Inspection on 06/12/06 for Dingle Meadow Care Centre

This inspection was carried out on 6th December 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

Dingle Meadow Care Centre 20/10/08

Dingle Meadow Care Centre 01/02/06

Dingle Meadow Care Centre 21/10/05

Dingle Meadow Care Centre 16/03/05

Dingle Meadow Care Centre 27/08/04

Dingle Meadow Care Centre 24/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Dingle Meadow Care Centre Goldencrest Drive Oldbury West Midlands B69 2DR Lead Inspector Mrs Mandy Beck Key Unannounced Inspection 6th December 2006 10:30 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 Dingle Meadow Care Centre DS0000038425.V321290.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. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dingle Meadow Care Centre Address Goldencrest Drive Oldbury West Midlands B69 2DR 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) 0121 552 9355 0121 544 2442 hebburncourt@schealthcare.co.uk Southern Cross Care Homes No 2 Limited Care Home 46 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (26) of places Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2006 Brief Description of the Service: Dingle Meadow Care Centre is a purpose built care establishment which is situated in a residential area within easy access to Oldbury town centre. It is close to public transport routes to local areas, Birmingham, Dudley and Wolverhampton and within easy access of the M5/M6 motorway network. There is a car park at the front and rear of the premises. The garden is situated at the rear of the property. There is level access to the front and entrance is via a keypad system. Service users accommodation is en-suite and on three floors that are accessed via passenger lift or stairs. There are fortyone single and two double rooms. Communal space consists of two lounge/dining areas on the ground floor. There are a number of bathrooms with assisted bathing facilities and toilets situated through the premises. Balmoral unit has provision for 20 service users who have dementia, it has recently been extended and now has two communal lounges and two separate dining areas. All of the bedrooms are en-suite and located within the unit. The home provides activities for service users and has an open visiting policy. There are different charges at Dingle Meadow for residency, at present the home charge £345 per week with social services and some families will be expected to pay a “top up” fee of £10 for the residential unit and £15 for the dementia care unit. Those service users who fund their own care can expect to pay between £475 and £530. These fees do not include extras such as chiropody, newspapers and hairdressing services. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home complete by one inspector from the Commission for Social Care Inspection (CSCI). A variety of methods were used to make the judgements in this report. Information supplied by the home manager, from service users and their families have all been included. As part of the inspection service users files were examined as part of the case tracking process, to ensure that service users are being assessed and having their needs met. Staff files were also viewed to ensure that the home continues to recruit workers in way that safeguards service users. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. The inspector would like to thank all of the staff and service users for their hospitality throughout the inspection. What the service does well: The Commission received many positive comments about the home, the staff and the care they receive, these are a few “they always listen and act on request keeping the residents needs as priority”, “residents are first and top priority all family members are included in all levels of care, all the staff are excellent, fantastic home !Well done Dingle!”, “the best thing I ever did was to let my husband come to Dingle Meadow”. The manager and staff try hard to make life a Dingle Meadow an enjoyable experience, to do this they regularly consult with the service users and their families to make sure that they are working in their best interests. Service users stated that the meals are of good quality and there is always a varied choice, “the presentation is everything, they pride themselves on their meals and so they should”, others commented “the meat can be a bit chewy but most of the time the food is lovely”. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5, Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users can be sure that they will receive enough information to be able to make a choice about living at the home. their needs will be assessed prior to moving into the home. the staff at the home have the knowledge and skill to meet those needs. every prospective service user is encouraged to spend time at the home before making their mind up. EVIDENCE: The home provides a detailed amount of information about their service that is available for all prospective service users. The statement of purpose and the service user guide contain all of the required information but do need to be updated to reflect the changes in the management structure that have recently taken place. Service users who completed the questionnaire all stated that they had received enough information to make a decision about living at the home. One relative said “we heard about it by word of mouth when we got Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 9 here we didn’t look anywhere else, we had a two hour tour of the home and were made very welcome”. “they took time to tell us everything nothing is too much trouble, it’s stressful process but they made it easier” Terms and conditions of residency were available in the majority of the service user records seen and contained all required information. Terms and conditions are not always available when the service user first move to the home and there can also be a delay in their return. The manager visits all prospective service users prior to admission to complete a full needs assessment and to satisfy himself that the home will be able to meet those service users needs. In addition to the assessment that looks at the activity of daily living, the manager will also complete an assessment for those service users who have dementia. Once this has been completed the service user is encouraged to spend time at the home to ensure that they will like it and make their own mind up. Typically most service users spend a day at the home or will stay for lunch so that they have the opportunity to talk to other service users. In some cases a trial visit has not been possible and relatives have made a choice on behalf of the service user, one such service user said “they made a good choice don’t think I could’ve done better”. At present the manager does not write to service users confirming that the home can meet their needs, there is a more informal verbal agreement in place. The manager must consider writing to prospective service users so that they can be sure the home will meet there needs upon their admission. The staff at the home do undertake training in both dementia and behaviour that challenges us, the numbers have become a little diluted but there are plans in place to begin training the new workers in the near future. However service users can feel assured that staff on the dementia unit have the skills and knowledge to be able to meet their needs. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that all of their individual health needs will be met and outlined in a service user plan. Medication is administered safely and there are good systems in place for the ordering, receipt and returns of medication. Service users can feel confident that they will be treated with respect and dignity at all times. EVIDENCE: Service users files were seen as part of our case tracking process. This means that service user plans are examined to ensure that an assessment and a plan of care has been implemented, that it is kept under review and that service users are involved in that review. It was pleasing to see that all of the files seen contained an assessment of need, in some cases there were two, one from the social worker and one from Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 11 the home manager. Needs identified in these assessments had been transferred into individual care plans for each service user. In addition to the care plans the home also has risk assessments in place for the identification of malnutrition, pressure sore development, falls and moving and handling. The manager must ensure that these plans are updated at least monthly. The manager is currently in the process of training senior staff in “care planning” and review to make sure that all staff are aware of this process. There were some shortfalls such as care plans not be signed or dated. Generally care plans were of a good standard. Medication practices within the home are generally good, there are robust systems in place for the ordering, receipt and administration of medicines. Only senior staff are permitted to administer medication and only once they have completed there “Safe Handling of Medicines” training. There were again some minor shortfalls that could be improved to ensure that service users are protected at all times, such as recording the opening dates on all containers, and making sure that external preparations are stored separately from internal medicines. All of the service users who answered the CSCI survey stated that staff always treat them kindly and that they feel that staff always have time for them. One service user said “they are golden, they work hard for us”. Staff were seen throughout the day knocking doors before entering and addressing service users in their preferred term of address. Where service users required assistance at any time this was done with discretion and sensitivity. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy an active and varied social life. Families and friends are encouraged to visit as they wish. Service users receive a good choice of food that is well presented and provides them with a balance meal. EVIDENCE: “a well varied programme of activities on a daily basis”, “singing, painting you name it they do it, my relative can’t take part but he is there when these things are going on and you can see he likes all the people around him”, “more activites could be arranged” these are some of the service user comments when we asked if the home arranged adequate activity for them. The manager stated that the home has recently employed and activity coordinator and they will be starting work in the near future. There is a programme of activities that is arranged on a weekly basis. The manager has asked for suggestions from service users during their two monthly meetings as a result there have been a few new entertainers coming into the home. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 13 Families and friends are encouraged to visit whenever they wish but are asked to give consideration when visiting late at night as service users may be asleep. One relative said “when you step foot through the door the first thing anybody does is offer you a drink they make you feel so nice and that you are not a nuisance” Service users receive a balanced and varied diet. Most of the service users were happy with the meal provision “well choice of menu is available every day food is of an excellent standard”, “the meat can be a bit chewy”, “put it this way I would pay to hove a meal here”. Mealtimes were observed and found to be a relaxing time, the tables were neatly laid and there was a menu on the table that showed service users what was for dinner that day. The meals were of good size and looked very appetising. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 14 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that their view and concerns will be listened to and acted upon. Service users can be assured that they will be protected from abuse whilst living at Dingle Meadow. EVIDENCE: Since the last inspection there has been one complaint, this was satisfactorily investigated by the previous manager. The company has robust policies and procedures in place to help service users make complaints if they wish to do so. The complaints procedure is prominently displayed throughout the home, in the reception area, the lift and in the service users guide. The home can provide this policy in different formats such as large print and audio tape upon request from their head office. Service users commented that they have never had to make a complaint but felt sure that if the occasion arose then the manager would deal with it. “we all know who to speak to if we are not happy, I am aware of the procedure”, “the complaints procedure is well advertised”, “if I’m not happy and the manager is unavailable there is always a senior member of staff on duty to talk to”. The home has policies and procedures in place that address the Protection of Vulnerable Adults, staff are trained by their “In House” trainer about the different aspects of abuse and their role in reporting it to relevant agencies. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 15 There have been no allegations of abuse made against the home. the home has however participated in an investigation with the relevant agencies when they wanted to protect one of their service users when an issue arose outside of the home. as a result part of the concerns the home had raised were upheld. Dingle Meadow Care Centre DS0000038425.V321290.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): 19,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users live in a well thought out and well maintained environment. The home is clean, pleasant and hygienic at all times. EVIDENCE: A partial tour of the home was undertaken during this inspection. The new lounge on the dementia unit was seen and found to be very pleasant. Service users were relaxing whilst the staff were putting up the Christmas decorations and singing. One service user said “it’s lovely isn’t it, I can see mistletoe”. It was very pleasing to see that the environment has been given a lot of consideration and as a result service users were relaxed and had a lot of places to explore, there is an art/craft room, a nursery and a relaxation room in addition to the two lounges and dining rooms. There is an indoor garden area complete with the sounds of birds and frogs. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 17 On the ground floor both lounges were also being decorated for Christmas service users were enjoying the day and watching the staff work, “they look so pretty don’t you think, we are having three trees this year”. The home is well maintained and free from offensive odours, both the kitchen and the laundry were seen and with the exception of some dust behind the washing machines in the laundry everything was clean and tidy. It was noted that disposable gloves and aprons were not readily available in the laundry. The home supplies liquid soap and paper towels in all of the toilets to help minimise the spread of infection. One service user commented “the freshness and cleanliness of the home is of high standard in fact it’s the first thing you notice upon entry” Dingle Meadow Care Centre DS0000038425.V321290.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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that they will be cared for by trained and knowledgeable staff. Staff are recruited in a manner that safeguards service users, however new workers would benefit from a structured induction programme to ensure they receive the training to make them competent to do their jobs. EVIDENCE: The home employs sufficient staff to meet the needs of the service users. In addition to the care staff, the home is supported by house keeping, kitchen and maintenance workers who keep the home looking clean and tidy. When we asked “do the care staff listen and act on what you say” service users responded “it’s the little things they do, they always straight away listen and act on it”, “you only have to say something once and it’s done”. When we asked if staff were available when you need them service users responded “always there are always three carers on, both floors, I know this because I visit every day and they will always listen and be available”, “all staff are available day and night”. Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 19 The home is continuing it’s programme of training staff to NVQ Level 2 they are still under target but have identified staff who will undertake this training in the near future. Staff files were seen and examined to assess whether the home is continuing to safeguard service users through robust recruitment practices, with the exception of a few minor shortfalls it was pleasing to see that all of the required checks were in place including the PoVA and CRB disclosures. It was suggested that the manager conduct an audit of these files to ensure that all relevant information is held within them. New workers do not have a structured induction programme that meets the Skills for Care Standards however the manage stated that there are plans to introduce a new induction programme that will meet those standards in the near future. The manager must ensure that all records of induction and training are kept within the staff files. Dingle Meadow Care Centre DS0000038425.V321290.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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that the home is run in their best interests. They can be assured that their money is generally handled safely. Staff would benefit from further training in fire safety and fire drills but on the whole service users health and welfare is safeguarded by the home. The manager is new and enthusiastic, he demonstrates commitment to the service users and the staff. EVIDENCE: Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 21 Since the last inspection there has been a change of management within the home, Mr James Parkes has been promoted from deputy manager to home manager, and should be congratulated on his success. James has worked at Dingle Meadow for many years and has a great deal of enthusiasm for his job. Service users clearly feel that Mr Parkes is helpful and respectful of their needs commenting, “James is brilliant he clearly understands the needs of my husband and has done everything he can to help him settle”, “if ever I need to talk the manager is always on hand”, “when we needed to find a home for my mom it was James that gave us the time and the explanations we needed, we knew there would be no other place for her to go”. Mr Parkes has taken a lead role at the home in the provision of dementia care and training and has just enrolled on the Registered Managers Award course which will commence in the new year. The quality assurance system within the home has improved greatly and this was pleasing to see. Service users are consulted on a monthly basis about a certain area of the homes care provision, for instance more recently surveys have been conducted on the quality of food, and the laundry services. Where issues have arisen as a result of these surveys action has been taken. For example service users said that they didn’t like the soup because it was too thick, the cook has now thinned down the consistency of the soup and service users are much happier. In order to develop this system further the manager must now publish the results of these surveys along with any action plans and make them available to interests parties. Service users monies were also checked during this inspection, the home has good systems in place to keep service users money secure and they are supported by the Organisations policies. Three service users monies were checked and it was found that there were some slight anomalies in two of the three wallets checked, staff did say that they have had a new system installed and that they would be audited very soon and would act upon any shortfalls to ensure that balances are always correct. The safe working practices within the home have improved since the introduction of the “in house” trainer. The trainer will take to responsibility of making sure all staff attend mandatory training to keep their knowledge and skills updated. There is a need for all staff to complete fire safety training and fire drills, particularly the night staff, where shortfalls were identified. There are identified gaps in training that are now being addressed this was pleasing to see. Maintenance records were spot checked and found to be in general good order, there were some anomalies in the fire and water temperature records which were bought to the managers attention at the time of the inspection. Dingle Meadow Care Centre DS0000038425.V321290.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 3 3 3 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 X X 2 Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 23 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 Requirement The manager must ensure that service users demonstrate their involvement in the care planning process. Care plans must be reviewed at least monthly The manager must ensure that the opening date of all boxes is recorded. Internal and external medicines are stored separately. Balances of medicines are carried forward on to the Mar Sheet. There must be a risk assessment and care plan for any service user who administers their own medication/creams. Medicines must be prescribed with a clear dose, method of administration and the frequency of administration. 3 OP11 12(3) The registered manager must DS0000038425.V321290.R01.S.doc Timescale for action 01/03/07 2 OP9 13(2) 01/03/07 01/03/07 Page 24 Dingle Meadow Care Centre Version 5.2 take steps to record the individual wishes of each resident in relation to their needs around dying and their care upon their death (previous timescale of 01/04/06 not met) 4 OP26 13(3) The manager must ensure that there are disposable gloves and aprons available in the laundry at all times The registered manager must take steps to increase the number of staff enrolled to complete NVQ 2 qualifications in order to meet minimum requirements – (previous timescale of 01/05/06 part met) The registered manager must ensure that all employees have a recent photograph on their staff files – (previous timescale of 01/03/06 not met) The manager must complete an audit of all staff files to ensure that the required information is contained in them. Where shortfalls are identified these must be addressed 7 OP30 19 (11) The manager must ensure that all new workers are included in the induction programme. The induction programme must meet Skills for Care standards Written records of the induction programme must be kept. 8 OP31 8(1)(b) The registered person must put forward a manager to register DS0000038425.V321290.R01.S.doc 24/12/06 5. OP28 18 (a) 01/03/07 6. OP29 19(1)(b)s ch 2 01/03/07 01/03/07 01/01/07 Page 25 Dingle Meadow Care Centre Version 5.2 9 OP33 24 10 OP38 17 (2) sch 4, 23 (4), (e) with the Commission for Social Care Inspection. The result of service users 01/03/07 surveys must be published along with an action plan and made available to all interested parties. The manager must ensure that 01/03/07 accurate written records are kept of all staff fire drills and fire safety lectures. Staff must sign to confirm their attendance. The manager must ensure that night staff receive this training as a priority. The manager must ensure that all safety checks are up to date, this must include the emergency lighting and emergency call systems 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 The home should consider training in Dementia Care Mapping as part of their quality assurance system and improvements in dementia care It is recommended that the manager obtain a copy of the Department of Health guidance “Infection control in care homes” June 2006 The registered manager should give consideration to training for senior staff in the theory and delivery of supervision. 2. 3. OP26 OP36 Dingle Meadow Care Centre DS0000038425.V321290.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Dingle Meadow Care Centre DS0000038425.V321290.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!