so much when she came to see the home, she said to her daughter, ‘that’s it….this is home’. BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 17 Random checks of hot water outlets confirmed the newly installed thermostats were doing their job and keeping temperatures within safe limits. At the time of the most recent Fire Officer and Environmental Health Officer’s inspections matters were reported to be satisfactory. It was seen that the home had not yet managed to find a suitable model of commode to replace the wooden ones, which were noticed to be showing signs of wear and tear at the last inspection. The acting manager shared her research findings of possible replacements and was intending to involve the residents in the final choice once they had finished shopping around for the most appropriate commode which would be easy to keep clean, as well as be homely in appearance. BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Residents are supported by a well trained and committed staff group who are meeting the needs of each individual in a sensitive and professional manner. EVIDENCE: The staff rotas on display and staff on duty at the time of this inspection indicated that adequate numbers and skill mix of staff are on duty at all times. The staff ‘signing in ‘ book was an effective way to prove the rotas were a true reflection of the staff actually on duty. Discussions with residents, their visitors and staff on the day of the inspection confirmed that confirmed that the staff team was fairly allocated in all parts of the home to ensure residents were being looked after properly. All of the information written in comment cards received by CSCI also confirmed this to be the case. BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33,35, &38 The home has a competent provider who has ensured the staff team have been properly managed in the absence of a registered manager Good systems of communication are in place to seek the views of the service users and families/representatives. Service users finances are handled appropriately. Health, safety and welfare of service users and staff continue to be improved by safe working systems in place. EVIDENCE: Although the home has been without a Registered Manager since the beginning of the year, the Deputy Manager for the home has been supported by Accord Housing to carry out this role, and is to be commended for her efforts to continue to improve the lifestyle at Bennett house for residents, visitors and staff alike during this time. A newly appointed manager, Stephanie Matthews, who is already registered as a manger with CSCI at another Accord home was BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 20 present at the inspection and was expected to transfer to her new position in the near future. It was impressive to hear that the already good ways the home makes sure peoples opinions are listened to have been further been improved by the start of a ‘Support Forum Group’. One staff member was eager to comment about this group and how the home was reaching out to offer support to relatives and their family members living at Bennett House. Improvements to the way the very knowledgeable administrator was seen to manage residents’ monies and valuables more than met basic standards. New systems were seen to be working well to make sure this very important aspect of resident well being was taken care of in a professional and safe manner. All records and service certificates to make sure the home fully complied with health and safety legislation were seen to be satisfactory. It was particularly commendable to comment that the safe working practices in the home were promoted by the use of excellent accident statistic monitoring which demonstrated the home’s commitment to make sure the staff had the awareness to make sure as many accidents as possible were preventable. BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 2 4 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION 3 4 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x 3 4 x 4 x 2 4 BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 22 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP2 Regulation 5 (1)(b) Requirement Timescale for action 31/12/05 2. OP16 22(7)(a)( b) 3. OP21 13(3) 4. OP37 17(1), (2), (3).Sched ules 3,4 Service users must be provided with an individual contacts/terms of conditions with the home, a copy of which is kept in the service users file. The registered person must ensure that all relevant information is included in the document. (Timescales of 11/1/05 not met) The complaints procedure on 30/11/05 display in the hall must be updated to ensure that it clearly outlines the contact details for CSCI to make sure complainants know how to contact CSCI at any stage of a complaint if they wished to do so. All wooden commodes must be 31/01/06 discarded and taken out of use because of the risk of infection as they cannot be adequately cleaned and disinfected. They must be replaced with a nonpermeable material. (Timescales of 30/04/05 not met) The home’s record systems must 31/01/06 be streamlined and developed to contain all of the required elements of the National Minimum Standards, including information held in service user Version 1.30 BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Page 23 records. (Timescales of 30/04/05 not met) 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. Refer to Standard OP21 Good Practice Recommendations It was noted that commodes are in the majority of bedrooms. The use of commodes for night time use should not be a routine occurrence. If someone finds it difficult at night to get to the toilet because of the distance from their room then consideration must be given to increasing the number of toilets within the vicinity. It is strongly recommended that each unit have an automatic sluicing disinfector available to ensure the safe disposal of bodily waste, to reduce the risk from contamination and to control the spread of infection. 2. OP26 BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE 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 BENNETT HOUSE E56 S20538 Bennett House AI V198352 220605 Stage 4.doc Version 1.30 Page 25 - 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!