Inspection on 12/01/06 for Bridgewater Park Care Home

This inspection was carried out on 12th January 2006.

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

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

Other inspections for this house

Bridgewater Park Care Home 16/07/07

Bridgewater Park Care Home 09/08/06

Bridgewater Park Care Home 02/06/05

Bridgewater Park Care Home 10/11/04

Bridgewater Park Care Home 12/05/04

Bridgewater Park Care Home 12/02/04

Bridgewater Park Care Home 08/12/03

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Bridgewater Park Care Home Bridgewater Road Scunthorpe North Lincolnshire DN17 1SN Lead Inspector Mrs Kate Emmerson Unannounced Inspection 12th January 2006 06:15a 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 Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 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. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bridgewater Park Care Home Address Bridgewater Road Scunthorpe North Lincolnshire DN17 1SN 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) 01724 847323 01724 847309 bridgewaterpark@mendiacare.co.uk Meridian Care Limited Mrs Julie Ann Marshall Care Home 53 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (22), Old age, not falling within any other of places category (30), Physical disability (20), Physical disability over 65 years of age (20), Terminally ill (5) Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The two places registered for DE are age limited to those over 55 years 2nd June 2005 Date of last inspection Brief Description of the Service: Bridgewater Park is a 53-bedded purpose built care home. The home is situated on a residential development on the edge of Scunthorpe. The home is close to major transport links. The home provides for a variety of needs including nursing care and care for those with a cognitive impairment. The service users accommodation is all on the ground floor and is separated into two units one of which provides care particularly for those with cognitive impairment. The rooms are all single occupancy and all but one has ensuite toilet facilities. The home provides a variety of communal space including a smoking room and therapy room. The gardens are pleasant, secure and accessible to all service users. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day in January 2006. The call started at 6.15am. The inspection included a joint investigation with social services of a complaint received that people were being got up too early. The complaint was not upheld. To find out how the home was run and if the people who lived there were pleased with the care they got the inspector spoke to the manager and 4 of the staff working in the home at the time of the inspection. The inspector also spoke to the majority of people who lived in the home formally interviewing 3 service users and 3 visitors. Some of the records kept in the home were checked. This was to see how the people who lived in the home were being cared for, that staff were safe to work in the home and that they had been trained to their job safely and to make sure that the home was safe. The home was checked to see if it was kept clean and tidy. The home has continued to improve in most areas. There had been a great deal of investment in the home to improve the décor in the home and they had managed, very successfully, to combine a very contemporary look with a homely feeling throughout. What the service does well: The home was clean and tidy and well decorated. There was lots of space and different places to sit. The chairs in the lounges were very comfortable and different types of chairs were available to meet people’s needs. The homes communal areas had been redecorated and improved throughout and bedrooms had been painted and were awaiting delivery of new furniture. The home was organised into two parts to help keep people safe and there were secure garden areas for people to use. The home had different types of baths and showers and equipment to help people to move around the home. The people who lived in the home all said that they enjoyed the meals and that there was always a choice for every meal. Staff were very good at assisting people who needed help when eating and spent time helping one person at once. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 6 Training for the staff was given on a regular basis and care staff had had a wide variety of training to help them do their job safely. The people who lived in the home said that the staff were good and were kind and polite to them. The care plans in the area of the home that cared for people with memory loss were very good and had been kept up to date. This meant that the staff had all the information they needed to provide care. There was a stable staff group and service users and staff confirmed that staffing levels were maintained consistently. . What has improved since the last inspection? What they could do better: The care plans written by the nurses must cover all the needs of the people living in the home. The kitchen must be kept clean and records must be kept to show that the cleaning was done. They must make sure that care plans on the nursing unit are evaluated monthly and updated as required. The home must keep accurate records of who is on duty. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 7 They must make sure that where wound care is provided the care that is needed is written down and a record of the care provided is maintained so that staff can assess if the treatment is working. They must make sure that they keep accurate records of of when they give drugs. They must make sure that peopale who need special chairs are properly assessed to keep people safe. 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. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 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 Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 The home now provided detailed information to the prospective service users. All service users had had their needs assessed before moving into the home. EVIDENCE: Copies of both the Statement of Purpose and service users guide was provided to the inspector. The home also provided a colour brochure for prospective service users. The documents provided detailed information about the services provided in the home. The statement of purpose referred to the National Care Standards Commission in some parts, this should be updated to the Care Standards Commission (CSCI) and include the contact address of the CSCI in the complaints procedure in this document. There was evidence that service users had had their needs assessed prior to admission to the home and care management assessments and care plans had also been obtained. Risk assessments had been completed but these varied in Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 10 content and detail due to the inconsistent use of risk assessment documentation. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 The health, personal and social care needs of the service users in the EMI unit were being met and detailed care plans were in place. Although there was some improvement in care planning service users on the nursing unit were at risk of basic care needs and health care needs not being met due to inconsistent care planning and care practises. There was some improvement in medication records but some inaccuracies continue which may put the service users health and safety at risk. The lack systems to dispose of controlled drugs may impact on the safe storage of medication. Service users stated that their privacy and dignity was respected. EVIDENCE: A random selection of 8 care plans was examined. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 12 To try and address the issues raised at the last inspection the manager had provided training in care planning and there was evidence that care plans were being audited. Each service user had an individual plan of care. The format was well developed with basic individual risk assessments in place. An improved and more detailed format for risk assessments had been developed and was in place in some of the care plans. This must applied through the home, as some of risk assessments and action plans to minimise risk were very basic, particularly on the nursing unit. The care plans in the EMI unit had continued to be well maintained and were detailed and up to date. There was some improvement in care plans completed by the nurses although evaluations of the care plans had not been completed monthly and care plans had not always been updated as needs had changed. Care plans to prevent pressure sores had improved and staff were aware of the care required in this area. Staff were still not completing turn monitoring charts on a consistent basis therefore it could not always be assessed if adequate care had been provided. Plans for wound care and records of wound care provided had not been developed as required in some cases. There was evidence that the service user or their representative had been consulted on and agreed the care plan. The inspector examined medication records and spoke to staff regarding practises in the home in relation to medication. There were improvements in procedures in the home and issues from the last inspection had been addressed. Staff were taking more care in ensuring that records were maintained although there were still a couple of gaps in medication administration records on both units where staff had not signed where medication had been given or provided a code to indicate why it hadn’t been given. The home had a contract for disposal of medication in the home to meet new government requirements but systems for the disposal of controlled medication had not been provided which had implications for the continued safe storage of controlled drugs. The manager must address this issue. Accredited training in the safe administration of medication was provided to all staff administering medication including the nurses. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 13 Service users stated that the staff respected their privacy and dignity and were polite and pleasant. The home provided single room accommodation and all but one had ensuite facilities. Staff recorded service users preferred term of address on the care plans were observed to use this appropriately. Service users had access to facilities for private phone calls. Medical examination and personal care was provided in private. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Service users were offered choice in all areas of their life. The home provided the service users with opportunity to engage in social and religious activities of their choice and to maintain contact with the community. The meals were of good quality with choices appropriate to service users needs. The dining rooms were very pleasant and offered appropriate seating. Although staff offered appropriate support to those unable to feed themselves, staffing was poorly organised which may affect the standards of care provided. EVIDENCE: Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 15 The service users stated that they were usually able to exercise choice in their daily routines regarding getting up/going to bed, meals and activities. The home employed two part time activities coordinators to provide activities on both the units. A third part time activities coordinator was to commence the week after the inspection. Assessments of service users interests and likes and dislikes had been recorded. Service users on the nursing /residential unit stated that there was not a great deal of choice in terms of activities available but they could not think of anything they would wish to do. They enjoyed the activities on offer and particularly enjoyed playing bingo. They stated that they had enjoyed the Christmas activities and said the home had been nicely decorated. Activities included entertainers visiting the home and use of the relaxation therapy room. The home encourages regular visits form local clergy and church representatives. The manager stated that church services were to commence on a monthly basis and a local priest visits the home three times per week. One service user visits the local church to attend services. Visitors stated that they were made to feel welcome and said that staff communicated well with them. Information regarding service users rights and choices including access to records is provided in the service users guide. The dining rooms in the home provided very comfortable and pleasant areas. Seating was appropriate to service users. Despite the fact that staff were extremely busy over this period the staff were seen to offer individual assistance with meals discreetly and sensitively. Service users described the food as – ‘good’, ‘excellent’, and ‘plenty of choice’. The meal observed was well presented with good portion sizes. There were 2 choices of main meal offered at lunchtime with a choice of vegetables. The staffing had improved in the nursing/residential unit and kitchen staff were now assisting to serve meals but on the day of the inspection the staff group were not very well organised and some were just arriving back from breaks as lunch was being served. Tables were still being set after the service users had been served their meal and they had to wait for drinks to be offered. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The service users were protected from abuse. EVIDENCE: There was evidence that the company had made a commitment in all aspects of the protection of vulnerable adults in terms of developing policies and procedures and provision of staff training. The manager and 1 senior staff had completed a train the trainer course in the protection of vulnerable adults through Action on Elder Abuse. The training was provided to the staff by way of induction and a rolling programme of training providing annual updates. In depth policies and procedures for the protection of vulnerable adults including whistle blowing, restraint and managing aggression were in place and staff training had been provided in the management of challenging behaviour and care of those with Dementia. This inspection had incorporated a Protection of Vulnerable Adults investigation following concerns raised to the Commission about service users being woken too early. An early morning visit at was conducted with a Social Services investigator at 6.15am. All but two service users were up and the majority were still asleep. Service users confirmed they could choose what time they got up in the morning. The complaint was unfounded. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26 The home provided accessible, safe and comfortable communal facilities. The garden areas are accessible and secure. The areas accessed by the service users were clean and tidy and well maintained. The company were investing in an extensive refurbishment programme to improve the environment for the service users. The company should be commended for the improvements made and the contemporary but homely feel created in the home. Service user had access to a variety of aids to assist them in activities of daily living. However service users health and safety may be at risk due to provision of specialist seating without appropriate professional assessment. The kitchen was very dirty and records relating to the safe storage and preparation of food had not been maintained this could expose service users to unacceptable risks to their health and wellbeing. EVIDENCE: Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 18 All the communal areas in the home had been completely refurbished to a very high standard. New carpets and furniture had been provided and a variety of comfortable seating was available. Bedrooms had been redecorated and new furniture was due to arrive to complete the refurbishment. The service users were very pleased with the work already completed and were excited about the changes to their bedrooms. It was a pity that previous recommendations that the registered person should consider the provision of communication aids and signs for those with sensory impairment and dementia had not been included in this programme. Where service users have been provided with chairs that limit their mobility, individual risk assessments must be completed to provide evidence of the need for this type of restraint. An occupational therapist assessment must also be completed to ensure that an appropriate chair in the correct size has been provided to promote tissue viability and personal safety. The cleaning records in the kitchen were still not consistently maintained. The kitchen was very dirty; the floors under shelving, Bain-Marie, cooker, fryer, walls, shelving, storage containers and grill pan all required cleaning. The cook’s uniform was dirty and care staff and the nurse were in the kitchen preparing their own lunch without protective clothing on. The manager stated that the kitchen had been steam cleaned since the last inspection. An immediate requirement was served for the kitchen to be cleaned and staff to obey kitchen hygiene rules, this was followed up a week later and the kitchen was clean and tidy and staff issues had been addressed. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28. 29 and 30 There had been improvement in the staffing levels and these now were adequate to meet service users needs although work/break routines may put service users health and safety at risk. The staff rota did not accurately identify who was on duty. The rolling programme of training in the home provided staff that were trained and competent to do their jobs. The training programme included NVQ 2 training and once those registered for this have completed their training the home will meet the standard. Recruitment practises in the home had improved and protected the service users. EVIDENCE: The staffing levels for the 20 nursing service users and 11 residential on this unit had been maintained at the minimum guidelines as 1 nurse plus 6 carers morning shift and 1 nurse and 5 carers afternoon/evening shift. On the EMI unit staffing levels had been maintained with four staff on duty during the day. The staff confirmed that the staffing levels in the EMI unit had been maintained consistently since the last inspection and staffing levels were adequate to meet the service users needs. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 20 Discussions with service users, staff and visitors on the nursing and residential unit indicated that the staffing levels had improved and had been maintained consistently since the last inspection. However the staff rota did not accurately indicate who was on duty on the day of the inspection leading to confusion and staff being contacted unnecessarily to come to work on the morning shift. The way in which staff breaks were arranged should be reviewed as during the inspection service users were left unsupervised on the EMI unit as two staff were on break and two were assisting a service user having a bath. Staff breaks also impacted on the assistance available at lunch times in the nursing unit. The company and the staff had made a commitment to the provision of NVQ training and of the forty-one care assistants ten had completed NVQ level 2 and 13 were registered for this training. Three had completed NVQ level 3 and one was completing this. There was evidence of improvement in the recruitment practises with regard to obtaining new CRB checks although staff had in all of the three cases examined commenced employment on a POVA first check. The manager had obtained 2 written references and confirmed ID before employment. Staff confirmed that they were supervised at all times until the CRB had been received and there was evidence of a structured induction programme. Care staff described the wide variety of training available to them and records showed that mandatory and service user specific training was provided. One member of staff had completed the training for trainers course in moving and handling. Staff stated that they had received moving and handling training that included practical tuition in the use of equipment. There has been an emphasis on improving the care plans since the last inspection and the manager has held a rolling programme of care plan training since the lat inspection. There was improvement in the cooperation of the nurses to attend training and training had included in safe handling of medication, care planning, bowel care, stoma care, infection control and safe handling of medication. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 and 35 The home has a qualified and experienced Registered Manager. The home consults regularly with the service users about the quality of care it provides. The home safeguards the service users finances EVIDENCE: The Registered Manager for the home, Julie Marshall (also known as Julie Moult), is a qualified first level nurse with qualifications in management and teaching. Julie has fifteen years experience in care home management. There was evidence that Julie continues to maintain her knowledge and skills through a variety of training. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 22 (A formal written request to the Commission is required to change the manager’s name on a registration certificate.) The home continually monitors the quality of the care provided in the home through the use of questionnaires, quality meetings including informal coffee mornings involving staff, service users and relatives. The home has a quality team, which includes staff and relatives. Results of questionnaires/surveys were displayed in the home and an action plan had been developed. The home has been awarded the Investors in People Award and has the Gold Standard in the North Lincolnshire Councils Quality Scheme. The home assists service users with their finances by keeping their personal allowances safe and making purchases or paying bills on their behalf. A random sample of the records of these transactions was examined. The records were well maintained and transactions were witnessed. Receipts were maintained appropriately. Cash held balanced with the records in the three cases checked. Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 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 3 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 X 17 X 18 3 3 X X 2 X X X 2 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement The registered person must ensure that care plans on the nursing unit are evaluated monthly and updated as required. The registered person must ensure that where wound care is provided care plans are developed to support practise and a record of the care provided is maintained. The registered person must ensure that accurate records of drug administration are maintained. (Previous timescale – with immediate effect - not met) The registered person must make arrangements for the safe disposal of controlled drugs. The registered person must ensure that a suitable qualified person individually assesses all service users who require specialist seating. The registered person must ensure that the kitchen and all the equipment in the kitchen is kept clean and maintained. The DS0000002775.V278397.R01.S.doc Timescale for action 13/01/06 2 OP8 15(1) 13(1)(b) 13/01/06 3 OP9 13(2) 13/01/06 4 5 OP9 OP22 13(2) 13(4) 01/03/06 01/03/06 6 OP26 16(2)(j) 13/01/06 Bridgewater Park Care Home Version 5.1 Page 25 7 OP27 17(2) kitchen cleaning schedule records must be maintained. The registered person must ensure that an accurate record of who is on duty is maintained. 13/01/06 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 OP1 Good Practice Recommendations The registered person should ensure that the statement of purpose is corrected to use the Commission title correctly throughout the document and that the commissions address is included in the complaints procedure in this document. The registered person should consider the provision of communication aids and signs for those with sensory impairment and dementia. 2 OP22 Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bridgewater Park Care Home DS0000002775.V278397.R01.S.doc Version 5.1 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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