Inspection on 20/07/05 for Charing Court

This inspection was carried out on 20th July 2005.

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

Other inspections for this house

Charing Court 22/11/06

Charing Court 14/12/05

Charing Court 29/09/04

Charing Court 11/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Charing Court Pluckley Road Charing Ashford Kent, TN27 OAQ Lead Inspector Maria Tucker Unannounced 20 July 2005 10:00 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 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. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Charing Court Address Pluckley Road Charing Ashford Kent TN27 OAQ 01233 712491 01233 712776 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Songbird Hearing Limited Ms Amanda Ruth De Mezieres CRH Care Home 33 Category(ies) of OP Old Age (33) registration, with number of places Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Residents under the age of 65 to be restricted to one whose DOB is 25/02/1944. Date of last inspection 29 September 2004 Brief Description of the Service: Charing Court is a Residential Care Home registered to provide accommodation, care and support for up to 33 adults over 65 years of age. The extended Victorian property is located on the edge of a rural village, 6 miles from Ashford town. The main line station is a 5-minute walk. Local amenities and public transport are also nearby. The Home has 33 single rooms, 26 of which have en-suite facilities. Accommodation is on two levels with access via stairs and 2 passenger lifts. All bedrooms are fitted with TV points and emergency call alarm, and several are fitted with telephone points. Many residents have their own private telephones. There are adequate toilet and bathing facilities. There are 2 large lounges and several other seating areas throughout the Home. There is a separate dining room. The Home is furnished and maintained at a good level. Externally the landscaped grounds are laid to lawn and well maintained. There is a semi-enclosed patio. Maintenance and repairs are in good order. There is parking for several vehicles to the side and rear of the building. The home employs care staff, working a roster, which gives 24 - hour cover. The Registered Manager is Ms Amanda de Mezieres, the Registered Provider is Mr Patrick Finn. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Maria Tucker and Marion Weller, regulatory inspectors for the CSCI, undertook the unannounced inspection on 20th July 2005 between 11.10 and 14.50. The visit included talking with 7 residents, a number of their relatives and friends, a member of the care staff and the manager. The owner, Mr Patrick Finn was also present for part of the visit and provided feedback on the progress and achievements made since the last inspection. Some judgements about quality of life within the home were taken from direct conversation with residents, visitors and staff and direct and indirect observations. Some records and care plans were seen. In addition a tour of the premises was undertaken. There were 33 residents living at the home. Two residents were in hospital. At the time of inspection, the home had no vacancies. What the service does well: What has improved since the last inspection? What they could do better: Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 6 Residents are potentially put at risk through poor medication practices and inadequate infection control. There are no systems in place to greet visitors to the home, visitors are left to enter with unsupervised access. As records are also not stored securely, rights to residents’ confidentiality and security are not protected. Action needs to be taken to protect and secure the safety of resident’s records and personal information. Staff records did not evidence that residents’ needs were met over each 24 hours. Staff records must be a true record of planned and actual hours worked. Residents do not reliably have suitable activities due to the lack of staff time. Additional staff would enhance the quality of resident’s lives and allow dedicated time for activities. Resident’s health and safety would be protected by the correct use of wheelchair footplates. Temperature controls in some communal areas was restricted by use of a nail. Records of monthly audits use tick boxes which do not evidence that residents receive a good standard of care. As this report is not shared with the manager, it is difficult for her to identify from this report, action needing to be taken. 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. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 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 at least once during a 12-month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 4, 6. Prospective residents have the information they need to make an informed choice about moving to the home. Residents know that the home will be able to meet their needs before they move in. EVIDENCE: The Statement of Purpose and Service User Guide were available and contain the majority of information as required. Both documents will need to be reviewed and revised in preparation for the next inspection to reflect current environmental changes to the home. The manager undertakes an assessment of care needs, prior to a new resident moving in to the home. Residents said they had been able to visit the home before moving in. Their visitors confirmed this. Residents also said staff had been helpful in assisting them to settle in. One resident said, “I feel so at home and was made so welcome, I have all my personal things around me” The manager demonstrated a clear understanding regarding the category and needs of residents that the home could meet. Intermediate care is not offered at Charing Court. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 7, 8, 9, 10. Residents’ needs are met in part. They put at risk by poor practice in administration of medication. EVIDENCE: Care plans seen were comprehensive. They provided clear guidance for staff on how they should meet resident’s needs. Plans of care are reviewed by the home regularly. Evidence was seen where changes had been made to care plans following a change in need. The residents had signed care plans seen. Resident’s health care needs and their access to health care professionals were being maintained and recorded. The manager demonstrated a good understanding of individuals’ needs. The home benefits from a very positive relationship with the community nurses who visit the home regularly. It was explained that if a service user were at risk of developing a pressure sore, all the necessary nursing care and equipment would be made available. Two residents had pressure areas that were receiving attention from a community nurse. A comprehensive record of visits, appropriate treatment plans and actions taken were evidenced. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 10 Residents spoken with showed care and attention had been given to their appearance and personal hygiene. One service user said, “staff are very attentive and I still feel in control of what happens and when”. The home has a large medication storage cupboard on the second floor that is kept locked. Although temperatures are logged, the home has no way of controlling storage temperatures. The medicine storage trolley, in daily use, was observed as being kept in a hallway between medication rounds and was not secured. During the lunch - time medication round it was seen that the trolley was left unlocked with the doors open between administrating medication to individual residents. Medicines to be administered were often left on the side for individuals to take. Attention was not paid as to whether medicines offered, had been taken and by whom. To assist with future environmental plans and to improve current medication practices in the home, it was agreed with the manager that the CSCI Pharmacy Inspector should be asked to visit the home. This suggestion was welcomed. Resident’s privacy and dignity was seen to be promoted. Bathrooms and toilets are lockable. Some toilet doors had been recently painted. The owner confirmed that engaged / vacant indicators would be replaced on these doors once refurbishment work was completed. Residents could meet with visitors and make phone calls in private. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12, 13, 14, Residents benefited from routines of daily living that are flexible. Their quality of life would be improved if they had opportunities for interesting activities. EVIDENCE: Residents said they could have visitors whenever they wish. Visitors to the home were spoken with during the inspection. One visitor said, “I visit 2-3 times a week, I am always made welcome, the home has a nice warm family atmosphere, the staff are very attentive and work hard.” A communion service took place on the morning of the inspection. Residents could choose whether to attend or not. The manager said that activities are arranged on an individual basis. No activities, other than the religious service took place during the inspection. One visitor said when asked about the availability of activities, “possibly they are short staffed at times” A resident said, “No activities for us today” and another said “ nothing, other than care and washing” Individual choice as to which staff provides direct care to residents was adhered to. Residents spoken with were very happy with the conduct of staff. A resident said,“ The staff come in and chat with me in my bedroom, it makes all the difference to me”. Residents appeared happy and relaxed in their surroundings. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 12 Bedrooms viewed showed that residents were encouraged to furnish and personalise their rooms as they wish. Although meals and mealtimes were not inspected on this occasion, a number of residents volunteered comments that the food was good. It was seen that the dining room was pleasantly laid up in preparation for lunch but was not large enough to accommodate all of the residents comfortably. The owner and the manager said there are proposals to extend the dining area and improve the lighting. The manager said that some residents, by choice, take their meals in there rooms. A resident spoken with confirmed this. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 16. Residents can feel confident that if they have any complaints or concerns they are responded to quickly, taken seriously and acted on EVIDENCE: Residents said they knew how to make a complaint if need be and who to make it to. They were confident that both small concerns and complaints were listened to and acted upon. The home has a complaints procedure and the manager said complaints are dealt with quickly. A complaint made on the morning of the inspection was received by the CSCI. No details had been provided by the complainant directly to the home. The anonymous complaint was discussed with both the manager and the owner. The concerns raised were investigated by inspecting the homes records and were found to be unsubstantiated. There had been no previous complaints received about the home since the last inspection. The manager strives to create an environment that is open and encourages residents, staff and visitors to discuss any concerns on a daily basis so that these can be resolved. The CSCI leaflets “Is the care you get what you need?” were left in the home for residents use. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 19, 20, 21, 23, 24, 25, 26. Poor health and safety practices and lack of security in entering the home put residents at potential risk. EVIDENCE: The building was found to be in good order. Some areas of the home had been extensively redecorated. The home was well maintained and clean with no detectable odours. The grounds were very pleasant and well maintained. A resident was knitting and enjoying the pleasant weather outside on the day of the inspection. A new conservatory for residents use is almost completed at the front of the building. On the day of the inspection it was being used as a staff smoking area. The bin used to dispose of cigarette ends was made of plastic. The entrance door to the front of the home is not always used. There is an expectation that visitors will know how to access via a rear entrance door. In practice this was found to be confusing and frustrating. Attention could not be gained from ringing the doorbell at the rear entrance, even after several attempts. A resident and a staff member advised entering unannounced and Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 15 unaccompanied. Visitors passed residents bedroom doors that were unlocked and open, their personal property clearly on view. Unaccompanied individuals could also access a staff office area sited in the lobby. Resident’s records and other sensitive material were stored in the area and were not in a lockable facility. Most of the communal areas of the home ensure that residents have sufficient space for normal daily living and activities. The owner explained his proposals for extending the dining room for space and lighting. Some residents choose to sit in their wheelchairs at the dining tables and do require additional space. Others residents spoke about their choice to take meals in their rooms. Furnishings seen were of good quality and domestic in nature. Some residents had purchased electric riser chairs and beds for their personal use. There were sufficient toilets and bathrooms available to residents with appropriate specialist equipment to maximise independence. The floor of the sluice room inspected was compacted and aged. The finish was not impermeable. Paintwork to the walls was seen to be flaking. The manager said it was functional. In discussion it was established that it is not however easy for staff to clean for the maintenance of acceptable hygiene and infection control procedures. Two soiled articles were viewed in an open (white) laundry skip. A Sharps box seen was not dated. Hand-washing facilities were available for staff. The manager said that the owner had proposals to improve the sluices but these had not been drawn up yet. Residents all have their own single bedrooms. 22 bedrooms have en-suite toilet and hand basin facilities, 2 rooms have en-suite baths and 2 have showers. All bedrooms seen met with individual service user’s needs and were well decorated, personalised and furnished as to their wishes. The owner advised that all old radiators have been fitted with individual heating controls and new ‘cool touch’ type radiators were fitted in some areas. It was seen that the controls on the original radiators were restricted by the use of a nail to stop the heating level from being increased. The CSCI have been made aware that the home failed a recent Fire Inspection. This was not inspected on the day. The CSCI requires assurance from the owner that items identified for resolution by the fire officer at the time have now been addressed. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29. A review of staffing levels at key times and in relation to supporting residents in social activities is needed. EVIDENCE: The numbers of care staff provided were adequate at the time of inspection. There were four care staff and the manager on duty. The home also employs domestic and catering staff and a handyman. Staff duty Roster’s were inspected. The document was not clear or sufficiently detailed. It was seen that the document did not include the registered manager. It was discussed with the manager that the roster must show all the staff on duty at any time during the day and night, the hours worked and in what capacity. Records must also evidence whether staff rostered to work, actually did so. The manager stated her intention to record this information. The home caters for 33 residents. Accommodation is arranged over two floors. The importance of regular review and maintenance of staffing levels was discussed in relation to consistently meeting residents identified needs. A number of residents had stated that meaningful activities and leisure pursuits sometimes took second place to personal care tasks in the home. The manager intends to keep this matter under review. The manager confirmed that CRB and POVA Register checks are made for all new staff before they commence employment and have been completed for all existing staff. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 17 Training was encouraged in the home. At least 50 of the care staff have achieved or are working towards NVQ in Care. The manager explained details of training events she had organised. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, , 37, 38. Current arrangements were not sufficient to fully protect the health, safety and welfare of residents. Lack of attention to some health and safety practices place residents at potential risk. EVIDENCE: The manager has a number of years experience working with this client group, she has a professional health qualification and has also achieved the Registered Managers Award. Residents said that the manager is available to talk to if necessary. The manager described an open and inclusive approach to the management of the home. A number of residents said how much ‘at home’ they felt. The Registered Provider undertakes formal visits monthly and sends copies of the written report regarding the conduct of the home to the CSCI but not to the manager. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 19 Three residents were observed as not having the benefit of footplates fitted on their wheelchairs. It was strongly recommended that a community nurse assess resident’s needs in relation to ensuring their health and safety when using mobility aids. Service user records and information stored in the lobby office area was not kept in a manner that preserved confidentiality and there were no provision of lockable facilities. The security of the building and resident’s property was further compromised by the employment of poor procedures when dealing with visitors to the home. The Sluice area inspected appeared aged and would benefit from updating and refurbishment. Infection control measures to prevent the spread of infection were difficult to maintain in the current environment. Consequently resident’s health and safety was being compromised. These items were discussed with the manager and the owner at the completion of the inspection. Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 x COMPLAINTS AND PROTECTION 2 3 3 3 3 3 2 2 STAFFING Standard No Score 27 2 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 x x x x 2 2 Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 21 YES Are there any outstanding requirements from the last inspection? 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 OP27.3 27.4 Regulation 18 (1)(a) Requirement The registered person shall, having regard to the size of the care home, the statement of purpose and numbers and needs of service users ensure that at all times suitably qualified and competent and experienced persons are working at the home in such numbers as are appropriate for the health and welfare of service users in that staffing levels must be reviewed and then monitored to ensure that both the care and social welfare needs of residents can be met at all times, including weekends. This was a requirement in the previous two inspection reports.(Previous timescale of 31July 2004 and 29 October 2004 not met.) “The Registered person shall make arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home” In that: Staff administering medicine must adhere to the homes policy and procedures for the safe administration of Timescale for action A review of staffing levels at key times to be completed and actioned by 31 October 2005 and from thereafter 2. 0P9 13 (2) Action required by 30thth September 2005 Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 22 medicines. Staff must be assessed for competency with regard to the administration of medication. The trolley used to store medicines must be locked for safe keeping when left unattended during medication rounds and safely secured between medication rounds. The medicine storage cupboard must be risk assessed as to its suitability of purpose. The registered person shall ensure that records maintained and relating to the service user are kept securely in the care home. In that: service users records, information and documents held by the home must be stored in a secure and confidential manner in lockable facilities. 4. OP26 OP38 12(1)(a) 13 (3) 13(4) (C) The Registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. In that: Both sluice rooms must have the provision of impermeable floor coverings and wall finishes that are easily cleaned to maintain adequate levels of hygiene in the home and to prevent the spread of infection and communicable diseases. Infection control procedures must be reviewed and revised in consultation with the Environmental Health Officer and the Infection Control Nurse to ensure that practices promote Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 23 3. OP37.3 17(1) (b) Action Plan to be received by CSCI by 30st August 2005 Action Plan to be received by CSCI 30th September 2005 and make proper provision for the health and welfare of service users. Any future proposals and plans to move/refurbish the current provision should also be made with the advice of the health care professionals mentioned above. 5. OP27.2 17(2)Sche The registered person shall dule 4 (7) maintain in the care home the records specified in Schedule 4 (7) A copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked. In that: Staff duty rosters seen did not include the registered managers duty times, lacked detail and was confusing as to whether staff members rostered had worked or not. The roster must show all the staff on duty at any time during the night and day, the hours worked and in what capacity they worked. For inspection and review purposes, it must also clearly record whether staff rostered to work, actually did so. Action to be taken by 31st August 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations It is strongly recommended that the CSCI Pharmacy Inspector visit the home. The manager should seek advice from the Pharmacist as to the safety of current procedures for dealing with medicines and take the opportunity of discusssing future proposals for a clinical room. Information and advice is also required as to the suitability H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 24 Charing Court of the current medication storage facilities used. 2. OP38 It is strongly recommended that signage be displayed to advise visitors how they can gain access to the home and attention to their needs. The procedures that the home adopts for attending to visitors, must protect residents from any unauthorised and unsupervised access to the building. It is recommended that the device used to stop radiator temperatures from being increased should be risk assessed. Advice should be sought as to its fitness of purpose and ability to secure the safety of residents in comparison to the provision of radiator guards. It was strongly recommended that the registered manager ensure the safety and welfare of residents that are wheelchair users. An assessment of their mobility needs and the provision of wheelchair footplates must be sought without delay. It is recommnded that the home review the activities offered to residents both within and outside of the home, in order to ensure that these are sufficiently regular and appropriate to meet individuals needs. It is recommended that a review be undertaken to ensure there is sufficient space in the communal dining area to seat all residents. It is strongly recommended that the waste bin in the smoking area be made of metal. It is recommended that the registered providers monthly visit reports are written with more comprehensive detail concerning the conduct of the home. A copy of the completed report must also be given to the registered manager. 3. OP25 4. OP38 5. OP12 6. 7. 8. OP20 OP38 Reg 26 Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone, Kent ME16 9NT 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 Charing Court H56-H06 S43997 Charing Court V227241 200705 Stage 4.doc Version 1.40 Page 26 - 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. 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