Inspection on 15/01/08 for Curzon Park Residential Home

This inspection was carried out on 15th January 2008.

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

Curzon Park Residential Home 01/03/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Curzon Park Residential Home 13 Curzon Park South Chester Cheshire CH4 8AA Lead Inspector June Shimmin Key Unannounced Inspection 15 and 17 January 2008 09:45 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 Curzon Park Residential Home DS0000067766.V351564.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. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Curzon Park Residential Home Address 13 Curzon Park South Chester Cheshire CH4 8AA 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) 01244 677666 Curzon Professional Services Limited Post Vacant Care Home 25 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (25) of places Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 25 service users to include: * Up to 25 service users in the category of OP (Old age, not falling within any other category) * Up to 4 service users in the category of DE(E) (Dementia over the age of 65) 1 March 2007 Date of last inspection Brief Description of the Service: Curzon Park is a care home providing personal care for up to 25 older people, four of whom may have dementia. The home is an adapted two-storey house in a residential area within half a mile of Chester city centre. The home has 21 single and two double bedrooms. Seven of the bedrooms have an en-suite toilet and all have washbasins. Bedrooms and bathrooms are on both floors. The main staircase between the ground and first floors has a stair-lift. However, residents who have a bedroom on the first floor need to be able to walk up one small fight of stairs to reach their bedroom. There are two lounges on the ground floor and a separate dining room. The home is set in mature gardens and there is a pleasant garden and courtyard where residents and their visitors can sit. The weekly charge to residents was between £353.91 and £450. In addition to this residents would have to pay for hairdressing, private chiropody and a personal telephone. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is no stars. This means that the people who use the service experience poor quality outcomes. An unannounced visit took place on the 15 and 17 January 2008 and was done by one inspector. This visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were made available for families, staff and care professionals to find out their views. Other information received since the last key inspection was reviewed. During the visit various records and the premises were looked at. A number of people living in the home, relatives and staff members were spoken with; they gave their views about the home and the service provided. The new manager started working at the home five weeks before the inspection. What the service does well: What has improved since the last inspection? New carpets have been laid in the two lounges, main corridors of the ground floor and stairs. The two lounges have been redecorated and new curtains provided. This has improved the internal environment of the home so that people live in more comfortable surroundings. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 6 Two new gas boilers have been installed making the central heating and hot water system more efficient so that there is always warmth and hot water when people need it. A new shower has been added to the ground floor bathroom so that people living in the home have the option to take a shower. There has been a change of manager so that the home should be better managed. A new keypad system has been introduced so that visitors have to ring the bell to gain access, making the home more secure. Visitors have to sign a book when they enter or leave the home to ensure fire safety. What they could do better: People for whom the home is not registered to provide care should not be admitted, as staff may be unable to meet their care needs. Care plans and risk assessments should be provided for all people living in the home to show clearly what action is going to be taken to meet people’s needs and to keep them as safe as possible. Care plans and risk assessments should be reviewed regularly and changed to reflect when people’s needs change. Full checks on new staff must be carried out to make sure they are suitable to work in a care home and that the people living at the home are protected from possible harm. The owners should visit the home every month to find out whether the home is providing a good service and prepare a written report about this to show that they are monitoring standards at the home. CSCI should be informed without delay about any significant events occurring in the home as required by law. All people working at the home should receive regular training in fire safety and take part in fire drills so they know what to do if there is an emergency. The fire risk assessment needs to be brought up to date to show that the owners have taken appropriate action to reduce the risk of fire in the home. All staff involved in moving and handling should undertake training in this subject so that they are able to move people safely. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Curzon Park Residential Home DS0000067766.V351564.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 Curzon Park Residential Home DS0000067766.V351564.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 adequate. This judgement has been made using available evidence including a visit to this service. People who are thinking of moving in are given information about the home but only have some of their needs are assessed before moving in so that staff may not be aware of all their care needs. EVIDENCE: Information about Curzon Park is displayed at the main entrance. A copy of the most recent inspection report is also available on request. One person living in the home said that his wife had found the home and described it as “fantastic.” A relative said that she had done research and had just turned up. She said that she and her mother were introduced to other people living in the home and liked the atmosphere. No one has moved into Curzon Park since the new manager started work there. The assessment of a person admitted to the home under the previous manager was seen. A senior carer carried out the assessment as the manager Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 10 was unavailable. The content of the assessment included some of the information needed to help the home decide whether it could meet the person’s needs. The person’s next of kin provided further information so that the home had more useful information about the person and their needs. A review of other people who had moved into the home since the last inspection showed that one person was not within any of the categories for which the home is registered. This means that staff at the home may not be able to meet that person’s specialist care needs. Curzon Park Residential Home DS0000067766.V351564.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 poor. This judgement has been made using available evidence including a visit to this service. A lack of care plans and risk assessments means that some people’s needs may not be fully identified and met. EVIDENCE: Three care plans were seen during the visit. One was for a person who had recently moved into Curzon Park. Although there were daily records about the person there was no care plan and no risk assessments so there was nothing to show what care the person needed, what was to be done to meet those needs, the risks involved and how these were going to be managed. A second person who had moved in had mental health needs for which the home is not registered to provide care. There was a risk assessment completed for moving and handling when the person moved into the home and a general risk assessment, which identified other risks. No care plans were provided even though the person had specialist care needs. The risk assessments had not been reviewed since the person came to the home six Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 12 months ago so that any changing needs had not been recorded and no evaluation had been made about whether the care provided was effective. The third care plan looked at was for someone who had been living at the home for a year. The care plan was good in content but had not been evaluated during the previous year to assess whether care provided was meeting this person’s needs. A moving and handling risk assessment was done when the person moved into the home but again had not been reviewed to reflect any changing needs. Records showed that care staff referred people to health professionals such as GPs, district nurses and others for advice and support about people’s health. Social and health care professionals recently raised concerns on two occasions about the quality of risk assessments and care plans in the home. Records indicated that the home had not provided sufficient documentation and care in relation to preventing people developing pressure sores. The new manager is aware of problems about this and has started to make sure that staff have up to date information on how to prevent pressure sores from developing. Medication is fairly well managed but the medication policy is out of date in relation to best practice and needs to be reviewed so that the advice given is correct. The storage of controlled drugs is unsatisfactory and does not meet with legal requirements. Care staff treat people living in the home with dignity and respect so that they feel they are well cared for. Comments such as, “they are extremely kind and patient” and “they appear to have a personal interest in all their clients” were made. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home may not always be offered choice in their daily lives and the lack of activities means that people are at risk of boredom or social isolation. EVIDENCE: Staff and relatives made a number of comments about the lack of activities provided for people living in the home. One relative said, “they attempt to stimulate her mental condition/memory with a range of activities” whereas another told us, “my only concern is that there are not enough activities to reduce her boredom levels.” Staff were concerned that they did not have enough time to provide activities. There was little recorded evidence that activities were provided on a one to one basis and limited evidence of group activities. Those provided monthly were bingo and dominoes. It was difficult to assess whether the religious needs of people were being met as their religion was often not recorded when they moved into the home. We were told that people of the Roman Catholic faith were able to receive communion. One person had attended a spiritualist church on one occasion. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 14 Visitors said that they were made to feel welcome at the home and found the staff kind and approachable. Several people said that the standard of catering was good, whereas others only described it as being alright. One person was unhappy because the main meal served at 11 45am had included chicken, which the person did not like. This dislike was recorded on the person’s assessment and care plan. No one had noticed that the chicken had been left and so an alternative was not offered. Although the cook said that alternatives were available these were not made clear to people in the home. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A lack of adequate policies and training in adult protection procedures means that staff may be unaware of their responsibilities so putting people living in the home at potential risk. EVIDENCE: Curzon Park has a complaints procedure, which is displayed in the entrance of the home. People living in the home and relatives were aware of who they could speak to if they had any concerns. The new manager was unable to find the complaints book as the former manager had not said where it was kept. Information received before the inspection stated that four complaints had been received by the home in the previous year. One relative had sent a concern to the CSCI. The new manager said that since she had been in post one complaint had been received which she had dealt with. The home has a copy of the No Secrets policy which is a national document advising about adult protection. It also has its own policies on whistle blowing and adult protection but these need to be updated to reflect current best practice. The new manager said that although the previous manager had undertaken training in this subject she had not passed on any training or information to staff in the home so that they may be unaware of their responsibilities. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A number of improvements have been made so that people live in more comfortable surroundings but the bathing facilities are only of an adequate standard. EVIDENCE: Curzon Park is set in mature gardens in a pleasant residential area within halfa-mile of Chester City centre. The home is an adapted two-storey building with a purpose-built extension that was added in 2000. Access to the first floor is via a staircase that has been fitted with a chair lift. At the top of the staircase there are another three steps to the left and to the right, which have to be negotiated by people living in the home who have a bedroom on the first floor. This means that people who live on the first floor need to be quite mobile. The new owners have not indicated whether they will install a passenger lift. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 17 Curzon Park offers people living there a homely environment. People are encouraged to bring items of sentimental value from their home, “they allowed us to install a lot of my aunt’s ornaments, pictures and photos in her room, which is a good size with an en-suite toilet.” Since the last inspection a new keypad system has been introduced so that visitors have to ring to gain access to the home, thereby making it more secure. Visitors are also requested to sign a book to indicate they are in the building, which is important in case of a fire outbreak. Information provided before the inspection showed that the hall and two lounges have been redecorated and new curtains provided in the lounges. New carpets have been laid in the lounges, hall and stairs. The owners have replaced two gas boilers making the system more efficient. There is one bathroom on the first floor and two separate toilets. The bath can only be used by people who are independently mobile as there are no aids to help people get in or out of the bath. There are two bathrooms on the ground floor. The bath in the larger bathroom is not being used because the enamel is damaged. The second bathroom has been converted to accommodate a bath with hoist and separate shower cubicle. As these facilities are located in the same room only one person can bathe or shower at a time. The space in this bathroom is quite cramped so that the overall facilities for people who wish to bathe or shower are limited. There are two patio areas outside with seating for people so people can sit out in the warmer weather. One bench was badly damaged and needed to be removed. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 18 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 poor. This judgement has been made using available evidence including a visit to this service. Poor recruitment practices put people at risk as staff have not been thoroughly vetted. EVIDENCE: The recruitment records of three staff were looked at. For two people there were no references and no POVA first (initial security check) or full security checks (CRB) from the Criminal Records Bureau. There was no POVA first or CRB for the third staff member but there was one written reference and two verbal references, which the new manager had written down, signed and dated. The new manager was aware of the lack of security checks and had conducted an audit of recruitment records when she started her job. She had started the process of obtaining these checks on the days of the inspection. The home does not have access to the internet which would make the process of carrying out the initial security check easier. Staffing levels on the day of the inspection appeared to be adequate for the needs of the home. However, several staff commented that they felt that there were insufficient domestic and laundry staff available, particularly at weekends and that they were expected to perform this role. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 19 Six care staff have achieved NVQ level 2 or 3 although the manager did not have evidence of this for three people. The manager said that two people were still undertaking this course and that she was trying to access further training for more people to start this course and other training. The manager had completed an action plan for the home in December 2007 and identified that staff needed training in dementia care as a number of people living in the home have dementia. The induction record of a new staff member was seen. This had been completed in full and appeared to cover all essential subjects. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 20 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 adequate. This judgement has been made using available evidence including a visit to this service. The change of manager should improve standards at the home but much work remains to be done to ensure that the home is run well in the best interests of the people who live there. EVIDENCE: There has been a change of manager since the last key inspection and the new manager has only been in post five weeks. The previous manager left with many issues needing to be put right and the new manager has carried out an assessment of what needs to be done. She has drawn up an action plan so that she can show what has been achieved and what still needs to be completed. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 21 The new manager has previously worked in a home for older people who have varying degrees of dementia and related conditions. She worked for nearly six years at that home, as deputy manager for the last two years and therefore has the experience to provide appropriate care for people at Curzon Park. The new manager also has achieved NVQ 4 in care and the registered manager’s award. She has undertaken a degree through the Open University to extend her knowledge and skills. The manager has started the process to become registered with the CSCI as required by law. There are currently few processes in place to monitor the quality of the home. Although the owners visit the home fairly frequently they do not provide a written report about the home as required by law, which assesses how well or otherwise the home is performing. The owners said that the previous manager informed them that all was running well and did not check this out. The new manager has said that she will develop ways of finding out what people think about the service. She has already undertaken an audit and started to put some matters right. The manager intends to give questionnaires to people living in the home and relatives to find out their views. She has also held two staff meetings and sent a letter to people in the home and relatives to introduce herself. People living in the home can deposit small sums of personal spending money in the home’s safe. Records of all transactions are maintained. These were checked for one person and found to be correct. Fire safety records were seen. These showed that fire equipment was serviced regularly and that the maintenance man carried out regular checks to ensure that they were satisfactory. The fire risk assessment had not been updated for three years so the owners could not show that appropriate action had been taken to ensure fire safety at the home. Training records indicated that only half the staff had attended a fire safety training course in the last year and that staff only did a fire drill on the day of the fire training. This means that staff may be unaware of what to do in the event of a fire. Training records for moving and handling also indicated that staff had not done a course since 2005 so that they may not know how to move people safely. Information received before the inspection indicated that electrical circuits in the home were last tested in 2002. This may now be out of date and should be checked. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X 2 X X X X 3 STAFFING Standard No Score 27 2 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 1 Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 23 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 OP3 Regulation Requirement Timescale for action 17/04/08 2 OP7 3 OP7 4 OP29 5 OP33 14 (1)(a & Steps must be taken to make d) sure that only people in the categories the home is registered for are admitted to the home to make sure that staff at the home can meet people’s needs in full. 15 (1 & 2) All people living in the home must have a care plan, which describes how their care needs will be met so staff know what each person’s care needs are and what needs to be done to meet them. 15 (2)(b, Care plans must be kept under c & d) review to demonstrate that people’s changing care needs have been identified and effective measures taken to meet those changed needs. 19 and Full recruitment checks must be Schedule carried out on all staff before 2 they start work at the home to make sure that people living in the home are protected from possible harm and poor practice. 26 The owners must carry out monthly, unannounced visits to the home and prepare a report DS0000067766.V351564.R01.S.doc 17/04/08 17/04/08 17/04/08 17/04/08 Curzon Park Residential Home Version 5.2 Page 24 6 OP38 37 7 OP38 23 (4)(d) 8 OP38 23 (4)(e) 9 OP38 23 (4) 10 OP38 13 (5) about the running of the home and supply a copy to the manager and the CSCI as required by law. CSCI must be informed without delay of any significant events occurring in the home and this must in writing as required by law. All staff in the home must undertake an annual refresher course in fire safety training so that people in the home are protected. All staff in the home must undertake regular fire drills so that they know what to do in the event of an outbreak of fire. The owners must provide an up to date fire risk assessment, which details the actions to be taken by them to reduce the danger of fire in the home. All staff involved in moving and handling must undertake appropriate training so that they know how to carry out these procedures safely. 17/04/08 17/04/08 17/04/08 17/04/08 17/04/08 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 2 Refer to Standard OP3 OP7 Good Practice Recommendations Assessments carried out before people move into the home should include full details of the person’s care needs including all identified risks. Risk assessments should be provided for all identified risks and kept under review so that the home can demonstrate that effective actions are being taken to reduce risks to people living in the home. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 25 3 4 5 6 OP8 OP9 OP9 OP12 7 OP14 8 9 10 11 12 13 OP16 OP18 OP21 OP27 OP28 OP30 Effective measures should be taken to prevent people from developing pressure sores, including accurate and detailed documentation and appropriate training. The medication policy should be reviewed to reflect current best practice. Suitable provision should be made for the storage of controlled drugs so that storage facilities meet legal requirements. People living in the home should be offered a variety of activities, appropriate to their needs and preferences, on a one to one and group basis and records should be kept of this on their individual care plans. The likes/dislikes and preferences of people living in the home should be recorded on their care plan and these preferences should be respected so that people’s needs are met. A record should be kept of all complaints together with the outcomes of these complaints to demonstrate that appropriate actions have been taken. All staff should undertake training in adult protection procedures so that they are aware of their roles and responsibilities. Bathing facilities in the home should be reviewed to ensure that these are sufficient and fit for purpose for people who require assistance to bathe/shower. There should be adequate provision of domestic, cleaning and laundry staff at all times and particularly at weekends. 50 of staff should achieve NVQ 2 or above so that staff are trained to perform their role. Care staff should undertake training in dementia care so that they can meet the needs of people with dementia. Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 Curzon Park Residential Home DS0000067766.V351564.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!