Inspection on 21/06/07 for Bolton Hall Care Home

This inspection was carried out on 21st June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Bolton Hall Care Home 16/06/08

Bolton Hall Care Home 25/01/06

Bolton Hall Care Home 14/09/05

Bolton Hall Care Home 08/03/05

Bolton Hall Care Home 11/01/05

Bolton Hall Care Home 03/03/04

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

CARE HOMES FOR OLDER PEOPLE Bolton Hall Care Home Carrhead Lane Bolton On Dearne Rotherham South Yorkshire S63 8DA Lead Inspector Sue Stephens Key Unannounced Inspection 21st June 2007 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bolton Hall Care Home DS0000006473.V329214.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. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bolton Hall Care Home Address Carrhead Lane Bolton On Dearne Rotherham South Yorkshire S63 8DA 01709 881456 01709 891731 bolton.hall@craegmoor.co.uk 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) Yorkshire Park care Company Limited Mrs Pat Davies Care Home 80 Category(ies) of Old age, not falling within any other category registration, with number (80) of places Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All 80 OP beds may instead be used in the category PD, Physical Disability for people aged 60 years and above, whose disability is as a result of the ageing process. 25th January 2006 Date of last inspection Brief Description of the Service: Bolton Hall is a purpose built two-storey care home with landscaped gardens and ample car parking space. The home is registered for 80 residents and provides both personal care and nursing care. There are local amenities within the immediate vicinity. The railway station, which serves Leeds and Sheffield, is a few minutes walk from the home, and the A1 motorway is approximately 10 minutes drive from the home. The home’s administrator provided the information about the homes fees and charges on 21 June 2007. Fees range from £334.50 to £480.50 per week. (This includes high band nursing fee). There are additional charges for hairdressing, chiropody, toiletries, papers and magazines. Prospective residents and their families can get information about Bolton Hall by contacting the home. The home will also provide a copy of the statement of purpose and the latest inspection report. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced; it took place between 11:00 am and 17:30 pm. The inspector sought the views of people who live at the home, and spent time observing other people who received support from staff. She spoke to three members of staff. Pat Davies, the registered manager, was on leave at the time of the visit. The RGN (registered general nurse) in charge assisted with the inspection. During the visit the inspector looked at the environment, and made observations on the staffs’ manner and attitude towards people. She checked samples of documents that related to peoples’ care and safety. These included three assessments and care plans, medication records, and staff recruitment files. The inspector looked at other information before visiting the home, this included evidence from the last random inspection and surveys and a pre inspection questionnaire supplied by the manager. The inspector received views from people who completed the following surveys: Eleven surveys for people who live at the home Five staff surveys. Four health and social care professionals This was a key inspection and the inspector checked all the key standards. The inspector would like to thank the people who live at the home, the RGN and staff for their warm welcome, help and contribution to this inspection. What the service does well: People, relatives and friends said about Bolton Hall, “Bolton Hall always has a warm and friendly atmosphere” “The management and staff are very considerate and helpful” “The staff are always on hand” “The care and dedication given by all staff is only to be commended” Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 6 People have good assessments and care plans; these give staff good information about how to meet people’s needs. People are satisfied that their health care needs are met and say staff treat them with dignity and respect. In the main staff follow safe medication procedures. People were happy that they could follow the daily routines they preferred and they had good support from staff to do this. People were very satisfied with their meals and said they had good choice and variety. People said they could raise concerns and they said the managers and staff were very good at listening to them. People had personalised bedrooms and could bring in their own possessions. People said they were very satisfied with the staff. Relatives, friends and professional visitors also made positive comments about the staff team. The home carries out regular health and safety checks to safeguard people from harm. What has improved since the last inspection? What they could do better: To keep the medication systems safe and hygienic, nurses need to use consistent codes and they need to keep the medication trolleys clean. Find out how satisfied people are about the homes activities, and respond to people who feel they could have more to do. Because bedrooms are on long corridors the home should personalise people’s own room doors to help them recognise them. The home needs to make sure that people have safe, comfortable and dignified furniture, fittings, and garden access. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 7 The home needs to audit the condition of furniture, fittings and the gardens, and staff need to report problems better, such as broken toilet seats and laundry baskets. The home needs to make sure there is always a supply of toilet rolls, soap and paper towels for people. People need their wheelchairs cleaning more often to keep them clean and free from food debris. To make sure people get support from suitable staff, the home needs to improve their recruitment checks and records. The organisation, Craegmoor Health Care needs to investigate why people were left without an adequate supply of hot water for drinks for over three months. They need to make sure this does not happen to people again. The home needs to review their security and access policy so that people are kept safe from intruders entering the premises. 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. Bolton Hall Care Home DS0000006473.V329214.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 Bolton Hall Care Home DS0000006473.V329214.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. The home did not provide intermediate care. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People who live at the home have their needs assessed, and nurses review this so that they can continue to meet people’s changing needs. EVIDENCE: People confirmed in the surveys that they had a contract with the home and they receive the care and support they need. People had assessments before they came to live at Bolton Hall. This helped make sure the home understood their needs and confirm that they were able to care for them. The manager, deputy and some nurses assessed people’s needs, this continued after people moved in; this was good practice because it helped the home identify people’s changing needs and preferences. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 10 The nurse in charge confirmed that they consider people’s diverse needs (for example people’s, religion, culture, age and gender) during assessment. Bolton Hall Care Home DS0000006473.V329214.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. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People have care plans that reflect their needs, this helps make sure they have safe and consistent care. They receive good health care. The home can improve a medication procedure to make it safer for people and they can do more to help people to enjoy better privacy. EVIDENCE: People had care plans with good information about their needs. Craegmoor Health Care had introduced a new and improved version. The nurses were transferring people’s information into the new care plans; this gave staff better information about peoples needs and preferences. The new plans were better at finding out about people’s lives and their diverse needs. This in turn will enable people to receive good personalised care and support based on their own needs and wishes. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 12 Health care professionals said in their surveys that they had good communications with the home. They said staff at the home had a clear understanding about people’s health care needs. One health professional commented that people at the home are “well looked after”. People replied in their surveys that they always received the medical support they needed. One person commented, “We are very satisfied with the care”. And a relative stated that they were “Immediately informed about any medical situations that occur”. In the main the medication systems were in good order, storage was safe, nurses followed good administration procedures. However codes used to explain missed medication were inconsistent and some areas of the trolleys had accumulated dirt. People said staff treated them with dignity and respect. The surveys also reflected this. One relative said the staff give “Care with concern, affection and respect”. And another relative said “They make Mum feel at home, valued and listened to.” The inspector observed staff; they spoke to people in a friendly and dignified manner. Some people said they experienced other people (who lived at the home) entering their rooms; they said they preferred this not to happen. Staff had locked some people’s rooms to try and prevent this happening. However, this limited some people’s freedom to go in and out of their rooms without staff. The inspector noted that the bedrooms were on long corridors and there was little to tell the rooms apart. The home should consider personalising the doors. This may help to reduce the number of times people have to cope with disturbed privacy. Bolton Hall Care Home DS0000006473.V329214.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 and 15. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People have different views about the activities they can be involved in at the home. People have good quality, nutritious meals. EVIDENCE: People said in the surveys, “sometimes” there are activities in the home that they can take part in. And a relative said they observed people “just sitting around” in the lounge. Other relatives said they felt satisfied that the home offered good stimulation. Some people spoke to the inspector and said they were satisfied with the activities available; while others agreed they would like to do a bit more. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 14 The home’s list of activities included: In house entertainers Bingo Weekly coffee morning Crafts Flower arranging Baking And outings. A member of staff said there was no activities at present because the activity co-ordinator was on leave. People were able to follow their preferred routines, for example when they chose to get up and retire to bed. And the home had carried out risk assessments to allow people to maintain as much independence as possible. Relatives and visitors said they were always made welcome and one person said they could “visit at any time”. People said they enjoyed their meals. Surveys said meals were, “Of good standard with various choices at all meals” “Mum enjoys her meals”. The cook confirmed the home has good supplies to offer people nutritious meals, including people who need special diets. The home had been without a boiler to make hot drinks for over three months. Staff had access to one kettle to cater for up to 70 people. This was not acceptable and resulted in people having to wait a long time for a hot drink. The home had evidence to show they had contacted the providers, Craegmoor Health Care, on a regular basis to report the problem. The organisation had failed to take action within a reasonable time. The inspector contacted the area manager who agreed to replace the boiler immediately. (See standard 33 for more information). Bolton Hall Care Home DS0000006473.V329214.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 and 18. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People felt listened to when they raised concerns; and the home followed good practices to safeguard people from harm and abuse. EVIDENCE: People said staff were very good at listening to them. They could raise concerns and the manager and staff would take action. One person said, “The management and staff are very considerate and helpful”. And a relative said “The matron and deputy are always on hand to speak to” and “Concerns are always looked into and resolved”. The homes complaints procedure was on display in the entrance hall and people knew how to complain. Staff demonstrated in the staff surveys that they knew how to handle complaints. The nurse in charge said staff were up to date in protecting vulnerable adults training (adult protection) and policies and procedures were available to staff. (See standard 30 about staff training). Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23 and 26. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Although people said they were comfortable the organisation had not maintained areas of the home to a safe standard. EVIDENCE: People said they were comfortable at the home. The home had a variety of chairs and furniture and touches such as ornaments and pictures that gave rooms a homely feel. People could personalise their bedrooms with their own belongings. In the main the home was clean and fresh. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 17 People said the laundry facilities were very good and their clothes were clean and well cared for. One person at the home said they thought the home needed redecorating. Relatives and friends reflected this in the surveys and included the following comments, “It could do with redecorating” “The surroundings and the home it’s self could be better” “The décor looks worn and tired” Some areas of the home needed attention and repair; the home had been without a permanent maintenance person for nearly a year. Staff confirmed this had had an effect on the home’s environment. The inspector noted areas at the home that impacted on people’s safety, comfort and dignity, these included, • • • • • • • • Broken toilet seats on some toilets Several toilets and bathrooms were without toilet rolls, soap and paper towels. A number of staff said this was because they often started to run out before the next order was due. Side tables where the laminate had come off (putting people at risk of scratches and skin tears; the tables were unsightly and did not respect peoples dignity) The public phone handset was damaged and held together with worn tape that could harbour dirt and germs) Staff used broken laundry baskets with holes and jagged edges. Some people’s wheelchairs had an accumulation of dirt and food debris. The garden had disposed items in several areas including broken furniture. (Resulting in trip or handling hazards) Outside seating areas had un-level paving. There was good evidence throughout the inspection that the staff team were caring and attentive towards people. However the inspector noted that the staff tended to accept disrepair rather than raise the issues. Examples of this were the broken laundry baskets, dirty wheelchairs and worn and damaged side tables. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 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 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. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People were very satisfied with the care and approach from staff. However the home needs to improve recruitment procedures and keep training records up to date to make sure people get safe care. EVIDENCE: People, relatives and friends made a lot of positive comments about the staff team, they said, “They (staff) are never far away” “Staff are always on hand to help” “Staff have always been approachable and kind” “The care and dedication given by staff is commendable” “They have good communication skills” “All are kind and responsive” “They (staff) get to know individuals so that they understand their needs” “Staff show a lot of affection and respect for people” “The housekeeping and laundry staff, as well as the carers and nurses, take time to chat to people, and are always friendly”. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 19 Seventy percent of care staff had a National Vocational Qualification in care; this was above the recommended target of 50 . Staff with National Vocational Qualifications have skills and knowledge to deliver up to date and consistent care. Regulation requires that all staff have an enhanced criminal record bureau (CRB). This is to make sure staff are properly vetted as suitable to provide care. Several staff had only a standard CRB; this does not meet minimum legal requirement and could put people at risk. Some records did not have a recent photo of the staff, or information about staff physical and mental health. The files were untidy making it difficult to find relevant information. Staff and the nurse in charge confirmed that they had regular training and that they were up to date with this. However, they had no available records to show how the home monitored and identified future training needs. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 20 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 and 38. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People did not get a good response from the organisation when they needed them to take action to meet their best interests. People get support to keep their monies safe and the home carries out health and safety checks to keep people safe. EVIDENCE: The manager had the relevant qualifications and experience to run the home. Staff described her as a good leader who managed the home well. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 21 The manager has been on leave for over three months and the deputy manager had taken on some of her duties. The home had quality assurance systems in place; these included monthly provider visits, health and safety checks and good staff supervision and support. The monthly provider visits had failed to take action on the broken boiler, leaving people without a reasonable supply of hot water for drinks. The provider visits also failed to identify and take action on the maintenance repairs that have developed at the home. The repair and maintenance reporting system also failed to make sure people’s needs were met because despite the home re-reporting the broken boiler the organisation did not take action. The home had a good system in place that recorded people’s finances, withdrawals and deposits if they needed the home to help them keep their monies safe. When the inspector arrived unannounced at the home she entered the building and walked past people’s rooms and down a corridor before finding staff to introduce herself. This raises questions about the homes security and about how robust they are against intruders. The inspector acknowledged staff comments that people need the door open to come and go as they wish. However, the home still needs to look at this to consider if there are risks and how to minimise them. Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X 3 X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X 3 X X 3 Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 24 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 The home must make sure medication procedures are safe and use consistent codes to indicate when people have not had their medication. The home must consult with people, family and friends about their opinion on activities and stimulation provided at the home. The home must carry out an audit on the home’s internal and external environment. And must take prompt action, following the audit, to make sure furniture, fittings, and garden access are safe, comfortable and dignified. 4 OP19 23.1(b) The home must carry out the following repairs and replacements to make sure people are safe from accidents and they are comfortable. • • • • Bolton Hall Care Home Timescale for action 31/07/07 2 OP12 12.3 31/07/07 3 OP19 23.1(b) 31/07/07 31/07/07 Replace broken toilet seats Replace side tables where the laminate has come off Repair or replace the public phone hand set Replace the broken laundry Version 5.2 Page 25 DS0000006473.V329214.R01.S.doc • baskets The garden must be free from hazards such as unlevel paving and broken and unused items disposed of in the gardens. 31/07/07 5 OP26 13.3 The home must make sure there is always a supply of toilet rolls, soap and paper towels available in bathrooms and toilets. The home must introduce a cleaning system that ensures people’s wheelchairs are clean and free from accumulated food debris. The home must follow robust recruitment procedures to make sure people get support from suitable staff, this must include the following: • All staff must have an enhanced criminal; record bureau check • Files must include a recent photo of the member of staff Files must include completed information about staff health. 6 OP26 13.3 31/07/07 7 OP29 19.7(a) 31/07/07 8 OP33 24.1 The organisation must investigate why people were left without an adequate supply of hot water for drinks for over three months. The organisation must take action and put systems in place to make sure people who live at the home do not experience similar situations again. 31/07/07 9 OP38 13.4(c) To help keep people safe the home must review their security DS0000006473.V329214.R01.S.doc 31/07/07 Page 26 Bolton Hall Care Home Version 5.2 and access policy to minimise the chance of intruders entering the premises. 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 OP9 Good Practice Recommendations The home should put in place a regular cleaning system to make sure the medication trolleys are always clean and hygienic. Because bedrooms are on long corridors the home should look at personalising people’s own room doors to help them recognise them. These should be placed at a suitable level for people to see. 3 OP19 The organisation should arrange to redecorate the home. And have a rolling programme of redecoration to keep the home well decorated and clean. The home should encourage staff to report damaged, worn or unused furniture and fittings and equipment. To avoid losing documents, and to ensure information is readily available, the home should tidy the recruitment records and continue to keep them in good order. The home should keep an up to date record of staff training. This will help make sure all staff have regular and appropriate training according to peoples needs. 2 OP10 4 5 OP19 OP29 6 OP30 Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Bolton Hall Care Home DS0000006473.V329214.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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