Inspection on 26/06/06 for Drakelow House

This inspection was carried out on 26th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Drakelow House 24/10/05

Drakelow House 08/07/05

Drakelow House 01/12/04

Drakelow House 10/05/04

Drakelow House 20/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Drakelow House 64 Parsonage Road Heaton Moor Stockport Cheshire SK4 4JR Lead Inspector Kath Oldham Unannounced Inspection 26th June 2006 08:40 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 Drakelow House DS0000008553.V300490.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. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Drakelow House Address 64 Parsonage Road Heaton Moor Stockport Cheshire SK4 4JR 0161-432 4033 NO FAX 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) Miss Gloria Dawn Patten Miss Gloria Dawn Patten Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 18 OP. Date of last inspection 24th October 2005 Brief Description of the Service: Drakelow House provides residential care for up to 18 service users over the age of 65. The home is owned and managed by Gloria Patten. Drakelow House is situated in a residential area of Heaton Moor, approximately quarter of a mile away from shopping facilities and the local health centre. Stockport town centre is approximately a mile away. There is off-road parking for up to four cars, with further parking on Parsonage Road. There are mature gardens to the front and side of the house where, in good weather, service users are able to sit out. Accommodation is provided on the ground and first floors. Access to the first floor is by stairs and passenger lift. The home has been extended to provide single bedroom accommodation to all service users and nine bedrooms have en-suite toilet facilities. The home has a statement of purpose and service user guide which were reported to be given to prospective service users or their families when they visit the home to look round. Copies of these are also within service users’ bedrooms. The fees for staying at the home were reported to be between £350 and £395 per week. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection took place on Monday 26th June 2006, commencing at 8:40am. This inspection centred on monitoring the requirements and recommendations of the last inspection, observing staff practice and routine and discussion with service users. The care files of three recently admitted service users were looked at and all the records relating to their care and support since their admission. Drakelow House residential care home is registered with the Commission for Social Care Inspection (CSCI) to provide personal care for up 18 people over 65 years of age. It is privately owned. The owner/manager is registered with CSCI and was present during the site visit. Comment cards were left at the home to give out to service users and their family, friends and visitors. Comments received are included in this report. The last inspection of the home was undertaken in October 2005 when it was identified that there were areas that needed improvement and requirements were issued. These centred on the information provided to service users in the service user guide, the need for staff who have the responsibility of administering medication to receive training and to put risk assessments in place, particularly centred on service users who have a tendency to fall. Other areas also identified included the need for staff to attend training on what constitutes abuse and how to deal with it and follow the procedures of the local authority and that staff must attend moving and handling training annually to ensure service users are assisted safely. It was also identified on that inspection that the recruitment procedures had not been followed and staff had started work at the home without receipt of essential checks to safeguard service users. Since that inspection a large number of the requirements have been addressed and safe practice and legislation have been tightened up to safeguard the service users who live at the home. Ten requirements were monitored, of which eight have been fully complied with. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Drakelow House had an extension a couple of years ago which provides additional bedrooms, lounge and dining rooms. The original building has, since the last inspection, been redecorated throughout and the finish has opened up the area, giving the illusion of additional space. The lounge and dining room look particularly light and airy. Service users commented on how the colour has opened up the space and the rooms are bright, light and welcoming. New carpets have been fitted in the main lounge and in the corridor leading from the room. The dining room had also been repainted in light colours and non-slip flooring has been laid. Staff said that the flooring is practical and is a lot easier to keep clean and fresh. New dining chairs have also been purchased which were described by service users to be comfortable. Staff said they are easier to manoeuvre when assisting service users. The piano, which was not used, had been removed, providing additional space in the dining room. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 7 The care plans have been developed and staff have spent time individualising the care needs of service users. The care plans provide a clear description of service users’ likes and preferences and the support that is needed from staff. Risk assessments are now in place and there was evidence that they had been routinely reviewed. Staff who have the responsibility of administering medication have received updated training which provides an additional safeguard to service users. All the radiators in the house are now guarded which provides some protection to service users. Examination of the most recently appointed staff files confirmed that staff have been checked by the criminal records bureau before starting work. The last inspection identified that receipts were not always in place for purchases made on behalf of service users. Examination of service users’ files where monies are handled by the home confirmed that receipts were in place. 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. Drakelow House DS0000008553.V300490.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 Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Standard 6 is not applicable Quality in this outcome area is good. Information was available which told service users and relatives what was available. The staff team were able to meet the needs of the service users. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: A service user guide was available for all prospective residents, which tells them about the home. The statement of purpose and service user guide need some slight amendment to ensure the legislation quoted is current and the information provided is factual. Five of the seven service users’ comment cards returned indicated that they received enough information about the home before they moved in to decide if it was the right place for them. Two service users said they couldn’t remember. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 10 One service user, who was privately funded, did not have a contract with the home in place. There had been a couple of new service users admitted to the home since the last inspection, who had been assessed prior to their admission. Assessments were obtained from social workers and health professionals if they had been involved in the admission. The home also undertakes a pre-admission assessment to ensure they had the skills and expertise to care for the service user. Service users recently admitted to the home told the inspector that they were happy with the way in which the home was meeting their needs. One service user described care staff as ‘very kind’ and said that staff looked after them. Care staff demonstrated a good understanding of service users’ care needs and were observed to have a pleasant manner with service users. Service users are able to visit the home before making a decision whether they want to live at the home. One service user said she came to the home with their relative to see what the home was like before coming in on a trial basis. A relative said, “The atmosphere is homely.” Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. Service users’ health and personal care needs were identified and met. Medication practices were not completely safe. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Care plans seen were individualised to each service user’s care needs, with information held in one accessible document. Care plans included health needs, personal care needs, mobility, social interests, and risk assessments, and were reviewed on a monthly basis. Any changes needed were included. Daily records were detailed and concise and gave a full picture of how the home was meeting service user’s care needs and how service user had spent the day. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 12 The majority of service users said they always received the care and support they needed and that staff listen and act on what they say. Service users said they receive the medical support they need. Drakelow house had equipment in place to meet the needs of service users accommodated at the home. Service users confirmed that they had access to GP support, district nursing services, optician and chiropody services when required. District nursing services are involved in the health care needs of service users when necessary. Service users said they see their doctor in private and a staff member will come in with them if they feel this is needed. It had not been recorded that service users had been weighed since March 2006. This needs to be undertaken to ensure any changes in weight are addressed. Service users told the inspector that staff treated them well and they were very satisfied with the care they received. Care staff’s approach towards service users was observed to be respectful, sensitive and caring. Examination of the medication records found the records of administration were, in the main, completed satisfactorily. There was an occasion when prescribed medication which should be given weekly, was recorded as administered daily. The owner said that the medication had been administered weekly as prescribed. The home has a list of staff members authorised to administer medication, which includes a record of their signature and approved initials, as is required by regulations. Senior staff have received basic training in the handling and administration of medication. A formal assessment of their competency is not currently undertaken. None of the residents living at Drakelow House were in charge of their own medication. Two comment cards indicated that they were satisfied with the overall care provided by the home. Drakelow House DS0000008553.V300490.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. Service users have a flexible lifestyle in the home, maintain contact with their families or friends, and receive an appropriate diet. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The day-to-day routine of the home enabled service users to spend time in their rooms or the lounge areas. Service users said they could get up and go to bed at times that suited them and that the day was theirs to spend how they chose. Service users confirmed that visitors were made welcome at the home and service users kept in touch with family and friends. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 14 Service users told the inspector that they enjoyed the meals provided at the home; lunch was the main meal of the day, the teatime meal was a light snack meal and breakfast could be taken in service users’ bedrooms or in the dining room areas. The inspector observed the lunchtime meal, which was well presented and freshly made. Service users told the inspector that they had enjoyed their lunch and that the meals provided were very good and that a choice was available. A relative indicated, “Individual food preferences are catered for well”. A daily record is maintained of all food provided to service users to identify the meals each service user has. This enables anyone looking at the record to judge whether the diet is satisfactory. The home continues to look for a cook to cover the vacant post. In the interim, care staff undertake this role, which limits the amount of time staff spend with service users. All staff who have the responsibility of preparing and serving meals have attended food hygiene training. Service users were observed watching television, they said this is what they liked to do. A number of service users were in conversation, while others slept or rested. Some service users play dominoes or I-spy and listen to music. Comment cards indicated that there could be more for service users to do. Two service users commented that activities were sometimes arranged by the home that they can take part in. One service user said there was snakes and ladders which she took part in. One relative said, “it would be nice if residents could use the garden more in nice weather. It would be nice also if there was more for them to do in the afternoon, especially those who do not have family or friends nearby.” Drakelow House DS0000008553.V300490.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. Service users felt confident that their complaints would be taken seriously and acted upon. Staff had undertaken appropriate training in adult protection. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home has a complaints policy and procedure; there had been no complaints since the last inspection. The procedure states that the home would like to know about any comments, however slight they might be, so that they can try to address them. The recording in the complaints book did not detail any complaints or comments since July 2005, which does not validate the procedures in place. Service users told the inspector that they knew who to complain to and felt that their complaint would be dealt with. Five of the six relative comment cards indicated that they were aware of the home’s complaints procedure. The service user guide (which was given to all service users or their relatives) had a section on how and to whom service users could complain. There had been no complaints received by the Commission for Social Care Inspection. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 16 The home had a procedure for responding to allegations of abuse. As required at a previous inspection, the care staff had completed training in adult protection. Staff on duty at the time of the visit demonstrated a good understanding of issues around adult protection. Drakelow House DS0000008553.V300490.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24 & 26 Quality in this outcome area is excellent. The home was well-maintained and provided comfortable living accommodation for service users. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home was well maintained throughout and provided comfortable accommodation. The grounds of the home were well kept and attractive. The home was clean, tidy, bright and airy throughout and was free from any unpleasant odours. A number of service users’ rooms were seen, these were also furnished and equipped to a comfortable standard. Many had been personalised by the occupants, with many of the service users being quite self contained in their own rooms. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 18 Service users were offered a key so they could lock their rooms; some had chosen not to have keys. One relative said, “the home is kept beautifully neat and tidy, sometimes too much so, as things in people’s bedrooms get tidied out of the way. Bedrooms were personalised; for instance, small items of furniture had been brought in; many had photographs and pictures on display. Since the last inspection the original part of the house has been repainted and redecorated. The lounge is painted in a light colour, which makes the room look much lighter and brighter. New carpet has been fitted in the lounge and the corridor leading from it. In the main dining room, a non-slip floor has been fitted which staff said was much easier to keep clean. The room has also been decorated in a light colour. The corridors and the bedrooms in the original part of the house have also been redecorated, providing a clean, bright and airy feel to the rooms. Service users commented positively on the appearance of the rooms and on how comfortable they felt. The home was accommodation. well maintained throughout and provided comfortable Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. The procedures for the recruitment of staff do not offer protection to service users. The deployment and number of staff is not sufficient to meet the needs of service users at all times. This judgement has been made using available evidence, including a visit to this service EVIDENCE: Since the last inspection two new staff had been employed at the home. The registered manager had not followed recruitment procedures in regard to one newly appointed staff member in relation to obtaining references. The application form is to be amended to ensure that the information provided is accurate. New staff had completed a period of induction at the commencement of their employment. Existing staff confirmed that they had undertaken further training to assist them in their role as carers, including moving and handling updates, food hygiene, fire training, POVA and the safe handling of medicines. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 20 Drakelow House employs a small group of staff and, at such times as holidays, sickness or staff leaving their employ without notice, this puts pressure on staff to work long hours. The staff team support one another and undertake care, cleaning and cooking duties at various times during their shift. A domestic has been appointed to the home for 12 hours each week. The home is clean, however the deployment of staff in domestic, laundry and cooking duties takes away the time they could spend with service users in activity, for example. The home has difficulty recruiting the right calibre of staff. A staff rota showing which staff were on duty and in what capacity was kept at the home. Three service users said that staff were always available when they needed them. One service user said they sometimes had to wait a ling time to be attended to and wondered whether this was because the home was short staffed. The deputy plans to undertake the assessors training to enable her to motivate and encourage staff to take NVQ level 2 training. Currently, one care assistant has NVQ level 2. A number of service users have some degree of confusion or forgetfulness. Staff would benefit from training in dementia to assist them to understand and support service users with deteriorating mental health. Service users were complimentary about the skills and personalities of the staff. A relative indicated, “most of the staff appear very caring and one or two are outstanding”. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. The home was well managed for service users and care staff were appropriately supervised. The health and safety of staff and service users were, in the main, safeguarded. This judgement has been made using available evidence, including a visit to this service EVIDENCE: The manager is also the owner and has a number of years’ experience of caring for older people. The manager continues in her studies to obtain NVQ level 4 in management and care. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 22 All the service users who were spoken with said that they were satisfied with the care they were receiving. The records and areas of the home seen on the day of the inspection were satisfactory, with no obvious signs of any health and safety hazards. Staff received regular supervision to support them in their work and records of such meetings were made available on the visit. The home did not have any involvement with service users’ finances; these remained the responsibility of service users or their relatives. Small amounts of money were held for service users to purchase small items; systems were in place to ensure the safe handling and storage of service users’ monies. The home complied with the requirements of the fire authority and maintained records in respect of fire safety at the home. Fire drill training and practice records did not detail all staff as having received training in the previous six months. A new member of staff had not had fire drill training. Service user meetings are arranged and the majority of service users attend and contribute to the meeting, sharing their views and opinions. Staff had updated their training in safe handling and moving procedures, fire safety and food hygiene. The home recorded information in respect of falls and accidents by service users. An analysis is undertaken in relation to accidents and the deputy said it has identified some patterns. This has resulted in changes being made to care plans and routines in an effort to minimise the risk to service users. All accidents experienced by service users must be reported to CSCI. This is not being undertaken. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 23 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 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 2 X X 3 3 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 X 2 Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 24 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 OP1 Regulation 4&5 Requirement Timescale for action 15/08/06 2 OP2 Sch 4.8 3 OP9 13(2) 17(1)(a) 4 OP9 13(2) 17(1)(a) The registered person must amend the statement of purpose and service user guide to detail the correct legislation and ensure the content is factual. The registered person must 30/07/06 ensure that all service users have a contract/terms and conditions with the home. The registered person must 26/06/06 ensure that on occasions where a variable dose of medication is prescribed, for example, one or two tablets to be taken, an accurate record is made of the actual dosage of each medication administered. The registered person must 20/07/06 ensure that the directions of medication prescribed as ‘as directed’ is clarified with the resident’s General Practitioner and the prescriptions altered accordingly. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 25 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. 5 Standard OP9 Regulation 13(2) 18(1)(c)(i) Requirement The registered person must ensure that the competency of carers with responsibility for medication administration is assessed regularly on a formal basis. The registered person must ensure that all staff are subject to a thorough and robust recruitment and selection procedure and that all documents are obtained as identified within the regulations prior to staff commencement. The registered person must recruit adequate numbers of care, domestic and cooking staff. (Previous timescale of 31/12/05 not met). The registered person must arrange for all staff on their next duty at the home to attend fire drill training and practice. (Previous timescale of 25/10/05 not met). The registered person must ensure familiarity with the Regulations, ensuring that notifications are made to the CSCI as required by the Regulations. Timescale for action 31/07/06 6 OP29 19 Schedule 2 31/07/06 7 OP29 19 31/08/06 8 OP38 23(4) 26/06/06 9 OP38 37 26/06/06 Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 7 8 Refer to Standard OP7 OP9 OP12 OP16 OP27 OP28 OP29 OP31 Good Practice Recommendations The registered person should arrange for service users to be weighed monthly, or more frequently if the care plans dictate this. The registered person should ensure that there is a means of identification for all service users on their medication records. The registered person should evaluate and consult with service users and their relatives in relation to activities. Record preferences and provide the identified activities. The registered person should further develop the recording in the complaints book to evidence that they take service users or their representatives’ complaints seriously. The registered person should arrange for staff to attend training in mental health. The registered person should ensure that a minimum ratio of 50 trained members of care staff to NVQ level 2 is achieved. The registered person should arrange for amendments to be made to the job application form to ensure the detail contained within it is factual. The registered person should obtain NVQ level 4 in management and care. Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Drakelow House DS0000008553.V300490.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!