Inspection on 29/07/05 for Craignair

This inspection was carried out on 29th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Craignair 16/04/07

Craignair 22/06/06

Craignair 06/12/05

Craignair 10/12/04

Craignair 09/07/04

Craignair 18/02/04

Similar services:

Chirnside House

Emmaus House

East Croft Grange

Croston Park Nursing Home

Conifers Nursing Home

Cloisters

Elmsdene Care Home

Crawfords Walk Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Craignair 3 Blundellsands Road West Blundellsands, Liverpool Merseyside L23 6TF Lead Inspector Trish Thomas Unannounced 29th July 2005 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. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Craignair Address 3 Blundellsands Road West Blundellsands Liverpool Merseyside L23 6TF 0151 931 3504 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) Mr. S. & Mrs B. Neale Mrs Bernadette Neale Care Home 21 Category(ies) of DE - Dementia registration, with number of places Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th December 2004 Brief Description of the Service: Craignair is a care home for 21 older people with dementia. The service is provided in a converted Edwardian house and provides care and accommodation in a homely setting. Home cooked meals and a laundry service are also provided. All residents are registered with a local G.P. The home is staffed throughout the day and night. Nursing care is not provided and care staff undertake NVQ training in direct care and related mandatory training. The home also provides 4 daycare places for people with dementia who live in their own homes. Craignair has a spacious and secure garden and is situated in a pleasant residential area, close to a train station and bus routes. The home is owned by Mr. S. and Mrs. B. Neale, and Mrs. Neale is also the registered manager. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a three-hour period. At 6.15am, Tracey Roby introduced herself as the person in charge (at 6/15am), and informed inspectors that there was one other member of night staff working with her. At 7.55am, Pat Hindle (Deputy) came on duty with three members of day staff. The manager, Mrs. B. Neale, was on annual leave at this time. Discussion took place with residents and staff who were on duty, records were inspected and water temperatures were tested. Two inspectors visited the home in the early morning in response to an anonymous complaint received at CSCI by telephone, during that week. There was evidence during the inspection that two members of night staff are getting residents up and dressed at an unreasonably early hour. There was no evidence that this is the case every morning, though daily diary entries would suggest that a number of people are up regularly before day staff come on duty. Staff have access to drink-making facilities throughout the day and night. It is cause for concern that residents were observed in the lounge and hallway, unsupervised and without a drink, whilst the two members of night staff were working upstairs. On entering the building, inspectors saw two residents asleep on chairs in the hallway, which would imply that they were not ready to get up. The majority of residents who could comment were not pleased to be getting up at such an early hour and having to wait over two hours for food and drink. A number of residents were frail and did not have the capacity to express their opinions. Some shortfalls were observed regarding maintenance of safe water temperatures in the home. These are regularly tested by the handyman but only a random sample test is carried out. The ongoing decoration was causing some unavoidable disruption to residents, as furniture had been moved into the main lounge and hallway whilst work was ongoing. However, the room being decorated, was clean and tools and materials had been cleared away. This lounge was made safe and suitable for residents during the inspection, and work would continue during the evening/night to cause minimal inconvenience. What the service does well: The home is well established as a provider of residential dementia care. The manager of the home, Mrs. Neale, and the majority of staff, have several years experience in caring for people who have dementia. A day care service has also been established on the premises and staffing levels have been Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 6 increased by one to support day care service users. The home is maintained to a very good standard and the surroundings are pleasant and secure. The manager has established a good communication and recording systems in the home and all procedures are linked to National Minimum Standards. During the inspection, some of the staff were observed talking to residents in a quiet and friendly manner, which residents responded to positively. Support was offered to residents to use the bathroom discreetly and staff took time to help residents at their own pace. What has improved since the last inspection? What they could do better: Standard 8 REG:- 12(1)(a)(b) The manager must ensure all residents are offered a drink when they awake each morning. Standard 7 REG:- 12(3) The manager must document in care plans the time each individual usually chooses to get up and their preferred bathing time. REG :- 12 (4) (a) The manager must ensure that records are written in language, which respects residents’ dignity. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 7 Standard 14 REG:- 12(2)(3) The manager must cease the practice of waking and getting residents up early in the morning. Standard 25 REG – 13(4)(c) The manager must arrange for staff to test and record temperatures of all water outlets residents have access to on a weekly basis. Standard 25 REG:- 13(4)(c) The manager must take immediate action if a water outlet to which residents have access is hotter than 43 degrees. Standard 9 REG 13(2) The manager must provide a lockable box for storing medicine in the fridge. Standard 9 REG:- 13(2) The manager must make sure all medication is locked up when not in use. Standard 9 REG:- 13(2) The manager must seek advice from their Pharmacist regarding the storage of vitamin injections. Standard 36. REG :- 18 (2) The manager must arrange formal supervision for all staff, which addresses the principles of service namely, privacy, dignity, autonomy, choice and independence. Standard 38. REG :- 13 (4) (a) The manager must provide CSCI with a copy of the home’s up to date gas certificate. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 8 The manager must arrange for small appliance tests to be carried out. Standard 38. The manager should ensure that cleaning equipment is not stored in the kitchen and that all cleaning equipment is maintained clean condition. 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. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 9 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 Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 10 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) x The home was not measured against standards 1-6 during this visit. EVIDENCE: N/A Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 8 and 9 The home was not meeting Standard 7. Shortfalls were noted with regards to residents’ choices and use of language in report writing. The home was not meeting Standard 8. Residents had not been offered a drink on getting up, and were clearly in need of fluids. The home was not meeting standard 9 with regards to storage of prescribed medication. EVIDENCE: Care plans were in place for all residents, but these did not include their preferences on rising and retiring times and bathing times. The language used in one care plan which was read, was not appropriate. On resident was referred to as “bad tempered” and this term is unacceptable. By 7.45am all but one or two of the residents was up, dressed and in the lounge. They had not been served a drink, some having been up since before 6.15am. Some residents said they did not get up by choice. Staff said that some residents are bathed during the day. It is not clear whether this is their preference, or for the convenience of staff. The District Nurse visits to provide some residents with vitamin injections, and the staff are storing these in the fridge in the kitchen. The injections were not Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 12 locked up and although the box advised to store at below 25 degrees, this is room temperature and not chilled fridge temperature. An open bottle of medicine was sitting on top of the fridge. Leaving medication in unlocked places and storing medicines incorrectly could lead to some discomfort or risk to residents. The home must provide a lockable box for storing medicine in the fridge and make sure no medicine is unsecured. They must also ask their pharmacist about how to store vitamin injections correctly. Medication is placed in pots directly from the pharmacy container, as it is administered to residents. This practice is included in the home’s medication procedure. Main stocks of prescribed medication are stored in a secured trolley in the dining room. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14 and 15 The home was not meeting standard 14.1 with regards to choice of rising and retiring times, and Standard 15.3, with regards to provision of regular drinks. Some of the staff in the home are waking residents up early and not offering a drink or anything to eat for hours. . This practice is clearly for the benefit or staff in the home and not residents, some of whom were clear that they had not chosen to get up at that time. The home is failing to respect residents’ choices and to make sure they have enough to drink at regular intervals to make sure they are comfortable. EVIDENCE: On entering the home at 6.25am, inspectors Trish Thomas and Lorraine Farrar noted that seven residents were up and dressed. Within minutes, a further three residents were accompanied downstairs by a member of staff. None of the residents had been served with a drink, either on waking or on coming downstairs. By 7.45am all but one or two of the residents was in the lounge. The building was warm and residents were sharing one lounge as the second lounge was being decorated. A member of staff on duty said that residents would be given a drink at 8am when the cook came on duty, or if they asked for one. A member of night staff confirmed that she and her colleague (who usually work together), start to get people up at 5.30am. She was not sure what time other night staff would assist residents to get up. Statements made by residents on rising times are as follows. One resident said that it didn’t Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 14 bother her what time she gets up. Another said that she did not get up early by choice and a third said she had not got up the first time staff had called her. One lady said that she would rather be in bed. Residents were left in the lounge without supervision while staff were working upstairs. Some of the residents are frail and lack capacity to ask for a drink or express feelings of discomfort and could be at risk of dehydration. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home was meeting standard 16 with regards to responding to complaints. The un announced inspection was carried out in response to an anonymous complaint received by CSCI. EVIDENCE: The home has a complaints procedure, which is accessible to residents’ representatives, and the manager, Mrs. Neale, is known to respond promptly and in a fair manner to complaints, in accordance with this procedure. During this inspection, Lorraine Farrar investigated an anonymous complaint which had made to CSCI by telephone. The outcomes are as follows :• The hot water is not hot enough in all but two of the upstairs bedrooms. When asked about the hot water one member of staff said that “it runs fine for me on the top floor, might be a problem on bottom floor –I think it had been reported, we get water from the bathroom and fill the sink.” Another member of staff said that if the water from the hot tap felt cold, they get water from somewhere else, when asked if the water would heat up if left to run she replied “no” At 6.30 Hot water was tested by hand in bathrooms and bedrooms were residents were up. Bedrooms 2,3,4, 6,7, 13, 14,19 and bathroom 2 middle floor water felt acceptable. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 16 Bedroom 1,10, and bathroom sink and bath next to bedroom 5 water was very hot to touch. Records of water temperatures were examined, these evidenced that temperatures for sinks and baths are taken for only 2-3 outlets per month. For July these recorded, Room 15 – 43.6 room 16 – 46. At 9.15 am. the handyman and Lorraine Farrar Inspector tested the temperature in some rooms with an electric probe, these recorded as: Room 1 – 44.4 Bath and sink in bathroom next to room 5 – sink – 42, bath – 48.9 Room 10 – 45. The handyman said he would adjust these that day. The complaint is not upheld in that there was no evidence of water outlets not being hot enough. However the home have failed to protect residents from risk of scalding as several water temperatures recorded as above 43 degrees recommended for residents safety. • Allegation that residents are woken up between 5.30am –6am to suit the staff. At 6.20am , inspectors observed four resident seated in the lounge and three in the hall, two of whom had fallen asleep in chairs. At 6.30am another three residents came downstairs in the lift. All residents who were up, were fully dressed. In response to a comment about being up early, one resident said “not through choice” and that she had been up for a while. When asked if they would rather be in bed, one resident replied “of course” and another, “it doesn’t bother me.” A member of staff was told there had been a complaint about the time staff get residents got up and said “ all have different opinions, I don’t agree, I don’t need a lot of hours sleep, I know who to get up”. Both of the staff on duty said that if residents like a long lie in they are left in bed and that one resident had got up very early and if residents do, that they are helped to get ready. A member of staff said that they had started to get people up at about 5.30am, as one resident was awake, they are usually finished getting people up about 6.50am. She explained that residents sleeping on the top floor were awake. When informed that some residents had said they were woken she said “maybe on the middle floor”. One member of staff explained that residents usually go to bed between 9-11pm and that when they finish their shift at 8am there are usually between 17-18 residents up, she confirmed that none of the residents are in bed when night staff start their shift at 8pm. Staff were asked if this is common practice and said different staff “probably do different things”. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 17 Another member of staff said that they start getting people up between 5.306am, that staff go into the room and ask if the person wants to get up, and residents don’t have to get up. A member of staff was heard commenting to a resident that they were up early to which the resident replied, “well I didn’t get up the first time you called me” At 6.20 am, residents were asked by inspectors if they had had anything to eat, two said “no” when asked if they had had a drink again both said “no”. A member of staff was asked what time breakfast is served and said it was at 8am. When asked if residents get a drink she explained, “If they ask” A second member of staff said that the cook makes breakfast and gives out drinks when she comes on duty, the first drink will be about 8.30am. When the cook came on duty she was asked and said she usually gives residents a drink about 8.10am. . The Inspectors observed that residents did not get given anything to eat or drink until breakfast was served at approximately 8.10am. Both Inspectors noted that the home was very warm and they felt uncomfortable and in need of a drink. Care plans did not state the time a person likes to get up and daily records recorded that residents were ‘up by 7’. The complaint is upheld in that residents are up and dressed in the lounge between 5.30am – 6.30am. Residents stated that they did not want to be up and some were observed to be asleep, given the time staff state residents go to bed they are getting less than the average 8 hours of sleep which most people require. If asleep by 11pm and woken at 5.30 am, the person would have a maximum of 6.5 hours sleep. Poor practice was noted in that residents are not offered a drink or anything to eat until breakfast is served at 8.10am. By this time some residents have been up and seated in a warm room for 2 hours 40miutes. Requirements are made in the relevant section of this report. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20,24,25,26 The home was meeting Standards 20,24 and 26. The home is comfortably furnished with a secure and well-maintained garden. The home was clean and hygienic at the time of inspection. The home was not meeting standard 25 with regards to maintaining hot water at a safe temperature. EVIDENCE: The home has two lounges and a dining room on the ground floor. The main lounge and the dining room are pleasantly decorated and furnished. The second lounge was being re-decorated. This was causing some temporary inconvenience to residents at this time, as a number of armchairs had been moved into the hallway and second lounge. Lounge two was made suitable for residents’ use during the inspection, although decoration was incomplete and would continue during the evening. Four day-care service users were expected after breakfast and the extra space was needed. Outside, the home has large attractive gardens with the back garden enclosed for safety. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 19 All of the bedrooms have, a sink fitted, en-suite bathroom or a bathroom near by. Bedrooms visited were tidy with decoration and furniture to a good standard and resident’s personal possessions on display. Water temperatures were tested by hand in ten bedrooms and two bathrooms. In eight of the bedrooms and one bathroom this was at an acceptable temperature, but in two bedrooms and one of the bathrooms the water was very hot. This was later tested with the home’s handyman, in bedroom 1 the water was 44.4 degrees, in bedroom 10 it was 45 degrees and the bath next to room 5 was 48.9 degrees. To make sure residents are not at risk of scalds, the temperature in sinks and baths must be close to 43 degrees. The handyman agreed to take action to lower the water temperature in those rooms. Water temperatures are tested, however each outlet is only tested every few months as tests are randomly undertaken. The home must test and record temperatures of all water outlets residents have access to, on a weekly basis to make sure they are at safe temperature. The manager must take immediate action if a water outlet to which residents have access is hotter than 43 degrees. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 20 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 The home was meeting standard 27. There are sufficient numbers of staff on duty to met current residents needs, however some tasks and support to residents is carried out at a time to suit staff and not residents. EVIDENCE: There are two staff working in the home between 8pm and 8am, staff spoken with said that they did not feel under pressure although one said that she thought there should be more staff at night. The majority of residents were woken and helped to get dressed by night staff, who had also tidied bedrooms. During the morning, there are four care staff on duty, one of whom is allocated to those receiving day care. Morning staff were able to help residents with breakfast and some personal care and did not appear too rushed. A cook is on duty to prepare meals and drinks and domestic staff are employed. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 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 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) 36,38 The home was not meeting standard 38 as shortfalls were noted as stated below. The home was not meeting Standard 36 with regards to formal supervision of staff. EVIDENCE: The kitchen appeared clean and tidy however there was a very dirty dustpan, brush and mop stored in there. The cook explained that these are brought in at night for staff to use and stored elsewhere during the day. These must not be stored in the kitchen at any time as they could spread infection. Good records are kept in the kitchen of food and fridge temperatures. As listed in other parts of this report the temperature of water form some taps could lead to residents being scalded. The fire book was up to date and checks of equipment, emergency lights and doors had been carried out. Small Appliance Tests 23/7/04 (update) Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 22 Gas Inspection Certificate 22/6/04 (update) Electrical Certificate 2/7/04 Lift Certificate 29/6/04 Staff confirmed that they have not received formal supervision recently although staff appraisals are undertaken six monthly. In relation to the complaint with regards to residents’ rising times, it is a requirement of this inspection that all staff receive formal supervision, which will address the principles of service namely, privacy, dignity, autonomy, choice, rights and independence. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 1 15 1 COMPLAINTS AND PROTECTION x 3 x x x 3 1 3 STAFFING Standard No Score 27 3 28 x 29 x 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 x x x x x 1 x 2 Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 24 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 8 Regulation Requirement Timescale for action 30/7/05 2. 7 3. 7 4. 14 5. 25 6. 25 12(1)(a,b) The manager must ensure all residents are offered a drink when they awake each morning.Timescale ongoing from the date stated. 12 (3) The manager must document in care plans the time the individual usually chooses to get up and their preferred bathing time.Timescale ongoing from the date stated. 12 (4) (a) The manager must ensure that records are written in language which respects residents’ dignity.Timescale by date stated. 12 (2) (3) The manager must cease the practice of waking and getting residents up early in the morning. Ongoing from the dated stated. 13 (4) c The manager must arrange for staff to test and record temperatures of all water outlets residents have access to on a weekly basis. Ongoing from the date stated. 14 (4) c The manager must take immediate action if a water outlet to which residents have access is hotter than 43 degrees. F53 F03 S5411 Craignair V242194 290705 Stage 4.doc 30/7/05 30/7/05 30/7/05 30/7/05 30/7/05 Craignair Version 1.40 Page 25 7. 9 13 (2) 8. 9 13 (2) 9. 9 13 (2) 10. 38 13 (4) a By 5/8/05 The manager must provide a lockable box for storing medicine in the fridge. By the date stated. The manager must make sure all 29/7/05 medication is locked up when not in use. Ongoing by the date stated. The manager must seek advice By 5/8/05 from their Pharmacist regarding the storage of vitamin injections. By the date stated. By 5/8/05 The manager must provide CSCI with a copy of the home’s up to date gas certificate.(Received at time of report). The manager must arrange for portable appliance tests to be carried out. The manager must arrange formal supervision for all staff which will address the principles of service. To be completed by the date stated. By 31/8/05 29/10/05 11. 12. 38 36 13 (4) a 18 (2) 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 38 Good Practice Recommendations The manager should ensure that cleaning equipment is not stored in the kitchen and that all cleaning equipment is maintained in a clean condition. Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Burlington House, South Wing, 2nd Floor Crosby Road North Waterloo, Liverpool L22 0LG 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 Craignair F53 F03 S5411 Craignair V242194 290705 Stage 4.doc Version 1.40 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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