Inspection on 04/06/07 for Elizabeth Court Care Centre

This inspection was carried out on 4th June 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Elizabeth Court Care Centre 17/03/08

Elizabeth Court Care Centre 25/10/06

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

CARE HOMES FOR OLDER PEOPLE Elizabeth Court Care Centre New Street Sutton St Helens Merseyside WA9 3XE Lead Inspector Miss Diane Sharrock Key Unannounced Inspection 10:00 31st May 4th June 07 2007 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 Elizabeth Court Care Centre DS0000066312.V332567.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. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elizabeth Court Care Centre Address New Street Sutton St Helens Merseyside WA9 3XE 01744 821700 01744 821701 ec@keyhealthcare.co.uk 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) Key Healthcare (St Helens) Ltd. Care Home 43 Category(ies) of Dementia - over 65 years of age (43) registration, with number of places Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 25th October 2006 Date of last inspection Brief Description of the Service: Elizabeth Court is a care home that provides nursing and personal care for up to 43 Residents. The home is registered to provide Nursing care for older Persons with a diagnosed condition of dementia. The home is a privately owned by Keys Healthcare and Mr Keys is the Responsible Person A new Manager is going through the process of applying for registration. as the previous Registered Manager resigned. The home is purpose built over 2 floors and each bedroom has its own en suite toilet and basin area. The home is fully equipped with grab rails and other aids to assist disabled residents manage in the premises. It has a call system located throughout the building. The home integrates easily into the local environment being of a pleasant appearance. It has gardens to the rear and parking is available to the front and the rear of the building Elizabeth Court is located in an established Residential area of St Helens with easy access to local facilities. The fees listed in the homes Statement of Purpose are advertised as £500 to £600 per week. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of two days, as some records could not be accessed on the first day. Inspections involve measuring a number of standards considered as important by the Commission for Social Care Inspection. Looking at the homes records and undertaking a tour of the building completed the visit. During the visit discussions took place with 5 Staff and some of the Residents that were in the lounge and in their bedrooms. Selections of Comment cards were left in the home to offer people further opportunity to give their opinion about the home. Feedback of the visit was given to the Manager at the end of the inspection. No comment cards have been submitted to CSCI up to present date. What the service does well: What has improved since the last inspection? Care plans were very organised and detailed and gave enough updated information to describe the care and support needed to be given to all Residents. The plans covered a diverse range of needs. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 6 Staff had developed the notice boards making information for residents easy to view and this helps to keep everyone up to date with all developments and events at the home, The board contains pictures of all the Staff which help residents and visitors identify staff and their roles. There is a day-to-day plan of what activities are offered. There were positive comments about the food especially with all meals being homemade and some residents commented, “The food is lovely here” That was lovely today, I always enjoy my meals.” What they could do better: Full feedback was given to the Manager at the close of this inspection. There were some issues to be developed further to meet the standards. Staffing levels must be reviewed and evidence shown how Staffing levels meets the ongoing dependencies of Residents. Staff comments should be reviewed in terms of Staffing levels needing to be increased to meet the Residents needs including any potential Residents that need increased support packages. A review of medications must take place to improve on certain areas of management of medicines; this will enable the management of medications to be safe and well managed. Daily records of temperatures of the drug fridge must be recorded, audit of stores of medication will help prevent stock piling of medications in store cupboards, and management of drug errors should show what actions are taken to improve practices. Training and development of Staff should be updated and evidence should be in place to show that all Staff are given at least 3 days training a year including mandatory training for fire training, abuse awareness, dementia, food hygiene. New Staff should have planned induction so that they are fully trained and enabled to care and support the Residents. To continue developments in supervision so that all Staff have at least 6 planned supervisions sessions each year including new Staff. This will help support Staff in their training needs and help them develop while working at the home. Care plans should identify how they will meet the Residents social needs and should also include details as to how they will meet the social needs of each Resident. Staff should have suitable training to assist them in supporting Residents socially, especially those Residents living on the first floor and identified as having Dementia and high dependency needs. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 7 Activities should be developed to meet all of the Residents needs especially those Residents living on the first floor, so they have a regular programme of events that they can choose and be involved with. Some minor repairs were noted to need attention and risk assessments needed to be in place and accessible to all the Staff. Risk assessments held at head office should be made easily accessible for everyone at the home This is to make sure that everyone is safe and any identified hazards are addressed through the guidance given and action assessed as needed to be taken to minimise risks. One bathroom had a broken bath panel. Another bathroom had storage of pads and towels, which ideally should be stored in enclosed cupboards to lessen any potential risks to air borne infections. The current recording of accidents should be reviewed on a regular basis as each floor had a large number of accidents. If they were reviewed, potentially actions maybe identified to reduce the occurrences of some of the accidents. One recent incident described an admission to the hospital for one Resident, which was the necessary course of action. The Manager was reminded that such incidents should be recorded via the Regulation 37 Notification Forms and sent to the Commission 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. Elizabeth Court Care Centre DS0000066312.V332567.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 Elizabeth Court Care Centre DS0000066312.V332567.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home makes sure they are able to meet Resident needs and choices prior to them moving in and are clear in giving Residents enough information to make an informed choice EVIDENCE: The homes Statement of Purpose and Service User guide were openly displayed in reception with various other documents for everyone to look at. These records included all relevant information necessary for people to make a decision about the home. These documents were easily located with other large print posters, which helped to keep everyone at the home fully, informed. This document had been updated to include details about the new Manager and the Residential unit on the ground floor. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 10 A review of one Residents records showed a detailed assessment carried out prior to their admission. This helped the home to assess that they could meet the person’s needs. There was enough detail for Staff to support the Resident with their needs. The documentation in place covered all diverse needs of potential Residents to the home ensuring the persons individual’s needs and requests could be met prior to moving into the home and they also included local authority assessments. Elizabeth Court Care Centre DS0000066312.V332567.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7/8/9/10 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home managed Residents health and personal care needs well. Medication practices need to be safer to protect residents. EVIDENCE: Four care plans were reviewed for case tracking. All of the care plans gave good details of the Residents needs and the care and support required. The care plans seen were personalised and well maintained. General comments from Residents were very positive about the Staff. During interviews with Staff they were able to discuss the personal, nursing and social care needs and individual routines of Residents and explained how they gave that care. Positive interactions were observed with Staff supporting Residents throughout the day, especially at lunchtime with their meal and in supporting Residents when they felt a little anxious. One incident regarding the practices of one Carer was discussed with senior Staff as this person was seen talking over a Resident to another Staff member Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 12 which did not show good practice in respecting and communicating to the Residents. This highlighted a training need in basic care and a need for supervision to be in place for this Staff member. Care plans and daily records did not give details about how the Residents social needs would be met however Staff had started to implement social profiles which helped people to understand and have information about a Residents past. General discussion followed with Staff and the Manager regarding the need for developing care plans to show how they would support Residents with their social needs. The management of medications needed review and improvements to be implemented. A sample of medication records and storage of medicines was seen during this visit. Temperatures of the drug fridge had not been recorded each day, and there was a stockpile of medications stored in the store cupboards. It was also noted that there had been a previous drug error with the recording of the control drugs and this had not been recorded or submitted to the Commission. as required by Regulation 37. Regular medication reviews would make sure that the management of medications are carried out appropriately to safe guard all practices with medication. The administration of medications was found to be in good order. Elizabeth Court Care Centre DS0000066312.V332567.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): 12/13/14/15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provided appropriate support to Residents to meet their social needs. EVIDENCE: The home have their own activities organiser who works 5 days a week. A large visual programme was seen displayed on notice boards on both floors. The activities organiser had developed a large visual and easy to read programme which helps keep everyone informed of what activities were being planned that day she also keeps activity charts to show which Resident was involved in each activity. The organiser discussed her commitment and developments to achieve more activities in the home to suit the Residents needs she hopes they will eventually have an herb and sensory garden with raised beds so that various people could get involved with its maintanence. The organiser explained that she found the training sessions covering activities to be beneficial and that her care qualification was also covering activities in a home. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 14 Some of the Residents were seen sitting out in the garden and the Staff explained that they had managed to persuade 2 Residents from the first floor to go out into the garden. On the ground floor notice board within the Residential unit the Staff photographs of themselves are displayed, this helps people know who each member of staff is. The Cook currently caters for different dietary needs e.g. diabetic diets and liquidised meals and was able to discuss the likes and dislikes of the Residents. Residents were complimentary about the food. During meal times, Staff were observed providing support to Residents with their meals. Residents said, “The food is very good here.” Homemade meals were seen served during this visit and were seen to be well presented with large generous portions. Elizabeth Court Care Centre DS0000066312.V332567.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): 16/18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are protected by the homes policies and training regarding abuse and complaints procedure. EVIDENCE: The homes complaints procedure is available in reception and included in the homes Statement of Purpose. Most people said they would speak to the Staff or the Manager if they had concerns. Staff felt they could air their views with the Manager and could openly speak up at Staff meetings. During discussions with Staff most had attended a lot of mandatory training and were happy with the training on offer and that they had received Abuse awareness training helping Staff safeguard Residents at the home. Some Staff had still not received this mandatory training and some updates were noted to be needed for the training and development of Staff which included new Staff. Residents are protected by the homes policies regarding abuse and complaints procedures. The homes complaints record book was seen and showed what actions had been taken for all previous concerns and complaints. There had been no complaints recorded for 2007. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19/26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is very well maintained and offers a good standard of living. EVIDENCE: The home was noted to be generally well maintained. An inspection of a sample of living areas in the home showed a very clean and pleasant area to live in. Residents said they were very happy with the facilities. Those bedrooms seen showed personalised rooms were some Residents had brought some personal items in to help them settle into the home. The home has 2 well-maintained lounge areas on each floor and both floors have their own attractive and well-maintained dining rooms. The home continues to offer an attractive and highly maintained environment to live in. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 17 It has its own hairdressing salon and the hairdresser was seen in the home during the inspection. Various Residents were seen supported with their visit to the hairdresser and said they enjoyed getting their hair set. Some discussions took place with the Manager in how they are to continue developing the environment to meet the needs of Residents who have Dementia. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27/28/29/30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Staff numbers are not consistently appropriate to ensure that the Resident’s needs are being met. Inductions are needed for all new Staff to ensure they are competent to care for the Residents. EVIDENCE: Observation of Staff and discussions with them indicate that most of the Staff know the needs of the Residents well and know their likes and dislikes. It was evident they had a good understanding of how to support Residents and how to ensure their needs are met and their individuality respected and catered for. Staff explained that one Resident is supported with their meal in the quiet lounge as the noise of the communal dining area made them unsettled and using the quietness of the small lounge helped the Resident enjoy their meal in peace. However one Staff member was seen not directly communicating at times to the Residents and sometimes talking over them regarding their care needs. This was discussed with senior Staff who explained they had already identified this as an issue and were dealing with this as it wasn’t a practice they wanted at the home and felt it was a training issue. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 19 Staffing rotas were seen during this inspection and it was noted that the night shift had worked with one person less due to sickness and that the absence was also ongoing for the weekend making the Staffing levels lower than the Staff were used to. The Nurse in Charge contacted the Provider and arrangements were made to make sure Staff were brought in to cover this shortfall. There was no evidence to show how the Staffing levels meet the ongoing dependencies of the Residents. Staff explained that since the home had opened they had experienced a lot of Staff movement and some Staff felt that in their opinion if the current long shifts were shortened then they felt Staff would stay at the home. Some Staff felt the long shifts were “hard going” and they wished they could do shorter shifts. A sample of two Personnel files were looked at and were noted to be very organised and detailed with all necessary records and checks including police (CRB) and Protection of Vulnerable Adults (POVA) checks. This showed a good recruitment and selection policy, which helps to safe guard Residents in the home. The pre inspection questionnaire gave details stating all Staff have had their police check, which ensures the safety of Residents. A sample of Staff training records showed some to be up to date and clear and Staff stated they were enjoying all the training offered by the company. This showed evidence of experienced Staff to meet the Residents needs. However some Staff had still not received mandatory training in dementia, fire safety, food hygiene and abuse awareness. Some Staff files had limited details for the training needs of Staff especially for 2 new Staff who had started work as Carers. One file for a new Staff member had no evidence of appropriate induction to support them in their role as a Carer. Another person had been issued with an induction workbook but no review or measurement had taken place to make sure all areas of training had been covered. The homes pre inspection questionnaire gave details that 43 of Staff had achieved a care qualification, however the new Manager felt this number was higher and agreed to look at evidencing this. The basic standards advise that at least 50 of Staff will have achieved a qualification in care. Training records must be updated to evidence training is managed appropriately and an action plan should be developed to say how the home will achieve a basic 50 of Staff with a care qualification in an national vocational qualification. Elizabeth Court Care Centre DS0000066312.V332567.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): 31/33/35/36/38 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home is generally organised and run in the best interests of Residents. EVIDENCE: The previously registered Manager had recently left and the homes new Manager explained she had only been in post as Manager for the past 3 weeks. However she did initially work as the deputy at the home and is experienced in the category of Residents supported at the home. The Manager explained they had an accumulation of management work to carry out on top of developing and managing the home day to day. She also explained that she was developing Residents meetings as previously she felt they had not been put in place. Staff reported that they attend regular team meetings. This was confirmed, as the minutes of some of these meetings were available. This showed that Staff Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 21 had various ways to speak openly and were kept up to date with developments for the home. Some Staff had been at the home for over a year and only recently received 1 supervision session but explained, that the new Manager had promised she would eventually have 6 sessions provided each year. One member of Staff reported that they have regular and recorded supervision with the Manager and daily open discussions. One person had yet to receive supervision. General discussion with the Manager covered the need to evidence how new Staff training needs will be met to be able to do the job and support them in their role. Regular supervision for all Staff will help to support Staff in their training and development needs. The Provider carries out monthly-unannounced visits to the home and covers a lot of areas of the home, which measures against the national standards. He also includes an action plan following each visit which helps Staff to further meet the standards in those areas identified as needing more input. The company have various procedures in place to show how the home is being managed e.g. a sample of maintenance certificates, fire safety checks which showed what actions were taken to ensure the safety of everyone at the home. were looked at a sample of financial records managed on behalf of Residents and Relatives showed detailed accounts managed in the best interest of the Residents. The Manager explained that each month an administrator calls from head office and that they would eventually carry out monthly audits on the Residents finances. This will offer an added measure to help safeguard Residents finances and provide accurate and well-managed financial procedures. Some minor areas of maintenance were noted to be in need of attention. One bathroom was noted to have a loose bath panel, which needed repair, and to be made safe. The Manager advised that the homes environmental risk assessments were kept at head office and she didn’t have access to them, she agreed they needed them to be at the home to keep everyone informed and safe. One recent incident described an admission to the hospital for one Resident, which was the necessary course of action. The Manager was reminded that such incidents should be recorded to the Commission to keep them informed of such events. Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 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 2 3 X X X X X X 4 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 2 Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP30 Regulation 18 1 c Requirement Staff must have necessary training such as fire safety, food hygiene, abuse awareness, dementia and induction of new staff. To meet the needs of Residents at the home. Timescale for action 31/08/07 2. OP19 23 1 Risks assessments must be in 31/08/07 place and accessible to Staff for the protection of residents. There should be enough information detailing what actions are taken to evidence the home is safe in all areas. All outstanding regulation 37 reports must be submitted to the Commission. A review of the management of medications must take place to make sure the home offers suitable arrangements for the safe administration and management of medications .for the protection of residents. Medicines must be stored at the appropriate temperature. To ensure the manufactures guidance is followed. DS0000066312.V332567.R01.S.doc 3 4 OP38 37 13 2 31/08/07 31/08/07 Elizabeth Court Care Centre Version 5.2 Page 24 5 OP27 18 1 a) Staff working at the home must 31/08/07 be in adequate numbers to meet the assessed needs of people living in the home. 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 OP9 Good Practice Recommendations To carry out regular medication audits to evidence what actions are taken to meet the standards and make sure that the home offer a safe and appropriate management and storage of medications. Activities should be further planned and developed to meet Resident’s social needs especially for Residents on the first floor. The homes environment should be developed further to meet the needs of Residents with Dementia. To develop regular minuted Residents/Relative meetings. To provide and develop a policy and procedure giving Staff clear details how to cover Staff absences so that the home is never Staffed lower than its basic Staffing level. To review Staff concerns regarding staffing levels and their opinions regarding staff movement. To ensure all Staff have regular supervision sessions with realistic plans to achieve at least 6 supervisions each year for all Staff. To continue developing and updating training records and provide evidence of 3 days paid training for all Staff each year. To develop an overall training and development plan for the home based on both the identified Staff training needs and Residents needs. The Provider should continue with development of National Care qualification training so as to meet the target of 50 of Staff having this qualification. 2 OP12 3. OP27 4. OP31 5 OP30 Elizabeth Court Care Centre DS0000066312.V332567.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Elizabeth Court Care Centre DS0000066312.V332567.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!