Inspection on 02/10/07 for Ferndale House

This inspection was carried out on 2nd October 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 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

Ferndale House 01/09/06

Ferndale House 31/01/06

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Ferndale House 38-40 Grove Road Hardway Gosport Hampshire PO12 4JL Lead Inspector Michael Gough Unannounced Inspection 2nd October 2007 10:20 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 Ferndale House DS0000064121.V348793.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. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ferndale House Address 38-40 Grove Road Hardway Gosport Hampshire PO12 4JL 02392 524918 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) ferndalecares@tiscali.co.uk Mr Andrew Sidney Bowles Mr Sidney Ernest Bowles, Mrs Jacqueline Amelia Bowles, Mrs Theresa Jane Bowles Mr Sidney Ernest Bowles Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2006 Brief Description of the Service: Ferndale House is set in a residential area close to local amenities on the outskirts of the town of Gosport. It provides residential care for up to 20 elderly residents, some of who have mild dementia. The home is on ground and first floors and there is a stair lift between these. There are a variety of aids and adaptations to allow residents to move about more independently. Sixteen of the bedrooms are single and two are doubles. All of the bedrooms have en suite toilets, and the two double bedrooms are provided with screening for privacy. There is a communal bathroom and toilet on the ground floor and a further communal bathroom and toilet on the first floor. There is a large garden with a small number of car parking spaces to the rear of the property. The fees for the home are- £395 per week and service users are responsible for paying for their own toiletries, hairdressing, chiropody and items of a personal or luxury nature. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the evaluation of the quality of the service provided at Ferndale House and takes into account the accumulated evidence of the activity at the home since the last inspection, which was carried out in September 2006. The inspection took into account the comments received in inspection questionnaires that were received from 9 service users and 5 relatives. The homes Annual Quality Assurance Assessment (AQAA) was returned prior to the visit, and this also provided evidence for the report. Included in the inspection was an unannounced site visit to the home, which took place on the 8 November 2006. Evidence for this report was obtained from reading and inspecting records, touring the home and from observing the interaction between staff and service users. It was also possible to gain the views of people living at the home and the inspector had the opportunity to speak with 5 visitors to the home, 8 service users, 3 members of staff and by speaking with 2 of the homes providers, who assisted the inspector throughout the visit. The home is registered to provide support for 20 service users and at the time of the inspection there were 19 service users living at the home. What the service does well: The home provides a homely and welcoming environment and all of the service users spoken to told the inspector that the homes staff provide an excellent service and comments received included “I couldn’t wish for a better place” and “ the staff are wonderful”. The inspector observed staff interacting with service users and it was clear that there was a good relationship between service users and staff. 5 visitors to the home spoke with the inspector and all were very happy with the care provided at the home and said that there was a lovely atmosphere in the home and that everyone always seemed very happy and content. They said that they were made welcome and staff were very friendly. Activities and leisure provided by the home to service users was based on service users individual choices and service users are encouraged and supported to participate in the day to day living arrangements. There is a stable staff team who were observed to be interacting well with the service users and were noted to be good humoured and sensitive to the needs of confused people. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 6 All Comments from all surveys returned were very positive about the care provided at Ferndale House. What has improved since the last inspection? What they could do better: This report will make 3 requirement to the home and other points that need to be addressed to help improve the service provided for service users are contained within the main body of the report, general observations were: Initial needs assessments for potential new services users could be improved by ensuring all care needs identified at the assessment are clearly recorded so that the home and service user can establish if the home can meet their assessed needs. Generally care plans in the home provided staff with the information they need to support residents, however some care plans did not always provide staff with information on what assistance was needed or how the resident would like this support to be given and these could be improved by more detailed information being included in care plans. Medication systems in the home could be improved with regard to the administration of insulin injections to a service user. Currently there is no clear policy or procedure for care staff that administer insulin injections to follow. There is no evidence to say that staff have received appropriate training and are competent to carry out this tasks and there is no information for staff on taking blood glucose levels for the service user or information on what action they should take if levels are outside of those expected. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 7 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. Ferndale House DS0000064121.V348793.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 Ferndale House DS0000064121.V348793.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&6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. New service users have a needs assessment undertaken prior to moving into the home, however not all assessments covered all the care needs of service users and this assessment must be thorough to ensure that both the home and the potential new service users can be confident that the home can meet the service users needs. EVIDENCE: One of the homes registered providers who is also deputy manager, or a senior carer visits service users prior to them moving into the home to carry out a needs assessment; this is done using an assessment form, which includes information on: mobility, washing, dressing & undressing, diet, sight, hearing, communication, recreation and hobbies, likes and dislikes, family involvement, independence and any particular needs. The home also obtains social service assessments if appropriate and then the home and service user can then make a decision on whether the home can meet their needs. Case Tracking of 3 service users showed that needs assessments were completed for all 3 Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 10 residents, however only one had been carried out by the new owners. This assessment was not fully completed and there were gaps in information, there was no information on washing and dressing, diet, sight or hearing. This was discussed with the deputy manager who understands the need for full assessment to be undertaken to ensure that the home can meet any potential new residents needs before they move into the home. Intermediate care is not provided by the home. Ferndale House DS0000064121.V348793.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 good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of service users are set out in an individual plan of care however care plans and risk assessments need to be further developed. Service users have access to all relevant health care professionals and the health care needs of service users are met. Generally medication procedures in the home are satisfactory, however the current procedures for the administration of insulin could adversely affect the wellbeing and health of individuals and clear procedures must be established. EVIDENCE: Care plans were seen for 4 service users and 3 of these individual plans gave an analysis of needs and provided information for staff on dressing & undressing, washing and bathing, continence, eating, drinks and snacks, likes and dislikes, mobility and recreation and leisure. Although care plans gave basic information they did not always provide staff with clear information on the care that needed to be given and did not provide information on how the individual would like their care to be given. One care plan stated that the service user had epilepsy but there was no information in the care plan Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 12 regarding this. Care plans need to be further developed to ensure that staff have clear information on the care needs of each individual. There was some evidence that risks assessments had been carried out, however these were not regularly reviewed and more formal risk assessments are required to give staff clear guidance on the risks involved and how these can be minimised. There was regular reviews for each service user and there is a monthly assessment chart where scores are given, however there was no explanation of what the scoring means so it was no clear if a high score was good or not and this could be confusing for staff. Recording takes place at the end of each shift and this provided written evidence that care has been delivered effectively. The issues around care plans and risk assessment was discussed with 2 of the homes providers who understand the need for clear care plans and risk assessments. Service users at the home are registered with local GP surgeries and have a number of different GP’s. Service users may keep their own GP if they wish. The home has clear records of visits by GP’s; district nurse, chiropodist and hospital appointments. Other health care professionals are accessed through GP referral. The inspector spoke to 8 service users and 5 relatives and they all said that the healthcare needs of service users are met by the home and that they are supported to attend any appointments. The home uses a monitored dose system from a local chemist and the home has a policy and procedure for administering medication. Medication is delivered to the home by the pharmacy and there is appropriate storage available. The inspector examined medication administration sheets and these were clear and up to date. All staff at the home who are authorised to administer medication have received appropriate training. Staff spoken to confirmed that the new monitored dose system was better than previous arrangements. One service user requires insulin injections twice a day to control her diabetes and this is carried out by care staff at the home, the district nurse draws up the insulin in advance and syringes are kept in a fridge at the home in a plastic container. The inspector was informed that staff had received training from the district nurse to administer these injections, however there was no documentary evidence to confirm this or to confirm staff agreement and their was no evidence of their competence to undertake this task. There was also a need to monitor the service users blood glucose levels however, there was no protocol for this and no information for staff on how this should be done, what readings could be expected or what action to take once the readings were known. The inspector discussed this issue with the provider who will be speaking to the district nurse to get a clear protocol drawn up. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 13 All Service users spoken to were very positive about the care received at the home. All service users said that staff were very caring, helpful, and friendly and stated that they were always treated with dignity and respect. Observations made by the inspector confirmed that service users and staff get on well together and staff were observed interacting with service users and were seen to treat service users with dignity and respect and staff knocked on service users doors before entering and used service users preferred form of address when talking to service users. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 14 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 a range of activities for service users, which meets their expectations and the religious and recreational interests of service users at the home are provided for. Service users are able to maintain contact with family and friends and visitors are welcome at any time. Service users are supported to exercise choice and control over their lives and are provided with a wholesome and balanced diet in pleasant surroundings at a time convenient to them. EVIDENCE: The home provides a range of activities for service users and these include, puzzles, quiz’s, games, films, armchair aerobics, sing along’s and visiting entertainers are brought in from time to time. The home does not have a dedicated activities co-ordinator and activities are spontaneous and decided on by the service users. Once they decide what they would like to do, staff arrange and organise this for them, staff said that they enjoyed organising activities for service users. Service users spoken to were happy with the activities provided, some stated that they preferred watching TV whilst others were happy relaxing and watching what was going on, some service users preferred to stay in their rooms. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 15 The home has a visiting policy and there are no restrictions on visitors. Service users spoken to said that their visitors were always made welcome by the staff and the inspector had the opportunity to speak with 5 visitors to the home and all were very happy with the care provided and said that there was a lovely atmosphere in the home and that everyone always seemed very happy and content. They said that they were always made welcome and staff were always polite and friendly. Service users spoken to confirmed that they are able to make informed choices and were able to control their own lives as much as possible, service users are consulted on a one to one basis and these are used to plan menu’s, discuss activities and outings and to make suggestions about the day to day running of the home. These individual meetings take place, as regular service user meetings had not proved successful. The inspector observed staff and service users interacting and it was clear that they get on well together and this was confirmed by visitors, service users and staff. Service users were seen to be consulted throughout the day and staff spoken to said that they always ask service users what they want and would always respect their wishes and views. Staff were observed speaking to service users appropriately using their preferred form of address, also knocking on service users doors before entering. A number of service users had bought some of their own possessions into the home and those rooms seen had been personalised. The home operates a planned menu, which is changed regularly with input from service users. On the day of the inspection the lunch time meal was poached fish and fresh vegetables or chicken and veg pie, staff at the home were observed asking service users what they would like for lunch. All service users spoken to were happy with the food provided and confirmed that they had choice and said the food was good. Meals are served in the dining room at the home, although service users can eat elsewhere if they wish. The inspector observed lunch at the home and this was a social occasion and was very relaxed and friendly. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints would be logged and responded to appropriately. The homes policies and procedures protect service users from any form of abuse. EVIDENCE: There have been no complaints received by the home since the last inspection. Service users spoken to were aware that the home had a complaints procedure and stated that they would address any complaint they may have to a staff member and were confident that this would be quickly resolved. The home has a policy and procedure for dealing with any complaints and this contained all of the required information and gave details of how to contact the CSCI. Staff members spoken to were also aware of the complaints procedure. All staff at the home has received training on adult protection and the home has a whistle blowing policy and also a copy of the Hampshire Adult Protection procedure. Providers and staff spoken to know what to do should they suspect any form of abuse or poor practice had taken place. Ferndale House DS0000064121.V348793.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, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe environment and have access to comfortable indoor and outdoor facilities. The home was clean, pleasant and hygienic and free from offensive odours. EVIDENCE: The inspector toured the building and all areas of the home were clean and tidy and furniture was in a good state of repair. The home comprises of 2 floors, and access to the upper floor is via stairs or chair lift. There are 2 lounge areas, one is a conservatory and provides a quiet relaxing area for service users, and the other is larger with seating placed informally. This contains a TV and music system. There was a separate dining area, which was bright and airy. The home has a rear garden, which is secure and is accessible to all service users and this was tidy and attractive. The home has a defects book where any problems are recorded and there is a programme of maintenance and decoration. All radiators and hot water pipes have been Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 18 covered and all hot water outlets were thermostatically controlled and window restrictors were in place in upstairs rooms. The home has a laundry with industrial washing machine and has a number of set programmes from heavy soil to delicates and can wash clothing at appropriate temperatures, there is also an industrial tumble drier. Care staff at the home carry out laundry duties and appropriate protective clothing was available for staff. The inspector discussed the procedure for washing any soiled items with the deputy managers and it was agreed that a clear procedure will be drawn up. All staff has received training with regard to infection control and all areas of the home were clean and there were no offensive odours. Ferndale House DS0000064121.V348793.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 good. This judgement has been made using available evidence including a visit to this service. The home has sufficient staff on duty to ensure service users receive the support they require. Staff were found to be well motivated and competent to do their jobs and service users are protected by the homes recruitment procedures. The home provides training for staff to enable them to carry out their roles effectively. EVIDENCE: On the day of the visit the inspector looked at the staffing levels for the day of the visit and this showed that there are 3 staff members on duty between 0800 & 1300 and 2 staff on duty between 1300 and 2200. Between 2200 and 0800 there are 2 staff on duty with one of these able to sleep but is available if required. These numbers are complemented by a cook and cleaner, the homes manager and 2 of the registered providers who are also deputy managers and are in the home on a daily basis. Staffing numbers were discussed with the deputy managers and they felt that staffing levels were sufficient. All service users spoken to said that they felt that staffing levels were adequate comments from service users and visitors were very positive and included “the staff are wonderful, there is always someone around to help” “the staff could not be better” “they work so hard but are always cheerful” and “they do anything I ask of them”. The home employs a total of 12 care staff, 1 domestic and 1 cook, there are four members of staff who hold a minimum of NVQ2, two are currently Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 20 undertaking NVQ2 and two are due to start in the near future. The deputy manager stated that the home would support staff to obtain National Vocational Qualifications. Recruitment records were seen for 3 members of staff and these contained all of the required information including application form, CRB/POVA and 2 references. All files also contained training records and supervision notes. Staff training records were looked at and this showed that all staff have received mandatory training in first aid, moving and handling, fire, infection control and adult protection. Additional training is provided in medication, dementia, vision awareness, food hygiene and H & S. A suitable induction programme is in place and the file of the most recently employed person had a completed induction in their personal file. Staff spoken to confirmed that they receive appropriate training. Ferndale House DS0000064121.V348793.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 home is well run and has an ethos of a family environment and Service users are consulted about the running of the home. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The registered manager has considerable experience and has the skills and knowledge to run the home effectively. 2 of the registered providers are deputy managers of the home and are both currently undertaking NVQ4 and the registered managers award and it is their intention to formally apply to be the registered managers in due course. Staff and service users spoke positively about the homes management. Service users confirmed that there is always a member of the management team around they seeks their views about any changes to the home. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 22 The home does not hold service user meetings as these have proved to be unpopular, however they seek service users views through one to one meetings and also from questionnaires. There are surveys for relatives and visitors and the home has a quality assurance development plan. Staff meetings are held and staffs views are sought through regular supervision. The home does not manage any service users finances; these are managed by relatives or by service users themselves. If service users need to pay for hairdressers or chiropody, relatives drop the correct amount to the home and then a receipt is obtained. The home has a new style accident book and accidents were recorded appropriately. There is a fire risk assessment for the building and the fire logbook was inspected and all required recording and testing had been carried out. Certificates were seen for annual tests of equipment and these were all in date. Fire equipment was last tested in August 07, Private electrical equipment in Feb 07, Gas safety certificate in July 07, fixed electrical wiring in May 07 and stair lifts and hoists in May 07. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X 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 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 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 Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 24 No 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 OP3 Regulation 14 Requirement Timescale for action 01/12/07 2 OP7 15(1) 2 OP9 13(2) The home must ensure that each service user has their needs assessed to ensure that the home is suitable for the purpose of meeting the service users needs in respect of his health and welfare. Care plans must provide clear 01/12/07 information so staff have all the details they require to ensure that each individual service users needs in respect of his/her care and welfare can be met. The home must ensure that staff 01/12/07 have a clear protocol with regard to the administration of insulin injections and for the taking of blood glucose levels of a service user and this information should give guidance and information to ensure that the service user receives, where necessary appropriate treatment. Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ferndale House DS0000064121.V348793.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Ferndale House DS0000064121.V348793.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. Re-publishing this information is in breach of the terms of use of that website. 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