Inspection on 06/02/07 for Ferndene Care Home

This inspection was carried out on 6th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Ferndene Care Home 19/11/07

Ferndene Care Home 03/04/06

Ferndene Care Home 14/11/05

Ferndene Care Home 06/06/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Fern Dene Care Home Francis Chichester Walk Park Springs Road Gainsborough Lincolnshire DN21 1NR Lead Inspector Mr Doug Tunmore Key Unannounced Inspection 10:00 6th February 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 Fern Dene Care Home DS0000061520.V329076.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. Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fern Dene Care Home Address Francis Chichester Walk Park Springs Road Gainsborough Lincolnshire DN21 1NR 01427 810 700 01427 810 600 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) www.executivecaregroup.co.uk Executive Care Management ** Post Vacant *** Care Home 48 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (48), Old age, not falling within any other of places category (48) Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories; Older people, Old age not falling within any other category OP (48) Dementia, over sixty-five years of age DE (E) (48) Dementia over fifty years of age (5) Maximum number of service users to be accommodated is 48. 2. 3. 4. Date of last inspection 3rd April 2006 Brief Description of the Service: Ferndene Care Home is situated in Gainsborough some twenty miles north west of Lincoln, 20 miles south of Scunthorpe and 15 miles south east of Doncaster. It is a purpose built two-storey care home in its own landscaped grounds. There are shops, a public house, a primary school and other local community amenities near by. The home is on a local bus route and is within easy 5 minutes travel of the centre of Gainsborough. Ferndene Care Home is newly built, completed in March 2005. The home caters for both male and female residents; there are 19 ground floor and 29 first floor bedrooms, which are accessed by an eight- passenger lift, which is code lock protected on the first floor. All bedrooms are en-suite and exceed the Care Standards size requirements. All bedrooms have TV and telephone points fitted and are fully equipped and decorated. There is a large Entrance Hall and Reception Foyer, which includes a coffee shop for the residents and a fully equipped hairdressing salon. The ground floor accommodates a large fully equipped modern kitchen. The first floor, which is accessed by code locks accommodates a dining area, and two lounges. The home has a loop system for the hearing impaired, grab rails fitted, a call system fitted and ramps for wheelchair users. The current scale of charges at this home is from £359.00 to £450.00. Additional costs are made for hairdressing, chiropody and newspapers. These are all private arrangements and the individual service users meet these costs. Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one regulatory inspector and formed part of an unannounced key inspection. This visit took into account any previous information held by The Commission for Social Care Inspection (commission) including the homes previous inspection reports both key and random, their service history and the homes pre-inspection questionnaire. The site inspection consisted of case tracking a sample of five residents records and assessing their care. The inspector spoke with two residents in private and joined two other residents for lunch. The inspector also spent time with the operations manager, the acting manager, the administrator, activities worker, the cook and two senior carers. Two visitors were also spoken to, one being a visiting community nurse and the second being a retired nurse visiting her mother. A partial tour of the home and a review of a sample of the records were also included. What the service does well: What has improved since the last inspection? The acting manager stated that most of the requirements made at the last inspections have now been addressed. She also commented that there is a more positive working relationship throughout the staff team and this was confirmed by interviews with senior carers. The inspection of training records and the operations managers future plans for training, should ensure that there is a competent and well trained staff team at this home. Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 6 The cook also said that residents special dietary needs are recorded and there is a vegetarian option for those who request it. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fern Dene Care Home DS0000061520.V329076.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 Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are admitted into the home only after a full needs assessment has been carried out either by the home and or health care or social care agencies. Written confirmation that the home can meet a prospective residents needs is also undertaken prior to admission. The home does not provide intermediate care. EVIDENCE: A review of all information available prior to this inspection and evidence seen at this inspection in residents files and care plans showed that the home does not admit residents without a care assessment being undertaken. Prospective residents are also written to by the home confirming that they can meet the residents care needs or not. Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 9 A relative confirmed that her mother had been admitted to the home on the 21/01/07 and had been visited in hospital by the manager prior to admission. The visitor stated that she had received a service users guide and received a letter from the provider confirming that her mother’s needs could be met at the home. She also said that she had visited the home prior to her mother’s admission and was shown absolutely everything. ‘On the day of my mothers admission they went out of their way to make her welcome’. Five residents files were seen and all but one resident who was a new admission had a contract setting out their terms and conditions of residence at the home. Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The provider does not ensure that residents are empowered by holding annual reviews, seeking residents and their supporters views about their care package. The home does not have an intimate care policy. There is good care planning, which helps ensure that the general health and welfare of residents is addressed. EVIDENCE: Information seen in residents files showed that there are detailed care plans, which described their health and welfare needs. Care records included admission details, assessments of daily living activities, personal history and moving handling assessments, risk assessments and daily reports. A visiting Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 11 social worker stated that she has no concerns with care planning, which she felt ‘was detailed and very useful’. Those files of residents who were being case tracked were found not to have empowered residents in respect to ensuring that annual reviews are held in which they or their representatives are involved. Care plans were seen to have been updated monthly and had been signed by residents or their families acting on their behalf. This inspection showed that GPs, community nurses and chiropodists visit the home on a regular basis to attend to the health care needs of residents. A community nurse confirmed that the provider has provided a treatment room with equipment and documentation for residents. She confirmed that communication has improved between the surgery and the home and that steps to improve care has been made. The community nurse also confirmed that carers are very helpful and supportive with residents. The manager and senior carer met with community nurses in November 06 to discuss communication issues relating to the care of residents. A relative stated that ‘when you ring up the all the staff do their best to put you at ease’. The pharmacist carried out an inspection on the 30/01/07 and the report showed that administration records were good and storage and stock control was good. However, it was noted that a few signatures were missing on medication sheets. Due to the pharmacists recent visit an inspection was only undertaken relating to resident medication sheets, which were signed by carers on the day of the inspection. Training profiles evidenced that carers who administer medication have had in-house training on safe handling of medication on the 14/08/06. Individual care plans evidenced that accidents are recorded in the homes accident book, daily notes and body maps where appropriate. The home also informs the Commission in writing about accidents to residents. Residents made comment that ‘ when bathing, two carers help and they are gentle and considerate’. A second resident stated that ‘couldn’t get any better, I wear my socks at night to keep my feet warm when I choose to’. Care plans seen did not indicate how residents everyday living skills would be maintained in the home to ensure that they continue to carryout task such as personal hygiene and dressing. The home has not written a policy on giving personal care to residents, which was a requirement at the last two inspections. Care plans seen reflected that residents dignity and privacy must be maintained at all times. The operations manager evidenced that a new induction training pack is to be introduced Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 12 called Common Care Standards which address intimate care needs of residents and carers duties in ensuring residents privacy and dignity is maintained. Two senior carers confirmed that no training has been given relating to carrying out intimate care tasks with residents. Fern Dene Care Home DS0000061520.V329076.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 provides, and service uers are involved, in a range of activities and leisure interests both within the home and community. Residents are enabled to maintain contact with their families and friends. EVIDENCE: The home has appointed a new activities organiser who works twenty hours a week and also attends weekend functions. The activities organiser stated that she is continuing to provide a programme of activities for residents based on their requests and needs. She was able to evidence from her activities book that a wide range of activities are to be undertaken. Residents spoken to confirmed that they are able to take part in a variety of activities and leisure interests. Activities include quizzes, bingo, reminiscence quizzes using photographs or word play and seasonal celebrations such as Christmas, Halloween and Saint Valentines day are undertaken. Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 14 Residents said that they have the choice of whether they participate in activities. One file seen showed that a resident is to be encouraged to take part in activities of her choice if she so wishes. Residents confirmed that relatives visit them and that they can see them in their rooms if they wish. The homes visitors book was seen and evidenced that relatives attend the home in numbers during the day, evening and weekends. Visitors are also invited to join in activities, if they so wish. One relative stated that she is made to feel welcome whenever she visits the home. It was observed by the regulator that residents moved about the home as they so wished. Residents also engaged with carers about their needs or in general discussion and were seen to be addressed by carers as equals. The inspector joined two residents for lunch and discussed the meal provided with three other residents. The food on the day of the visit was found to be hot and delicious. Residents said that they have a choice of meals and they look forward to meal times. Residents meetings are used to discuss the homes menus and times of when the tea trolley or meals are served. Resident’s files gave information regarding the dietary needs or likes and dislikes of residents. The kitchen was visited and it was found that there was written information regarding residents dietary needs, including those who are diabetic or are vegetarian. Fern Dene Care Home DS0000061520.V329076.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 adequate. This judgement has been made using available evidence including a visit to this service. The homes complaints form does not empower residents. Not all staff have had access to training relating to the protection of vulnerable adults from abuse. EVIDENCE: Previous inspections found that there is a complaints procedure and log for recording any complaints. Since May 06 there have been six complaints and an adequate record has been kept of the process taken in response to these complaints. However, the providers complaint form does not to have a space for a complainant to sign or give comment to signifying that they were happy with the way the complaint had been dealt with or not. A resident commented that ‘I feel safe here, carers are very good, very kind and willing to help’. Previous inspections have found that the provider has Lincolnshire’s Adult protection procedures, as well as the homes whistle blowing policy. Two senior carers confirmed that they had not undertaken safeguarding vulnerable adults training. However, both stated that they knew what whistle blowing meant and would report any abuse of a resident to the manager. The Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 16 acting manager contacted the commission on the 08/02/07 to confirm that a safeguarding vulnerable adults training course has now been arranged for the 09/02/07 for twenty-two workers. On the 18/10/06 a strategy meeting was held at the Social Service Department relating to an allegation of neglect at this home. The issue centred around residents pressure relieving equipment not being made available to residents who require these aids. A case conference was held on the 22/11/06 after social services carried out an investigation. This case conference found that neglect was partially substantiated and requirements were made to ensure that procedures were in place to ensure that aids and adaptations were made available to residents when required to ensure their health and general well being. The manager stated that, ‘ procedures are in place in which the community nurse orders a pressure relieving appliance and either a senior or myself sign for it on arrival at the home. The community nurse is then contacted who attends and sets the equipment up and makes a note in the residents care plans to this effect’. Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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 well maintained and clean, the standard of the environment and its facilities are appropriate and safe for the needs of residents. EVIDENCE: The home has a maintenance programme, which is kept by the handyman and relates to those fixtures and fittings, which needs replacing. Evidence was also available at this visit to demonstrate that the home has a rolling maintenance programme, showing forthcoming maintenance and decoration to be carried Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 18 out externally and internally at the home. A tour of the environment found that the home was decorated to a good standard. The home employs three cleaners and two laundry assistants. The partial tour of the home by the inspector found it to be clean and it smelt fresh. Both visitors confirmed that the homes always smells fresh and clean. Fern Dene Care Home DS0000061520.V329076.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. 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. Appropriate recruitment practices are in place. Staffing levels must meet the needs of residents. Staff are trained to carryout their care tasks. EVIDENCE: Robust recruitment practices are in place, with two carer’s personnel files containing those checks required by law and to ensure that resident’s safety is maintained. Previous inspections have found that all workers in the home have been given the General Social Care councils pack relating to the registration of care workers and the philosophy of the Care Council for all social care homes. The manager evidenced that three carers have National Vocation Qualifications (NVQ) training in care level 2. An invoice was seen which evidenced that all staff are to attend Boston Colleges training programme titled ‘Train to Work’ programme equipping carers with NVQ qualifications. This home employs sixteen carers, three cleaners, two cooks, one kitchen assistant one handyman, two laundry assistants and an administrator. Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 20 The homes rota showed that on the first floor there are one senior and two carers for fifteen residents and on the ground floor there are one senior and two carers for sixteen residents. Night staff cover consists of one senior and three carers. Two senior carers stated that there is not enough staff and ‘down stairs there is only one senior and one carer and a bed maker’. They also stated that there are six residents who need two carers to attend to their needs, this they said stops them from keeping up with their paper work’. They confirmed that they have NVQ training level 2 and are currently undertaking NVQ level 3. They also confirmed that they have had training in moving and handling, fire safety, dementia training and in-house medication training. Both felt that further training was required relating to safe handling of medication. The training profile evidenced that dementia training was scheduled for the 07/02/07 for all carers. The operations manager asked one of the senior carers to undertake an assessment of care needs for all residents on the ground floor with a view to enhancing staffing levels. The acting manager stated that that a new resident is to be admitted on Monday 12/02/07 and an extra carer would be working on the ground floor. Fern Dene Care Home DS0000061520.V329076.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The acting manager is experienced and trained to manage this establishment. The home is managed in a manner that promotes residents health and safety needs. Records are well maintained with policies and procedures regularly updated. EVIDENCE: Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 22 The acting manager attended a ‘fit person’ interview with a commission regulatory inspector on the 01/02/07 and is now awaiting the result of this meeting. She has undertaken the registered managers award and has NVQ level 2. She is to start NVQ level 3 in the near future. The acting manager has twelve years experience in working with elderly people and has worked in various roles from assistant carer to senior carer and now acting manager. Senior carers spoken to confirm that the acting manager is fair and listens to them. They also commented that things have improved in the home since the acting manager came to the home. This inspection found that there are regular staff meetings where staff can discuss issues openly. The home has undertaken a relatives survey with the responses and comments assessed on the 06/02/07. The administrator who undertakes this task now needs to ensure that all information is now transferred into a service userfriendly format and posted for the information of residents and visitors information. The outcomes of this survey are generally very good and issues raised now need to be addressed. The minutes of the last residents meeting held in October 06 showed that residents are encouraged to voice their views and are actively involved in issues relating to the running of the home. The home will assist residents with managing their personal allowances and a record is made of all transactions, which is signed by a member of staff. The manager confirmed that there has been no change in this system other than two signatures are made against any transaction. A previous inspection dated April 06 noted that the home deals with residents pocket monies and a receipt book in which the accounts of monies paid to the hairdresser or chiropodist are entered. All funding is paid direct to the company by standing order or checks. Residents monies were checked at that time and it was found that an accurate account is kept. A visitor confirmed that she deals with her relative’s monies and is happy in the way the provider manages petty cash for her relative. The homes pre-inspection questionnaire in April 06 showed that; gas safety inspections have been carried out, electrical wiring checks, fire precautions checks, and portable electrical equipment checks. The manager stated that risk assessments are available relating to the home environment. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. The acting manager confirmed that fire alarm, fire drills and emergency lighting checks and fire alarm inspections have Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 23 been undertaken. Care staff also receive fire training as part of the homes initial training and as a regular training event. Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 2 17 x 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X x 3 Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(b) Requirement Residents care plans must reflect how their independence is to be maintained and daily living skill promoted. The provider must carryout annual reviews of residents care needs and ensure that residents representatives are included where possible. The home must ensure that a policy/guidelines on giving personal care to residents is made available to care workers and is part of their induction. (Timescale of 15/01/06 not met and a second timescale of 25/06/06 time scale of 15/11/06 partially met). Timescale for action 25/04/07 2. OP7 15(c) 25/05/07 3. OP10 12(4)(a) 25/03/07 4. OP27 18(a) The provider must ensure that a review of the care needs of individual residents is made in relation to the size of the home and the staffing levels that are required to met the health and welfare of residents. 25/03/07 Fern Dene Care Home DS0000061520.V329076.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. Refer to Standard OP16 Good Practice Recommendations The provider should empower residents/representatives in enabling them to sign the complaints form agreeing or otherwise to the outcome of any complaint made. Fern Dene Care Home DS0000061520.V329076.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Fern Dene Care Home DS0000061520.V329076.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!