Inspection on 27/11/07 for Bowood Court Nursing & Residential Home

This inspection was carried out on 27th November 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

Bowood Court Nursing &... 04/11/08

Bowood Court Nursing &... 05/09/06

Bowood Court Nursing &... 21/02/06

Bowood Court Nursing &... 07/08/05

Bowood Court Nursing &... 16/12/04

Bowood Court Nursing &... 27/07/04

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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 Bowood Court Nursing & Residential Home Hewell Road Enfield Redditch Worcestershire B97 6AT Lead Inspector Chris Potter Key Unannounced Inspection 27th November 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bowood Court Nursing & Residential Home DS0000004096.V355750.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. Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bowood Court Nursing & Residential Home Address Hewell Road Enfield Redditch Worcestershire B97 6AT 01527 65115 01527 66645 bowoodcourt@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Ltd 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) Kathryn Elizabeth Lowry Care Home 59 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (59), of places Physical disability over 65 years of age (59) Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home may accommodate no more than 27 people who require nursing care. 5th September 2006 Date of last inspection Brief Description of the Service: Bowood Court offers both personal and nursing care for up to a maximum of 59 older people who may have physical disabilities and/or needs associated with old age. Nursing care for 27 residents is provided on the ground floor and personal care for 32 residents on the first floor. The home is located close to Redditch town centre, which has good amenities. Bowood Court was first registered in 1998 and was a purpose built home. It offers single, en-suite accommodation for all service users on both floors and has a passenger lift to assist the residents to access all areas of the home. There are communal lounges, dining rooms, toilets and specialist bathroom facilities on both floors. Southern Cross Health Care Ltd owns the home. The registered manager is Kay Lowry. The fees for the home range between £472.00 and £606.00 depending on either residential or nursing care. Additional costs for hairdressing, chiropody, newspapers and Bingo sessions are requested when the service is used. The fee information included in this report applied at the time of the inspection, for up to date information you should contact the service direct. Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was Bowood Court’s key unannounced inspection – this is where we look at a wide range of areas. It was undertaken over two days. The pharmacy inspector reviewed the medication at a separate visit. The total number of inspector hours spent on the visits was 14. At the time of the inspection the home was caring for 57 residents. This inspection focused on the residents’ care delivery through case tracking their care documentation, staffing levels, training and recruitment. The views of the residents, relatives and staff were sought at the time of the visit and the comment cards received from residents and relatives. Since the last inspection a new registered manager has been appointed - Kay Lowry. Feedback from residents and staff was positive and that she was very approachable. What the service does well: What has improved since the last inspection? Since the last inspection the management of complaints has improved. Comments from the residents and relatives confirmed that the quality of food generally has improved from the last inspection. Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 6 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. Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 7 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 Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 8 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): Standards 1,2,3,4 (6 is not applicable) Quality in this outcome area is good. The home provides prospective residents and their representatives with the information to assist them in making their choice. All prospective residents are assessed prior to being accepted into the home to ensure that the home can fully meet their health and care needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home has updated their Statement of Purpose and Service User’s Guide since the last inspection with relevant changes. Copies of these are available in the reception area of the home for people to view. The home also provides a copy of their Service User’s guide to prospective residents and their Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 9 representatives when an enquiry is received. The need for the Service User’s Guide to include information about the homes’ charges was discussed during the inspection. At present the home keeps the fee ranges separate to the Service User’s Guide. The home had an issue earlier in the year prior to the commencement of the manager. A resident was admitted and the staff failed to meet their health care needs fully. This resulted in a ‘safeguarding meeting’, where multi-agencies work with the home to address the issue. From this the home placed a voluntary ban on admissions whilst they provided training and close monitoring of their service. The primary care trust also monitored the nurses and their commitment to training. All residents are assessed prior to going into the home; this is either undertaken by a nurse for the nursing unit or the manager on the residential unit. Three residents pre-admission assessments were reviewed during the inspection from each unit. Generally all the information had been completed. One assessment failed to record the date of when the assessment had been completed. Comments received from relatives and residents in the survey, confirmed that they had been provided with the appropriate information to assist them with their choice. Comments included: “There was an excellent prospectus and my son visited the home, prior to my visit, staff were open friendly and informative.” “Some of our questions could not be answered at the time of our first visit.” The home is in the process of reviewing and updating all the residents’ contracts to ensure that they contain the appropriate information. Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 10 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): Standards 7,8,9,10 and 11 Quality in this outcome area is adequate. The health and personal care that people receive is based on their individual needs but care plans do not always support this. The home has an efficient medication policy supported by procedures and practise. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans for residents on the nursing and three care plans for residents receiving personal care only were reviewed during the inspection. Some care plans required more information to provide an accurate reflection of the residents’ care needs. Appropriate risk assessments had been completed and the assessments had been reviewed and updated monthly. However the Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 11 changes in the risk assessment had not consistently been updated in the residents’ plans of care. An example with a change in a resident’s nutritional assessment, the care plan had not been changed to reflect the difference. In another resident’s care plan the resident had lost weight and this had not been identified on the plan of care. A resident with a history of epilepsy had no plan of care in place regarding this condition. An evaluation about the resident’s mobility had been recorded under incontinence. Not all care plans reviewed clearly identified the reason why the resident had been admitted to the home. Social activities had not been identified in all the residents care plans reviewed. The care plans on the nursing unit did not include details of the equipment being used i.e. pressure relieving equipment. Verbally staff could clearly explain the care needs of the residents, and were aware that the information should be included in their care records. The manager completes a monthly audit on a sample of care plans and discusses any shortfalls with the staff at their supervision meetings. It is recommended that a hoist is provided on the residential unit as care plans did reference using a hoist to assist residents who fall, however staff then have to go downstairs to borrow a hoist from the nursing unit. Comments received from residents and relatives at the times of the visit and from the surveys about the care provision were good; comments included: “The carers are excellent”, “ The staff are very good”, “The carers are superb, dedicated people”,“The registered nurses are very good.”, “ Staff work really hard to care for the elderly”, “More attention could be given to ears and nails” All staff were observed being respectful to the residents and visitors during the inspection visits to the home. Residents who commented confirmed that staff were polite and respectful and felt their dignity was respected by the staff. The home received a complaint earlier in the year about the palliative care provided for a resident. The organisation acted by providing training for all nurses and worked with the Primary Care Trust nurses to prevent an issue occurring again. Gratitude cards and letters were viewed during the inspection thanking the staff for the care and devotion, which had been provided for their relatives in their last days. Systems were in place to ensure that medication storage was secure and people who use the service were protected from harm. Safe systems were also in place to ensure that medication was returned when it was no longer needed and also to ensure that safe levels of medication were stored within the home. Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 12 Senior members of staff had undertaken a medication training course on the safe handling of medication and an up to date medication policy was available to ensure that people who use the service were safeguarded. The majority of the medicine records seen were recorded with a signature for administration and also documented the amount of medication administered. Random medication audits undertaken were accurate, and showed evidence that medication was being handled carefully and safely. Monthly balances of medicines were available. This means that accurate checks on medication could be made to ensure that medication had been administered to the people living within the service. The service made provision for people to look after their own medicines. One person who looked after some of their medication in their bedroom was spoken with who said they were ‘happy looking after their medicines’. It was therefore unfortunate that the service did not have a completed risk assessment available to ensure the safety of the medication and to ensure the safety of people living within the service. The manager stated that the care plan was new and the risk assessment had not been transferred from the old plan and that action would be taken to ensure the information was available. One person was prescribed a medicine to calm and control their behaviour when required. The care plan was detailed and contained sufficient written information to inform staff under what circumstances this medicine should be administered. The medicine records showed that staff had administered the medication on certain dates. It was therefore disappointing that the daily notes seen for the resident did not reflect the reason why the medicine had been administered on those specific dates. This means that due to a lack of detailed records it was difficult to understand why the medication had been administered and therefore to know whether the medication had been administered correctly according to the doctor’s instructions. Bowood Court Nursing & Residential Home DS0000004096.V355750.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): Standards 12,13,14 and 15 Quality in this outcome area is good. A range of activities are available in the home these are limited for some of the residents with more complex needs. Residents are offered a choice of food, this is acceptable for the majority of residents, and specialist diets are catered for. People living in the home are able to maintain open contact with family and friends. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs an activities organiser who 25 hours per week. Generally more group therapies are organised on the residential unit and more individualised on the nursing unit. Residents’ Christmas crafts were displayed on the first floor. All residents were complimentary about the activities Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 14 organiser. Some comments received were that they would enjoy more activities especially at the week-ends. One comment received in the survey was for more mentally challenging activities. Relatives from the nursing unit stated that their relatives were either too poorly to participate or that they were not aware of any activities. Social care plans need to be further developed in relation to activities and individualised for the resident. A list of activities is displayed in the home for the weekly events; photographs are maintained in the reception area of events, which have been organised. Relatives confirmed that they are made welcome when they visit and can visit at any time. Several residents have a telephone connected in their bedroom to assist them in keeping in touch with family and friends. Bowood Court provides meals for this home and the Mews, which is located directly opposite, catering for about 90 residents daily. Generally the comments about the food were that it had improved since the last inspection. A new head chef has been appointed and is keen in ensuring the meals are of a good quality for the residents. The kitchen maintains all the appropriate records and these were seen at the inspection. Residents spoken to stated that the food had improved, but some meals were still variable and depended on who was on in the kitchen, and some food could be bland. A relative stated that some carers still mix the soft diets together which does not look very appetising and some portions are quite small. Some comments about the food included: “Tea time at 4:30 is too early, maybe a bit later and more variety at tea time” “not always very inventive seems the same thing all the time not a lot of variety” “x appears to enjoy the meals” “meals are good”. The meals observed on the both days of the inspection appeared appetising and residents who required assistance with feeding were being helped in a sensitive way. Bowood Court Nursing & Residential Home DS0000004096.V355750.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): Standards 16 and 18 Quality in this outcome area is good. The home has a robust complaints procedure in place and residents are confident that their complaint will be taken seriously. Some staff have had training around safeguarding adults but to further protect the residents this should be extended for all staff working in any capacity at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints procedures are clear and are on display in the reception area and in the Service User’s Guide. In the last 12 months the home has received three complaints directly and records are available within the home’s register. These show details of the complaint, the investigation into the complaint and the outcome of the complaint. One complaint was received directly by us and then referred to the safeguarding team to be investigated. As recorded previously the complaint was about the home accepting a resident whose needs could not be fully met. The organisation co-operated fully with the investigation and accepted that the home had failed to meet the resident’s Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 16 needs. Since this a new manager has been appointed and specialist training has been provided for the nurses’. Comments received from residents and relatives about complaints were: “When I had a complaint it was dealt with immediately, a very fast hardworking manager who is very good, also very good staff” “Kay is very approachable” Residents also commented that the manager goes around everyday to speak to them and would sort out any problems. Some staff have received safeguarding adult training, and were aware of local procedures. It is recommended that this training is provided for all staff working in the home. Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides accommodation for 59 residents on two floors in single ensuite rooms. All areas of the home are in good decorative order providing a pleasant environment for residents. The home is in the process of upgrading some of the decoration in the home, and replacing floor coverings and fittings and furnishings. Many of the residents have personalised their bedrooms, which reflects their personality. Residents spoken to confirmed they were very Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 18 happy with their bedrooms and liked spending time in them. Plans are in hand to provide a landscaped garden for the residents to use when the weather permits. It is recommended that the home review some of the carpets some areas appear well worn and this would further enhance the homes appearance. A maintenance person is employed who deals with many of the health and safety checks, and minor repairs. All records observed were well organised and up to date at the time of the inspection. All areas of the home were observed clean and tidy, and no odours were evident from walking around the home. Generally comments received from relatives about the cleanliness of the home was good. One relative stated “at times an odour is present in their …… Bedroom”. A relative commented that the laundry is not well organised and clothes frequently go missing for long periods. The home deals with the laundry for the two homes. The organisation is currently reviewing providing a separate laundry into the Mews. A television lead was highlighted as a trip hazard on the first day of the inspection; this was addressed at the time of the second day of the inspection. Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,18,29 and 30 Quality in this outcome area is adequate. Appropriate numbers of staff are on duty to meet the needs of the residents. All staff are clear regarding their role and what is expected of them. People using the service report that staff working with them know what they are meant to do, and that they are able to meet their needs. The organisation should ensure that all staff receive training updates to ensure that the needs of the residents can be fully met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The two units are staffed separately; duty rotas evidenced that the home were providing sufficient staffing levels to meet the needs of the residents. Apparently the home went through a difficult period recently and had to use some agency staff and staff working more hours to maintain the numbers. Comments received from staff and residents were that there were enough staff available for them to deliver the care. Residents confirmed that staff responded quickly to requests even at night. One comment from a relative felt that more Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 20 staff would allow more one to one time for the residents. A resident had also stated that the staff work so hard and there are never enough of them. Since the last inspection a new manager and deputy manager have been appointed, comments received from both residents and staff were positive. Three staff files were reviewed during the inspection these showed that the home had followed their recruitment procedure. It was recommended that the home always send for the reference from the current or most recent employer if this is not possible the reason for this should be recorded. Staff training records showed that their had been a lapse with some of the mandatory training. The organisation is aware of this and provision is being made to arrange sessions for staff to attend. The organisation is also reviewing clinical training for nurses. Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35, 36 and 38 Quality in this outcome area is good. The management and administration of the home is well organised. An effective quality assurance system is in place. Systems are in place to protect the health and safety of the residents and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 22 Since the last inspection a new manager has been appointed, who is a registered nurse with many years of experience. Comments from staff and residents were complimentary about the manager’s approach and her commitment to the role. A new deputy manager has been appointed recently and staff confirmed that he is approachable and settling in well into the role. Systems are in place for checking and recording equipment and maintaining safety checks, all records were available and up to date at the time of the inspection. The administrator is well organised and maintains appropriate records for the residents’ financial transactions. The organisation has developed systems for quality audits for all areas and seeks the views of residents who use the service. The results of the latest survey were available and positive comments were the staff are excellent, really delighted with all aspects of care. Food when the survey was undertaken came out disappointing, some carpets need replacing. In addition the home holds residents meetings every three months. Regular staff supervision sessions are being provided for all grades of staff. Some of the supervision appeared to be only a training guide and would recommend this be kept in their training file. Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 5(1) (b) (b) Requirement To assist potential residents with their choice of home, the Service User’s Guide should provide details of the homes charges including additional costs. To ensure that the residents’ care needs are fully met the care plan should be reviewed and updated to reflect, in particular, any nursing care needs. All staff should receive appropriate training to assist them to meet the residents’ care needs in a safe and appropriate manner. Timescale for action 31/01/08 2 OP7 15 (2) (b) 31/01/08 3 OP30 18 (1) (a) 31/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Staff should ensure that they record why they have administered a medication for behaviour control, particularly when it is prescribed ‘when required’. This is DS0000004096.V355750.R01.S.doc Version 5.2 Page 25 Bowood Court Nursing & Residential Home in order to ensure that medication is given as prescribed by a doctor. 2 OP9 Risk assessments must be available in the current care plans for people who look after their own medication to ensure that all medication stored in the service is safe and to protect people living in the service from harm. It is recommended that a hoist be provided on the first floor for use in emergencies to provide a more efficient service for the residents. To further protect the residents it is recommended that safeguarding training is provided for all staff working in the home in any capacity. A first aider (four day First Aid at Work Qualification) should be on duty at all times. The activities for the residents with nursing needs should be more individualised to meet their needs. 3 OP38 4 OP18 5 6 OP38 OP12 Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection 1st Floor Chapter House South Abbey Lawn Abbey Foregate Shrewsbury SY2 5DE 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 Bowood Court Nursing & Residential Home DS0000004096.V355750.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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