Inspection on 25/05/06 for Cranmore House

This inspection was carried out on 25th May 2006.

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

Other inspections for this house

Cranmore House 12/06/07

Cranmore House 15/02/06

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Cranmore House 107 Sutton Road Erdington Birmingham West Midlands B23 5XB Lead Inspector Jane Walton Unannounced Inspection 25th May 2006 09:00 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 Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 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. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cranmore House Address 107 Sutton Road Erdington Birmingham West Midlands B23 5XB 0121 373 9784 F/P 0121 373 9784 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) Dr Jayshree N Patel Mrs Hemlata Patel, Mr Ullas Ambalal Patel, Mr Mukesh Patel, Mrs Dipika Patel, Mr Kirit Patel, Dr Jivantika Patel, Mr Narendra Patel Mrs Thomasine Elaine Singer Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. That the home can accommodate up to 22 residents for reasons of old age (OP) excluding all other categories. That the owners carry out an audit of all bedroom facilities including carpets and furnishings and replace any item no longer fit for use by October 2006 Audit of all external window and door frames. Repair or replace those identified and specifically all ground floor bedrooms by October 2006. Floor covering to the dinning area and by the kitchen is replaced by June 2006. That the registered person submit plans by October 2006 for improving the laundry location and facilities. 15th February 2006 Date of last inspection Brief Description of the Service: Cranmore House is a large Victorian detached property on Sutton Road in Erdington. It is situated a few yards from the crossroads with the Chester Road and the Yenton Public house and the Chester Road shopping centre. Public bus services run past the home and Chester railway station is within easy walking distance. Local amenities are close by. The property has an extension to provide accommodation for twenty two older people. Care facilities are provided on the ground and first floor, and the second floor is used for administration purposes. The ground floor has one large and one small lounge, kitchen, dining room, laundry, toilet and bathroom facilities. There are four single and two double bedrooms situated on this floor. The first floor has ten single and two double bedrooms, together with bathing/shower facilities and toilets. None of the bedrooms has en suite facilities. There is a passenger lift to access the first floor. Parking is available to the front of the building, and a large mature garden at the rear, with patio and a lawn is accessible for the residents. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Key Inspection of Cranmore House and was carried out over 2 days in May 2006. There were 19 residents in the home, and the inspector was able to speak to 12 of them. Further information was obtained by speaking with 2 visitors, 2 social workers, formal discussions with 2 members of staff and informal discussions with a further 4. A sample of staff and residents records were examined, a full tour of the premises undertaken, and discussions with 3 of the partners who own the care home, 2 in person and one on the telephone. The deputy manager was no longer working at the home, but the assistant manager, who is newly appointed, but familiar with the home, was present throughout the inspection. What the service does well: What has improved since the last inspection? Overall a range of improvements were seen during this inspection. The standards of the care plans has improved, and only a few remain to be updated, and the quality of the daily records for the residents is far more informative. The residents are now being involved far more with the production of their care plans and their input is being sought, although at this stage on an informal basis, about the improvements to the home. Residents are encouraged to be as independent as they can be, and attempts are being made to introduce a programme of activities and entertainments suited to their tastes and abilities. Improvements have been made to the meals provided, residents were consulted about what they would like to be offered on the menus, and a new 4 week rolling menu has been introduced and Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 6 is displayed in the dining room. Where residents change their mind, or do not like what is offered, alternatives are available. Several improvements have been made to the general environment of the home, including the fitting of new floor coverings in parts of the home, some painting, and new carpets in some bedrooms. New duvets, pillows and bed linen has been provided, which is very cheery. The planned improvements are ongoing. There is now a regular training programme to ensure all staff have the statutory training they require. Additional training will also be offered, and a programme of staff supervision has been introduced. Two of the partner owners are undertaking the NVQ2 in care so that they may have a better understanding of the requirements of the residents, and this is commended. The general record keeping and documentation throughout the home has improved greatly. What they could do better: 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. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6 Progress has been made in ensuring that the residents needs can be met appropriately. Prospective service users require up to date information to enable them to make an informed choice whether to live in the home or not. EVIDENCE: The Service Users Guide and Statement of Purpose are not yet available in an updated format. There had been no new admissions to the home since the last inspection, so it was not possible to assess the pre admission procedures, although the assistant manager was able to demonstrate her knowledge of the importance of a thorough pre admission assessment to ensure the home could meet a prospective residents needs. The 2 residents that had been identified at the previous inspection as being out of registration category due to their age, have now been fully assessed to identify their needs. The home was able to demonstrate that those needs can be met satisfactorily, and appropriate variations to the registration have been applied for. The home does not provide intermediate care. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 Residents are generally well supported by the care staff to ensure that their health and personal care needs are met appropriately. The medication is well managed promoting good health. Residents are treated with respect and their privacy is upheld. EVIDENCE: A sample of residents’ care plans were examined. It was evidenced that a lot of progress had been made towards providing a detailed and holistic plan for the residents, although not all have yet been completed. 2 of the 3 plans examined were fully completed, and the third, partially. The new plans had identified needs, a range of risk assessments had been carried out, including moving and handling and nutrition, and a comprehensive plan of how to manage the needs was available. A social history had been compiled, and it was evidenced that the residents had been involved in the production of the care plan. One resident said “I know I have a care plan, and I signed it”. The daily records of the residents lives in the home were also seen to have improved, and contained far more detail. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 10 Evidence was seen that residents have input from a GP and other health care professionals including optician, chiropodist and the dietician. One resident had been seen that morning by the GP, and was accompanied to the hospital by a carer for a routine chest Xray that afternoon. All the residents in the home have recently undergone a full review of their care by social workers, and monitoring visits have been undertaken by them. The inspector was able to speak to a social worker in person who said that they had “no serious concerns about the care their clients were currently receiving”. An audit of the medication management in the home was carried out, and was found to be of a high standard. A service is provided by a local pharmacy and the pharmacist carries out regular random checks of the medication. The home uses a Monitored Dosage System (MDS) in the main together with a few boxed medicines. The arrangements for the storage of medications is temporary at present, and the drug trolley was securely attached to the wall in the dining room. The temperature of the drug fridge is recorded daily and is within the accepted range. Although there is a controlled drug (CD) cupboard, it needs to be secured to the wall. The inspector was informed that steps were being taken to find a more appropriate place for the storage of the medications, and once completed, the CD cupboard was to be secured. It currently is kept in a locked cupboard. There were no residents who had CD’s. There were photos of individual residents for identification, and copies of prescriptions for cross referencing and safety are kept with the Medicine Administration Record (MAR) charts. A sample of MAR charts were examined, and found to be accurate with no gaps. The boxed medicine counts were correct. One resident self administers her inhalers, and an appointment had been made with the District Nurse to come and assess that the technique is effective. Interaction between staff and residents was observed and there appeared to be no issues regarding the respect accorded to residents. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Overall, the dietary needs of residents are well catered for with a balanced and varied selection of food available, that promotes their well-being. The systems for consultation with the residents in the home are improving, with their views both sought on an informal basis and acted upon. The activities provided for residents are increasing and generally match their expectations and preferences, thus contributing to their quality of life and independence. EVIDENCE: Staff in the home are working towards providing a varied programme of activities for residents. Some residents are fairly active, but others require motivating to join in with things. Residents spoken to said that “line dancers came in, which we enjoyed watching”. One of the owners said that a violinist from the BPO was going to be coming in to play for the residents, as they knew the owners. 3 residents attend a day centre, referred to by the residents as “the club”, where they “ have lunch, play cards and Bingo and chat”. 2 of the residents who attend stated that they really enjoyed going, and transport is provided. 2 residents sometimes go out to the local pub for “half a pint”, and another had been out for the day with her relative, something they do regularly. A member of staff was taking a resident out shopping that afternoon. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 12 The home has several residents who smoke, and facilities are provided for them with a separate small lounge, overlooking the back garden, with ventilation. It was observed that the door of the lounge is kept closed to prevent smoke permeating through the home. This room has recently had new floor covering and a television installed. A fire risk assessment has been carried out, and signed, but has not been dated. Discussions with residents revealed that they are encouraged to be as independent as possible, and exercise control over their lives where they can. For example 1 resident stated that “ I get up at 7am and go to bed at 9pm, that’s my choice”. Another resident stated that “ I can go to bed when I like, and get up when I like. I can also eat when I like, if I’m not hungry when they serve dinner, I can have it later. That’s nice, I think”. Discussions with members of the new owners partnership revealed a unanimous ethos for the home, that residents should be allowed choice and should be involved in what goes on in the home, and their views are important and will be listened to. Some of the residents have had new bedroom carpets fitted, and the inspector was told that residents had been fully consulted in choosing colours they wanted. Also they had been involved in choosing the colour of the new flooring in the corridors. Although there was evidence that residents are being consulted on an informal basis, there are currently no formal residents meetings being held. Since the last inspection, a new 4 week rolling menu has been produced, that demonstrates that a varied and nutritious diet is provided for the residents. The relevant days’ menu was displayed on the dining room wall, and the meals served on both days of the inspection corresponded with that on the menu. The inspector was informed that the residents had had input into the type of dishes served. Lunch on the first day of the inspection was served at 12.30, in the dining room. A new laminate floor has been laid in the room and looks very smart. There are six dining tables that can accommodate all residents in one sitting. New placemats and coasters were in evidence. The new dining chairs were comfortable. New linen tablecloths were on order and will match the new linen napkins that were seen. The meals served were a choice of roast chicken, stuffing, boiled and roast potatoes, mixed vegetables and gravy, or a choice of omelettes. Desert was a choice of cherry cheesecake or ice cream, or both. The meal was very well cooked and presented, and residents appeared to enjoy the food. Several commented that the food had improved, and there was now always a choice. One resident was observed to eat very little, despite encouragement from staff. It was explained that the resident had a poor nutritional intake and had been referred to the dietician for assessment. At tea time, residents were asked what they would like, and five of them asked for scrambled eggs on toast. A choice of sandwiches was also available, together with cakes and tea. One resident spoken to said that they “liked being able to choose what they wanted for their tea, like in your own home” Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 There is a complaints procedure so that residents and their relatives may make a complaint if they wish to do so. The procedure for Adult Protection follows local guidelines and the policy ensures residents are protected from abuse. EVIDENCE: Since the last inspection there had been 1 concern expressed to the Commission for Social Care Inspection and one allegation. In both cases it was evidenced that the correct procedures had been followed by the home, according to their policies. The concern was investigated and resolved and the allegation is ongoing. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26 Redecorating and refurbishment of the environment of the home are ongoing and mean that residents have improving conditions in which to live. EVIDENCE: There was evidence that a programme of improvements to the environment of the home has begun. As part of the conditions of registration of the home for the new owners, new flooring has been laid in some of the downstairs corridors and a laminate floor in the dining room. Audits have taken place of the windows throughout the home, and of the furnishings of the residents’ bedrooms. New duvets, pillows and bed linen have been provided, and some new carpets and curtains fitted. Replacement call bell units have been fitted to some bedrooms. Bedrooms have privacy locks fitted. The downstairs toilets have raised seats fitted, and electric hand driers purchased for all toilets and bathrooms. Grab rails are also to be fitted in the toilets. The residents bedrooms are personalised to their tastes, with personal items such as pictures and ornaments in evidence. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 15 Architects have been consulted regarding the relocation of the laundry and the medication storage facilities, and the office, currently on the second floor, is to be moved into the existing location of the laundry. Also as part of future plans, a new kitchen is to be fitted. There were no paper towels or liquid soap provided in the staff toilet. A double bedroom requires the privacy screening to be extended. Residents are to be involved in how the sitting room is to be refurbished. At the time of the inspection the home was clean and smelt fresh. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 , 29, & 30 Increased numbers of care staff qualified to NVQ2 would enhance the safety and quality of care provided to residents. The generally robust recruitment procedure helps to protect the residents. EVIDENCE: At the time of the inspection there was a senior carer and 2 care assistants, one of whom was from an agency, on duty for 19 residents. The assistant manager came in for the duration of the inspection. The staff rotas that were examined demonstrated that there were generally 3 carers on duty during the day and 2 waking night staff. Shortfalls in staffing are covered by agency staff. The inspector recommended that where the assistant manager was on duty, she should be supernumerary, and not included as a carer delivering care on that shift. The inspector was informed that the assistant manager was due to commence working 9-5pm in 2 weeks time. The owners are currently in the process of recruiting 2 new care staff for day shifts. The permanent housekeeper was off, so an agency domestic was covering. The home also employs a cook and kitchen assistant. There are currently only 40 of the care staff who are trained to NVQ level2, and this is below the percentage required. During the inspection, one afternoon, there was a training session taking place, attended by 10 of the care staff, including the night staff, who were not working that night. The topics covered were moving and handling and Abuse Awareness. Evidence was seen that staff had received the statutory training Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 17 required. There are currently no formal Induction or foundation training programmes in place. A sample of staff files were examined, including those of 2 recently employed members of staff. The home appears to have a generally robust recruitment procedure, however, neither file had a current photograph, and one had no evidence that a CRB and POVA check had been carried out. The evidence of the CRB was subsequently faxed to the CSCI the following day, as it had been done, but had been misfiled. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36, 37, & 38 EVIDENCE: The registered manager of the home, who under an agreement with the new owners is to be providing management support for the home, until a new manager is appointed, was not available for either day of the inspection. The inspector was informed that she came in most days, but could not be contacted whilst the inspector was in the home. The recently appointed assistant manager was in charge, who is a very experienced carer, and is very well supported by the partner owners and the Responsible Individual. The deputy manager had resigned her post at very short notice, and until the owners have recruited a permanent manager, the home lacks experienced management support. Discussions with one of the partner owners revealed that they had interviews booked, and until such time as a manager was appointed, they were looking to possibly employ a manager from an agency as Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 19 a temporary measure. The current lack of a manager in post is of concern, however, there was no evidence that the residents were being placed at risk. The general day to day operation of the home appeared to be satisfactory, and general improvements were still ongoing. Discussions with members of the partner owners confirmed their commitment to the home, and to the improvements required to ensure the residents receive a high quality of care and lifestyle in the home. To this end, the introduction of a Quality Assurance programme is planned, although as yet it has not been formally implemented. Evidence was seen that residents views are being sought on an informal basis. Resident and staff meetings are yet to be organised and documented. A programme of staff supervision has been implemented, and evidence was seen of this, although not all staff have undergone supervision yet. One of the partner owners is currently taking steps to ensure that all funded residents are receiving the personal allowance that they are entitled to. The home now has a range of policies and procedures that follow local guidelines where required. Evidence was seen that regular testing of the fire alarms and emergency lighting is carried out. Checks of the smoke detectors and fire extinguishers are up to date, and a fire drill was last held on 21/4/06. The fire risk assessment has been completed, but had not been dated. Records indicated that the passenger lift had been inspected recently, and the hoist in the home is brand new and appropriate slings were available. Several documents were not available for inspection, and copies of these were required to be forwarded to the CSCI without delay. They included the landlords gas certificate, 5 year electrical wiring certificate and the PAT testing certificate. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 1 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 2 2 2 2 2 2 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 2 x x 2 3 2 Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 21 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 OP1 Regulation 5 Requirement Timescale for action 31/08/06 2 OP7 3 OP12 4 OP10 The Registered Person must ensure that a fully amended Statement of Purpose and Service users Guide that accurately reflects the services offered by the home is available for all current and potential residents. 15 All residents must have a 31/07/06 comprehensive pre- admission assessment undertaken to ensure that the home can adequately meet their needs. 16(2)(m,n All residents must have access to 31/07/06 ) enjoy activities that matches their expectations and preferences. 12(4)(a) Adequate privacy screening must 30/06/06 be provided in all double occupancy bedrooms. This requirements is carried forward. A quality control measure must be put in place for customer satisfaction of meals. The dining room tables require refurbishment or replacement. Plans for the relocation of the DS0000064262.V290209.R01.S.doc 5 6 7 OP15 OP19 OP19 12(2)(3) 13(4) 13(4) 30/06/06 31/10/06 31/08/06 Page 22 Cranmore House Version 5.1 8 OP28 18(1)(a) 9 OP30 12(1)(a)( b)8(1)(a)( c) laundry and medicine storage must be submitted to the CSCI when available. The Registered Person must ensure that there are at least 50 of care staff trained to NVQ level 2. The Registered Person must ensure that there is a formal induction and foundation programme for all new staff. This requirement is carried forward. The home requires a manager who has the qualifications, skills and experience necessary for managing the care home, and at least 2 years experience in a senior management capacity in the managing of a relevant care setting within the last 5 years. This requirement is carried forward. A formal Quality Assurance system must be implemented within the home, to monitor, maintain and improve the services offered. (Outstanding since 8/4/05) Formal recorded supervision for all staff must take place at least 6 times per year. (Outstanding since 8/4/05) Copies of the current gas certificate, PAT testing and 5 yearly electrical wiring certificates must be forwarded to the CSCI. The Responsible Individual must ensure that adequate management support is provided in the home until such time as a suitable permanent manager has been appointed and is in post. DS0000064262.V290209.R01.S.doc 30/05/07 31/08/06 10 OP31 9(1) 2(b)(i) 30/09/06 11 OP33 24(1)(a)( b) 31/10/06 12 OP36 18(2) 31/07/06 13 OP38 12(1)(a) 30/06/06 14 OP31 9(1) 30/06/06 Cranmore House Version 5.1 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP27 Good Practice Recommendations It is recommended that the manager or assistant when in charge of a shift are supernumerary and not part of the care staff complement. Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Cranmore House DS0000064262.V290209.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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