Inspection on 27/06/06 for Flixton Manor

This inspection was carried out on 27th June 2006.

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

The inspector 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

Flixton Manor 30/10/08

Flixton Manor 25/01/08

Flixton Manor 31/08/07

Flixton Manor 15/02/06

Flixton Manor 28/12/05

Flixton Manor 15/02/05

Flixton Manor 18/08/04

Flixton Manor 29/03/04

Flixton Manor 16/12/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Flixton Manor 2-8 Delamere Road Flixton Manchester M41 5QL Lead Inspector Elizabeth Holt Key Unannounced Inspection 27th June 2006 10:00 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 Flixton Manor DS0000006711.V304579.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. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Flixton Manor Address 2-8 Delamere Road Flixton Manchester M41 5QL 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) 0161 746 7175 0161 748 5583 Dr Jan Al Safar Julia Williamson Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All service users will fall within the category of old age (60 ). Up to three service users who require personal care may be included within the maximum occupancy. Staffing levels as specified in the Section 25 (3) Notice dated 28th September 2001, shall be maintained. 15th February 2006 Date of last inspection Brief Description of the Service: Flixton Manor is a care home providing nursing care and accommodation for 32 older people. The home had been converted into one residence from two semi-detached houses. Further additions have taken place to enlarge the communal areas and an extension to provide bedroom accommodation. There was a large conservatory at the front elevation of the home that leads into the lounge and dining areas. Access to the home is from the drive and garden. At the end of the drive there is provision for parking. There are concrete steps and a ramp for wheelchair access to the entrance door. The home is situated on the main road between Flixton and Urmston. There was easy access to public transport, local shops and parks. It is convenient for the motorway system. The current scale of charges at the home is £375.81 -£540.00 per week. Costs in addition to the fee are hairdressing £4.50-£16.00, Chiropodist £20.00 per visit, newspapers-varied and toiletries which are charged on an individual needs basis. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on 27 June 2006 and a further visit to meet with the manager on 4 July 2006. All the core National Minimum Standards (NMS) were reviewed during this inspection. Information was gathered as part of the inspection process, which included a questionnaire completed by the manager, which gave information about the residents, the staff and the building. Information held by the Commission, for example, notifications of significant incidents was also reviewed. Time was spent talking to the residents and visiting relatives, the manager and the staff team about the day-to-day life in the home and to establish what the home was like for the residents living there. A partial tour of the premises was undertaken and examination of documents and care files for individual residents. Ten resident/relatives questionnaires were left to be forwarded to the Commission. Three responses were received at the time of this report being written. Since the last inspection one complaint has been investigated under Adult Protection Procedures. This has led to a full review of the residents’ care plan and the home appears to be meeting the resident’s needs. The previous report should be read together with this one to get a better picture of the care being provided at the home. What the service does well: From discussions with relatives visiting the home positive comments were made about the way the staff interacted with residents. Relatives stated that they were kept informed about changes in the health care needs of their relative. From observations of the staff during the visit it appeared that the privacy and dignity of residents was maintained. Residents spoken to during the visit said they were happy with the way staff treated them. The home had an open visiting policy and one resident’s granddaughter said she visited regularly and her grandmother was settled and happy. A choice of menu is available at each mealtime and residents spoken to were happy about the food prepared. The kitchen was clean, well organised and all the food was stored appropriately. Food stocks included fresh fruit and vegetables. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 6 Policies and procedures were in place for the handling and administration of medication. What has improved since the last inspection? What they could do better: Before residents are admitted into the home the manager or deputy manager needs to carry out a full assessment of the needs of the prospective resident to ensure that the home can meet those needs identified. The manager must ensure that staff seek advice from a residents’ General Practitioner when the need arises in a timely manner. The home needs to take a proactive approach to ensure they have a system in place to ‘flag up’ when training is required. A recommendation was made for each staff member to have an individual training and development plan. An immediate requirement was left regarding the need for the home to ensure that staff participated in updated training in Moving and Handling. This was addressed following the inspection. Although care plans were in place for each resident these required reviewing to ensure they detailed the action which needed to be taken by care staff to ensure that all aspects of the health, personal and social care needs of the resident is met. Improvements were also required in the risk assessment process to make sure these are evaluated following changes in residents’ health care needs. A programme of activities should be provided to include some excursions in order to meet the social and recreational needs of the residents. Policies and procedures were available relating to Adult Protection and some staff had received training in the protection of vulnerable adults. The training must be provided for all staff so they are confident on the action to take in the event of an allegation of abuse. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 7 The management of cleanliness throughout the home and the painting and decoration programme should be maintained. An immediate requirement notice was made for the repair of the sluice on the first floor. 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. Flixton Manor DS0000006711.V304579.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 Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are available to ensure the needs of prospective residents are assessed before they are admitted to the home. EVIDENCE: Where possible the home encouraged prospective residents and their families to visit the home. The home’s manager and deputy completed the assessment of need for prospective residents with the main carer or named nurse. This is a basic assessment covering the activities of daily living. It is strongly recommended this form be expanded to ensure the home can meet the prospective residents needs in full and is reviewed in light of the request for a signed agreement from the person completing this form. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 10 For residents who are referred through Care Management arrangements the home obtains a summary of this assessment prior to admission. Residents were provided with a statement of terms and conditions when they were admitted to the home. The home did not provide Intermediate care. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans were available for each resident however some serious shortfalls in the recording of these had the potential to put residents’ health, personal and social care needs at risk. EVIDENCE: Samples of care plans were examined. Care plans were sometimes vague and did not always fully reflect the detail of the care required for the staff to meet the individual needs of the residents. The daily statements did not reflect the care given and regularly stated, ‘settled morning’, ‘no new changes’, and ‘all help given’. Concerns were discussed with the nurse in charge at the time of the inspection that the recording of wound care and its management in the home had some shortfalls. Further detail and wound mapping was required. One resident’s wound had a number of comments implying a deterioration however there was a considerable time delay before the registered nurse took action to involve Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 12 the tissue viability nurse. Recordings of wounds being changed on the suggested dates were sometimes poor. Concerns were expressed regarding the delay in the home seeking advice from a resident’s General Practitioner in relation to ‘both eyes very red’. The initial concern was noted on 29 May 2006 and the GP was not contacted until 6 June 2006. It was pleasing to see recordings of professional visits however it is recommended these detail the reason for visits and the treatment planned. The risk assessment process had some shortfalls. It was pleasing to see these covered a range of risks associated with older people however these were not always regularly evaluated. Some risk assessments were not re-evaluated following changes in the healthcare needs of individuals. One residents moving and handling risk assessment stated this should be reviewed every 6 months. There was no recorded evidence this had occurred. It is strongly recommended for purposes of cross infection that residents be provided with individual slings. Evidence was limited of resident/relatives involvement with the care plans. Policies and procedures were in place for the handling and administration of medication. The staff commented that the relatively new system for supplying medication to the home had improved the supplies to the home. Medication administration record charts were clearly recorded with codes used appropriately. From observations made during the inspection and discussions with members of staff and residents it appeared that the nurses and care staff treated the residents with respect and dignity. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lifestyle experienced in the home was not always varied and flexible to satisfy residents social, cultural, religious and recreational needs. EVIDENCE: There was an open visiting policy and relatives spoken to said they were made to feel welcome in the home. One resident said his visitors were able to visit at any time. The role of the former in-house activities organiser had changed and this service was no longer provided. There was no evidence of a weekly programme of events. Staff did comment that informal activities were provided before lunch. A retired physiotherapist visited the home to do an exercise class on a voluntary basis quite regularly. Some residents were seen to participate in a crossword before lunch and staff stated this was a regular time to offer some stimulation. The manager commented that due to the current dependency of the residents there were no trips planned or regular activities because they were too poorly to participate. Residents said the staff were kind and caring. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 14 The care plans examined did not include a full social profile assessment. A recommendation was made that an assessment was made to include the residents’ individual preferences. The home continues to provide wholesome meals. It was pleasing to see that the breakfast menu included a varied choice according to the residents’ individual likes. One resident chose “crispy bacon” whilst others had a poached egg or fried egg. The menu in place offered a choice of meals and the meal served on the day of the inspection looked appetising. Specialist diets to suit the needs of the residents such as diabetic or soft diets were provided. Residents who could express a view said the food was good and there was always plenty. The meals were served in the dining room. Tablecloths were looking tired in appearance and the serving pots looked worn. It was of concern that in a letter sent out to relatives in September 2005 relatives were asked to provide a fan for their next of kin. Equipment should be provided as required for the individual accommodated. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefited from having a clear complaints procedure. However, staff not having training in implementing the adult protection procedure has the potential to put residents at risk. EVIDENCE: The complaints procedure was available. The home held a record of complaints made. The Commission for Social Care Inspection had received three complaints since the last inspection. The home had dealt with these according to the complaints procedure however staff require some training in responding appropriately to these. One investigation had been made under Trafford Social Services Adult Protection Procedures. It was concluded there was one area for improvement in relation to the Nutritional Risk Assessment screening tool and the regular recording and monitoring of the resident’s weight. A number of the staff had received training in Adult Protection procedures and when questioned some of the staff were aware of the course of action to take in the event of an allegation of abuse. Some of the Registered Nurses, care staff and ancillary had not received training in the implementation of the adult abuse policy. The need for this training was discussed and a requirement was made. Flixton Manor DS0000006711.V304579.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some areas of the home were found to be in need of cleaning and refurbishment to improve the residents’ welfare. EVIDENCE: A partial tour of the premises was made. This included the communal areas, bathrooms toilets and a number of residents’ bedrooms. A letter of immediate requirement was made for the ‘worn and tired’ looking carpet in the lounge and entrance hallway to be replaced. It was pleasing to note this was actioned following the inspection. Replacement of these carpets was required to be made to maintain a homely environment. The poor appearance of this carpet and some of the bedroom ones was not helped by the fact the home’s only vacuum cleaner and carpet cleaner were out of order. The vacuum cleaner had been repaired by the time of the second visit and the home looked generally cleaner. As raised in the last inspection report it is recommended that the home have a second vacuum cleaner in the event of this breaking down. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 17 The immediate requirement notice included the repair of the sluice facility on the first floor. An unclean commode bucket was soaking in the bathroom on the first floor. This practice must cease immediately due to the risks of cross infection. A requirement was made. A brief tour of the home highlighted a considerable amount of wheelchair damage to the walls, woodwork and skirting boards throughout the home. The manager stated there was a programme of redecoration of bedrooms as these became available. Some of the bedrooms furniture had a drawer missing or a broken drawer. One resident’s wardrobe did not hold all his clothes. A discussion highlighted the possibility of him having a summer and a winter wardrobe to address this. The tour of the home highlighted that a number of pillows were thin and duvet covers required replacing. The sheepskins stored in the laundry should be disposed of, as their use is no longer considered good practice. The items of residents’ furniture noted during the inspection should be repaired/replaced to ensure they have an adequate standard of furniture in their bedrooms. Whilst consideration was given to the heat wave, the temperature in some of the bedrooms and in the conservatory/lounge area was uncomfortably hot. A need to check the boiler was required to ensure this is satisfactory. A large number of fans were in use to assist in controlling the temperature. Consideration should be given to the NHS heat wave guidance produced by the Department of Health. Flixton Manor DS0000006711.V304579.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this area outcome is adequate. This judgement has been made using available evidence including a visit to this service. The home could not demonstrate that its staff had completed the required training to meet the residents’ assessed needs. Some shortfalls in the home’s recruitment and selection procedures could put residents at risk. EVIDENCE: At the time of the inspection the home accommodated 22 residents in receipt of nursing care. The staffing numbers and skill mix appeared appropriate to meet the needs of the residents accommodated. Discussions with some of the staff highlighted that sometimes there is not the time to spend with the residents who needed to be nursed in their bedrooms. On the day of the inspection the nurse in charge of the home had worked at Flixton Manor for three years and she showed a good understanding of the individual residents’ needs. One resident required considerable attention and it was not clear the staff were providing the time he needed to have his needs fully met. As raised in a previous inspection the need to provide a dishwasher to enable care staff to be free to perform their duties should be seriously considered. The home employs 10 Registered Nurses, 11 care staff and has a programme of overseas adaptation students. The team are supported by kitchen and housekeeping staff. A large number of the staff hold the National Vocational Qualification level 2 certificate. The manager provided details of the range of courses staff had completed in the past 12 months. Some of the courses Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 19 included dementia, challenging behaviour, eye care, diabetes and hoist management. Other courses that had taken place were fire safety, first aid and stroke awareness. A notice of Immediate Requirement was made for all staff to receive an update in Moving and Handling training. It was pleasing to note that the home acted on this and forwarded a list of all staff who completed this training to the Commission for Social Care Inspection (CSCI) following the inspection visit. Discussion with the manager indicated that training was given a high degree of importance to meet the needs of the residents. One of the registered nurses took the lead for tissue viability in the home. However there was no evidence to suggest that staff had participated in any updated training in tissue viability awareness for quite some time. A recommendation has been made. A sample of staff files was seen. The home’s recruitment and selection policies and procedures were not always in line with the information required and some staff are employed at the home without the necessary checks being undertaken. The home was in the process of applying for Enhanced Criminal record checks for a number of staff. Some of these have been outstanding for a period of time and a requirement was made to address this as a matter of urgency. The record keeping for the induction of new staff members was poor. One staff member had commenced employment in June 2006 and had not been through a basic induction to include the fire procedures. This was addressed during the inspection however a requirement was made for new staff to follow a 12 week induction programme. The induction programme needed to be formalised in line with the guidance from the Skills for Care Council. All staff had just been issued with new employee handbooks. Flixton Manor DS0000006711.V304579.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this area outcome is adequate. This judgement has been made using available evidence including a visit to this service. The manager had improved some of the management practices in the home including staff supervision. The policies and procedures for the induction of staff required improving. EVIDENCE: The home’s management team were making efforts to improve the service to meet the needs of the residents living in the home. Some improvement was noted in the staff training programme and staff supervision. The manager must ensure she oversees that appropriate medical advice is sought when residents’ health care needs change. The home sent out a relative’s questionnaire in August 2005. It is recommended that the next survey provides an opportunity for other health Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 21 care professionals to express their views on the service being provided and, the findings of that survey be published an a copy sent to CSCI. Of the families spoken to, comments were made that the staff team did keep them informed about the care of their relatives. The manager provided information in the pre-inspection questionnaire, which indicated that health and safety checks were being carried out at the required frequency. Evidence of the last fire drill was that one took place in June 2006 and included a list of staff that had attended. The home is appointee for the financial affairs of two residents. Small amounts of money are held for other residents to cover such items as hairdressing. Transactions are recorded however on the day of the visit these records were not examined and this will be followed up during the next inspection visit to the home. Flixton Manor DS0000006711.V304579.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X 2 X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X X X 3 Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 13 Requirement A full audit of all care plans must be undertaken to ensure they set out the action which needs to be taken by care staff to ensure all aspects of the residents health, personal and social care needs are met. This must include wound care and entries in daily records must be clear and consistent. Nutritional risk assessments must be clear and staff must record the action taken where any concerns are made about resident’s weight. Fluid and dietary records must also be recorded accurately. All staff must have training/guidance in the implementation of the Protection of Adults from Abuse. The programme of renewal and redecoration must include the skirting boards from wheelchair damage. Suitable sluicing facilities must be provided. DS0000006711.V304579.R01.S.doc Timescale for action 13/08/06 2 OP8 15 07/08/06 3 OP18 13 14/08/06 4 OP19 13 30/08/06 4 OP26 23 07/08/06 Flixton Manor Version 5.2 Page 24 5 6 7 OP24 OP26 OP29 16 16 19 Adequate bedding and furniture must be provided for residents in their own bedrooms. Adequate floor coverings must be provided in the lounge and entrance hallway. The home must ensure the recruitment and selection procedures ensure the protection of the residents. CRB checks must be undertaken. 28/08/06 28/08/06 07/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 7 Refer to Standard OP3 OP7 OP8 OP8 OP12 OP16 OP24 Good Practice Recommendations It is strongly recommended the format for the home’s preadmission assessment is reviewed. It is recommended where possible that the care plan is drawn up with the involvement of the resident and /or their representative. It is recommended that the reason for professional visits and treatment are detailed on the planned visit form. It is recommended that individual slings are provided for residents who require regular use of a hoist. It is recommended that the care plans include a detailed assessment of the residents’ needs and a record is kept of all activities undertaken. It is recommended that staff receive some training in dealing with complaints. It is recommended that the option to have a piece of personal furniture is made available to prospective residents. If not this should be included in the Statement of Purpose. It is recommended that each member of staff have a training and development plan. It is recommended that the home take account of the new Skills for Care requirements and include them in their induction programme and that a record of the induction is maintained. 8 9 OP29 OP30 Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 25 10 OP33 It is recommended that comment cards are sent to visiting professionals and not just relatives to obtain their opinions of the service being delivered by the home. Flixton Manor DS0000006711.V304579.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Flixton Manor DS0000006711.V304579.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. 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!