Inspection on 15/05/07 for Forde Park Residential Home

This inspection was carried out on 15th May 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

Forde Park Residential Home 26/05/06

Forde Park Residential Home 10/10/05

Forde Park Residential Home 05/04/05

Forde Park Residential Home 27/10/04

Forde Park Residential Home 28/04/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Forde Park Residential Home 18 Keyberry Park Newton Abbot Devon TQ12 1BZ Lead Inspector Judy Hill Unannounced Inspection 15th May 2007 09:50 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 Forde Park Residential Home DS0000003702.V335095.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. Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Forde Park Residential Home Address 18 Keyberry Park Newton Abbot Devon TQ12 1BZ 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) 01626 352904 01626 356847 The Wilson Crawford Partnership Mrs Barbara Elsie Underhill Care Home 15 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (15), Physical disability over 65 of places years of age (15) Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th May 2006 Brief Description of the Service: Forde Park Residential Home is registered to provide accommodation and care for a maximum of fifteen people in the registration categories of Old Age, Physical Disabilities (over 65) and Dementia (over 65). The home is situated in a residential area of Newton Abbott and is approximately one mile from the town centre, which has a wide range of facilities including shops, restaurants and a main line railway centre. There is an hourly bus service between the home and the town centre. Information about the home is available in the form of a Statement of Purpose and a Service Users Guide. Copies of inspection reports are placed in the entrance hall and kept available for residents and visitors to read. The current fees are approximately £400 a week and cover the costs of care, accommodation, food and some toiletries. Additional charges are made for optional extras including private hairdressing and chiropody, newspapers, transport for trips, telephone calls and some escort duties. Forde Park Residential Home DS0000003702.V335095.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 was carried out on the 15th and 16th May 2007. The information contained in this report was gained in conversation with service users, visiting relatives, the registered manager and staff during the inspection and from pre-inspection questionnaires that had been completed by the registered manager, the relatives of four residents and eight members of staff. Additional information was gained from a tour of the premises, the Service Users’ Guide and records including service users assessments, care plans, reviews and daily records, records of medication administration, menu plans and staff records, including staff rotas, recruitment and training records. What the service does well: The individual needs assessments, care plans and reviews are clearly written and easy to follow and feedback from service users and their representatives indicates that they accurately reflect the needs of the residents. Very positive feedback was received from some of the residents and from their representatives about the quality of the care provided. All of the care staff have received training in the management of medicines and the storage, recording and administration of medicines is safe. Group outings and in-house activities are organised for the residents. There are no restrictions on visiting and families and friends are made to feel welcome by the manager and staff. Although there is a set lunchtime menu, alternatives are available including vegetarian options. The residents are offered a choice of meals for breakfast and tea. Feedback from service users indicated that the quality of the meals provided is good. The complaints procedure is assessable to residents and visitors to the home and complaints are dealt with appropriately. Policies and procedures are in place to protect the residents from abuse. The home is comfortably furnished, well decorated, clean and safely maintained. The staffing levels are high enough to meet the assessed needs of the service users. All of the staff are very experienced and have attended a wide variety of relevant training courses. Most of the care staff are hold National Vocational Qualifications in Care. Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 6 The registered manager is very experienced and well qualified and has attended a many training courses to keep her practical knowledge up to date. Regular audits of the service are carried out by and on behalf of the registered owners of the company to ensure that high standards are maintained. The gas, electricity and fire safety systems are regularly serviced and the home is kept in a good state of repair. Policies and procedures are in place to promote the use of safe working practices and these are kept accessible to staff. What has improved since the last inspection? What they could do better: The registered manager should always be involved in the initial assessment of service users. The registered manager should remind the staff to ensure that they record all relevant information in the daily records of residents. Individual risk management strategies should be drawn up when risks are assessed to identify how the risk could be managed. A record should be kept of any prescribed creams administered by the staff. Arrangements must be made for all the staff to attend a training course on the Protection of Vulnerable Adults. The hot water system needs attention to improve the consistency of the temperature of the water and to ensure that it is hot enough to wash with. Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 7 Consideration could be given to finding an alternative location for the laundry, as the basement area is prone to flooding, which could make it unhygienic. Formal staff meetings and one to one staff supervision should be introduced. Accidents to residents that result in professional medical attention should be reported to the Commission. A policy should be drawn up on ‘Sexuality and Relationships’. Staff should be encouraged to read the homes policies and procedures. 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. Forde Park Residential Home DS0000003702.V335095.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 Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. Prospective service users can be confident that their needs will be comprehensively assessed before admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three of the service users needs assessments were inspected as part of a case tracking process. All of them were found to be comprehensive and clearly presented, making them easy to understand and to develop into care plans. One of the needs assessments inspected had been written up with the most recently admitted service user who had moved into the home the previous week. The resident concerned and a visiting relative were spoken with during Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 10 the inspection and both indicated that the assessment accurately reflected the service users needs. The registered manager had not been directly involved in this service users pre-admission assessment, which had been carried out by the registered manager of the companies nursing home. Although the registered manager was able to demonstrate that she had a very clear understanding of the residents needs, it was recommended in the report of the last inspection that the registered manager is directly involved in the preadmission assessments of service users. Standard 6 is not applicable because the home does not offer intermediate care. Forde Park Residential Home DS0000003702.V335095.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. The care planning and review practices are good and the needs of the people living at the home are being met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans for three of the residents were inspected and found to be clearly written, comprehensive, regularly updated and easy to follow. The care plans are kept accessible to the care staff and staff were seen completing the residents daily records. Although the daily records that were seen were satisfactory, it was brought to the Commissions attention that some relevant information, such as visits from District Nurses and GP’s is not always recorded. Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 12 Information about the people who use the service is also passed on between staff during daily shift handover meetings and a care worker said that some information, such as appointments, is also recorded on a whiteboard in the kitchen. Records seen demonstrated that risk assessments are being carried out as part of the needs assessment and care planning process but although possible risks are being identified, more could be done to identify how the risk can be reduced and/or managed as this could enable the people who use the service to retain more independence. In terms of meeting the needs of the people who live at Forde Park surveys completed by four of the service users families and conversations with service users and visiting relatives indicated that there is a very high level of satisfaction. Visiting relatives comments include: Forde Park provides an excellent professional service they look after my mother very well in all respects. I am very happy with the care provided for my mum. The home is registered to provide care for elderly people with dementia and for elderly people with physical disabilities and conversations with the staff and an inspection of staff training records showed that the staff had received appropriate training in dementia care and other physical conditions such as Parkinson’s disease in addition to health and safety related training such as manual handling and continence control. Conversations with the registered manager, service users and staff also indicated that appropriate referrals are made to the professional health care services and that the District Nurses regularly visit people in the home to attend to their nursing needs. The resident’s medication was seen to be stored appropriately in a locked mental cabinet, a controlled drugs facility and a locked cupboard. Some of the residents hold and administer their own creams and keep their inhalers. All other medicines are administered by the staff and it is suggested that risk assessment/risk management procedures are utilised to ensure that this intervention is necessary or is any of the service users could manage their own medication with appropriate safeguards in place. Conversations with the manager and staff and an inspection of staff training records showed that the care staff have completed a distance learning training course in the management of medication. The medication administration record sheets were inspected and seen to be clear and up to date, although the application of creams by the staff is not currently being recorded. A member Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 13 of staff was seen checking incoming medicines and discussing some changes with the manager that she needed checked with the pharmacist. This is recognised as an example of good practice. A visiting relative spoke about way in which the home maintained the dignity of the service users by ensuring that they were always well dressed and that there clothing was well co-ordinated. This was seen to be the case during the inspection. Forde Park Residential Home DS0000003702.V335095.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. The residents are encouraged to make their individual wishes and needs known and these are respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The needs assessments seen included reference to service users preferences with regard to the time that they get up and go bed, social and occupational interests and dietary likes and dislikes. Occasional group outings are arranged by Forde Park Nursing Home (which is two doors away), which the residents are invited to join. A forthcoming event is an outing to see Peter Pan and three of the residents were planning to go. The staff are encouraged to spend time talking with the residents and this was observed during the inspection. Also observed during the inspection was a Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 15 sing a long session using a video cassette of Max Bygraves singing popular songs from the 1940’s. The manager said that other in house activities include reminiscence, armchair exercises, crafts, games and puzzles. One of the residents spoken with said that he likes to walk to town most days and will either get a bus home or phone the manager for a lift. One resident goes to the RAF Club once a month and another attends a weekly social club Club. The questionnaires completed by resident’s relatives commented on the warm reception given to visitors to the home and this was seen during the inspection. Several visitors called and each of them was greeted by name by the staff and/or manager and offered a cup of tea or coffee. One visitor said that she was always made to feel welcome, that no time restrictions were imposed and that she was kept informed of her relatives progress. The menu plans seen show that a set meal is offered a lunch time but that alternatives, including a vegetarian option are made available on request. Records of individual needs assessments showed that the resident’s dietary likes and dislikes are recorded and the manager was able to demonstrate in conversation with a service user that she knew what food he liked and what he did not like. A visiting relative said that she was impressed with the choices that she had seen being offered to the residents for their teatime meal. Some of the residents described their meals as “very good” and “excellent”. Although there is a spacious dining room at the home, some of the residents prefer to eat their meals in their bedrooms and their wishes are respected. Forde Park Residential Home DS0000003702.V335095.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): 16 & 18 Quality in this outcome area is good. Complaints are handled well and policies and procedures are in place to protect the residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is included in the Service Users’ Guide and displayed in the hall. A record is kept of complaints received and this was inspected. The complaints, of which there were very few, had been dealt with appropriately. Policies and procedures are in place regarding the protection of the service users from abuse and feedback from questionnaires from six of the eight staff who responded identified that they were aware of adult protection procedures. The manager had attended a training course on the Protection of Vulnerable Adults. The training officer said that the staff had been booked to attend training courses run by the local authority on the Protection of Vulnerable Adults but that the courses had been cancelled. Further bookings have been made. Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 17 Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 18 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. The service users benefit from living is a safe and well-maintained home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is located in a quiet residential area on the outskirts of Newton Abbot and is approximately one mile from the town centre. There is an hourly bus service to and from the town centre. A large supermarket is within easy walking distance of the home. The home is detached and set in large, well-maintained gardens, which are accessible to the residents. There is a large decked patio to the rear of the Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 19 home with tables and chairs for the residents. Since the last inspection the decked area has been made safe by the provision of wire meshing to prevent the floor surface from becoming slippery when wet. Ample off road parking is provided for visitors and staff. The pre-inspection questionnaire identifies that the premises are safely maintained and that regular maintenance work is carried out. This was confirmed during an inspection of the premises. An issue that was raised in the last report was the suitability of the premises for people with physical disabilities. Access to the main entrance requires residents to negotiate steps, however ramps are provided to the rear of the premises and a mobile ramp is now available on request to enable residents with poor mobility to use the front door if they wish. A wheel in/walk in shower room is available on the ground floor and the bath on the first floor has a fixed hoist. A chairlift is available between floors. During the inspection the temperature of the hot water to several hand basins was tested. Although it is understood that thermostatic valves have been fitted to prevent the water from being too hot, the temperature of the hot water was found to be inconsistent and sometimes running cold or tepid. This does need attention for health and safety reasons as the residents, staff and visitors need to be able to wash their hands thoroughly. The laundry facilities are in the basement. These were seen to be adequate for the needs of the home at the time of the inspection although consideration could be given to seeking an alternative location because the basement area is prone to flooding, which could be a health and safety hazard. Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 20 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. The residents can be confident that the staff are experienced and well trained and that safe recruitment practices are used to ensure that unsuitable staff are not employed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An inspection of the staff rotas and observations made during the inspection indicate that the staffing levels are adequate for the needs of the residents and the home. Three care workers are on duty at most times of the day and night time cover (9pm to 7am) is provided by one member of staff on waking duty and one sleeping in and on call. The pre-inspection questionnaire completed by the registered manager identified that seven of the ten care staff had completed National Vocational Qualifications and Level 2. One member of staff spoken with confirmed that she had completed her NVQ at Level 2 in Special Needs and NVQ at Level 3 in Care. Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 21 The provision of staff training was discussed with the registered manager and four members of staff. The staff had attended numerous training courses on health and safety related topics and on topics relevant to the needs of the residents such as Dementia Care and Parkinson’s disease. Records of staff training were seen to confirm this. The staff turnover is very low. The recruitment records were seen for the two most recently appointed members of staff and these showed that safe recruitment practices were used. The company, which includes this care home and a nursing home, have been gained an ‘Investors in People Award.’ Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is good. Residents can be confident that the manager is well qualified and that the home is safely maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has been in post for over nine years and has completed her Registered Managers Award, a City & Guilds course in the Management of Care and a Certificate in Management course with the Institute of Management and is a qualified NVQ Assessor. She has also kept up to date Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 23 with relevant health and safety related training and with training related to the specific needs of the service users, such as dementia care. Evidence in the form of written reports were seen that provide evidence that regular quality management audits are carried out by The Wilson Crawford Partnership. Questionnaires completed by residents were seen at the Companies offices, which are at Forde Park Nursing Home. Two members of the staff team act as staff representatives at committee meetings held by the Company. The registered manager said that wherever possible the service users are encouraged to ask a member of their family or a legal representative to handle their financial affairs. At the time of this inspection records were seen to show that the home handles some personal spending money for two of the service users, however in each case a solicitor hold responsibility under the Court of Protection and gives money to the home to cover any expenses the residents may have. The records of the two residents personal spending money were seen to be clearly recorded and receipts of money spent on behalf of the service users had been obtained. The questionnaires completed by the staff indicated that formal one to one supervision is not provided for the staff and that regular staff meetings are not held. This was discussed with staff and the registered manager during the inspection. It was established that staff appraisals are carried out twice a year, that informal supervision is provided, that informal meetings are held during staff handover periods and that the staff are represented at Company meetings. Although most of the feedback gained from the staff in their completed questionnaires and during interviews held during the inspection was very positive, it is suggested that manager needs to introduce regular staff meetings to enable the staff to openly discuss any issues they may have and that one to one supervision is carried out with each member of staff at least six times a year to discuss all aspects of practice, the philosophy of care in the home and their own career development needs. The pre-inspection questionnaire completed by the registered manager identified that gas, electrical and fire safety checks and services are being carried out regularly and that routine maintenance and repairs are being carried out. The pre-inspection questionnaire completed by the registered manager identified that all of the relevant policies and procedures are in place with the exception of ‘Sexuality and Relationships’. It is recommended that this policy is included. Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 24 The homes policies and procedures are kept in a folder in the reception area and available for the staff and service users to read. Conversations with the staff suggested that although they may use the policies and procedures as reference, most of them have not actually read them. It is therefore recommended that the staff are encouraged to read the policies and procedures and that record sheets are kept with each of the policies and procedures to enable the staff to record when they have read them and that they understand their contents. A record is kept of all accidents in the home but accidents that result in injuries to residents that require professional medical attention are not routinely reported the Commission. Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 25 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 2 3 X X X X X 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 2 X 2 Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP18 Regulation 18 Requirement Arrangements must be made for all of the staff to attend a training course on the Protection of Vulnerable Adults. Accidents to residents that require professional medical attention must be reported to the Commission. Timescale for action 15/08/07 2 OP38 37 15/06/07 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 OP3 Good Practice Recommendations The registered manager should always be personally involved in the assessment of any prospective new resident unless this is impracticable. The registered manager should remind the staff to ensure that they record all relevant information in the daily records of residents. Individual risk management strategies should be drawn up when risks are assessed to identify how the risk could be Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 27 2. OP7 3 4 5 6 7 OP9 OP19 OP26 OP36 OP38 managed. A record should be kept on the medication administration record sheets of any application of cream by the staff. The hot water system needs attention to improve the consistency of the temperature of the hot water and to ensure that it is hot enough to wash with. Consideration could be given to finding an alternate location for the laundry, as the basement area is prone to flooding, which could make the area unhygienic. Formal staff meetings need to be introduced into the home and the staff should receive formal one to one supervision at least six times a year. A written policy should be drawn up on Sexuality and Relationships. The staff should be encouraged to read the homes policies and procedures. Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Forde Park Residential Home DS0000003702.V335095.R01.S.doc Version 5.2 Page 29 - 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!