CARE HOMES FOR OLDER PEOPLE
Dove Court Kirkgate Street Wisbech Cambridgeshire PE13 3QU Lead Inspector
Lesley Richardson Key Unannounced Inspection 2nd August 2007 10:25 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 Dove Court DS0000065318.V349245.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. Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Dove Court Address Kirkgate Street Wisbech Cambridgeshire PE13 3QU 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) 01945 474746 01945 474846 www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited ****Post Vacant**** Care Home 76 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (74), Old age, not falling within any other of places category (2) Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Two named service users over 65 years of age (OP) for the duration of their residency only One named service user under the age of 65 years with dementia (DE) already resident in the home Maximum of 74 service users over the age of 65 years with dementia (DE(E)) for the duration of Condition 1 7th February 2007 Date of last inspection Brief Description of the Service: Dove Court is a purpose built residential care home, situated in a residential area on the outskirts of Wisbech. It is now owned by Ashbourne Care Homes and provides care and support for up to 46 residents over the age of 65 with dementia. The home has 46 single rooms, all with en suite facilities. In addition to the en suite facilities there are 5 bathrooms and one shower, all with toilet facilities. Resident accommodation is on two floors, the upper floor being accessible by stairs or lift. There is a variety of communal areas available to service users. An enclosed garden is at the rear of the home and provides a safe environment for service users to enjoy the garden features. Fees for the home range between £415 and £525.25 per week. CSCI inspection reports are available in the office for people to read if they wish. Dove Court DS0000065318.V349245.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 inspection of this service and it took place over 4 hours as an unannounced visit to the premises. There were two regulation inspectors and a specialist pharmacy inspector present during the inspection. It was spent talking to the manager and staff working in the home, talking to people who live there and observing the interaction between them and the staff, and examining records and documents. Information obtained through returned questionnaires from people who live in the home, and relatives and visitors. Eleven questionnaires were returned from relatives and visitors, and 1 from a person living in the home. Three requirements from the last inspection have not been met. There have been a further 4 requirements, but no recommendations, made as a result of this inspection. Information obtained during four random inspections carried out between this inspection and the last key inspection in February 2007 has also been used in this report. This is an adequate service. What the service does well: What has improved since the last inspection? Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 6 There has been a big improvement in the way the home operates and manages the care of people living there. Most notable are the comments from relatives of people living at the home, which include, “the care home staff are always approachable and helpful. They provide my mum with the best care they can. They treat her well and seem very fond of her”, “they are very caring and supportive of her in many ways. Know her characteristics and deal with changing moods”, and “knows each resident personally, their quirks, fears, interests. Responds to their individualities”. Relatives also said communication between them and the home has improved and this has lead to them not only being informed when issues arise but also being able to talk to staff about the best ways to care for people. One person said, “it has improved during the last six months, only due to my contact with staff members, talking to them and explaining about (my mother)”. The information written in care plans, risk assessments and records are much more detailed. They contain links between plans and risk assessments and show why particular actions are needed. There are also links between care plans for different aspects of care, such as the link between a person having a poor nights sleep and an increased risk of falling. Health care professionals, such as falls co-ordinators and CPNs (community psychiatric nurses), are contacted and the advice they give is used to make sure health needs are properly cared for. Although this area has improved, there is also a comment in the section below about how is must improved further. There have been some significant improvements in the way medicines are handled in the home and many of the requirements made on previous inspections have been met. People at the home are given more choice during the day, and training given to staff members’ means they have a better understanding of how to help people make choices for themselves instead of making the decision for them. Training throughout the home and in different areas has increased. Staff have mandatory health and safety training and other training, like safe handling of medication, challenging behaviour and infection control. Although there remains a small percentage of care staff with a National Vocational Qualification (NVQ), there are 20 staff members currently undertaking this or a higher level qualification. The way staff at the home deal with complaints and protection concerns has improved. Complaints are looked into properly and verbal complaints are also written down and looked at. This has improved considerably in the last few months. Training has also been given to nearly all staff about safeguarding adults, which means they have a better understanding of abuse and how it can be identified, and what to do if they suspect it has happened. Incidents are now being reported properly and without delay. What they could do better: Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 7 There are a few areas where the home must improve more, some of these areas have been identified at previous inspections and so action must be taken quickly. When medication is given on a “when required” basis there is no indication in the resident’s care plan on what the medication is for and the circumstances it is used. This is important to ensure medication is used appropriately and consistently for the well being of residents. The home must ensure that there are sufficient supplies of medicines held in stock for the continued treatment of residents and records of when medicines are administered to residents need to be improved. There are not enough activities provided by the home. Although information is now being obtained about each person’s likes/dislikes and previous hobbies or interests, activities that are relevant to these are not available. The manager is aware of this and is planning to re-introduce the Montessori activities that help people with dementia to keep skills they still have for longer. Although there are fewer people living at the home since the last key inspection there are still some staffing problems. There are not enough staff on some evening shifts and still only two people in each unit at night. More people fall at night than at any other time of day in the home and this must be looked at so people are safe. Recruitment checks of new staff are not good enough, and although the new manager has not employed any new staff, she is aware that the checks carried out before new staff members starting working at the home must be done in full. Staff must have fire drills and practice what they should do if there is a fire. This is so staff will be able to take the correct action to prevent problems and a more serious outcome if a fire does occur. 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. Dove Court DS0000065318.V349245.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 Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Information is obtained before people move in, so that the home is able to make a decision about whether staff have the skills and experience to properly care for that person. This judgement has been made using available evidence including a visit to this service. EVIDENCE: For most of the time since the last key inspection there have been no admissions to Dove Court and therefore information to assess this outcome area has come from evidence obtained during one of the random inspections. The home carries out an assessment of people who want to live there, and additional information is obtained from health and social care assessments. This means the home is aware of all of a person’s needs before they move into the home, they can plan how they will care for the person and whether staff already have the skills and experience to look after the person, or whether this also needs to be looked at. The home does not provide accommodation for people needing rehabilitation or intermediate care.
Dove Court DS0000065318.V349245.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): Quality in this outcome area is adequate. Improvement in the information put into care records and the way staff treat people living at the home means people can sure their care needs are being met in a polite and dignified way. Contact between health care professionals and the home means information and advice is being obtained so staff can better meet health care needs. There have been improvements in medication administration and access to health care professional advice, but further improvement is needed to make sure people receive medication correctly and safely, and advice obtained is put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are clear and detailed written policies and procedures available for staff on the safe use and administration of medicines. Medication is stored securely in each unit for the safety of residents but there is some concern over the storage temperature of the medication storage rooms since these are consistently at or around the recommended maximum of 25C. This had been noted by the current manager and steps are in hand to install air-cooling units in each room. A few items were found out to date and need to be removed
Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 11 from stock and some medicines had not been given to residents because they were out of stock. This has been a requirement on previous inspections and must be addressed to ensure the continued treatment of people who use the service. There are clear records kept of when medicines are received into that home and when they are disposed of, providing a good audit trail. Records are kept when medicines are given to residents but there were some cases where these were left blank, giving no indication of whether medicines are administered or not. When medication is given on a “when required” basis there is no indication in the resident’s care plan on what the medication is for and the circumstances it is used. This is important to ensure medication is used appropriately and consistently for the well being of residents. The medication round was observed on two units and medicines were administered with due regard to the privacy and personal choice of the residents. There has been a steady improvement in the way care records are kept, the information written in plans and how the information in risk assessments links to actions and information in the care plan reviews. The information written in care plans is detailed, gives guidance about individual preferences and makes links between care plans. For example, one person’s plan for falls also states the person will be more likely to fall if she is tired and has not slept well. Most plans are reviewed at least every month and the information in the review is more of an evaluation of what has happened rather than stating there has been no change or listing the events that have happened. Information provided during the inspection shows all care staff have received training in care planning, and it is evident that this has had a positive effect on the quality of the information written in these documents. Advice from health care professionals is sought and implemented; there are daily visits to the home by district nursing staff and regular contact with a CPN and falls co-ordinator, plus other professionals when required. Despite involvement of a falls co-ordinator there remains a high number of people falling each month. Records are kept showing action taken to reduce the number of falls, such as hourly checks, although there is little analysis of these records. There has been no introduction of other resources, such as equipment designed to alert staff if someone has got out of bed, which means that although checks are carried out, staff have no way if knowing what is happening in rooms when the door is shut. Advice from a speech and language therapist and a dietician for one person regarding weight loss and swallowing problems had not been written into the care plan, although the plan had been reviewed after one of these professionals visits. Recommendations made by the dietician had not been passed on to kitchen staff and although dietary records for this person are kept they do not give enough information to show if the diet is adequate. However, there has been a significant
Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 12 improvement in records that are kept and contact with health care professionals by the home. Most relatives and visitors who returned surveys said care staff are polite, kind and treat people in the home as individuals. Two comments about how staff respond to people were, “knows each resident personally, their quirks, fears, interests. Responds to their individualities” and “the home provides a happy and relaxed environment where all are treated with dignity in a patient and calm way”. There has been an improvement in the way staff talk to people at the home over the course of inspections since the last key inspection. Issues about privacy and dignity were observed during two random inspections, but it was good to see that these practices (putting sugar in everyone’s tea and giving care without closing room doors) are no longer carried out. Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. There have been improvements in how staff communicate with relatives and visitors to the home, although further improvement in activities and meals provided is needed to make sure people have social and nutritional needs met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been little change to the activities provided at the home since the last key inspection, although the home employs activities co-ordinators. The one person living at the home who returned a survey said suitable activities are only provided sometimes. Information about people’s interests is now obtained in life histories from family members; some of this is very detailed and gives a good insight into that person’s life and interests. However, this is not then made into a care plan that staff are able to work from. The manager is aware that activities provided by the home must improve and is working to re-introduce Montessori activities and general activities that everyone can participate in. Families and visitors to the home say that people living there have much more choice now, although this has only improved in the last few months. Two comments made said that the choice people have now is only due to the work
Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 14 some staff have put in and the improved communication they have with families of people at the home. Almost 90 of people returning surveys said they are kept up to date with issues about their relative at the home, although this has recently improved. Relatives and visitors also said they can visit at any time and are made welcome when they do visit. The one person living at the home who returned a survey said they never like the meals that are provided, with the comment, “not many meals I like”. Meals are delivered to each part of the home in a heated trolley and dished up by staff at the trolley, before being given out. The home provides meals for people who need specialised diets, like purée food, and a relative of one person at the home said staff have become much more aware of this person’s needs. However, the dietician recommended another person receive a diet that is fortified with cream, cheese, mayonnaise and butter, but this had not been put into place. Staff members said they did not know if this person should receive a fortified diet or not, or whether supplements would be added in the kitchen or by staff serving the meal. Kitchen staff said full cream milk, cream and butter is routinely added to all meals, except one person who has a specialised renal diet, but that they had not been informed that anyone else needed specific supplements. Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Staff awareness of complaints and safeguarding adults procedures has improved and these are completed properly, which means people at the home have staff that are able to respond properly to their concerns. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided before the inspection shows the home received 17 complaints in the preceding 12 months. Most of these were responded to within the required timescale. Since the last key inspection in February 2007 there has been an improvement in the recording of complaints and how the home investigates and responds to these. Three complaints made in July 2007 were looked at during the inspection; two had been responded to appropriately and within the required timescale and one was still being dealt with. One of the complaints had been a verbal complaint and it is good to see these are also recorded and responded to in the same way as written complaints. Nearly 45 of people returning surveys said they know how to make a complaint, although the same number said they didn’t know how to make a complaint or could not remember. However, most comments made were positive and people said the home responds appropriately when complaints are made although this has not always been the case in the past. Four incidents in the last 12 months have resulted in referrals to that adult protection team and investigations under the safeguarding adults protocol. There has been improvement in this area also, with better recording of
Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 16 incidents and referral immediately an issue arises. Nearly all staff members have been given training in protecting from abuse, which includes information about local guidelines. One person, who no longer works at the home, has been referred for inclusion in the Protection of Vulnerable Adults list. Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. The home offers people a pleasant environment in which to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are many positive aspects in the design and environment of the home’s dementia care units. There are a number of orientation aids in place to help residents find their way. People have pictures of themselves and their names in large and colourful print on their bedroom doors, which helps them identify which bedroom is theirs. There are pictorial representations of toilets on toilet doors. ‘Fiddle Boards’ are hung along long corridors to offer stimulation and interest to people as they walk along corridors. There is a well-planned garden that gives people the opportunity for reminiscence. The environment is safe and pleasantly decorated with a number of different areas in each unit for people to sit.
Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. Improvements in training opportunities for all staff means that people living at the home receive appropriate care, although staffing levels and recruitment practices are not always adequate for people to be safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing rotas provided before this key inspection show there are usually only 3 staff members on duty in each unit during the day and evening, with 2 staff members on duty on each unit at night. However, there were a number of shifts, mostly in the evening and mostly in one unit, where there were only 2 staff members on duty. Although there were only 46 people living in the home at the time of the inspection, this level of staffing is just adequate, and leaves staff without the ability to monitor everyone in their care. In the three months before this inspection, accident records show there were almost 30 falls in two of the months and almost 20 in the third month. More falls occurred on one unit, on one particular shift, than on the other 2 units. While it is accepted that staff cannot prevent all falls occurring, these are high levels, and staffing levels should be in adequate numbers in areas where falls are known to occur. Adequate staffing has been an issue at the home for some time and must be looked at to make sure staff are able to meet all needs, not just personal care but also social needs, and to be able to keep people safe. The manager said the home is running a recruitment campaign and hopes to employ more staff.
Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 19 There have only been few new staff members since the last key inspection and none since the present manager has been in the position. One staff file was looked at and it is acknowledged the present manager was not responsible for this person’s employment. However, this person’s file shows there is no ID or photograph available on the file, one reference from a previous care employer indicated the person would not be employed again at that establishment, but there was no information to show this had been discussed with the referee. Dates of employment written in the application were confusing and gave dates in the future, again this had not been clarified. Since the last key inspection staff members have received increasing amounts of training, which has become evident in the way care is performed. Information provided shows most staff members have received mandatory health and safety training, and protection from abuse training that includes information about local guidelines. Senior care staff have received training in the safe handling of medication and training in other areas, like nutrition, challenging behaviour and care planning has also been given to care staff. Information provided before the inspection shows 8 staff members have a NVQ in care at level 2, which does not meet the recommended 50 of care staff. However, there are another 20 staff members either working towards a NVQ level 2 or level 3 qualification, which will give the home more than the recommended number of staff with this qualification. This is excellent news and shows staff are committed to providing care with the right skills for the job. Dove Court DS0000065318.V349245.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, 37 and 38 Quality in this outcome area is adequate. Improvements in this outcome area show the home has a permanent manager with experience in caring for older people and that it is now run in the interests of people living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had been without a registered manager since December 2006 and without a permanent manager in place since July 2006. There is now a permanently appointed manager, who has been employed in the position since July 2007. She has previously been manager of another care home for older people in the Wisbech area. An application to register this manager with the Commission for Social Care Inspection must be submitted. Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 21 The last quality assurance survey was carried out in October 2006, the home is working to address concerns raised by relatives at that time. Relatives and staff meetings are held and these are advertised in advance to make sure as many people as possible can attend. A sample of residents’ fee payments and cash sheets were viewed. Good written records for all transactions undertaken on behalf of residents were maintained, as were receipts. A number of records in relation to health and safety were viewed and found to be in good order, indicating that the home undertakes regular checks of a range of appliances. However, training records indicate staff have not been involved in fire drills and one has not taken place in the last year. Fire drills must take place to make sure staff are aware of the procedure they must follow in the event of a fire. Dove Court DS0000065318.V349245.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X 3 2 Dove Court DS0000065318.V349245.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 OP8 Regulation 13(1)(b) Requirement Advice obtained from a health care professional must be put into practice to make sure the health care needs of people living at the home are met. The registered person must ensure that adequate stock control is in place to prevent medication running out. (Previous timescales of 15/12/06 and 01/08/07 not met.) Where medication is given to residents on a when required basis, clear guidelines for their use must be included in the care plan to protect the health and well being of residents. Service users or their representatives must be consulted about their social interests and the activities arranged for them. (Previous timescale of 01/08/07 not met.) There must be staff working at
DS0000065318.V349245.R01.S.doc Timescale for action 30/09/07 2 OP9 12(1)(b) 13(2) 01/10/07 3 OP9 12(1) 15(2) 01/10/07 4 OP12 16(2)(m), (n) 20/10/07 5 OP27 18(1)(a) 20/10/07
Page 24 Dove Court Version 5.2 the care home in such numbers as are appropriate for the health and welfare of service users. (Previous timescale of 01/08/07 not met.) 6 OP29 19 Recruitment checks and information must be obtained and must be satisfactory before new staff members start working at the home. This is to make sure new employees are safe to work with vulnerable adults. Staff must practice fire drills to make sure the are aware of the procedure they must take in the event of a fire. 30/09/07 7 OP38 23(4)(e) 20/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Dove Court DS0000065318.V349245.R01.S.doc Version 5.2 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. 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!
