Inspection on 27/07/06 for Druids Meadow

This inspection was carried out on 27th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Druids Meadow 25/11/05

Druids Meadow 21/06/05

Druids Meadow 18/01/05

Druids Meadow 14/04/04

Druids Meadow 02/12/03

Druids Meadow 05/08/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Druids Meadow 6 Manningford Road Kings Heath Birmingham B14 5LD Lead Inspector Karen Thompson Unannounced Inspection 27th July 2006 08:45 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 Druids Meadow DS0000033439.V305314.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. Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Druids Meadow Address 6 Manningford Road Kings Heath Birmingham B14 5LD 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 430 5421 0121 430 8603 Birmingham City Council (S) Mrs Sandra Ann Middleton Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The home is registered to accommodate 45 adults over 65 years who are in need of care for reasons of old age and may include mild dementia Registration category will be 45(OP) Minimum staffing levels are maintained at 6 care assistants plus a senior member of staff throughout the waking day of 14.5 hours In addition to the minimum staffing levels above, there must also be 3 waking night care staff plus a senior on waking or sleeping-in duty Care/shift manager hours and ancillary staff should be provided in addition to care staff 25th November 2005 Date of last inspection Brief Description of the Service: Druids Meadow is purpose built, 45 bedded home for older people. The home offers a service to forty long stay and five short stay residents with a variety of needs. The home is situated on the outskirts of a residential estate in Druids Heath and is close to local shops and amenities with easy access to several public transport routes. The home is a three-storey building that offers single bedroom accommodation on each floor. The ground floor has a large dining room, a hairdresser’s room, two communal lounges, one visitors lounge, the laundry, main kitchen, medical room and office. There are two lounges and kitchenette on the first floor. On the second floor there is also a lounge, dining room and kitchenette. There are bathing/showering and toilet facilities throughout the home that are equipped to enable staff to assist Service users where necessary. To the rear of the home is a large fenced garden and to the front a large car park. Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The report findings are based on an unannounced fieldwork visit. Information was gathered from a number of sources: a tour of the building, examination of records and documents, talking to residents, relatives, staff members and managerial staff, direct and indirect observation What the service does well: What has improved since the last inspection? Redecoration and refurbishment of the home continues enhancing the environment for residents Care planning and assessments has improved and only minor work is required to ensure it meets the standard. Supervision frequency has increased ensuring staff are supported to meet the needs of residents’. The Service Users Guide and Statement of Purpose has been update to ensure that residents’ are aware of what the home has and can offer Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 6 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. Druids Meadow DS0000033439.V305314.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 Druids Meadow DS0000033439.V305314.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1.2.3.4.5 Quality in this outcome is adequate. The judgement has been made using available evidence including a visit to this service. Information available to residents is up to date ensuring that the residents’ are fully informed of what they can expect from the service. Systems in place for pre-admission assessments are good, ensuring that residents do not move into the home unless these needs can be met. Not all residents had a contract and so were not aware of their rights or obligations. EVIDENCE: The Statement of Purpose and Service Users Guide have been amended and meet the standard. Residents and relatives are informed via Newsletter of the availability of the most recent inspection report completed by the Commission. Not all service users had a contract on file. The inspector was informed that contracts were being reviewed. Social Workers and staff at the home carry out residents’ pre-admission assessments. Residents are invited for a pre-admission visit, during which visit Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 9 they are shown around the home, invited for a meal and shown the bedroom available. The home is registered for mild dementia but some residents have been admitted outside the homes registration category. Whilst staff were successfully meeting their needs they must be mindful that specialist skills for each category are essential. Mental health assessments are not taking place for residents admitted to the home and this is an important baseline measurement from which changes can be monitored. Druids Meadow DS0000033439.V305314.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7.8.9.10.11 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. The quality of the new care plans for the majority of residents were good demonstrating needs were being assessed and that there were strategies in place to meet them. There was evidence of good multidisciplinary working taking place on a regular basis but the home was not assessing all health needs adequately which could potentially lead to poor outcomes for residents. The arrangements for medication administration were variable leading to potentially poor outcomes for residents. EVIDENCE: Three residents care plans were looked at during the inspection. The staff have worked as a team in reviewing the format used to record care planning needs and this is to be commended. The care plans are individualized setting out the action to be taken by care staff to ensure aspects of health, personal and social care needs of residents are met. There were good examples of individual detail in these new plans. These new care plans were working alongside the old formatted care plans but the staff need to quickly introduce this new format and archive the older style care plans. Daily recordings were Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 11 taking place but on occasions the inspector was unable to ascertain whether issues were still on going or had been resolved from these recordings. Assessments for skin integrity and nutrition were not always being linked into the care planning process if a concern was identified. Continence management assessments were taking place with the help of an external professional. Residents’ files demonstrated that a variety of multi-disciplinary team members were visiting the home and referrals were being made. Staff were also able to demonstrate a pro-active approach to meeting residents health needs. Falls are being monitored but at a basic level the inspector was shown a new format for recording that would capture more information and allow for a more in-depth analysis. The medication room temperature taken by the inspector was 26.1c, which exceeds the recommended maximum of 25c. Strategies need to be put in place to reduce the temperature of this room, as medication should not be stored at above 25c. Concerns about the temperature of the medication room have been raised previously with the home and urgent action needs to be taken. The Care Manager stated that all staff dispensing medication has received accredited training. The Medication Administration Record (MAR) chart are printed by the staff at the home and not by the dispensing pharmacist. Staff photocopy the original prescribing script (FP10) although this is not kept alongside the MAR charts but filed. Staff checking procedures need to be more robust as creams prescribed and dispensed were not being recorded on the MAR chart. Two members of staff must sign the typed MAR chart to demonstrate that they have checked their typed MAR against the original script (FP10) and both correlate. Eye drops are dated on opening but creams found in residents’ rooms were not being dated on opening. A new medication fridge has been purchased and will alarm if temperature within the fridge exceeds 6c. The inspector observed good interaction between staff, residents and relatives. Both residents and relatives were spoken to in an appropriate manner by staff. Staff were observed knocking on residents rooms prior to entering them. Phone calls can be made or received in private within the home either by a phone being installed in the residents’ room or a call box available for use on the ground floor. Residents and relatives are asked about their wishes in relation to funeral arrangements that are kept on their personal file. Druids Meadow DS0000033439.V305314.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 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. The judgement was made using available evidence including a visit to the service. Residents’ independence and choice is maintained through a variety of systems within the home. A variety of leisure and recreational activities are available in the home. EVIDENCE: A variety of activities were taking place inside and outside the home. A jigsaw puzzle was observed on one of the tables in a lounge; the inspector was informed that a resident was in the process of completing this. Two relatives commented that they were informed of what activities were taking place via a variety of methods such as the new letter product, notices and staff. Activities included ‘Pat a dog’, board games, trips to the theatre, joining other residents from another home for a trip to the seaside and a visit to the local supermarket for a coffee and so forth. Residents are asked what activities they would like and when via questionnaires and meetings. Staff have been fund raising recently via a sponsored walk to purchase a film projector for residents. The home has DVD nights where a choice of films is offered to residents, from old classics to recent releases and it is thought that the Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 13 projector will enhance this experience. Staff informed the inspector that the residents did enjoy the DVD nights. Residents confirmed there were no restrictions on their activities and that they could go to bed when they wanted and get up when they liked. Visitors are welcomed to the home and offered drinks with the residents. Staff chatted to during the inspection were able to demonstrate an individual approach to residents care. Residents’ bedrooms were personalized with their own possessions. Residents are registered for postal voting if they wish to be. The Care Manager stated that they had telephone numbers for an advocacy service if residents needed this. It is recommended that when the home next reviews the Service Users Guide information on how to access an advocacy service is included. The inspector had a meal with residents that was nicely presented in a pleasant environment. Staff assisted residents discreetly and sensitively. The menu had been reviewed to reflect the hot weather and jugs of squash and drinking glasses were observed in areas where residents were sitting. Comments in relation to meals was positive: - “ meals good”, “always something else, always a choice”, and “food very good”. Druids Meadow DS0000033439.V305314.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 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. The judgement was made using available evidence including a visit to the service. Systems are in place to ensure that residents are protected and their concerns listened to and processed in a sensitive and professional manner. EVIDENCE: The home has a comprehensive complaints procedure. The home has not received any formal complaints since the last inspection. Relatives informed the inspector that the home has an open door policy and that staff respond to their concerns. Arrangements for protecting residents within the home were in place. The copy of the multi-agency guidance policy and procedure has been revised and the Care Manager was asked to obtain the most recent version. Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19.20.21.22.23.24.25.26 Quality in this outcome area is adequate. The judgement was made using available evidence including a visit to the service. Progress has been made in addressing outstanding maintenance issues and as a result the building externally and internally has improved making it homely, safe and pleasant in a number of areas. Residents’ private accommodation is suited to their needs and personalised according to their tastes and preferences. EVIDENCE: The home has made progress in a number or areas in addressing outstanding maintenance, redecoration and refurbishment issues. The inspector was given a soft furnishing schedule that has been drawn up by the home and also witnessed residents being asked about whether they would like new curtains for their bedrooms. A number of window frames and doors have been replaced. The smoking room for residents has been moved and the previous smoking room has had the carpet replaced. Some armchairs are worn and showing signs of age, this was discussed with the Care Manager during the inspection. A number of communal rooms have been redecorated along with Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 16 a number of residents’ bedrooms. Residents’ pillows in some instances were lumpy and the Care Manager was asked to carry out an audit and replace those no longer fit for use. The garden fence was broken in a number of areas and this was discussed with the Care Manager. There are plans to repair the fence and put in measures in place to reduces its vulnerability. There were a number of tubs with planted with flowers and vegetables in the garden which were a pretty feature. The inspector was informed that these were being looked after and nurtured by a resident. There are a number of aids and adaptations provided throughout the home. The assisted bathing facilities were showing signs of wear along the top of the bath and the inspector was informed that this was due to the assisted chair catching. The bathrooms were hot on the day of the inspection and a number of measures had been put in place to reduce staff and residents’ being overcome with heat. There are six rooms that are large enough to accommodate all the furniture stated in standard 24. The home needs to offer residents all this furniture and provided if the resident wants it, to meet the standard. Residents are offered a key to their bedroom door. Bedrooms have a lockable facility, usually in the form of a lockable wardrobe, but a recent incident in the home indicated that this facility needs to be reviewed. Staff to audit all lockable facilities in residents’ bedrooms and ascertain whether there is a key to this facility and whether it can be locked. Residents are not automatically offered a key to this facility as they are in relation to their bedroom door. The home was clean and one relative commented that there was “ no odour in the home on visiting”. Commodes in some residents’ bedrooms were observed to be rusty, which means the surface cannot be cleaned to an acceptable standard. Bins were observed in bathrooms and sluice areas to be without lids and not always foot operated. It is recommended that the home contacts the Health Protection Agency to help carry out an environmental audit in relation to infection control. Whilst there are good facilities available in the home, systems may need to be reviewed or enhanced. Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 17 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 judgement was made using available evidence including a visit to the service. Staffing levels are adequate to meet the needs of residents. The recruitment and selection procedures ensure that residents are protected. The home has a committed workforce but training has elapsed in some areas and this needs to be resolved so that residents receive a service from a competent and skill team. EVIDENCE: Staffing levels and maintenance of these have been an issue up until recently due to a number of staff vacancies. The home at the time of inspection only had 30 residents and a decision had been made that no more than 35 residents would be in the home whilst staffing vacancies remained empty. Staffing levels are adequate for 30 residents. Staff files sampled did contain photocopies of qualifications. The Care Manager was asked to audit how many care staff had an NVQ 2 or above in care, which ranged between 50-54 depending on the method of calculation used. No new staff have been successfully recruited to work in the home since the previous inspection. Staff files were not sampled as they had previously meet the standard. Staff still require updating in a number of training areas. The training matrix identifies shortfalls in manual handling, first aid, food hygiene, health and Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 18 safety. From these identified short falls the home needs to identify when gaps will be meet. Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is adequate. The judgement was made using available evidence including a visit to the service. This is a well-managed home run for the benefit of residents. The health, safety and welfare of residents and staff are generally promoted and protected. EVIDENCE: The management team and staff work well together as a team. Relatives’ comments about the management team and staff were “door always open” “very friendly and open” and “will keep informed”. There was a friendly happy relaxed atmosphere in the home. The home’s documentation was well organized and easy to access. There is a written record of residents’ money with receipts. Money is held individually and securely. The comfort fund was audited and systems are now Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 20 in place to monitor and retrieve money that is loaned from this fund to residents whose finances temporarily run short. Staff supervision is taking place and the staff are looking to achieve this occurring six times in twelve months. The home has various systems in place to monitor quality assurance, these include environmental checks, and audits carried out against CSCI standards, resident, staff and quality assurance meetings. The home is looking to introduce resident questionnaires in the near future. Health and safety matters on the whole were well managed. A fire risk assessment was in place but fire drillings for staff had lapsed and according to records had only occurred once in twelve months. Weekly checks were being carried out by the maintenance operative for a number of things. Hot water outlets were being tested but the recordings did not state the temperature of these outlets. In the main kitchen fridge and freezer temperatures were being recorded and were within acceptable range. Hot food probing was taking place and was within acceptable ranges. The inspector was unable to locate the fridge recordings for the kitchenette areas. Hoists and lift servicing and maintenance was evidenced to be taking place. The hardwiring electrical certificate had been completed in 2003, but the inspector and staff were unable to ascertain from this certificate when it was next due. Gas appliances were being serviced and had the appropriate safety certificates. Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 21 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 2 3 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 3 3 3 2 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 X 2 Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 22 Yes Are there any outstanding requirements from the last inspection? 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 OP2 Regulation 5(2)(b) Requirement The Registered Person must ensure that all service users are provided with a residential care agreement (contract) at the point of admission including short stay service users. Outstanding requirement since 18/01/05. 2 OP7 15(1)(2) The Registered Person must ensure manual handling assessments are reviewed every month. Outstanding requirement since 18/01/05. 3 OP7 15(1)(2) The Registered Person must implement the new style care plans for all residents and archive care planning material that is not longer being used. The Registered Person must ensure that individual risk assessments refer to any concerns with regards to any psychological issues and how any issues around behavioural DS0000033439.V305314.R01.S.doc Timescale for action 30/11/06 30/11/06 30/11/06 4 OP7 OP4 15(1)(2) 30/11/06 Druids Meadow Version 5.2 Page 23 changes should be addressed. Outstanding requirement since 18/01/05. 5 OP8 12(1)(a, b)(3) The Registered Person must ensure that assessments are accurately completed in the following: - Mental health needs Outstanding requirement since 18/01/05. 6 OP8 18(1)(a) The Registered Person must 30/11/06 review staff training in relation to monitoring and recording changes in service users social and health care needs. Outstanding requirement Nov 2005. 7 OP9 13(2) The Registered Person must ensure that all creams kept in residents rooms are dated on opening and disposed of after 28 days. The Registered Manager must ensure a system is installed to check all the prescriptions prior to dispensing and the dispensed medicines and MAR charts received into the home. All medicines that have been checked must have two staff signatures to vary this. The Registered Person must monitor the temperature of the medication room. If it is found to exceed 25.C, then strategies must be drawn up to reduce the temperature or find alternative locked accommodation for medication. The Registered Person must ensure that the perimeter fence DS0000033439.V305314.R01.S.doc 30/11/06 30/09/06 8 OP9 13(2) 30/09/06 9 OP9 13(2) 30/09/06 10 OP19 23(2)(b) 30/12/06 Page 24 Druids Meadow Version 5.2 11 OP20 23(2)(b) is repaired. The Registered Person must 31/01/07 ensure that: - Window frames that are in poor condition or rotten are repainted or replaced. Outstanding requirements from 18/01/05. Armchairs, which are worn are repaired or replaced. Outstanding requirement 30/03/06 12 OP24 16 (2)© The Registered Person must audit the quality of pillows supplied to residents and replace those that are of poor quality. The Registered Person must ensure that those residents occupying the six larger bedrooms are offered furniture listed in standard 24. A record of this conversation must be kept on these residents files The Registered Person must audit all residents’ lockable facilities to ensure that they have a key and are able to be locked. All residents must be offered the opportunity of a key to these lockable facilities. 30/11/06 13 OP26 13 (3) The Registered Person must audit commodes chairs and ensure that those that are rusty are replaced. The Registered Person must ensure that all bins in communal areas have a lid and are foot operated. The Registered Person must ensure that staff receive updated training in fire awareness, food hygiene, manual handling, DS0000033439.V305314.R01.S.doc 30/11/06 14 OP30 18(2) 30/01/07 Druids Meadow Version 5.2 Page 25 health and safety and first aid. Outstanding requirement since 18/01/05. 15 OP38 OP8 13(4) The Registered Person must ensure that the monthly audit of residents’ falls is robust enough to spot patterns and trends and appropriate action is taken following the fall. Outstanding requirement since 30/09/05 The Registered Person must ensure that all staff attend a fire drill twice a year. The Registered Person must ensure that records about hot water testing states temperature. The Registered Person must check when they are required to recheck the hard wiring safety. 30/11/06 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 OP26 Good Practice Recommendations The Registered Person is advised to contact the Health Protection Unit at Bartholomew House, Hagley Road, Birmingham, to carry out an environmental audit. Telephone number: 0121 224 4670. (Outstanding recommendation from Nov 05) Druids Meadow DS0000033439.V305314.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Druids Meadow DS0000033439.V305314.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. 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