Inspection on 21/08/07 for Chaseley Care Home

This inspection was carried out on 21st August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chaseley Care Home 08/11/08

Chaseley Care Home 30/05/06

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Chaseley Care Home 404 North Promenade Blackpool FY1 2LB Lead Inspector Mrs Jackie Riley Unannounced Inspection 16th August 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chaseley Care Home DS0000066020.V343217.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. Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chaseley Care Home Address 404 North Promenade Blackpool FY1 2LB 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) 01253 352622 Encompass Care Ltd vacant post Care Home 24 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (23) Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 24 service users to include: up to 23 service users in the category of OP (older persons 65 ) 1 service user in the category MD (mental disorder, excluding learning disability or dementia). 30th May 2006 Date of last inspection Brief Description of the Service: The Chaseley Care Home is situated in a prominent sea front position in the North Shore area of Blackpool. It is close to transport links, which take you into the centre of Blackpool or to other areas of the Fylde coast. The home is also close to shops and other amenities. The Chaseley Care Home provides residential care for up to 24 older people. The home has four floors and there is a passenger lift to all floors. A chair lift is in place from the ground floor to the first floor. There are a number of aids and adaptations in place throughout the care home suitable for the age range and needs of residents living there. There are fifteen single rooms, nine with en-suite, and three double rooms all with en-suite facilities. There is a written Statement of Purpose outlining the home purpose and function, however this has not been reviewed, and there is no other information in the Service User Guide, which would inform people who use the service of what is available to them including information about how to make complaints. The most recent inspection report was not seen to be freely accessible to users of the service. At the time of the site visit the information provided to the Commission showed that care home fees were £357 per week, any additional expenses including chiropody, newspapers and additional toiletries are met by the resident or third party. Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over a five-hour period, on the 21st August 2007. We spoke to the manager, four staff, and a group of residents, as well as four individual residents and a visitor during the site visit. As part of the inspection process we used case tracking as a means of assessing some of the National Minimum Standards. The process allows us to focus on a small number of people living at the home. All records relating to these people are examined and the rooms they occupy are looked at. Other residents are invited to pass their opinions to the inspector if they wish. We received seven surveys prior to the inspection and comments in the surveys will be used throughout the report in order to reflect what people who use the service think of it. We looked at the records of three residents and three care staff as part of the inspection process. We carried out a tour of the premises and looked at the homes documentation, policies and procedures that formed the basis of the inspection process. What the service does well: We found a trained and motivated workforce is managing the home well so that users of the service are receiving a good level of care. Comments received included, “we all work really well together”, “I feel really supported in what I do”. “they are always there for you when you need them”. “we have a good laugh every day, the staff are a good bunch”. Records of residents living at the home are complete and provide evidence of the needs of the resident, so that staff can directly identify their individual needs and meet them. A designated chef at the home prepares meals. They were seen to be wholesome with individual choice available as well as the home meeting specialist diets. Food seen is prepared using fresh produce wherever possible, and residents were seen to enjoy a well presented lunchtime meal. Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: There needs to be a manager registered with the Commission for Social Care Inspection (CSCI), so that there is some evidence of continuity in the management of the home for the benefit of all users of the service. We found that there is a requirement for the homes general maintenance be reviewed in areas of decoration throughout the home, replacement of curtains and bedding where necessary and to pay attention to carpets of the ground floor of the home which are showing signs of wear and tear, for all users of the service. The proposal to provide a ‘wet room’ for residents as part of extending the bathing facilities for residents must continue, to make sure there are enough bathing facilities for the benefit of residents who live at the home. The home risk assessment procedure must be extended to include individual risk in the environment and external environment as some residents go out independently, and this is for their personal health and safety. In order to accurately monitor a resident’s health we say there must be evidence of appropriate weighing scales, which will meet the needs of residents who are less mobile, as measuring weight is a good general health indicator. There are no controlled drugs being administered by the home at the time of the site visit. The drugs procedure should remove the statement, “the care home does not dispense controlled drugs as this is not a nursing home”. There Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 7 may be occasions when a controlled drug is prescribed and the home must have the procedures in place to manage this in accordance with Department of Health guidance. 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. Chaseley Care Home DS0000066020.V343217.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 Chaseley Care Home DS0000066020.V343217.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admission and assessment procedures are in place so the home can meet individual needs, however limited risk assessments have the potential to be detrimental to the needs of users of the service. EVIDENCE: We looked at the records of three residents. They had assessment details recorded, so that staff had a good insight into what the needs of residents are and how they will be met. In some instances the home is not receiving assessment information from a placing authority. The manager is aware of these issues and makes sure they carry out their own assessment to make sure residents need’s can be met by the home. “It’s really hard to get the information sometimes, but we make sure we do our own assessment so we know what’s needed”. The assessment information includes a risk assessment. This information is included in the residents assessment file. We noted it only covers areas of medical risk to the resident. This information is very narrow and must be wider so that environmental risk and risk beyond the home is included so that Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 10 staff members are aware of any potential hazards and can take action to avoid or manage them in a way which is beneficial for the resident. Individual residents spoken to confirmed they have been involved in the assessment and review process and able to give their views of the support they required. Comments included, “ the social worker brought me here and I liked it, so they arranged for me to stay”, “ We always know what the needs of a resident is before they come here, so that we can provide the right care for them”, “ we found this home for my relative, and they really know how to care for people here”. Standard 6 was not assessed, as The Chaseley does not provide intermediate care. Chaseley Care Home DS0000066020.V343217.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is monitored and health needs are identified and met. However the lack of appropriate weighing scales has the potential to be detrimental in the monitoring a resident’s health. EVIDENCE: We looked at the records of three resident’s, they were accurate and had good information about their health and social care needs that supported the staff to maintain and promote each individuals daily needs. Care plans were up to date and reviews were taking place. One of the relatives spoken to said, “they know how to meet the needs of my relative”. Assessment information includes recording a residents weight as part of the monitoring programme. We found that the scales available are inappropriate for residents who have no mobility or mobility problems, as they cannot stand on the scales currently available. This has the potential to be detrimental to a resident’s health, as weight management is an early indicator of a medical or nutritional problem. “we find it really difficult if not impossible to weigh some of the residents”. “ I can’t get on the scales without some help”. There must be Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 12 suitable equipment in the home to meet the needs of residents so that they are not disadvantaged. Significant events had been recorded and daily entries made by carers demonstrate the care given. Residents spoken to say, “ The staff are really helpful, and nothing is to much trouble”. Another said, “The staff are really helpful and know what I need”. Staff comments included, “we like to get to know the history of residents because this gives us a good picture of what they really like to do, and what they like and don’t like”. Medication practices have been reviewed so that the procedures are safe. We found senior staff on duty had a good knowledge and understating of the homes medication policies and procedures. There are no controlled drugs being administered by the home at the time of the site visit. The drugs procedure should remove the statement, “the care home does not dispense controlled drugs as this is not a nursing home”. There may be occasions when a controlled drug is prescribed and the home must have the procedures in place to manage this in accordance with Department of Health guidance. We found the drugs are audited and seen to be recorded appropriately; with clear records and stock control. Resident’s rights to dignity and privacy were found to be upheld by a workforce who are aware of the need to make sure the rights of residents are met with respect at all times. We confirmed this by observing staff members knocking on doors before entering rooms, and the way staff talked and responded to residents. This was carried out with sensitivity and patience on all occasions. Residents observed were seen to interact well with staff members, and appeared relaxed and receptive to things going on around them. Staff were seen to encourage participation with others in a way in which did not infringe their dignity. We spoke to members of staff who commented, “we always respect peoples privacy and dignity, because that the way I would like to be treated”. Five surveys received from relatives confirmed they are happy with the way their relatives are cared for by the staff. “I have been quite impressed with the care and skills and experience shown to my wife”. Chaseley Care Home DS0000066020.V343217.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily life and social activities are designed to be flexible to meet the needs of people living in the care home. EVIDENCE: We looked at the nutritional needs of residents and found the chef and staff take them seriously, so that all resident’s nutritional needs are met. We saw a varied menu, which is flexible to meet the individual needs of residents living in the home. One resident commented, “The meals are always hot and nicely served”. “the food is very nice all the time, no complaints there”. Staff spoken to are aware of the individual likes and dislikes of residents, so that they can make sure people get the right meals for them. We saw staff act in a sensitive manner when encouraging or assisting residents to eat, so that they make sure it is done in a dignified manner. Special diets can be catered for including low fat and diabetic controlled diets. Evidence on individual files noted this where necessary. Staff spoken to say, “we always use fresh produce as much as we can, so that we know they are getting a balanced diet”. We saw the home has an activity programme, which is currently being developed following a review, so that it meets the needs of residents living at the care home. The new format is called “Time to Talk”, and is based around making sure all residents living at the home have access to activities of their choice. It also ensures there is a record of interaction, including Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 14 communication, activities, outings and visitors, so that the staff team know what interaction and stimulation is taking place on a monthly basis for individual residents. This system makes sure people are not disadvantaged. Comments included, “ We like to play dominos every day, there’s a team of us now”. “I can take my relative out and about when the weather is up to it, its nice to have a run out”. “I like my own space”. “I don’t like to much noise, and don’t like playing games with other people”. Staff spoken to say, “the residents have their likes and dislikes when it comes to activities”. “The residents have their favourite things they like to do”. There are no constraints on visiting and surveys received confirmed, ”we can call anytime”. We saw visitors coming and going throughout the site visit. Staff spoken to understand the need to make sure residents have access to family and friends beyond the home and they make every opportunity available for this to be continued. Chaseley Care Home DS0000066020.V343217.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. Staff have access to safeguarding adults training for the protection of users of the service EVIDENCE: We looked at the homes complaints procedure, which is made available to the residents their relative or advocate during the admission process. Three of the seven surveys received from relatives said they are either not sure or do not know who to speak to should they wish to raise a concern or complaint. This is in instances where families or relatives are not close to the home or cannot visit regularly. The home should ensure they are made aware of the complaints procedure so that they feel they can raise any issues if they feel it necessary. Comments included, “If I’m not happy with something I can tell the staff and its put right”, “I’ve never had to raise an issue they care for my relative really well”, “I’ve had a few things to say but it’s always sorted out”. “ their quick to tell us if things aren’t right, and we put it right for them”. There have been no complaints made to the Commission for Social Care Inspection (CSCI), since the previous inspection. The home has a procedure in place for dealing with allegations of abuse. Staff spoken to are aware of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect, and have received training in this area. Staff comments included, “I have had training for it, and it’s covered in Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 16 NVQ training”. Most of the staff team have received training in this area, and we saw evidence that more recent staff are to attend this training as part of the homes on-going training programme. Chaseley Care Home DS0000066020.V343217.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is designed to be homely and comfortable, however the need for decoration and the standard of curtains and some carpets means this has the potential to have a negative impact on people living at the home. EVIDENCE: We looked at the homes layout and design and found to be a homely and comfortable environment in which to live. There are three lounge areas used by residents, which are comfortable and pleasantly furnished, one is specifically for smoking and away from the main area, so that this does not affect people. Comments included, “Just look at the view from here, its wonderful”, “I like sitting here, and you see everything going on”. We made observations, which confirmed residents were comfortable in the lounge areas, and some residents chose to move around and were not restricted in any way, with space being available for this. Residents have their favourite spots to spend their time, and comments included, “I like this lounge its quiet and that’s what I like”. Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 18 We toured the home and looked at individual rooms. Most of the rooms are personalised with resident’s own personal belongings, which helps them to feel comfortable with familiar things around them. Residents choosing to spend time in their room do so. We spoke to a resident who likes to spend time in their room, and they have everything they need. It is proposed a ‘wet room’ is to be installed on the ground floor during the next few months. This facility will help people who have poor mobility to enjoy a bathing experience, without the need for hoisting equipment, thereby being much less stressful. Staff are looking forward to this adaptation and comments included, “it will be so much easier for us all really”. Current bathing facilities are minimal in that there are just two operational facilities in use, therefore the ‘wet room’ is required to make sure the number of bathrooms meet the needs of residents living at the home. In general we found the home to be looking ‘tired’ by way of general decoration. Carpets on the ground floor whilst not posing any hazard are looking worn, residents rooms are in need of decoration, some rooms we saw, had not been decorated for a number of years, bedding does not match, one divan had no valance and many of the curtains have become worn and frayed due to sun damage, this does not have a pleasant affect for people living in the home. We looked at the homes recently introduced policy on infection control and hygiene, which is based upon good practice guidelines from the Health Protection agency specifically for care homes. This is used as a tool for staff as part of the induction-training programme, so that they have the knowledge and understanding of good practices in hygiene and infection control. Comments included, “we have training in health and hygiene so we know just what to do”. Chaseley Care Home DS0000066020.V343217.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment of staff are good ensuring the safety and protection of the residents. Training for staff is good and enables staff to have the skills and competencies for their roles. EVIDENCE: We looked at duty rotas and discussed staffing levels with the manager. They confirmed there are sufficient numbers of staff on duty to make sure resident’s are supported and their needs are met. Comments included. “We all work well together as a team”. “I feel really supported in what I do” We looked at three staff files; they confirmed the recording procedures of the home are good. Staff records include, application forms, Criminal Records Bureau (CRB), Protection of Vulnerable Adults (POVA) disclosures and references, so that people living in the home are protected by the homes recruitment procedures. We saw the training records and staff spoken to confirmed there is a wide range of training opportunities for all levels of staff. Comments included “We are supported and encouraged by the management team to attend training”. Another said, “ I’ve done quite a bit of training and the support is good”. Discussion with the manager and examination of records confirm the target of 50 of care staff have completed National Vocational Qualification (NVQ) level 2 in care so that the workforce is trained and competent in caring for users of Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 20 the service. One member of staff said, “I’ve really enjoyed the NVQ training it was really useful”. Chaseley Care Home DS0000066020.V343217.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well and systems and policies in place for the protection and safety of staff and residents are good, however there remains no registered manager to protect staff and residents. EVIDENCE: The manager has the necessary skills and experience required to support the staff and residents and enable the home to meet its stated purpose and objectives. However, there have been two requirements to register a manager with the Commission so that there is a competent person in day-to-day control of the home. We discussed this with the manager at the time of the site visit, and it was confirmed the manager has recently completed the Registered Managers Award, and has gained experience for the previous twelve months as manager of the day-to-day running of the home. An application has been received and is being completed by the manager to go through the registration process. Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 22 Staff spoken to say they found the management team to be supportive providing clear leadership. Comments included, “we are well supported by the manager”, “we have regular meetings and things get sorted out then”, “the manager gets things sorted out”, There is ongoing quality monitoring carried out through informal discussion with all users of the service including staff. We saw that there are regular staff and resident meetings, which are recorded and where people who use the service can make any comments they feel necessary. Comments included, “we have regular meetings and things get sorted out then”. All appliances in the home are checked regularly for the health and safety of all users of the service. Chaseley Care Home DS0000066020.V343217.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 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 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 2 x 2 X X X X 3 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 2 X X X 3 X X 3 Chaseley Care Home DS0000066020.V343217.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 OP31 Regulation 8 Requirement There is a requirement for there to be a manager registered with Commission for Social Care and Inspection (CSCI), who will work with the registered provider to provide a good quality of care to residents living there. (Previous timescales of 31/03/06 and 31/07/06 not met) The registered provider must ensure risk assessments for users of the service include areas of environmental risk and risk beyond the home so that people are protected. The registered provider must ensure there are appropriate weighing facilities available to all users of the service so that weight can be monitored as part of health screening. The registered provider must make sure all parts of the home are maintained in a good state of repair, so that carpets, curtains, bedding and decoration are kept in good order for residents to live in a well maintained DS0000066020.V343217.R01.S.doc Timescale for action 31/10/07 2. OP3 4© 31/10/07 3. OP8 12(1)(a) 31/10/07 4. OP19 23(2)(b)( d) 01/03/08 Chaseley Care Home Version 5.2 Page 25 5. OP21 23(2)(j) environment. The introduction of the wet room 31/12/07 must continue to be developed in order to make sure there are enough bathing facilities in place for people who live in the home. 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 The statement “the care home does not dispense controlled drugs as this is not a nursing home” should be removed from the homes guidance, as there may be occasions when a resident is prescribed a controlled drug, and the home should have the necessary procedures in place to manage this. The registered provider should ensure relatives or advocates of residents who live away and do not have regular contact with the home have information about how to raise a concern or complaint so that they have a procedure to follow should they be unhappy with something. 2. OP16 Chaseley Care Home DS0000066020.V343217.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Chaseley Care Home DS0000066020.V343217.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. 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