Inspection on 13/09/07 for Benvarden

This inspection was carried out on 13th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Benvarden 13/08/09

Benvarden 19/07/06

Benvarden 22/12/05

Benvarden 05/07/05

Benvarden 25/01/05

Benvarden 25/05/04

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 Benvarden 110 Ash Green Lane Exhall Coventry West Midlands CV7 9AJ Lead Inspector Patricia Flanaghan Unannounced Inspection 11:15 13 & 20 September 2007 th th 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 Benvarden DS0000004212.V341816.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. Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Benvarden Address 110 Ash Green Lane Exhall Coventry West Midlands CV7 9AJ 02476 368354 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) dorethdaly@tiscali.co.uk Ms Diane Hughes Ms Diane Hughes Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Benvarden may also care for the person named in the application for variation of registration dated 31 May 2006 19th July 2006 Date of last inspection Brief Description of the Service: Benvarden is registered to provide residential care for up to 14 older people. Nursing care is not provided at Benvarden, community health care services and support are accessed through GP surgeries, district nurse services etc. The home is situated midway between the city of Coventry and the town of Bedworth and is close to the M6 motorway. Public transport is available from just outside the home; local shops and a post office are within walking distance. Benvarden is a converted large detached house providing domestic, homely accommodation. It has a dining room, two adjacent lounges and a large conservatory. There are 10 single bedrooms, 6 with en suite facilities and 2 double bedrooms with en suite facilities. There is a 6-person lift, a laundry and domestic style kitchen. The home has pleasant gardens with a patio overlooking a school playing field. There is car parking for visitors to the front and side of the home. At the time of this report the service user guide for the home indicated that the weekly fees ranged from £340 to £360. This does not include extra services such as hairdressing, chiropody, toiletries or newspapers. Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by us is upon outcomes for people who live in the home and their views of the service provided. This process considers the homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. This unannounced inspection took place over two days, 13th and 20th September 2007. On the day of the inspection, the home was accommodating 13 people. Before the inspection the manager of the home was asked to complete an Annual Quality Assurance Assessment (AQAA) detailing information about the services, care and management of the home. Information contained within these plus the AQAA are detailed within this report where appropriate. Documentation maintained in the home was examined including staff files and training records, policies and procedures and records maintaining safe working practices. A tour of the building and several bedrooms was made. The inspector had the opportunity to meet all of the residents by spending time in the communal lounges and talking to some of them about their experience of the home. General conversation was held with others, along with observation of working practices and staff interaction with the people living in the home. The care of three people living in the home was identified for close examination by reading their care plans, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’ where evidence of the care provided is matched to outcomes for the people using the service. Tracking people’s care helps us understand the experiences of people who use the service. We would like to thank the residents, manager and staff for their cooperation and hospitality. Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The manager and staff have worked hard to address a majority of issues identified at the last inspection. Work has commenced on outstanding issues and the manager is fully aware of the action to take to address these issues. Work has been undertaken on care plans and those seen contained most of the information necessary to enable staff to meet the needs of those under their care. Care plans were generally up to date and in good order. Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 7 The manager has ensured that staff have received appropriate training to enable them have the skills and competency required of them to meet individual assessed needs of the people living in the home The home has a rolling programme of redecoration to ensure that the home remains comfortable for those people living there. Since the last inspection the home has been re-decorated throughout with new carpets, curtains, chairs and tables provided. The ground floor has been redesigned following consultation with people who use the service ensuring they have more communal space and can interact more positively with each other. There is improved access to the garden with a new tarmac patio area ensuring people can benefit from a safe and comfortable environment outdoors. 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. Benvarden DS0000004212.V341816.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 Benvarden DS0000004212.V341816.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. People who are considering moving into the home benefit from having their care needs assessed so that they can be sure the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents care files were reviewed, which included the file for a person who is in the process of being admitted to the home, to assess the preadmission assessment process. The manager said that it was usual practice for her and a senior carer to visit people who are considering moving into the home to undertake an assessment of their needs and abilities. People are invited to visit the home and can stay for the day if they wish. Prospective residents and their relatives are given the Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 10 service user guide and information about the home, so they can be sure they have all necessary information about Benvarden before they make a decision to move into the home. A visitor spoken with confirmed that their relative had been seen prior to being admitted to the home. Each of the files examined contained information gathered during a preadmission assessment that identified all of the person’s needs. The preadmission assessment is supplemented by a further assessment of long term needs on the day of admission. Files also contained pre-admission information provided by professional health and social care agencies and incorporated into care plans. Benvarden DS0000004212.V341816.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 and 10 Quality in this outcome area is good. People living in the home are treated respectfully and have a plan of care and access to health care services so that their health and personal care needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observations during the key inspection visit found that people living in the home looked well cared for and were clean, their hair had been combed and nails were trimmed and clean. They were well presented and wore clothes that were suited to the time of year. Garments were clean and well maintained. The AQAA completed by the manager prior to the inspection states that: “Care plans updated as soon as a change in circumstance arises. Monthly Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 12 care plan reviews are carried out by senior carers. Care staff regularly inspect the condition of the resident skin, paying particular attention to the residents pressure areas. We have a close relationship with district nurses and their advice can be sought. The optician, dentist, chiropodist and hairdresser all visit regularly and if required as a matter of urgency will always attend.” Three people were identified for ‘case tracking’. Each person had a care plan, daily records and monitoring records. Care plans were generally based on information secured during the initial care needs assessment and were developed as staff got to know the individual’s strengths and limitations. Daily records are well recorded and contain meaningful information. Risk assessments are carried out on all residents admitted to the home these include falls, moving and handling and mobility both in and outside the home. The manager said she has begun to develop person centred care plans, these should include information around areas of need such as personal care, recreation, nutrition, spiritual needs, sexuality, hobbies etc. Developing life histories with residents and their families will give staff an insight into a person’s life to date and should help to meet residents’ diverse needs. For example information gained may be related to, what job the person did, what hobbies or interests they had/have and details about their family life. These details will provide staff with information to ensure that care and activities planned is person centred and will help them to look at the residents as individuals. The AQAA completed by the manager prior to the inspection states that: “90 of staff have attained their safe handling of medicines certificate. We have purchased a new medicine trolley and a new drug administration policy is in place. A new system of recording drugs not in blister packs has been implemented. Only senior staff order and return received drugs.” The management of medication was reviewed. Medication is stored within a locked trolley and the NOMAD system is used; a pharmacist reviews the system and offers training on an annual basis. The Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 13 home appropriately stores and records all controlled drugs within the home, although none were in use at the time of inspection. Some gaps were seen in the Medication Administration Record Sheets and although these were small in number it is important that there is a signature to show that the medication has been given, or if not given, the reason why. The reason for any medication not being given must also be recorded by means of a code with an appropriate key. Another resident on Warfarin (a medicine to prevent blood clots and is monitored by frequent blood testing known as INR.) should have been given 1.5mg and 2mg of Warfarin on alternate days. Records indicated that at one stage 2mg were given two days in a row. People living in the home were well groomed and dressed appropriately for the time of year. Residents felt that care staff showed them respect and helped them to maintain their privacy and dignity when helping them to meet their personal care needs. Care staff were observed speaking to residents politely and in a friendly manner. One person commented: “‘The staff are marvellous, I can’t fault them at all.” Staff were discreetly observed in their approach to residents during the visit. They were seen to afford dignity and respect. For example, one member of staff was seen escorting a resident to the toilet. They allowed the person to go at their own pace, and talked to them in a calm and reassuring way. Benvarden DS0000004212.V341816.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 and 15 Quality in this outcome area is good. People who use this service are able to participate in social activities and are being given choices in how their care is delivered including choices of meals provided to maintain their quality of life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Activities are organised on a daily basis, usually during the afternoon. The home has a dedicated activities co-ordinator who visit three times a week. She encourages the residents to participate either in a group or in twos. She also takes people who are able on short walks. Activities are posted in the lounge. Activity records are available for each resident to demonstrate what activity they have participated in, and in some cases whether or not they enjoyed it. On the day of the inspection people enjoyed a sing a long session provided by an outside entertainer. Relatives of two people stated that they visit the home at various times of the day as they wish. They told us they are given a warm and friendly welcome by Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 15 the staff whenever they visit. People who live at Benvarden also keep some contacts with the local community – for example, church services, shops, visits from a local school and the park. Representatives from a local church visit on a monthly basis. A hairdresser visits weekly. The AQAA completed by the manager prior to the inspection states that: “The cook speaks to residents individually about their meals. Individual preferences and portion sizes are taken into account. The food is always fresh and of a high quality and cooked on the day of consumption. Fresh fruit is always available and although we have set times for tea and coffee, drinks are always available. Help at mealtimes is always available.” The home has a separate dining area, this affords residents the opportunity of a relaxed and appropriate surrounding. New dining tables and chairs have been provided since the last inspection visit. The menu was displayed in the dining room. The mean meal was home made shepherds pie with sprouts, carrots and potatoes. Pudding was fresh sponge with custard. The menu stated that the evening meal would be cauliflower cheese, tuna sandwiches and trifle. A choice of meals was available. Food was considered by the residents to be ‘very good’. One person commented; “I always enjoy my dinner.” Plastic picnic-type beakers were used for cold drinks at mealtimes. These are not age appropriate. The home should consider providing appropriate glassware. This is positive practice, which treats the residents as individuals and does not promote institutionalised care by assuming older people can only manage plastic beakers or mugs. Residents who use plastic beakers should do so by choice. Benvarden DS0000004212.V341816.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): 17 and 18 Quality in this outcome area is good. Complaints are taken seriously by the home and there are appropriate policies and procedures to safeguard residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints policy and procedure is in place and records of complaints received are maintained. Comments received from residents and visitors included: • • • “I’ve no need to complain” “I haven’t needed to make a complaint, but I would talk to one of the staff” “I would speak to Diane (manager)” These comments suggest that residents and their representatives know how to make a complaint and feel confident that their views would be listened to. We have not received any complaints about this service since the last Key Inspection in June 2006. Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 17 The home has a policy and procedure for responding to allegations of abuse and for Whistle blowing. The Adult Protection Policy in place provides clear guidance for staff to follow. Staff spoken with were aware of the policy and the action to take should abuse be suspected. The majority of staff have recently had training in abuse and the Protection Of Vulnerable Adults (POVA) and this should ensure that staff have the knowledge to safeguard residents from harm if an allegation should arise. Benvarden DS0000004212.V341816.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, 24 and 26 Quality in this outcome area is good. The standard of the environment within the home is generally well maintained providing an attractive and homely place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was undertaken with the manager. The inspector was able to go into all areas of the home, including personal rooms and all communal areas and the gardens. There are two lounges, conservatory and dining room available in the home. The home was clean, bright and tidy and no unpleasant odours were noticed. Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 19 Since the last inspection visit new carpets have been fitted in communal areas and in some residents bedrooms. New curtains and lounge chairs have been provided in lounges. There is a large garden to side and rear of the property, which is well maintained, some people who use the service stated they enjoyed sitting outside, a smoking area for residents and seating were available. The patio doors to the garden were open on the day of the inspection and residents were freely able to wander outside if they wished. The manager has ensured that the uneven paving slabs identified at the last inspection visit have been replaced. A number of bedrooms were viewed. Rooms were pleasantly furnished and decorated creating an environment where residents can feel comfortable. It was evident that residents are encouraged to personalise their rooms with their own items such as photographs or soft furnishings. One person said; I’m very happy and settled and love my room.” Specialist equipment, including beds, specialist seating, assisted baths, pressure relieving mattresses and hoists are available to support meeting the individual needs of people who live in the home. All toilets and bathrooms were clean and fresh with sufficient supplies of soap, towels, with gloves and aprons in place for staff use. The laundry area was in good order, clean and safe. A laundry procedure is in place which includes instruction to staff how laundry should be sorted, washed and managed. Benvarden DS0000004212.V341816.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, and 30. Quality in this outcome area is good. Sufficient staff are available to meet the needs of people. There are shortfalls in recruitment that could put residents at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the key inspection visit to the service, 13 people were living in the home and were supported by two care staff, a domestic assistant, cook and the manager. Duty rotas for a four week period were examined and it was noted that sufficient staff are available to be able to meet the needs of those who live at the home. The number of staff on duty on the day of inspection was in accordance with duty rotas. Observation during the inspection confirmed that staff are able to complete their tasks on each shift and spend quality time chatting to residents and undertaking activities. Relatives also commented that they felt that there was sufficient staff on duty when they visited. The home enjoys a low staff turnover to ensure that people receive continuity of care; it also indicates a happy and motivated workforce. Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 21 Comments received from residents and visitors included: “All the staff are very good, very nice” “The girls are marvellous, always smiling” The staff files of two recently employed staff members were examined. One of the files failed to have some required information. The file belonged to a member of staff who had recently been recruited and had only one reference, rather than two that are required currently. The reference in place was not signed or dated by the referee. A copy of the home’s recruitment policy and procedures was also not available for inspection. Robust recruitment procedures and pre-employment checks should protect the vulnerable people living in the home. The AQAA completed by the manager prior to the inspection indicated that eleven of the fifteen permanent care staff either have, or are working towards a National Vocational Qualification (NVQ) at Level 2 in Care. Other training done by staff in the past year includes, Safe handling of medicines, dementia, infection control, moving and handling, POVA and health and safety. Benvarden DS0000004212.V341816.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, 32, 33, 35 and 38. Quality in this outcome area is good. The home is managed by an experienced and competent person to ensure the service is run in the best interests of people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Management systems and practices are satisfactory. The manager is aware of any issues to be addressed and has plans in place to address them. She has an in-depth knowledge of the care needs of those that live at the home. Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 23 There is a feeling of warmth and openness in the home and overall, staff deliver good care. People who were spoken with were happy with the manager and staff team and felt they were approachable. The AQAA completed by the manager prior to the inspection states that; “The registered manager speaks to all the residents each day. She asks how they are, if they have any requests or any complaints. She then acts upon these responses. We have a residents meeting every month where a senior carer takes notes and suggestions from the residents so that action can be taken. We have a monthly staff meeting where staff are advised of any changes. They are encouraged to make any suggestions which would be helpful to the home. Action points are taken by a senior carer and are displayed in the office. There is a six monthly satisfaction survey carried out which all residents and relatives are encouraged to complete. The results are correlated and displayed in the lounge area. Blank copies of the satisfaction surveys are available at all times and left in the foyer for people to copmplete as and when they would like. They can be signed or anonymously completed. The manager has a close working relationship with residents, relatives and visitors. She actively encourages any suggestions made by them.” There are policies and procedures for the protection of service users finances and the home does not act as Appointee for any service user, this is the responsibility of family members. The manager said that residents either pay themselves or their relatives are invoiced for any extra services such as hairdressing. Information provided by the home in the AQAA shows that the home has undertaken the required safety checks related to electrical and gas installations, portable appliances, hoists and other equipment. Fire safety management includes regular testing of fire alarms, emergency lighting, and all records relating to fire safety management were up-to-date and in good order. A record is maintained in the home of any accident or incident that happens to people using the service. A sample of records were examined to assess the home’s systems for maintaining equipment and services. These were all in order. Benvarden DS0000004212.V341816.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 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 Score X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 25 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 OP9 Regulation 13(2) Requirement All handwritten entries on the Medication Administration Record Sheets must be dated and signed to confirm any instructions given by GPs. This will ensure that the correct medication is given to the people living at the home. When medication is given to people living at the home it must be correctly recorded. This will ensure that people will receive the correct levels of medication. Timescale for action 30/11/07 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 OP10 Good Practice Recommendations Age related drinking vessels should be used by residents unless a care plan or risk assessment suggests otherwise. DS0000004212.V341816.R01.S.doc Version 5.2 Page 26 Benvarden 2 OP29 Full and satisfactory information on all employees must be obtained prior to employment. This must include professional references from previous employers in care, exploration of gaps in employment and evidence of qualifications. A robust employment policy and procedure should be developed by the home. This will ensure that people who use the service have their health safety and welfare protected. Benvarden DS0000004212.V341816.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Benvarden DS0000004212.V341816.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. 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. 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