Inspection on 29/06/06 for Dearne Valley Care Centre

This inspection was carried out on 29th June 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

Dearne Valley Care Centre 06/10/05

Dearne Valley Care Centre 09/06/05

Dearne Valley Care Centre 15/12/04

Dearne Valley Care Centre 20/04/04

Dearne Valley Care Centre 07/10/03

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Snydale Care Home

Hawkhills

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The Grove Waltham

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Dearne Valley Care Centre Furlong Road Bolton On Dearne Rotherham South Yorkshire S63 9PY Lead Inspector Jayne Barnett-Middleton Key Unannounced Inspection 29th June 2006 09:15 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 Dearne Valley Care Centre DS0000036246.V301766.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. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dearne Valley Care Centre Address Furlong Road Bolton On Dearne Rotherham South Yorkshire S63 9PY 01709 893 435 01709 892 128 none None Guardian Care Homes (UK) Limited 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) Mrs Sharon Elizabeth Tinsley Care Home 34 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (14) of places Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The managers hours are full time supernumerary to the care staff hours. The minimum staffing levels specified in the Residential Forum Care Staffing in Care Homes for Older People must be maintained at all times, in accordance with actual occupancy levels. The upper floor is to be used exclusively for service users in the category DE, the ground floor is to be used exclusively for service users in the category of OP. 6th October 2005 Date of last inspection Brief Description of the Service: Dearne Valley Care Centre is a purpose built care home in the village of Bolton on Dearne. The home provides personal care and accommodation for thirtyfour older people, including care for twenty service users with Dementia. All bedrooms have en suite facilities. Ample car parking is provided at the front of the property and there is a small, enclosed garden to the rear of the property. The home stands back from the main road. The village has a range of amenities including a railway station. The A1 motorway is approximately ten minutes drive from the home. The bed fees at the home at 29th June 2006 are between £315 and £392 per week. Items not covered by the fee include toiletries, hairdressing and private chiropody. The homes statement of purpose and service user guide is available in appropriate formats. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced visit conducted by Jayne Barnett-Middleton. Prior to the inspection contacts made to The Commission For Social Care Inspection, the homes service history and a pre-inspection questionnaire were examined. Six residents or their relatives completed a service user questionnaire. A fieldwork visit took place over six hours. Opportunity was taken to make a tour of the premises, inspect a sample of records including care plans, training records and speak to the registered manager, 6 staff, 5 residents and 2 relatives. The inspector wishes to thank the manager, staff and residents for their assistance and time throughout the inspection process. What the service does well: There was a relaxed and friendly atmosphere within the home. Residents were comfortable to talk about the care that they received. Residents spoke positively about the manager and staff team, describing them as “excellent and “friendly”. Residents appeared relaxed in their environment and were observed to be spending their day as they wished either in the lounge areas or within the privacy of their bedroom. Relatives’ were encouraged to participate in planned activities at the home. Several relatives had recently joined the staff and residents on a day trip to Cleethorpes and were looking forward to a day trip to Blackpool the following week. One resident, via the service user survey, commented “ All my family enjoy visiting me here and are always made to feel very welcome by the staff” Residents were observed to be cared for in a manner that respected their privacy and dignity. One relative commented, “ When I visit my mother she is always clean, tidy and seems well fed”. New menus had recently been introduced. Residents spoken to on the day said that the food was “good”. In general residents surveyed said that they always enjoyed the food provided, commenting, “ I always enjoy the food” and “ If I don’t like what is on offer they will always offer me an alternative”. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 6 The home was clean, comfortable and well maintained. Several domestic staff had completed a National Vocational Qualification and some had attended Infection Control training to promote a hygienic environment. A handyman was employed at the home and a routine programme of maintenance was in place. All areas throughout the home were very well maintained which promoted a safe environment. What has improved since the last inspection? What they could do better: The residents’ night care plan required more detail as to how often the resident required checking to fully promote their health and wellbeing. Resident daily records required some improvement to ensure that the health care needs of the resident could be monitored. Extra care was needed when signing for medication. The medication in stock for one resident checked was more than the amount that had been signed for, indicating that the medication had not been administered. Some staff were in need of Adult Protection training to give them a clear understanding of the procedures to be followed should they suspect any abuse at the home. Three out of twenty staff held a National Vocational Qualification Level 2 or 3 in care. Further staff was in the process of completing the award and once qualified this will ensure that the service is meeting the required target of 50 . Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 7 Accident records required more detail to fully promote the health and wellbeing of the resident. 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. Dearne Valley Care Centre DS0000036246.V301766.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 Dearne Valley Care Centre DS0000036246.V301766.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Resident’s care needs were assessed prior to their admission and their individual needs were reflected in their plan of care. Residents and their relatives were given the opportunity to visit the home and asses the facilities and suitability of the home. EVIDENCE: Three care plans were checked all of which contained a full needs assessment, which had been carried out by an appropriate professional, prior to a placement being offered. The manager also visited prospective residents to carry out a homes assessment, ensuring that the staff team and the service were able to meet the residents’ individual needs. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 10 Six residents or their relatives, via the service user survey, confirmed that they had received sufficient information and had visited the home before making a decision to move there. Comments included “ We were shown all the facilities available” and “ I was invited for a full day visit to see what it was like”. Dearne Valley Care Centre DS0000036246.V301766.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. Residents’ individual needs were assessed and their changing needs were reflected in their plan of care. The care records checked were well organised and the information provided was accessible and easy to track. Residents had good access to health care services, which met their assessed needs. Resident daily records required some improvement to ensure that the health care needs of the resident could be monitored. A policy and procedure to ensure that staff adhered to the safe administration of medication was in place. Medications systems were much improved and in general well maintained. Residents’ were cared for in a manner that respected their privacy and dignity. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 12 EVIDENCE: A new care plan format had recently been introduced which included the preferred routine of the resident, healthcare needs and personal information. Three care plans were checked, which were detailed and clearly outlined the action that was required by staff to ensure that the health and personal care of the residents were met. The care plans had been devised, where possible, with the involvement of the resident, providing them with the opportunity to confirm that the plan was a true reflection of their individual needs. The care plan incorporated a ‘night profile’ that described the residents’ individual needs during the night. Two care plans checked required more detail. As an example they stated that the resident did wish to be checked during the night but did not specify how often the staff should be checking the resident, to ensure that that their individual care needs were met. Records of healthcare visits were maintained and demonstrated that residents were receiving regular visits form their general practitioner, chiropodist and optician. Residents said that their healthcare needs were met with one commenting, “ the chiropodist has just been”. The staff maintained daily care records of the health and wellbeing of the resident and the care that had been provided throughout their shift. The care records checked, in particular the night care records, were not detailed enough and required more information as to what care had been provided throughout the night. One file checked included a record of an accident that the resident had suffered. The date of the accident was tracked and there was no record on the residents’ daily notes to ensure that the staff were able to provide the appropriate supervision and care to the resident. The manager had devised a night report record, which was soon to be implemented. The format was very detailed and will provide an excellent record of the care that has been provided to residents during the night. All residents surveyed said that they always received the care and support that they required. One relative commented, “ When I visit my mother she is always clean, tidy and seems well fed”. Policies and procedures were in place to promote the safe administration of medication to residents. Medication records were well maintained, the administration instructions on the MAR sheets were accurate and medication administered had been signed for. The medication in stock for one resident checked was more than the amount that had been signed for, indicating that the medication had not been administered. Staff responsible for administering medication had recently received refresher training. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 13 Residents were observed to be cared for in a manner that respected their privacy and dignity. Residents seen were clean, appropriately dressed and it was evident that residents who required help to wash and dress had been assisted with this in a manner that respected their dignity. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The daily routines within the home were flexible promoting resident independence and choice. There was a programme of leisure and social activities available. Residents were encouraged to maintain contact with their family, friends and the local community as they wished. A good choice of menu was offered and special dietary needs were catered for promoting the health and wellbeing of residents. EVIDENCE: Residents were observed to be spending their day as they wished. The majority of residents were spending time in the lounge areas talking to their visitors, reading the daily newspaper or watching television. The staff described in detail how they respected resident choice, for example when they chose to get up and go to bed. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 15 An activities coordinator was employed and regular activities including trips out, dominoes and professional entertainment took place. The residents and relatives spoke of a recent day trip to Cleethorpes, which they had thoroughly enjoyed, and most were looking forward to a planned day out the following week to Blackpool. All residents surveyed said there was a good range of activities available. One relative commented that the staff “ always tried to include everybody” to join in with the activities. A choice of menu was available and special dietary needs were catered for. New menus had recently been introduced. Residents spoken to on the day said that the food was “good”. The lunchtime meal observed was relaxed, unhurried and the food served looked appetising and was well presented. In general residents surveyed said that they always enjoyed the food provided, commenting, “ I always enjoy the food” and “ If I don’t like what is on offer they will always offer me an alternative”. Residents were encouraged to maintain positive relationships with their family and friend. Visitors were welcome to the home at any reasonable time. One resident, via the service user survey, commented “ All my family enjoy visiting me here and are always made to feel very welcome by the staff” Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. 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 the service. The complaints procedure was clear and accessible. Residents and relatives were aware of how to make a complaint and felt confident that any concerns would be dealt with. There was an adult protection procedure in place at the home. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home. Most but not all staff had received adult protection training. EVIDENCE: The complaints procedure was displayed within the entrance of the home and clearly outlined the action that should be taken should a resident or their relatives need to complain about the service provided. All residents surveyed said that they were aware of how to make a complaint and who to talk to should they be un-happy about any aspect of their care. One relative commented that “ on the few occasions we have mentioned any concerns, they have been acted upon straight away”. The manager maintained a central log of any complaints made to the home and the action that had been taken to resolve any concerns that had been raised. One complaint raised by a relative was dealt with appropriately. However, given the nature of the complaint it should have also been referred to the adult protection team to further safeguard the protection of the residents. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 17 There was an adult protection policy and procedure that promoted the protection of service users from harm or abuse. Staff were able to demonstrate how they protected service users from harm, however some staff still required Adult Protection training to ensure that they were aware of the types of abuse that can occur and what action to take. One recent incident at the home had resulted in an Adult Protection Strategy meeting. The manager had acted on issues raised at the meeting and had reviewed reporting procedures to promote the health and welfare of the residents. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home was clean, comfortable and well maintained. Residents were provided with an environment that was safe, accessible and homely. EVIDENCE: The home was decorated to a good standard and tidy. The handyman, employed at the home, carried out a routine programme of maintenance promoting a safe and well-maintained environment. Residents had access to three lounges, which were bright and pleasantly decorated. The furniture and fittings were clean and of a good quality. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 19 Several bedrooms had recently been redecorated to a very good standard. The bedrooms that were seen were all appropriately furnished and had been personalised by the resident with photographs and ornaments giving them a sense of ownership. All areas seen within the home were very clean. The staff said that extra domestic staff had recently been employed which they said enabled them to clean all areas thoroughly promoting a clean and hygienic environment. Several domestic staff had completed a National Vocational Qualification and some had attended Infection Control training to promote a hygienic environment. All residents surveyed said that the home was always fresh and clean. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 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 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 and 30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Residents spoke positively about the attitude of the staff and the service that they received. Sufficient staff were provided to meet the to meet the resident’s general and specific needs. A good programme of training was available. Some staff were in need of refresher training. A recruitment policy and procedure was in place, which promoted the protection of the residents. EVIDENCE: The residents and relatives spoke highly of the staff team commenting, “ The staff are always very helpful and friendly”, “ They are excellent” and “They are like my friends.” Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 21 Four weeks staffing rotas were checked, which demonstrated that the minimum level of staff required were provided to meet the general and individual needs of the residents. In general residents surveyed said that the staff were available when they needed their help. One commented, “ They always try to accommodate my requests”. The staff team said they managed well but there were times when extra staff would be helpful. The manager said that following a recent recruitment drive there were no staff vacancies. The staff rota had recently been reviewed which was providing one staff above the required minimum in a morning and it was anticipated that the number of staff provided in the afternoon would increase once the new staff had commenced employment. Staff confirmed that mandatory training was provided including health and safety, moving and handling and first aid ensuring that the staff were up to date with good practice and legislation. Training specific to the needs of the resident for example Dementia Care was also available. The manager had implemented an excellent training matrix for all staff that demonstrated the training that they had received and when refresher training was due. Some staff had not received food hygiene or adult protection training. The manager said that she was in the process of organising this, ensuring that all staff would be up to date with the required training. The manager confirmed that three out of twenty staff held a National Vocational Qualification Level 2 or 3 in care. Further staff were in the process of completing the award and once qualified will ensure that the service is meeting the required target of 50 . A recruitment policy and procedure was in place. Three staff files checked contained a range of information including two references, declaration of health and qualifications/training. All staff employed had undertaken a Criminal Records Bureau Check at the enhanced level and POVA check to promote the protection of resident. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 22 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): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The residents and staff were benefiting from the organisation and leadership of the management team. Residents and staff were given the opportunity to contribute to the development of the service. Quality assurance systems were in need of further development to ensure that relatives and other professionals were able to give their views of the service. Residents’ financial interests were safeguarded by the procedures at the home. The homes policies and procedures promoted the health, safety and welfare of residents and staff. Accident records required more detail to fully promote the health and wellbeing of the resident. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager has been in post for almost a year and has recently successfully registered with the Commission For Social Care Inspection. The manager holds a National Vocational Qualification Level 4 in care and a NVQ level 4 and 5 Qualification in management. All staff and residents spoke positively about the manager commenting, “ she is approachable and will listen”. One relative, via the survey, commented “we have noticed a considerable improvement since the new manager commenced” Resident and relative meetings were held enabling them to contribute to the development of the service. A questionnaire format for relatives and professional visitors to comment on the service was in place and the manager said that she intended to recommence this process within the near future. Regular auditing of the service and providers monthly reports was in place. Arrangements were in place for residents who were unable to manage their monies due to their mental health. Monies were securely stored and records checked evidenced that service users were able to access their monies for hair care and personal items as they wished. Receipts were in place for all transactions and regular auditing of the accounts took place, safeguarding resident finances. A procedure for the recording of accidents was in place. Accident records checked did detail the nature and time of the accident. However, some records checked did not detail the action that had been taken and any follow up treatment administered to ensure that, following the accident the health of the resident could be fully monitored. Following a recent incident at the home the manager had revised the accident-monitoring format. The format implemented, enabled staff to fully monitor the health and wellbeing of the resident for a minimum of seventy-two hours until they were satisfied that no medical intervention was required. A handyman was employed at the home and a routine programme of maintenance was in place. All areas throughout the home were very well maintained which promoted a safe environment. Maintenance records seen were well maintained and evidenced that water temperatures and fire systems were checked on a regular basis. Procedures were in place for the maintenance and servicing of appliances and equipment, promoting and protecting the health safety and welfare of staff and residents. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 24 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 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15,13 Requirement The night Care Plan must include the frequency of how often the resident requires checking, to ensure that their care needs are fully met. Daily records must be maintained to ensure that the needs of the resident can be monitored and any appropriate action taken. Records of medication administered to service users must be maintained. All staff must receive adult protection training and guidance. (Timescale of 31.10.05 not met) All staff must receive mandatory training, including food hygiene, at the required frequency. Accident records must fully record the action taken and any follow up treatment offered. Timescale for action 30/08/06 2. OP8 17,13 30/08/06 3. 4. 5. 6. OP9 OP18 OP30 OP38 13 13 13,19 15,13 01/08/06 30/10/06 01/11/06 01/08/06 Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 26 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 OP28 Good Practice Recommendations A minimum of 50 of care staff should attain NVQ Level 2 or 3 in care. Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Dearne Valley Care Centre DS0000036246.V301766.R01.S.doc Version 5.2 Page 28 - 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!