Inspection on 13/07/07 for Conifers

This inspection was carried out on 13th July 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Conifers 09/01/09

Conifers 18/01/08

Conifers 18/04/06

Conifers 05/10/05

Conifers 09/06/05

Conifers 14/10/04

Conifers 11/05/04

Similar services:

Deepdene Care Centre

Ferndale Residential Care Home

David Gresham House

Elizabeth House

Elvy Court Nursing Home

Fontenay Nursing Home

Clairmont Residential Home

Cornford House

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

CARE HOMES FOR OLDER PEOPLE Conifers Seal Square Selsey Chichester West Sussex PO20 0HP Lead Inspector Ian Craig Unannounced Inspection 13th July 2007 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 Conifers DS0000046710.V341548.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. Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Conifers Address Seal Square Selsey Chichester West Sussex PO20 0HP 01243 602436 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) Family Care Private Company Limited Mr Martin Pelling Care Home 20 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (20) of places Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only service users over the age of 65 years of age may be admitted to the home. The home may accommodate one service user under the age of 65 years. 18th April 2006 Date of last inspection Brief Description of the Service: Conifers is a care home providing personal care and accommodation for up to twenty service users in the category of dementia, over sixty-five years. It is owned by Family Care Private Company Limited and managed by Mr Pelling. The home is located in Selsey and is close to shops and other amenities in this seaside town. It is a detached property with accommodation on three floors with eighteen single rooms and one double room. Several rooms have sea views. There are sitting areas and a dining room. The responsible person on behalf of the company is Mr Samarasekara. The home’s weekly fees range from £420.00 to £440.00. Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection consisted of a tour of the premises, discussions with the manager, interviews with two staff, observation of the staff and residents, and examination of records and documents as well as policies and procedures. Several residents were spoken to and three residents were interviewed, but had a limited understanding of any questions asked. The Commission Annual Quality Assurance Assessment was not returned. What the service does well: Information is obtained about residents needs before they are admitted to the home. This is part of the preadmission assessment. Records show that the home liaises with the district nursing service and resident’s general practitioners for health needs. Survey questionnaires are used to obtain the views of relatives and professionals about the standard of service provided. These show that the home is regarded as a friendly and welcoming place. Staff were observed to interact with the residents in a sensitive and patient manner. The manager was open to suggestions about how the service can be improved and expressed a commitment to implementing requirements made as a result of this inspection. The home’s owner also telephoned the inspector following the visit to confirm that action is being taken to address those aspects of the environment in need of attention. The home has a Statement of Purpose and a Service Users’ Guide giving details of the service, including reference to each potential resident being given a copy of the home’s brochure. Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Care plans need to be developed so that they reflect the individual residents needs and preferences, as well as the action staff should take to provide care on a daily basis. The provision of activities and stimulation for the residents needs to be improved. The home’s interior and exterior are in need of considerable improvements in terms of décor and cleanliness. Many rooms have damaged decoration, stained carpets and worn furniture. Flooring is ripped in one bedroom and a carpet outside a communal toilet is a tripping hazard. Curtains in several bedrooms are too small resulting in a lack of privacy where windows are overlooked from neighbouring houses. Several washbasin stands are damaged and a sink was cracked in a resident’s room. One room does not a have a call point and a call point in a ground floor toilet is located at approximately 2 metres high making it virtually impossible for residents to reach. Toilets do not flush properly. Closer attention to adequate cleaning is needed, especially where residents have an incontinence problem. Odours caused by urinary incontinence were noticeable in a number of bedrooms. The garden was also poorly maintained. Borders were very overgrown and the patio was covered with weeds. The grass on the lawn was long and rubbish was lying in the borders. Staff recruitment procedures need to be improved to ensure that 2 written references are obtained prior to the person starting work. No staff are trained in first aid. Please contact the provider for advice of actions taken in response to this Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 7 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. Conifers DS0000046710.V341548.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 Conifers DS0000046710.V341548.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): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is provided to those who are considering a move into the home and assessments are carried out to ensure that the home accommodates those whose needs can be met. EVIDENCE: A document entitled The Conifers Residential Home Statement of Purpose and Service Users’ Guide is available in the home. This gives details of the service provided by the home. Reference is made in the document to potential residents being provided with a copy of the home’s brochure. It was not Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 10 possible to verify if residents or their representatives have been provided with copies of these documents. Four residents’ case records were looked at, including two people who have recently taken up residence at the home. There is an enquiry form, which is completed and the home has a pro forma entitled ‘Referral Assessment Form.’ These have been completed for the two residents recently admitted and include assessments of various needs including the following: mental health, physical health and well-being, social skills and interaction. Neither of the forms had been signed or dated by the person completing them. The home also obtains copies of the referring social services’ care manager’s assessment and care plan. Conifers DS0000046710.V341548.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health, personal care and social needs of the residents are not adequately detailed in the assessment and care plans, although there is evidence that these needs are being met. Residents are protected by the home’s medication procedures and residents are treated with dignity. EVIDENCE: It was noted that there was a lack of consistency in the assessment details as completed by the home compared with that provided by a social services assessment for one person. The social services assessment and care plan Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 12 includes details of orientation, memory ability, physical ailments and personal care needs. The home’s own assessment for mental health states, “general old age decline.” The care plan has no details for personal care and very little detail for mental health consisting of only the following: • needs: safety, aims/goals: keep safe, actions: observe for wandering • needs: diet intake, aims/goals: maintain balanced diet, actions, provide quality diet. For another resident the assessment completed by the home detailed that the person was not orientated in time or place but there was no care plan for this. The manager described in detail the steps that staff have to follow to assist the person with toileting but these were not recorded. The assessment of a resident’s abilities for his or her personal care states ‘needs supervision/assistance,’ without giving details of the person’s abilities and what assistance is required by staff. For one person admitted to the home approximately one month before the inspection, a care plan had not yet been devised, but an assessment of need had been completed. Details are recorded regarding the approach that staff should take for dealing with aggression for one person. Records show that health care needs are addressed with general practitioner’s being contacted for a review of health problems and medication. District nurse, optician and chiropodist appointments are also recorded but there are no records to show that dental needs are checked. Review documents are held with resident’s records and show that the home has reviewed individual needs and that specialist reviews by community mental health teams have been carried out. Staff were observed to deal with residents’ personal care needs in a sensitive and diplomatic manner ensuring that privacy is upheld. Staff expressed the view that residents’ care needs are met. The home’s own quality assurance questionnaires show that residents’ relatives and professionals are satisfied with the standard of care provided by the staff. The home’s medication procedures were examined. Medication records include a photograph of each resident. Staff complete a signature each time a medication is administered. A 16-week training course at Chichester College in medication procedures is available for staff to attend. Medication is securely stored with the exception of those that need to be stored in a controlled drug cupboard. The home uses a double lock system, which should be changed to being a controlled drug cupboard. It is also recommended that this medication (temazepam) is recorded and administered by two staff in the same way that a controlled drug is. Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 13 Conifers DS0000046710.V341548.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 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents do not receive sufficient social and recreational activities. A nutritious and balanced diet is provided. EVIDENCE: It was clear from discussion with the manager and the staff that the residents’ mental health needs require specialised support so that activities and stimulation can be provided. Poor concentration and short term memory have made staff engagement with the residents a demanding task. This was evident on the day of the inspection. The manager acknowledged that more needs to be done to stimulate the residents and has booked a voice movement therapist to entertain the residents. A record of activities provided is maintained but the last recorded entry is 02/05/07 and the entry before that 21/03/07. Staff Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 15 stated that they talk to the residents and that there are singing sessions and occasional walks, but also expressed the view that the activities schedule needs to be improved. Residents were observed sitting in the lounge reading newspapers. A radio was playing music and the television was also on with the sound turned down. The programme was a golf match. The home should review this as this as it has the potential to disorientate residents. Staff were addressing the numerous care problems so that there was little time set aside to provide meaningful interaction of a more social nature. A notice board in the home is used to give information to the residents about the weather and date, but this had not been completed and contributed to the impression that the home has lapsed in its attentiveness to providing daily structure for the residents. Details of the midday and early evening meal were displayed on a blackboard. Residents were observed having a variety of fish dishes, such as fish in sauce, battered fish and scampi. These were served with chips and mushy peas. Staff were observed helping those residents who need assistance. Several residents were able to have a glass of beer with the meal. Conifers DS0000046710.V341548.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s management listen to the views of residents and their representatives, including any complaints. Residents are protected from abuse. EVIDENCE: There is a complaints procedure available for visitors and relatives in the front entrance hall. The procedure is also contained in the Service Users’ Guide. The home’s manager has maintained a record when a complaint has been made, including the outcome of the subsequent investigation. The last complaint was made in April 2006 and concerned the quality of the roast potatoes. The home has a copy of the local authority adult protection procedure. The manager is due to attend an adult protection training conference. In addition to this, the home has its own literature and procedures on adult protection, including details of the definitions of abuse and how referrals to social services are made when abuse is suspected. Each staff member is provided with a Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 17 booklet about the procedure and signs a record to acknowledge that they have read it. It was also clear that the home’s management refer any suspicions of abuse to the relevant authorities and revise procedures where needed so that residents are protected. The home also has a whistle blowing policy. Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 18 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, 21, 22, 24, 25 and 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home’s environment is poorly maintained and does not promote the dignity or privacy of the residents. EVIDENCE: A tour of the premises showed that the home is not kept in a clean state and that numerous areas are in need of attention. These are mostly of a minor nature such as peeling paintwork on walls, ceilings and furniture, damaged furniture, stained carpets, missing and inaccessible call points and odours from Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 19 urinary incontinence. Whilst the home’s structure appeared intact the number of faults with the environment has a cumulative effect. The home’s management needs to carry out an audit of the physical environment and devise a plan for improvement. The following needs to be included: • Carpets and flooring: is stained in several bedrooms and a trip hazard at door of a ground floor toilet. A carpet in a bedroom was rucked and could also be a hazard. • Toilets and bathrooms: one bathroom is used for storage and another has a mattress in the bath. One bathroom has stained and ripped flooring, items have been left in a corner on the floor, the bath is stained, grouting has mildew, and walls have flaking paint. One toilet does not have a seat. Two toilets do not flush properly. Wooden planks have been placed over cisterns and look unsightly; in one toilet the plank has been screwed down but the screw protrudes and could be a hazard. • Call points: are absent in one bedroom and placed at approximately 2 metres high in a toilet so that the residents can’t reach it. • Bedroom furniture: Four rooms have hospital beds that look institutional. A sink is cracked in one bedroom and sink units are badly damaged with chips and doors falling off in several rooms. Paint is peeling off a radiator cover and a wardrobe has a handle missing and is damaged. Chairs are old and a commode is rusty and unsightly. In two bedrooms curtains are of insufficient width and do not meet when drawn. This would compromise privacy at nighttime as both these rooms are overlooked by nearby properties. Paintwork is damaged in a number of rooms and there are holes in walls where towel rails have been removed. • Lounge furniture: Worn chairs with cushions missing. Sideboards with damaged wood. Radiator cover has come loose from the screws holding it to the wall. • Garden: lawn not mown. Borders overgrown. Patio covered with weeds. Rubbish in borders. Paving slab loose. • Cleanliness: carpets stained and soiled in 3 bedrooms. Bed sheets soiled in one room. Chair soiled. Odours of urinary incontinence in several bedrooms. Soil marks on walls in 3 bedrooms. There was evidence of the home making improvements to the environment. The front entrance area was partially redecorated and the manager stated that the home has obtained funding so that most of the furniture can be replaced. Several bedrooms are to be redecorated. The owner of the home telephoned the Commission following the inspection to state that environmental defects will be addressed. The manager agreed that much of the environment needs to be improved and said that most of the maintenance work is carried out by himself alongside his management and caring duties. The home needs to give specific attention to the environment with dedicated personnel for the task. The home’s own quality assurance satisfaction survey forms showed that 6 visitors rated the appearance of the establishment as ‘fair.’ Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 20 The home has a passenger lift, which staff confirmed is used. There is ramped access to the rear garden. Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 21 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, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does not provide staff that have the necessary skills to meet the social and recreational needs of the residents. EVIDENCE: The home has assessed that it requires 3 staff on duty during the daytime with 2 ‘waking’ night staff. The staff rota confirmed that the home provides this level of staff, which was also verified from observation on the day of the visit. The home’s quality assurance survey forms show that involved professionals such as general practitioners and social workers consider the staff to be warm, polite and friendly. Staff were observed to treat the residents with respect and dignity. The home does not have a written induction for recently appointed staff. One staff member stated that she was shown what to do when she started work but Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 22 she was not aware if she had an induction, whilst another staff member stated that she did have an induction. Staff stated that the care needs of the residents are met but the home needs to consider a strategy for deploying staff that have the expertise to address the social and recreational needs of the residents. Staff recruitment procedures were examined and were found to be satisfactory with the exception that only one written reference has been obtained for 3 staff recently employed by the home. The manager stated that a second reference had been requested but not provided by the referee. The inspector advised that in these circumstances that the manager has a copy of the letter sent to the referee. The home has 12 staff. Three staff have NVQ 2 and one NVQ 3. Two staff are enrolled nurses from overseas and their qualification is equivalent to NVQ 3 according to the manager. It was confirmed from the staff and the manager that each staff member will complete a course at Chichester College in dementia care. Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 23 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 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Improvements are needed in the way that the home is managed so that the environment is of an acceptable standard and that the social and recreational needs of the residents are met. EVIDENCE: Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 24 The manager has completed the NVQ 4 and Registered Manager’s Award. He described his roles in the home as that of manager, care worker and carrying out much of the maintenance of the home. This wide range of roles was discussed and the manager acknowledged that this has led to an over burden of responsibilities. The home’s management needs to concentrate on improving the outcomes for the service users in the provision of social and recreational stimulation, and in the upkeep of the environment. Staff described the manager as approachable. The views of relatives and involved professionals are obtained in questionnaires. These show that the staff are regarded as kind and polite. The manager collates this information and produces a report. There is no annual development plan based on the survey questionnaires. A monthly audit of the home is carried out and a report completed. The effectiveness of these quality assurance measures is doubtful given the number of matters that need to be addressed. The home did not return the CSCI Annual Quality Assurance Assessment, which is used by the Commission as part of the inspection process. Training is provided for staff in moving and handling, infection control and food hygiene. At the time of the inspection there were no staff trained in first aid. Service certificates confirmed that following have been checked by suitably qualified persons in the last year: portable electrical appliances, gas heating, fire alarms, fire extinguishers and emergency lighting. It was unclear when the home’s electrical wiring was last tested. This should be completed at least every 5 years. The fire logbook showed that fire alarms and emergency lighting are tested. Radiator covers have been installed to prevent possible burns to residents. Restrictors have been placed on windows for the safety of the residents and measures have also been taken to prevent possible scalding from hot water. Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 25 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 1 2 1 X 1 3 1 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 2 X 3 X X 2 Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Resident’s care plans must be based on full assessments of need, including personal care, mental health and social needs. Each resident must have a care plan. Resident’s care plans must include details of how the following needs are to be catered for: personal care, social and recreational needs and mental health and behaviour. 2 OP12 16 The home must provide residents with social, recreational, educational and occupational activities based on assessed needs. The home’s environment must safe, clean and well maintained. This includes the garden, loose paving slabs, decoration and carpets. The following must be addressed in communal areas: DS0000046710.V341548.R01.S.doc Timescale for action 14/09/07 14/08/07 3 OP19 23 14/10/07 4 OP20 23 14/10/07 Conifers Version 5.2 Page 27 • • • • 5 OP21 23 Damaged chairs, tables and side boards Damaged walls and loose radiator covers Chairs with missing cushions Poorly maintained garden 14/10/07 Bathrooms must be kept clean and be decorated to an acceptable standard. This includes flooring, tiling, grouting, decoration and a missing toilet seat. Toilets must flush. Each resident’s room and communal areas must have a call point, which residents can access. The following must be addressed in each resident’s room: • Damaged flooring • Inadequate curtains • Cracked wash hand basin • Damaged furniture including wash basin stands, drawers, commodes and wardrobes • Damaged paintwork on radiator covers, walls and ceilings • Curtains that do not provide privacy. The home must be kept clean and attention paid to the following: • Unclean carpets • Soiled bed linen walls and flooring • Odours caused by urinary incontinence Two written references must be obtained before a staff member commences work in the home. DS0000046710.V341548.R01.S.doc 6 OP22 23 14/08/08 7 OP24 23 14/10/07 8 OP26 16 14/08/07 9 OP29 19 01/09/07 Conifers Version 5.2 Page 28 10 OP30 18 Staff must receive the following guidance and training: • A structured induction • Meeting residents’ social, recreational, educational and occupational needs. The home must have an annual development plan including reference to the views of residents’ relatives and involved professionals as well as the physical environment. 14/10/07 11 OP33 24 14/10/07 12 OP38 13 Sufficient numbers of staff must 14/10/07 be trained in first aid so that there is a member of staff on duty at any given time that has completed basic first aid training. In addition to this the home must have one staff member who has completed a 4 day qualified ‘first aider’ course. 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 Temazepam is administered following controlled drug procedures so that staff are involved and sign a record including a count of any remaining medication. A controlled drug cupboard is used to store temazepam. 2 OP26 The location for the storage clinical waste bags is reviewed, including its location in a communal hallway. Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Conifers DS0000046710.V341548.R01.S.doc Version 5.2 Page 30 - 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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