Inspection on 04/11/05 for Denewood House Care Home

This inspection was carried out on 4th November 2005.

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

Denewood House Care Home 08/05/08

Denewood House Care Home 03/12/07

Denewood House Care Home 06/09/06

Denewood House Care Home 21/07/05

Denewood House Care Home 28/09/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Denewood House Care Home 12-14 Denewood Road West Moors Ferndown Dorset BH22 0LX Lead Inspector Jo Palmer Unannounced Inspection 10:00 4 November 2005 th 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 Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 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. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Denewood House Care Home Address 12-14 Denewood Road West Moors Ferndown Dorset BH22 0LX 01202 892008 01258 841255 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) Samily Care Ltd Mrs Caroline Anne Bleach Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st July 2005 Brief Description of the Service: Denewood House is a detached house in a residential area of West Moors, local shops, churches, pubs and a library are available close by following a level walk. The home is registered with the Commission for Social Care Inspection to accommodate a maximum of 21 older people. It is privately owned by Samily Care Ltd and managed by Mrs Bleach. The bedrooms are located on the ground and first floors. There are two double bedrooms and 17 single rooms. The home does not have a passenger lift but a stair lift operates to the first floor. Due to the layout of the home the service users are assessed on admission to determine that they are independently mobile. Public transport is available from outside the premises. The rear garden has seating available for service users, some of the rooms have patio doors opening out to the garden. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection on 4th November 2005 lasted for four and half hours. On arrival, the deputy manager was present who assisted with the inspection process, Mrs Caroline Bleach, responsible individual for Samily Care Ltd and Registered manager, arrived shortly afterward and also aided the inspection. The purpose of this inspection visit was to monitor progress in addressing a requirement and the recommendations of the last inspection and to review practices in relation to some of the National Minimum Standards. The inspector spoke with five residents, two care assistants, the deputy manager and Mrs Bleach, toured the premises and examined relevant records. What the service does well: Residents are provided with sufficient information prior to moving to the home; this enables them to make an informed decision as to whether Denewood House is the best place for them before committing to a contractual arrangement regarding their stay. Contracts entered into between the registered person and the resident identifies their rights and obligations whilst living at the home. Staff are provided with clear instruction in care plans regarding how individual resident care needs are to be met. It was evident that residents are to be consulted with regard to their assessments and care plans to ensure they agree with care outcomes although this consultation has not yet taken place. Residents spoken with confirmed that a kind and caring staff group treat them respectfully. Social care is limited although most residents confirmed they are happy in organising their own time in the home, care planning practices identify peoples social and recreational needs and family and friends are able to visit at any time with no restrictions. Residents confirmed that they are able to make decisions regarding their daily routines and life in the home. Meals provided at the home are well received, residents spoken with confirmed that there is a variety of home cooked meals available that meet their expectations. No complaints have been received by the home or the Commission in respect of services at Denewood House, residents are provided with a written complaints procedure should they wish to raise concerns. Resident’s rights are supported by the home ensuring that each resident has support managing their affairs and residents are protected by procedures for managing nay allegations of abuse; there have been no allegations. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 6 Accommodation is provided in a clean, safe, well-maintained environment where each resident is are able to personalise their own rooms and spend as much time there as they please. Residents are provided with appropriate facilities for washing and bathing and there is pleasant communal space available. Sufficient numbers of staff are on duty during the day and night; all staff are recruited appropriately to ensure they are fit to work in a care environment and training for any new staff is being arranged to ensure a basic induction and foundation level of knowledge. The deputy manager, has been sharing the management role in the home with enthusiasm and is fulfilling her role accordingly. Management arrangements support good care practice and effective administrative procedures are in place. Practices, policies and procedures support good health and safety measures in the home. Evidence was available of regular testing and maintenance of fire equipment and fire safety measures and a fire risk assessment has been carried out and there was evidence that an action plan advised by the local authority was being implemented within the given time-scales. Staff fire training frequency however requires attention. What has improved since the last inspection? What they could do better: One requirement has been made as a result of this inspection that the registered persons must address as a matter of urgency. Staff must receive fire training in all areas relating to fire safety, awareness and evacuation procedures. This must be held every six months for day staff and every three months for night staff. Five recommendations have been made where it is considered that practice could improve for the benefit of residents. • Although currently in hand, records should demonstrate the extent to which residents have been consulted and are involved in decision making regarding their care. Denewood House should be assessed by a qualified person to ensure appropriate disability equipment (ramps, grab rails etc) is available to ease access around the home. DS0000061333.V260886.R01.S.doc Version 5.0 Page 7 • Denewood House Care Home • To develop the staff induction and foundation training programmes, systems should be in place to measure the extent of staff understanding of the training they are provided with. In establishing a new system of care recording, caution is needed to ensure that all relevant documentation is transferred to the current, working documents, specifically, risk assessments for risks posed by exposure to hot surfaces. It has been further recommended that exposed pipe work and radiators are covered. • • 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. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 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 Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 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): 1, 2 & 4. Standard 6 is not applicable. The home’s Statement of Purpose and Service User Guide provide detailed information about the care and services provided at Denewood House and residents enter into a contractual arrangement with Samily Care to provide the care and services they require. EVIDENCE: Although not directly examined during this visit, a copy of the home’s Statement of Purpose and Service User Guide are held on file with the Commission and Mrs Bleach confirmed that these were the up to date copies that are provided to residents and other interested parties. A review of the Service User Guide demonstrated that all relevant information is provided in order that prospective residents can make an informed decision about moving to the home. Contractual information is contained in the guide that indicates that residents are asked to sign a contract agreeing to the home’s terms and conditions. These include information about the fees payable and by who, the care and services provided, those service snot covered by the fees, the home’s insurance arrangements, period of notice and complaints process. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 10 The deputy manager confirmed that there have been no admissions to the home since the last inspection, the admissions process was therefore not assessed although the last inspection reported that that admissions were managed appropriately with assessments being undertaken prior to admission in order that the registered person and the resident could be confident that Denewood House was a suitable place where needs could be met. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 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, 10 & 11. Care plans provide sufficient detail for staff to be aware of resident’s health and welfare needs and how to meet them; care needs are reviewed appropriately. Systems are in place for resident consultation and participation in the assessment and care planning process and the deputy manager is working toward ensuring that all residents are consulted regarding their care needs. Resident’s rights are respected and their right to privacy is supported through care delivery, relationships with staff and confidential record keeping practices. Policy guidance provides staff with information about caring for the dying and terminally ill and residents can be assured that staff will observe their wishes and treat them and their families with sensitivity and respect. EVIDENCE: Resident’s needs are assessed and reviewed appropriately in relation to all health and welfare needs. Following from assessment, care plans are written and those examined detail how needs are to be met in relation to personal care, diet, communication, mobility, orientation and memory, decision making, handling of affairs, religious and cultural needs, medication and hobbies and Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 12 interests. Instruction for staff in care plans is clear and details how each aspect of need is to be met, monitored and reviewed. Alongside each assessed need and how to meet it is any associated risk for example, risks posed from exposure to hot water during personal care routines such as bathing, the risks of falling next to the assessment of mobility and the risks of wandering if the resident is at all confused or disorientated. Each area of risk is qualified by corrective action that staff must take to reduce or eliminate such risks. Assessment of risks posed by exposure to hot surfaces were not evident in the updated records although Mrs Bleach confirmed that these had been assessed although were recorded on the old reporting format. It is recommended that this information is transferred to the new files. Care documentation has been reviewed since the last inspection and the new reporting formats have proved to be effective, space on the new format is available for the residents signature to indicate their agreement with the care outcomes, not all residents have been consulted yet but the deputy manager confirmed that this was receiving attention. Daily records are written by staff for each resident, these provided a detailed report of the resident’s daily routines, lifestyles and any significant health or welfare problems. Care plans and daily records are written in a manner that uses easy to understand language and is respectful of the resident’s needs and how they are managed. Residents spoken with confirmed that a kind and caring staff group meet their needs; resident’s comments included that staff ‘are very helpful’, are ‘very supportive and kind’ and staff ‘are a delight’. There have been no deaths at Denewood House since the last inspection. Policies are available with procedural guidance for staff detailing ways of caring for dying residents sensitively and with respect for their wishes. The guidance identifies all appropriate steps including liaison with the GP and appropriate community health services, reviewing care plans, and keeping families informed, guidance also refers to the procedures to be followed after a death referring to certification, relevant documentation, property inventory and informing the appropriate personnel. The deputy manager stated that staff would be reminded of this procedural guidance should a resident be in need of terminal care arrangements. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Residents are able to benefit from self-determined activity as far as their health and general abilities allow; organised social care for those less able residents is limited. Residents are supported in maintaining contact with their friends and family and in making decisions about their lives in the home. Dietary needs of residents are well catered for with a balanced and varied selection of meals that meets their individual tastes and choices. EVIDENCE: Residents spoken with confirmed that they were able to make choices regarding how they spend their day, which involved watching television, reading books, magazines etc and receiving visitors. Social care plans are available identifying to a limited extent each resident’s hobbies and interests and daily records examined provided an account of each resident’s life in the home including any social activity and family and friends visits. One carer spoken with confirmed that she is to take an active part in organising the home’s social care programme and will arrange games, outings, birthday parties and other one to one activities with residents. A system of consultation with the residents or their relative is being arranged, new care documentation provides space for the resident’s signature to indicate their agreement with assessed needs and care outcomes although this system Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 14 has not yet been implemented. The deputy manager confirmed that all residents will be consulted initially and then on a rolling programme of care reviews. Although menus were not examined, examination of resident’s care records detailed an assessment of each person’s dietary requirements. Residents spoken with complimented the meals stating that they were varied and appetising. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 Any person wishing to complain is directed through a written procedure detailing how their concerns will be addressed, they can therefore be confident that their complaints will be listened to and taken seriously. Resident’s rights are upheld through appropriate representation with their affairs. Procedures for responding to suspicions of abuse are held in accordance with Department of Health guidance, meaning that any allegations of abuse can be managed effectively. EVIDENCE: The home’s complaints procedure is contained in the Service User Guide and in contractual information provided for residents. The deputy manager confirmed that no complaints have been received. Resident care plans detail management of their affairs and decision making abilities and identify their support, advocacy and representation. Procedures are in place for staff guidance providing information on what to do if they suspect a resident is being abused or harmed in any way. There have been no reported incidents. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 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 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 Residents live in a safe, comfortable, clean environment with their own belongings around them. Bedrooms and bathrooms provide sufficient room for residents and their privacy is upheld by staff practices. Lounge and dining room areas provides sufficient communal space where residents can enjoy each other’s company and access to the gardens. The home is well maintained although would benefit from an overall assessment of the premises to ensure ease of access around the home for residents. EVIDENCE: The interior décor of the home, the hallways and corridors are decorated, furnished and carpeted to a good standard. Residents are able, if they wish, to bring in items of their own furnishings subject to suitability. Bathrooms, showers and toilets are sited around the home conveniently for residents; additionally ten of the single rooms have en-suite facilities. The temperature, lighting and ventilation in the home were appropriate for the time of year and weather conditions. Radiators and hot pipe work are not guarded although each resident has been assessed with regard to risks posed Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 17 by this. It is recommended however that hot surfaces are guarded and that the maximum surface temperature of space heating devices does not exceed 43oC, when the system is operating at the maximum output. Hot water temperatures have been regulated to a temperature around 43°C, measurement of water temperatures using the home’s own, uncalibrated thermometer confirmed this. Risk assesmsents are in place for individual residents with regard to bathing and associated risks such as slipping, scalding and drowning. Risk assessments provide corrective action needed by staff to reduce risk. The last inspection report recommended that a routine plan of maintenance for the home was avaialble, it was evident during this visit that although there is no written plan, maintenance, servicing, decoration and refurbishment are carried out as required. The recommendation has been disreguarded as it was evident that residents live in a safe, well maintained environment. Laundry services are provided by the home, the laundry room was seen to be well organised and to provide adequate facilities including a washing machine that is capable of reaching high temperatures and a tumble dryer. The home complies with infection control procedures. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 & 30 There were sufficient numbers of staff on duty to meet resident’s assessed needs. Arrangements for staff training are getting better and demonstrate a commitment to improving standards of care for residents. Principles of good recruitment practice are adopted for the protection of residents. EVIDENCE: Staff rota’s seen evidence the numbers of staff on duty, shifts are worked between 8.00am and 2.00pm, 2.00pm and 9.00pm and 9.00pm and 8.00am. There are four care staff on duty in the mornings, three in the afternoons and one at night with the support of a second carer sleeping in but on call. During the daytime shifts Mrs Bleach and the deputy manager work covering the home throughout the week for management support. Staff files examined demonstrated that appropriate recruitment practices had been followed, references are checked, CRB and POVA* checks are made and the person undergoes an interview to explore their experience and any qualifications. The last inspection reported that a training programme had been produced that conformed to the expected training standards for care staff, a recommendation was made that a more methodical way of measuring learning outcomes was in place. At this inspection, Mrs Bleach had revised the programme having obtained part of a training programme that complies with National Occupational Standards for care staff from another care organisation. Although the programme itself was seen to be sufficient, there is still no Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 19 measurable way of evidencing the extent of the learning of the staff member undertaking the training. The recommendation is repeated. Mrs Bleach is advised to contact the Skills for Care, training organisation to keep abreast of current induction and foundation standards and advice on training providers and methodology. www.skillsforcare.org CRB – Criminal Records Bureau POVA - Protection of Vulnerable Adults – a list of persons held by the Secretary of State who are deemed unsuitable to work with vulnerable adults Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34 & 38 The management arrangements of the home support good care practices for residents. The providers and deputy manager are working well together to improve care delivery and services in the home; Mrs Bleach indicated that the home is financially viable. Inconsistent levels of staff fire safety training compromises the health and safety of residents. EVIDENCE: Mrs Bleach is the responsible individual for Samily Care Ltd and is registered to manage the home. This inspection has evidenced that the home is well managed and has a developing administration. Samily Care Ltd owns two care homes in Dorset and Mrs Bleach is responsible for overseeing the effective running of both homes; although identified on the rota of Denewood House with a management responsibility, this is shared with the deputy manager who has taken a lead in developing many of the home’s care practices, reporting Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 21 systems and staff training and development. The deputy manager is currently undertaking an NVQ level 4 in care award and hopes to start the Registered Managers award in the new year. Staff spoken with confirmed that the management arrangements of the home are supportive and that they are kept informed and up to date with developments and resident care issues. The accounting and financial procedures were not examined although Mrs Bleach confirmed that Denewood House is financially viable and has appropriate levels of insurance in place against loss or damage to the assets of the business and business interruption costs including legal liabilities. Mrs Bleach stated that the company’s accountant and bookkeeper carry out an annual audit of the home’s accounts. Not all Health and Safety practices were inspected, however, it was evident that safe working practices were in place with regard to infection control, regulation of water temperatures, identified risks from hot surfaces, moving and handling and control of hazardous substances. Staff training arrangements need to be improved to demonstrate that learning outcomes for staff are met and staff training in issues relating to fire safety need to be held more frequently. Records demonstrated that some day and night staff have not received fire training since December 2004. Fire training for staff must be arranged every six months for day staff and every three months for night staff. Records of maintenance and servicing of fire equipment, alarms and emergency lighting are satisfactory. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 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 3 x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 3 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 3 18 3 3 3 3 2 3 3 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x 3 x x x 1 Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 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. Standard Regulation Requirement Fire training must be provided every six months for day staff and every three months for night staff. Timescale for action 31/12/05 1 OP38 13 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 OP7 Good Practice Recommendations Care records should demonstrate the extent to which residents have been involved in the decision making processes regarding their care. An assessment of the premises by qualified persons, including an occupational therapist, should be made to establish the extent of the disability equipment to be provided and environmental adaptations required to meet the needs of service users. The registered person should consider more methodical and evidential ways of measuring the learning of members of staff undergoing induction training. A foundation training programme should be devised that is in accordance with the expected standards. Where care documentation has been reviewed and DS0000061333.V260886.R01.S.doc Version 5.0 Page 24 2 OP22 3 4 OP30 OP7 Denewood House Care Home 5 OP25 improved, it is recommended that all relevant information is transferred to the new system of recording in order that it is available for staff reference specifically in relation to assessment of risks posed by hot surfaces. It is recommended that the maximum surface temperature of space heating devices does not exceed 43oC, when the system is operating at the maximum design output. Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Denewood House Care Home DS0000061333.V260886.R01.S.doc Version 5.0 Page 26 - 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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