Inspection on 10/09/07 for Cantley Grange

This inspection was carried out on 10th September 2007.

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

The inspector 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

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 Cantley Grange St. Wilfreds Road Cantley Doncaster South Yorkshire DN4 6AH Lead Inspector Caroline Long Key Unannounced Inspection 10th September 2007 09:00 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 Cantley Grange DS0000069578.V346288.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. Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cantley Grange Address St. Wilfreds Road Cantley Doncaster South Yorkshire DN4 6AH 0845 6037751 01302 532704 cantley.grange@orchardcarehomes.com www.orchardcarehomes.com Orchard Care Homes.Com Limited 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) Mrs Sandra Allen Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only; to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 40 N/A 2. Date of last inspection Brief Description of the Service: Cantley Grange was purpose built in 2007 and is owned by Orchard Care Homes. The home and is situated in Cantley, which is near to the town of Doncaster. Cantley Grange is registered to provide personal care for forty older people. The home is on two floors with twenty en-suite bedrooms on each floor. The ground floor has access to a patio and enclosed gardens. The cost of a weeks care on 10th September 2007 was £450 to £500 per week. There are extra costs for hairdressing, newspapers, chiropody and toiletries. A copy of the inspection report is available at the home on request. Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is what was used to write this report. • • • Information about the home kept by the Commission for Social Care Inspection. Information asked for before the inspection, this is called an annual quality assessment questionnaire. Information from surveys that were sent to people who live at the home, their relatives, health professionals and the staff. Seven surveys were returned from people who live at Cantley Grange, one was received from a relative and three from staff. An unannounced visit to the home. This was carried out by two inspectors and lasted over six hours and included talking to staff and the registered and deputy managers about their work and the training they have completed. And checking some of the records, policies and procedures the home has to keep. Some time was spent observing staff supporting people and talking with the people who live Cantley Grange. Four peoples records were looked at in detail. • • • What the service does well: People are provided with enough information and given the opportunity to stay at the home before they move in permanently. This helps them make an informed decision about whether Cantley Grange is the right place for them to live. People who lived in the home described it during the site visit as a five star hotel and said their health care needs were generally being met. Cantley Grange is a clean and comfortable place for people to live. The home has already established a permanent staff team and over half have their National Vocational Qualification level two in care, this means the staff are suitably trained to provide people with the care properly. Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Cantley Grange DS0000069578.V346288.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 Cantley Grange DS0000069578.V346288.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): Standard 3 only. People who use this service experience good quality outcomes in this area. People are provided with good information about the home, however assessments need to be further improved to make sure peoples diverse personal needs are identified and planned for before moving in. This is to make sure Cantley Grange is the right place for them to live. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The registered manager explained a member of the management team visits people in their own homes to carry out an initial assessment of their needs and to provide them with information about Cantley Grange. Following this they are given the opportunity to visit Cantley Grange for lunch and stay for a full day to see if they like it. When they move into the home a copy of the service user guide and the statement of purpose are available in their rooms. Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 9 This was confirmed when talking with people who lived at the home during the site visit and through the surveys. All said they had received enough information and they had been given the opportunity to visit and stay at the home before they moved in. One person who lived in the home commented:‘The home was initially discussed with their relative and then they visited for two hours and then again for half a day.’ A comment made by a relative was: ‘The manager was very thorough and informative on both my visit and subsequent visits with a friend and then I accompanied my relative. Every question was answered.’ The assessments were looked at for four people who had recently moved into the home, these had been carried out by the deputy and registered managers. Both of the examples looked at did not contain enough information for a person to make an informed decision about whether the home would be able to meet people’s needs and one did not contain any information from other health or care professionals. Talking to the registered manager evidenced that more information was sought during the assessment but this was not always written down. As the home has a large proportion of people who are privately funded and information from other agencies may not be available, the registered manager needs to make sure their records of assessment contain all of peoples diverse health needs. Following the home opening there was a concern raised with the Commission where it was believed the home was considering admitting people who had nursing needs, these issues were have now been resolved. The home does not offer intermediate care. Cantley Grange DS0000069578.V346288.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): Standard 7, 8, 9 and 10. People who use this service experience adequate quality outcomes in this area. People are treated with respect and dignity and their health and personal care needs are assessed and are generally met. However, to provide a consistent and safe approach to care any changes need to be accurately recorded and followed. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who lived in the home describe it during the site visit as a five star hotel and said their health care needs were generally being met. People discussed how staff promoted their dignity and treated them with respect during the site visit. Staff were observed closing doors to make sure peoples dignity was maintained whilst carrying out personal care. People said the staff had a respectful attitude. Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 11 During the site visit everyone appeared well cared for and appropriately dressed, one commented ‘they could have a bath whenever and as many times as they wanted’. Four peoples’ case records were looked at in order to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. The four records looked at, had detailed assessments of all the different ways a person may require help with their personal care, such as nutrition, mobility and dexterity, communication, and social activities. Where a need for help was identified, a plan was made of how this help was provided and both the assessment and plan were reviewed monthly. Daily records had been made which recorded any changes to the person’s health and would have enabled staff to identify any further health needs. However there were inconsistencies in the records, generally they lacked details of people’s personal preferences and general terms were used such as ‘assistance’ and ‘regularly’, which did not identify clearly the actions that needed to be taken. Examples of the inconsistencies were, a district nurse had been visiting a person and had asked for them to have cream applied three times a day and for fluids to be given hourly. For both the care plan said regularly, so the person had not had the cream applied and when their room was visited at four o clock to look at the fluid chart, the last recording of staff giving any fluids was in the morning at eleven. One persons bed rails were not correctly attached to the bed and could have put the person at risk, they were removed daily and checks were not being made to make sure they were always refitted correctly. During the inspection, the registered manager was asked to make sure these were safe and put in place a procedure to make sure this was always the case. The registered manager responded to this immediately and contacted the Commission to explain exactly what actions she has taken. Also, where a person had been possibly displaying challenging behaviour there was no record in the care plan. For a further person the records showed their religious choice was inaccurate. Where a person needed to be weighed due to weight loss, this had not happened. However, there was, a very positive comment made by one relative about the care a person was receiving, which described how staff had promoted continence and pressure care. Also, a further persons record showed they had been referred to the incontinence adviser for an assessment. Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 12 People’s health care needs are maintained. The records showed people were accessing health care professionals, such as GP’s, Chiropodists, Physiotherapists and District Nurses. People who use the service surveys also confirmed they usually receive the medical support they need. Also, two people living in the home said they could see their GP if necessary and a chiropodist and physiotherapist had visited the home. One person commented they had asked for an optician to be arranged and nothing was happening, the manager later explained an appointment had been made for next week. Medication was looked at on both floors, staff confirmed they had been trained to administer medication, when questioned they were knowledgeable about their work and the sample of records checked appeared to be accurate. Also, for those people who are able to look after their own medication, risk assessments were in place. However, there were some procedures, which needed to be put into place to make sure good practice was followed. These were old controlled drugs needed to be returned to the pharmacy, all bottles when opened needed to have the date of opening, when applying a prescribed cream this needed to be signed as given on the medication sheets, and any medication (creams) kept in people’s rooms needed to be locked away. Also, fridge temperatures need to be recorded to make sure the medication is stored always at the correct temperature. Cantley Grange DS0000069578.V346288.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): Standard 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. People have the lifestyle they choose. People are provided with social, cultural and recreational activities but these do not always meet everyone’s abilities and expectations. Generally, people have a varied diet, according to their choice. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: During the site visit, people were seen moving freely around the home and leaving and entering the home as they wished. There was a warm and friendly atmosphere and staff were often engaged in jovial banter. In the downstairs lounge in the afternoon, some people took part in an exercise class. Daily activities were displayed in each of the lounges and a list of activities is kept for each person of what they have attended. These records showed there was a hairdresser, clothes parties, summer fare, exercise class, chocolate and sherry party, entertainer, reminiscence, coffee morning and painting. Also, there had been day trips to Bridlington, Hornsey and Lakeside. Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 14 However, people who live in the home gave a mixed response about whether there were enough activities to meet their needs. When asked in the survey are there activities arranged by the home that you can take part in one stated always, three said usually, and three sometimes. During the site visit some of the people living in the home said there were enough activities offered but they did not always want to take part as they did not like them, such as the exercise or bingo. Others said there were was not enough happening in the home and they would like more or different activities. At present, the home has people who would enjoy and benefit from a lively and inspiring activities programme, introduction of a person who was dedicated to carrying this out could enhance people’s quality of life. The first meeting had taken place for people who live in the home to enable them to make their views known, the registered manager hoped this would enable the staff to be more aware of what activities people wanted. The registered manager said visitors can visit whenever they choose and a comment made from a relative was they ‘make visitors welcome.’ During the site visit, relatives were in the home. People said they had a choice of where they had their meal, however most they preferred to take their meals in the dining area, where the dining tables were set with table clothes, napkins and flowers. There was a mixed response to the quality of the food served three people spoken to during the site visit said it was excellent, two said it was not as good as it used to be and all tasted the same. People said what was on the menu was not always available and they had to buy their own choice of cereal, as it was not provided by the home. However, people during the site visit were having omelettes, fish pie, or braised lamb or salad, and there was plenty of fresh food in the storerooms. The cook also said she received enough funding to purchase the food she needed. Also, all rooms also have a small fridge, where they can keep drinks and snacks they prefer. The cook explained when she had first started work, there had been fewer people living in the home and she had the time to talk to people about their food preferences, as the numbers had increased she had been unable to continue this good practice and perhaps this was one of the reasons for the mixed response. Cantley Grange DS0000069578.V346288.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. People who use this service experience good quality outcomes in this area. People are safeguarded from harm and complaints are taken seriously. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The service has a clear complaints procedure, which is displayed in the home and included in the Service User Guide that is given to people in the home or their representatives. During the site visit and in the surveys people said they knew who to complain to and felt comfortable in doing so. The complaints records kept in the home did not have any record of complaints. However, the registered manager did discuss a series of concerns that had been raised in the home, such as a person complaining of a television being too loud or about the food. For good practice to show the home is listening to and responding appropriately to these issues records should be made. Twice a year a senior manager from head office attends a meeting in the home where people living in the home and relatives are invited to share their views on the service delivered. Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 16 There has been one formal complaint made to the Commission in regards to people with complex nursing needs being admitted to the home. This issue has now been addressed and resolved. Staff spoken to during the site visit and records confirmed they have received training in safeguarding adults. Discussion with the registered manager evidenced they were aware of how to protect people from abuse and of the procedures they must follow. Cantley Grange DS0000069578.V346288.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): Standards 19 and 26. People who use this service experience excellent quality outcomes in this area. People live in a clean, comfortable and safe environment. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: During the site visit the home was very clean, free from any offensive odours and fresh. The housekeeper was very helpful and appeared to be busy. The surveys and people spoken with during the site visit said this was normally the case. The home is newly built and was only opened in April 2007, therefore all the furnishings, carpets, curtains and decorations are new. There are two floors both have lounge/dining area and twenty bedrooms, all rooms have a walk in shower room. The dining areas have a small kitchenette and the lounge has a Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 18 large flat screen television. All the bedrooms also have fitted furniture and a flat screen television, DVD and small fridge. Some rooms are larger than others or have a patio door to the gardens. There is a small garden area to the rear with a patio table and seating for people to use. During the site visit many people were using the patio and some commented on how they enjoyed it. Three peoples rooms were visited all contained personal possessions which were age and cultural appropriate to them. All said their rooms were ‘very good’ or ‘the best’. Aids and adaptations are provided; some people were using their own electric wheelchairs. The home employs a handyman that is responsible for routine maintenance and the monitoring of some health and safety aspects of the premises. Hand wash scrub, gloves and aprons were available throughout the home so as to minimise the risk of cross infection from one person to another. Cantley Grange DS0000069578.V346288.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): Standards 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. Staff in the home are generally trained, and skilled to meet the needs of the people living in the home at the present time. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: All the people who live in the home who were spoken with during the site visit made positive comments about the staff. Comments made were the staff was ‘good’, ‘kind’ and ‘jovial’. Six people stated in their surveys the staff listened and acted on what they said. The registered manager explained the home has been open since April and has had almost a full compliment of staff since opening. The care staff work for twelve hours each day for three days and then have four days off, their duties include personal care, administration of medication, clearing away and washing up after meals and organising the social activities. There is one housekeeper on duty each day, who has the responsibility of making sure that the whole home is kept clean. There was therefore a mixed response about whether there was enough care staff available in the home to meet people’s needs. Five people responded in Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 20 their surveys there were usually enough staff available and a call bell activated during the site visit had a speedy response. However, some people did comment that they had to wait; they were not as quick as they used to be and the numbers were reduced at times due to holidays. The registered manager explained people would have noticed a change in the amount of time staff had available, as the numbers of the people living at Cantley Grange had increased. The registered manager explained everyone attended a two-week induction course that followed the Skills for Care guidelines when the home opened. As part of the induction the records of training showed on one-day staff had completed dementia care, basic food hygiene, protection of vulnerable adults and health and safety. Staff and the records also confirmed mandatory training such as mobility assistance and health and safety, food hygiene and medication had been carried out using outside trainers. A number of staff had also received specialist training covering pressure areas, continence, and catheter care. The annual quality assessment questionnaire, which was completed by the registered manager states out of the fifteen staff employed, ten have completed their National Vocational Qualification in Care Level Two or above. Four staff records were looked at all contained the information and checks necessary to protect people from abuse. The registered manager had also been proactive in following up further information where necessary to ensure the protection of people in the home. Cantley Grange DS0000069578.V346288.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 and 38. People who use the service experience good quality outcomes in this area. The management arrangements in Cantley Grange are suitable for the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The registered manager has a National Vocational Qualification (NVQ) Level four in Care and her Registered Managers Award, she is supported in her role by two deputy managers who are both trained to NVQ Level three and four. People in the home said the manager was approachable. No administration staff are employed in the home to help the manager. The home is shortly to commence Orchards quality assurance scheme where monthly audits of key aspects of the business are monitored. The area Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 22 manager visits at least monthly to check audits, where any shortfalls are identified an action plan is agreed. As part of reviewing the quality of the service provided, twice-yearly surveys are sent from the head office to people living in the home and their next of kin and staff. Meetings are also held where people can express their views. In response to the surveys and meetings action is taken towards improving the home. A meeting has been held in August for the people living in the home. Staff files confirmed that formal staff supervision takes place and staff spoken with said they feel well supported to do their job. The registered manager explained where people want the home to keep money for them, all transactions are recorded, and receipts are kept and money is held in a locked cabinet. One of the records was checked and found to be correct. Information provided by the manager and the sampling of health and safety records showed most of these are up to date. Although, a set of bed rails were not correctly attached to the bed and could have put the person at risk, and checks were not being made to make sure they were always fitted correctly. Staff confirmed they had received fire training and fire equipment is routinely serviced. A fire risk assessment of the premises has been completed. Cantley Grange DS0000069578.V346288.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 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 2 Cantley Grange DS0000069578.V346288.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 OP7 Regulation 15 Requirement Timescale for action 01/11/07 2 OP38 12 4 (c) The registered manager needs to make sure the care plans: • Fully describe people’s personal preferences. • Contain the specific information necessary to inform the staff of the actions they need to take make sure peoples changing health care needs are met. The registered manager must 10/09/07 make sure all the bed rails are safe. 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 OP3 Good Practice Recommendations The registered manager should make sure the records of the assessments which are written before a person moves into the home fully reflects people health needs and DS0000069578.V346288.R01.S.doc Version 5.2 Page 25 Cantley Grange 2 OP9 3 OP12 4 OP16 5 OP38 specifies their personal preferences. This makes sure everyone is kept informed. The registered manager should make sure:• All creams that are prescribed are signed for on the medication administration record sheet. • All medication bottles have the date the bottle was opened on. • Any prescribed creams, which are kept in people’s rooms, are stored safely. • A record of fridge temperatures is kept. These are to make sure medication is stored and administered in a safe manner. The registered manager should consider having a dedicated person to carry out social activities, who develops a programme of inspiring and motivational activities. This will help people maintain their mental capacity and interests. A record should be kept of all concerns or complaints that are made about the home and how they are resolved. This will help the registered manager to identify any recurring issues. All staff should be trained on how to secure and position bed rails safely. Cantley Grange DS0000069578.V346288.R01.S.doc Version 5.2 Page 26 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 Cantley Grange DS0000069578.V346288.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!