Inspection on 15/01/08 for Castlemount

This inspection was carried out on 15th January 2008.

CSCI found this care home to be providing an Poor service.

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

Castlemount 19/08/08

Castlemount 16/07/07

Castlemount 28/09/06

Castlemount 09/05/06

Castlemount 28/10/05

Castlemount 25/04/05

Castlemount 18/11/04

Castlemount 22/07/04

Castlemount 17/05/04

Similar services:

Abbey The

Snydale Care Home

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 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Castlemount 54 Manygates Lane Sandal West Yorks WF2 7DG Lead Inspector Gillian Walsh Key Unannounced Inspection 15th January 2008 10:00 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 Castlemount DS0000006172.V358123.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. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Castlemount Address 54 Manygates Lane Sandal West Yorks WF2 7DG 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) 01924 251127 CastleMountRes@aol.com Mr Abbass Bagheri Satari Mrs Julie Ann Satari Mrs Amanda Margaret Innes Watson Care Home 15 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (15), Old age, of places not falling within any other category (15) Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specific service user over the age of 65, named on variation dated 14th September 2006, may reside at the home. 16th July 2007 Date of last inspection Brief Description of the Service: Castle Mount Care Home is a four-storey grade 2 listed building situated in Sandal on the outskirts of Wakefield. A short distance walk from the home is a bus service running to Wakefield and Barnsley. The home provides care and accommodation for up to 15 older people who may have past or present mental health problems. The building is set back in its own grounds, some car parking space is available at the front of the home. Wheelchair access to the home is not available at the moment. The home has nine single and three double bedrooms (one of which is being used as a single), ensuite facilities are not provided however communal toilets and bathing facilities are available on all floors, which are accessible, by chair lift. A large entrance hall leads to the two communal lounges and dining area. The provider makes information about the service available to enquirers via a leaflet about the home and the home’s service users guide. Details of the Commission for Social Care Inspection are also in the Service User Guide. The acting manager said in January 2008 that current fees are from £311 to £400; hairdressing chiropody and personal newspapers are charged in addition to the fees. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. This was an unannounced visit made to Castlemount by one inspector from the Commission for Social Care Inspection. The visit started at approximately 10am and finished at approximately 4pm. Time was spent speaking with people who live at the home, staff and the acting manager, looking at documentation and looking around the home. Since the last key inspection in July 2007, when the service was rated as poor, there has been a meeting with the provider, to discuss the improvements needed and there has been an additional visit in September 2007. During this visit it was noted that there had been some slight improvement but not sufficient to meet with the requirements made of the home during the visit in July & September 2007. As it is only six months since the last full inspection when surveys were sent to gain the views of people involved in the service, surveys were not sent out prior to this visit. However a number of people who live at the home were able to tell the inspector how they felt about the service they receive. Since the last inspection a new manager has been employed, currently on a part time basis, at the home. As she is not yet registered with the Commission for Social Care Inspection, she is referred to throughout this report as the “acting manager”. We are currently processing an variation request from the provider which, when finalized, will mean that the home will only receive people who have personal care needs of older people, and will no longer receive people who have mental health or dementia care as their primary care needs. This should ensure that the staff group will be better able to meet peoples needs. Whilst this visit found some improvements these were not sufficient to improve the overall quality rating of the service from “poor”. Because of this we will separately be considering a formal response within our improvement and enforcement work. The inspector would like to take this opportunity to thank the acting manager and staff for their assistance during the day and particularly all the people who live at the home who were hospitable and willing to spend their time talking about their experience of living at the home. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Care plans and assessments need to be reviewed to make sure that they are clear and contain up to date information so that staff know what care is to be delivered to people and how it should be done. To safeguard people, safe systems for managing medications must be followed. The home needs to be comfortable and safe for the people who live there. To achieve this, access to and from the home for wheelchair users needs to be Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 7 developed, hot water temperatures need to be checked regularly, all areas in the home used by people who live there needs to be maintained at an acceptable temperature and staff need to receive regular fire training. The registered person needs to make regular checks at the home to make sure that people are receiving good quality care in a safe environment. It would also be worth giving consideration to full time management arrangements, due to the number of management tasks that need to be developed and maintained to improve the care provided to people. 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. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Systems are being developed to make sure that people have a proper assessment of their needs before they are offered a place at the home. EVIDENCE: The acting manager said that there have not been any admissions to the home since the last inspection. She said she is currently in the process of developing a new form for assessing people’s needs prior to offering a place at the home as the forms used previously concentrated on physical and social care needs but did not include any assessment of, or information about, people’s mental health needs. However, the provider has confirmed that the home will no longer admit people whose primary needs relate to mental health or dementia care needs; and an application to change the registration regarding this is currently being processed by us. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 10 The acting manager said that she would make sure that for any new enquiries she would be specific that the home is not suitable for people with mobility problems and is not registered for people with dementia. The home does not provide intermediate care. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Care plans do not all include people’s current needs and individual healthcare needs are not always being met. This could result in people not receiving the care they need to maintain good health. Poor systems relating to management of medication could put people at risk. EVIDENCE: During the visit four people’s care plan files were looked at in detail. All of the files contained care plans and some included good information, which would assist staff to provide the care support needed by the person concerned. Others were very confusing with conflicting evidence contained within different care plans for the same area of need. Care plans had not been reviewed on a regular basis even where people’s needs had changed substantially. This was particularly relevant for one person whose weight record showed that they had lost almost a stone and a half in weight in a period of three months but the care plan had not been reviewed since before the weight loss became a Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 12 problem and therefore did not give any detail of the problem or what staff interventions were needed to meet the very specific needs of the person concerned. Each file contained a page entitled “Nutritional Assessment” however these were care plans and not assessment tools. Moving and handling assessments were in place but some conflicted with the information in care plans and with the observations made of the people living at the home during the visit. For example, one person’s assessment said that they walked with the aid of a frame, however the person was observed during the visit to use a wheelchair for all mobilising and for transferring was assisted by staff using various moving and handling equipment. Another person whose assessment said they did not require help to stand or mobilise was observed to need considerable support to stand up from the chair and start walking. People could be put at risk of falls if staff are not informed of their specific needs in this area. One person’s file contained a number of ABC charts used to record the antecedent, behaviour and consequence when a person displays challenging behaviour. Information written on these forms should then be used to assess what makes a person’s behaviour change and then be used to develop a care plan to manage challenging behaviour. When asked about these forms. Staff spoken to were unaware of why they were completing them and of how the information should be used. Records showed that people’s healthcare needs are usually referred to the appropriate healthcare professional such as the General practitioner, district nurse or community mental health services. However it was concerning that no record had been made of any intervention sought for the person whose weight had dramatically reduced in a short period of time. The acting manager, although unaware of how acute the weight loss had been, said that the GP had been involved and had changed the person’s medication. However records did not show that the GP had been made aware of the extent of the weight loss. Observations made during the visit were that staff treated people living at the home with kindness and respect and made sure that their needs for privacy and dignity were met. All of the people spoken with spoke very fondly of the staff and said that they would do anything for them. One person said that although they were very fond of all the staff, they particularly looked forward to their key worker coming on duty as they had developed such a good relationship with them. Systems for storage and administration of medication were checked during the visit. As the home does not have a medical room, all medication is stored in two medication trolleys, one, used for stock medication and one trolley containing all current medication. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 13 Only the trolley used for current medication was checked during the visit. In the door of the trolley was a plastic pot containing 26 unidentifiable tablets. When asked by the inspector what they were, the senior carer said they were tablets that people living at the home had refused over previous days. Some of the tablets were identified as ones that had been refused by a certain person and the MAR (Medication Administration Record) sheet for this person was checked. Recordings made on the MAR were that these tablets had been refused and destroyed. The senior carer said that this was the usual system for refused medication but the acting manager said that she was unaware of this and knew that this was not safe. Additionally there was a medication pot in the door covered with tin foil containing an amount of unidentifiable liquid medication. Neither the senior carer nor the acting manager knew why this was there. Both of these situations demonstrate unsafe systems relating to the handling of medication. Medications checked that had been supplied in the MDS (Monitored dose system) were correct in that the amounts available tallied with the recordings on the MAR sheet, with the exception of the ones recorded as refused and destroyed as described above. Four boxed medications were checked with errors found in all of them. Most concerning was a medication to be taken only once each week. Four tablets had been supplied; one had been recorded as administered but only two tablets were left in the box. Additionally it was evident from a MAR sheet that an antibiotic tablet signed as administered had not been. This means that the person would not get the full benefit of the antibiotic therapy. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are supported to make some choices about their lifestyle within the home but would benefit from having sufficient staff on duty each day to better meet their social and recreational needs. EVIDENCE: The home does not have a dedicated activities organiser but the manager said that one of the care assistants takes on the role when time allows. Other care staff also engage people in activities usually during the afternoon time but again this is dependant on staff being available and not having other duties to attend to. One person said that they did sometimes get quite bored during the day. People spoken with said that they enjoyed doing the activities and during the visit, people were suggesting a game they would like to play that afternoon. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 15 One person said that they enjoyed the Church services held at the home on a monthly basis. People also said how much they had enjoyed the Christmas festivities at the home. People said how much they enjoyed visits from family and friends and one person said that they were assisted to speak on the telephone with their relative. Some of the care plans seen contained information about people’s interests and preferences within their lives and one person confirmed that the detail in their care plan was accurate. At lunchtime one person invited the inspector to join them for the meal. The meal was nicely presented and nutritious. A choice of meat pie or roast turkey was offered with fresh vegetables. People with particular needs in relation to their meals, were supported sympathetically by care staff. All of the people spoken with said they enjoyed the meals they had at the home. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People living at the home know that they are safe. EVIDENCE: The acting manager said that there had not been any complaints made to the home since she had started working there and no complaints had been recorded since the last inspection. People who live at the home said that they knew who to speak to if they had any concerns or complaints. A series of safeguarding meetings held in relation to people living in the home have now been concluded and the matters resulting in safeguarding procedures being resolved. The home has appropriately reported other matters under multi agency safeguarding policies and procedures since the last inspection, none of which have needed further action to be taken. The acting manager and staff spoken with are all now fully aware of how and when to report any incidents within the home that may constitute abuse of vulnerable people. Castlemount DS0000006172.V358123.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. People who use this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s comfort is adversely affected by the lack of heating in some areas of the home and some people’s safety is compromised by the lack of wheelchair access and exit to and from the home. EVIDENCE: Generally the home was clean and tidy but it was disappointing to see that work had not begun on the refurbishment of the downstairs bathroom, which means that, due to their mobility problems, one person living at the home still does not have any access to a bath. During the visit one of the people who lives at the home came from the corridor leading to the toilet saying how cold they felt. It was discovered that Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 18 radiators on the corridor to the toilet and in the downstairs bathrooms were not working. Staff said that they hadn’t worked for some time. This inspection was made in January during very cold weather and the temperature in these areas used by people who live at the home was cold enough to be detrimental to their health and well being should they spend any length of time there. Concern was expressed to the manager that this had been the situation for some time but nothing had been done about it. The registered person was informed of this immediately following the visit and was required to provide safe heating to these areas to ensure the comfort of people living at the home. As identified in previous visits to the home, no safe access or exit is available to or from the home for people who are unable to manage steps. In June 2007 the manager and proprietor said that plans were in place to fit suitable adaptations to enable wheelchair access to the home but none of this had been done by September 2007 when a further visit was made and a requirement was made that the problem be addressed as a matter of urgency. The acting manager said that some portable ramps had been obtained but these were unsuitable and were waiting to be returned. Therefore there was no change in the problem of access or exit to and from the home for people using wheelchairs. Castlemount DS0000006172.V358123.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, 28 and 29. People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Current staffing levels are not always sufficient to meet people’s needs in a timely way. Staff need updates in fire training to maintain people’s safety. EVIDENCE: The acting manager said that current staffing levels at the home are; three staff in the morning, two during the afternoon until six o’clock, three in the evening and two during the night. Discussion took place about the potential problems when only two staff are on duty in the afternoon and covering teatime when care staff are also responsible for preparing and serving tea. It was pointed out to the acting manager that, as there are people in the home who need the assistance of two staff for all aspects of personal care, there would be times when the majority of people were left unobserved and without a member of staff available to them. One person who lives at the home confirmed this saying that there are times when they have to wait for staff help and that this wait was sometimes a bit too long for comfort. Training for National Vocational Certificates in care at level two and level three is ongoing for care staff. The acting manager said that seven staff have achieved level two and four staff have already achieved level three. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 20 Records show that since the last inspection all staff have received training in safeguarding. Whilst records indicate that training is ongoing at the home, they also show that a number of staff have not received any fire training at all and some have not received any fire training for over two years. As this is a home with bedrooms spread over four floors, it is particularly important that to safeguard people in the event of a fire, staff receive regular fire training updates Castlemount DS0000006172.V358123.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): 31, 33, 35 and 38 People who use this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Management processes are not sufficient to promote the health, safety and welfare of people living at the home, although people’s money is safely kept. EVIDENCE: Since the last inspection a new manager has been appointed at the home. She has yet to apply for registration with the Commission for Social Care Inspection, she is referred to within this report as the acting manager. The acting manager said that she is working on a part time basis of twenty- five hours per week with senior care staff being in charge at other times. Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 22 The acting manager has developed a programme for measuring quality within the home but due to not being in post for very long, has not yet begun to use the programme. No records were available of visits made to the home by the registered person. Records of these visits are required under regulation 26 to evidence that the registered person is monitoring quality within the home. Some people living at the home choose to have small amounts of their money kept, on their behalf, in the home’s safe. Three balances and related records were checked during the visit and were accurate. Despite a requirement being made during the last key inspection about checking the temperature of running hot water, the acting manager said that water temperatures are not being checked at the moment. This could put people at risk of being scalded. This added to the issues described earlier in this report relating to medications, lack of heating, insufficient fire training for staff and lack of wheelchair access into and out of the home could compromise the health safety and welfare of people living at the home. Castlemount DS0000006172.V358123.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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 1 Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 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(1) 13(4) Requirement Care plans must include all assessed needs, including psychological needs, and the action to be taken by staff to ensure needs are fully met. Timescales of 30/10/06, 30/06/07, 31/08/07 and 31/10/07 not met. Nutritional and moving and handling assessments must be accurate to ensure people receive the care they need. The registered person must make safe arrangements for people using wheelchairs to enter and exit the home. Previous timescale of 30/06/07, 31/08/07 and 31/10/07 not met. The registered person must ensure that people are protected by the home’s policies and procedures relating to medications. Previous timescale of 16/07/07 and 15/10/07 not met. The registered person must DS0000006172.V358123.R01.S.doc Timescale for action 30/04/08 2. OP19 OP38 23 (2) (n) 30/04/08 3. OP9 13(2) 18/01/08 4. OP19 23(2)(p) 18/01/08 Page 25 Castlemount Version 5.2 OP38 5. OP30 OP38 make sure that all areas of the home, accessed by people who live there, are adequately heated to ensure peoples comfort and well being. 18(1)(a)(c The registered person must 30/04/08 ) ensure that appropriately trained 23(4)(d) staff are available, at all times, in sufficient numbers to meet the needs of the people at the home. This must include fire training to meet safety needs of people living in the home. The registered person must make record of their monthly quality monitoring visits to the home. This is so they can measure the quality of service people living in the home receive. The registered person must forward of a copy of these reports to the Commission for Social Care Inspection each month. The registered person must make sure regular checks are carried out to ensure that: Running hot water temperatures must be maintained to deliver to 43 degrees centigrade to avoid scalding. 6. OP33 26 30/04/08 7. OP25 OP38 13(3) 30/04/08 Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 26 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 OP27 Good Practice Recommendations The registered person should review staffing at the home to ensure people are not waiting too long for assistance. The registered person should also consider either recruitment of an activities organiser or ensuring care staff have time on a daily basis to dedicate to provision of activities for people in the home. The content of any training undertaken by staff should be recorded and the manager should, through supervision, check staffs’ understanding of the training they have received. Quality monitoring should be developed and continued to make sure that the views of all people concerned with the home, and in particular, those who live at the home, are taken into account. To make sure that staff are working effectively, all staff, including the acting manager, should receive, formal recorded supervision at least six times each year. With regard to work that needs to be done at the home, the registered person should give consideration to making the manager’s position full time. 2. OP30 3. OP33 4. 5. OP36 OP31 Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 Castlemount DS0000006172.V358123.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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