Inspection on 06/09/06 for Garson House Care Home

This inspection was carried out on 6th September 2006.

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

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

Other inspections for this house

Garson House Care Home 07/02/07

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

CARE HOMES FOR OLDER PEOPLE Garson House Care Home Garson House 7 Lee Road Lynton Devon EX35 6HU Lead Inspector Victoria Stewart Key Unannounced Inspection 10:00 6 and 7th September 2006 th 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 Garson House Care Home DS0000066653.V305380.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. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Garson House Care Home Address Garson House 7 Lee Road Lynton Devon EX35 6HU 01598 753202 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) Betty May Boundy Russell Montague Boundy Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Garson House Care Home is a detached property, situated in the picturesque village of Lynton in North Devon. The home is registered to provide personal care for 13 residents over the age of 65 years and is privately owned. The home is approached from the main street of Lynton by a private driveway and has on-site parking. There is level access throughout the home with a passenger lift serving the first floor. Garson House is currently being modernised and updated in various areas of the home, therefore some rooms are not currently available. When complete, the home will provide 13 single rooms, some with en-suite facilities. There is a sun-lounge/conservatory leading from the communal lounge, which in turn leads to a patio area and garden consisting of trees, lawn and flower beds. The home has a light and airy dining room. The home has two flats attached to the side of the property. These flats are self-contained, independent and have no impact on the resources of this home. The cost of care at the time of the inspection was within the range of £350 to £450 per week. Chiropody, hairdressing, personal toiletry items and newspapers/magazines are additional costs which are not included in the fees. As the service is newly registered, no previous inspection reports are currently available. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Garson House Care Home is a care home which recently re-opened in June 2006 with new owners Betty and Russell Boundy. This was the first inspection carried out at the home and took 8 hours for the inspector, Vickie Stewart, to complete over two days. This inspection was unannounced, with the home having received prior notification that an inspection would be taking place within three months. The registered manager/owner was present during the inspection and together with the care staff helped and assisted the inspector on the day. On the day of inspection, the home had nine residents living or staying there. This included five permanent residents, three temporary residents (respite care) and one day care resident. Prior to the inspection, a number of information surveys were sent out. Out of three surveys send to professionals two were returned and out of five surveys sent to the home’s care staff none were returned. The inspector saw and spoke with residents in the home and was able to spend time with each of them to track the care they are receiving. This report is written with information gained from the pre-inspection questionnaire completed by the home, by talking with residents, relatives and staff, by looking at a selection of records (including resident files, staff files, medication records, menus and health and safety records), by sampling the lunchtime meal and by undertaking a full tour of the building. Lots of positive discussion took place during the inspection. The outcome of the inspection was fed back, discussed and agreed with the owner/manager prior to the inspector leaving the home. Following this inspection, necessary improvements to the care, service and facilities of the home have been highlighted and as a result several requirements have been made, including three of which that needed immediate attention. However, it must be recognised that this is the first inspection since the home re-opened and the owner/manager is committed to continually improving the service. The CSCI will monitor the progress to meet these at the next inspection visit which will take place before April 2007. What the service does well: Each resident receives a signed contract detailing the terms and conditions of living at the home. There is good promotion of privacy, dignity and respect for residents. Residents have choice and control over their everyday lives where possible and their friends and families are encouraged to remain part of their Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 6 lives. Close links with the local community are promoted. Care staff are an asset to the home and ensure good care is given to residents. The home works in partnership with the local primary health care team and good links have been made. The manager has the knowledge and experience to ensure the home is run in the best interests of the residents. The home has a very warm, homely and welcoming atmosphere. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is an inconsistent pre-admission assessment process at the home which could potentially result in residents’ needs not being fully met Residents are issued with a contract which ensures that they are fully aware of the terms and conditions of the home EVIDENCE: Three residents’ files were looked at, including the most newly admitted resident to the home who was receiving short-term (respite) care. Two of these files contained a pre-admission assessment of care carried out. However, whilst one that had most recently completed contained a good preadmission assessment with all the information required to begin to plan care, the other contained only basic information which was not detailed enough. The remaining file did not have a pre-admission assessment completed on file. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 9 One resident spoken with confirmed that the manager of the home had recently visited her in hospital and that she had chosen to live at the home as she felt it was “right” for her. All files seen contained a signed contract and acceptance of terms and conditions of the home. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate overall. This judgement has been made using available evidence including a visit to this service. Health and personal care needs are generally met, but poor recording systems mean that staff may not have enough information to give consistent care The systems relating to medication are generally well managed but some improvements in record keeping are needed Residents’ benefit from staff that treat them with respect, privacy and dignity at all times EVIDENCE: Three residents’ files were looked at. Two of these contained a plan of care and one contained a pre-admission assessment but no plan of care had yet been started. These files varied in detail and whilst one contained sufficient and well-written information and detail on how staff were able to meet a resident’s full range of needs, one file contained the basic minimum details Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 11 required and one file contained no information on a plan of care at all. This was discussed with the manager on the day of inspection. Despite the lack of care planning shown on residents’ files, all residents seen on the day of inspection did appear to be having their needs well met. However, the majority of residents currently living in the home have minimal personal and healthcare needs at the moment. Those residents spoken with confirmed that they were well looked after. Specialist professionals are contacted when necessary. The home has good links with the local GP and district nursing services. One comment was “I have been very impressed with the level of service offered and the level of care provided” and another said that the home was “looking very good. Very impressed so far”. The systems relating to the medication process were looked. Boots supply the home with a monitored dosage system and will be carrying out the first audit of the home in the near future. The recording, storage, handling, administration and disposal of medicines were generally satisfactory with the exception of two issues. These were that not all of medicines received in the home had been signed into stock and that not all additional medicines (for example antibiotics) had been recorded properly. All staff that administer medication have received suitable training. Staff explained to the inspector how they meet the privacy and dignity needs of residents - this was observed on the day of inspection and residents confirmed that staff always treated them with respect at all times of the day and night. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 12 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 overall. This judgement has been made using available evidence including a visit to this service. Residents are generally able to exercise choice and control over their lives with some exceptions The provision of social activities is limited meaning that residents’ social and recreational needs may not always be met Residents are encouraged to maintain contact with family and links with the local community The diet offered is adequate – food served is simple and meals palatable but aspects of choice, provision and menu planning need attention EVIDENCE: One relative spoken with during the inspection commented that he is visits at different times, is always made to feel welcome and offered beverages during his visit. Five other residents confirmed that they have visitors at all times of the day and can see them in their private rooms or a communal room. Several of the residents have lived in the surrounding area of the home for many Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 13 years, and as such have maintained very strong links with the local community which is promoted by the home. Activities on offer in the home are almost non-existent at the present time. The manager has acknowledged this and has made arrangements to introduce activities into the home now that more people are living there. One of the care assistants has volunteered to undertake the role of planning activities within her care assistant role, when extra members of care staff have joined the home. Whilst the activities have been limited, the staff have ensured that the residents have been taken out to the local town on a regular basis. Some of the residents are able to do this themselves if they choose and take part in community activities for example going to the church, library or shops. The home does not have a permanent full-time cook at the present time and the cooking duties are shared with the owner/manager doing a large share of them. On the day of inspection a new cook had just started and the manager was hopeful that this person would cook for the home twice a week. The home is not following a set pre-planned menu and when the inspector spoke with the residents, they were unaware of what was for lunch. Lunch was in fact roast pork, potatoes and vegetables. One resident had been served lunch in her room and later told the inspector that she does not like pork and only ate the vegetables that day. One other resident in the dining room also ate only vegetables for the same reason. No alternative was offered at the time but staff did say they would make a note of it. The inspector had a lively lunch with eight of the residents on the first day of the inspection, and whilst the food looked appealing and nutritious, felt the meat was tough to eat. The manager had also noted this and resolved not to put it on the menu again. Six residents spoken with about the food said it was generally “very good”. Records of food served were kept in the home diary and food, freezer and food temperatures were not being routinely recorded. The inspector felt that the home would benefit from a visit from the Environmental Health Officer to conduct an inspection of the kitchen to give the staff some guidance on what they need to do concerning the correct handling of food. Residents all confirmed that they have a choice over their daily lives and comments such as “I can get up when I like” and “I like to go to bed at 11 pm – whenever I want really”. During the inspection, the inspector saw that one resident chose to stay in bed until late morning and one other resident chose to stay in her room undressed. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 14 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. The home needs to develop its complaints procedure and system for recording complaints so that complainant’s views can be heard, recorded and acted upon Residents are protected from abuse by staff, who understand the principles of adult protection EVIDENCE: No complaints have been received by the CSCI since the home opened. The home’s complaints policy needs some updating and amending to include the correct information for example that complaints will be dealt with within 28 days and that complainants can contact the CSCI at any time. The home does not yet have a complaints system and documents available for use and this needs addressing. Residents were complimentary of the home and confirmed that they liked living there. Three staff were spoken with and two had received training in the Protection of Vulnerable Adults (PoVA) and had a good understanding of the principles of abuse and knew the procedures to take. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 15 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 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst still in the process of being modernised, the environment of the home provides is providing residents with an attractive, homely and clean place to live Some areas of the home do not currently meet the standard required, but a development plan details the work, areas and timescales involved EVIDENCE: The inspector saw that the home is still in the process of being renovated, updated and modernised with some areas completed – this includes the entrance hall, living room, dining room and conservatory. These are all decorated in a homely and warm way with suitable furniture. Those residents admitted have had their private rooms decorated and updated and some of the private rooms have, or will contain, en-suite bathrooms. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 16 Residents’ private rooms are personalised and individually decorated with sentimental items of furniture and possessions brought in to make the rooms homely and personal. The home has a sun room/conservatory which residents enjoy sitting in. This overlooks both the garden and the local high street of Lynton. Residents are able to access all areas of the home by a modern lift. The laundry room needs major updating and modernising and does not provide staff with a proper environment to work in. However, this is shortly to be undertaken in line with the home’s development plan with a new laundry area being built. The inspector felt that some areas of the home which residents have access to could potentially cause unnecessary harm to residents (see NMS 38). Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 17 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 and 29 Quality in this outcome area is good overall. This judgement has been made using available evidence including a visit to this service. Staffing is adequate to meet resident’s general needs at the present time Residents’ benefit from a happy, friendly, and caring staff group The recruitment procedures for the employment of staff are not always robust enough to protect the residents living at the home EVIDENCE: On the day of inspection, the home had the owner/manager, two care assistants and a cook on duty to care for nine residents. The manager is a qualified nurse, one member of care staff has NVQ 2 and the cook has NVQ 2. The other member of care staff has no formal qualifications but has gained experience as a care assistant for many years. The home is sufficiently staffed to meet all the residents’ needs at the moment due to the low dependency of some of the residents at the home. The small staff group are experienced and skilled and are happy, motivated and very caring. Residents commented “they are a happy bunch here, aren’t they?” Other comments included “staff care for me and come straight away”, “staff are helpful and I’m looked after well” and “wonderful, staff always come quickly”. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 18 Three staff files were looked at. Two of these contained all the information required but the home had employed a member of staff without obtaining the necessary pre-employment information for example no references, application form, Criminal Record Bureau check had been gained and no personal details were held on file. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 19 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, 37 and 38 Quality in this outcome area is poor overall. This judgement has been made using available evidence including a visit to this service. Whilst the manager has good skills and experience to run the home well, there are certain areas concerning the management of the home that need improvement Residents have not yet been involved in the running of the home and their views sought Record keeping in the home is poor, with improvements needed to ensure that residents are fully safeguarded Improvements in certain aspects of health and safety procedures at the home are necessary to ensure residents are not put at unnecessary risk EVIDENCE: Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 20 The manager has experience of running other care homes and is suitably qualified and skilled with the appropriate qualifications. Staff described the management of the home as “very friendly and open”. However, the manager is currently working as part of the care staff in the home, doing a large amount of cooking and is also decorating rooms. The manager has not yet allowed herself any time to complete all the management or administration tasks necessary for running the home. This has resulted in records not being maintained and kept to the standard required, including resident care records, staff employment records, staff training records, resident financial records, food records and fire records. The manager has recognised this and with the employment of further staff, informed the inspector she intends to spend designated time ensuring the management of the home is undertaken. The home has not yet carried out any quality assurance with residents and relatives to monitor the quality of the service. Resident meetings have not been held yet although as the home is currently small, the manager has very close relationships with the residents and knows them very well. The inspector looked at the records of monies held for one resident. These need improving upon and more stringent recording necessary for example monies received into he home are not receipted correctly. It was difficult to confirm whether staff had had all the training necessary, as up to date records were not held. Staff confirmed that they had attended fire training but records to show this could not be found in the home. Manual handling training had been carried out at a previous care home for the two staff on duty but again this could not be confirmed with no up to date records held on file. All equipment used in the home has been is serviced and maintained as necessary. A new call bell system had been installed and worked well. Fire records were looked at and the inspector saw that a fire professional had recently carried out a fire assessment on 1 August, 2006. He had designated some areas of the home for urgent action due to fire risk and the inspector saw that not all of these had been done. The inspector has asked the Devon Fire and Rescue Service to make an urgent visit to the home, as it has not been inspected since it has opened. During a tour of the premises, some areas of the home currently under refurbishment pose a risk to the health and safety of the residents, for example substances which are hazardous to health are accessible and rooms with ceilings down or floors up are not secured. Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 3 2 X X X X X X 1 STAFFING Standard No Score 27 3 28 3 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 X 1 1 Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 (1) a,b Requirement The registered person shall not provide accommodation to a service user at the care home unless, so far as it shall have been practicable to do so – needs of the service user have been assessed by a suitably qualified or suitably trained person; the registered person has obtained a copy of the assessment With regard to: • Ensuring that each person that is admitted to the home has had a preadmission assessment carried out to ensure that the home can fully meet all prospective residents’ needs 2 OP7 15 (1) Unless it is impracticable to carry 06/11/06 out such consultation, the registered personal shall, after consultation with the service user, or a representative of his, prepare a written plan (“the service user’s plan”) as to how the service user’s needs in DS0000066653.V305380.R01.S.doc Version 5.2 Page 23 Timescale for action 06/11/06 Garson House Care Home respect of his health and welfare are to be met With regard to: • Ensuring that all residents in the home have a completed plan of care which holds enough detail to enable care staff to fully meet the individual resident’s needs 3 OP9 13 (2) The registered person shall make 06/10/06 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home With regard to: • Ensuring that each person making hand-written entries on the Medication Administration Record signs and dates the entry and then a second person checks and signs the entry • Ensuring that all medicines are counted in stock when they arrive at the home 4 OP12 16 (2) n The registered person shall 06/12/06 consult service users about the programme of activities arranged by or on behalf of the care home and provide facilities for recreation including, having regard to the needs of service users, activities in relation to recreation, fitness and training With regard to: • Ensuring that a programme of social, recreational and leisure activities is introduced into the home according to Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 24 individual residents’ interests 5 OP15 16 (2) i, j The registered person shall provide in adequate quantities, suitable, wholesome and nutritious food which is varied and properly prepared and available at such time as may reasonably be required by service users; after consultation with the environmental health authority, make suitable arrangements for maintaining satisfactory standards of hygiene in the care home With regard to: • Ensuring that provision is made to ensure that all residents receive a well balanced and nutritious meal at all times • Ensuring that EHO visit the kitchen of the home and that all their guidance is followed at all times 6 OP16 22 (1) (4) The registered person shall establish a procedure for considering complaints made to the registered person by a service user or person acting on the service user’s behalf; the registered person shall within 28 days after the date on which the complaint is made, or such shorter period as may be reasonable in the circumstances, inform the person who made the complaint of the action (if any) that is to be taken With regard to: • Ensuring that a complaints policy is developed and available for use if required 06/12/06 06/11/06 Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 25 7 OP26 13 (3) The registered person shall make 06/06/07 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home With regard to: • Ensuring that the laundry room is updated and meets the necessary standard required 8 OP29 19 (1) a,b Sch 2 1-7 The registered person shall not employ a person to work at the care home unless the person is fit to work at the care home With regard to: • Ensuring that all the necessary pre-employment information listed under Schedule 2 is sought and held on each prospective employee 06/09/06 9 OP37 17 (1)(2)(3) Sch 3 & 4 The registered person shall ensure that all records held in the home under Schedules 3 and 4 are kept up to date With regard to: • Ensuring that records relating to resident assessments, care plans, medication, pocket monies, staff employment records, staff training records, fire records and food records 06/12/06 10 OP38 13 (4) a, 06/09/06 The registered person shall ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety; unnecessary risks to the health or safety of service users are identified and so far as DS0000066653.V305380.R01.S.doc Version 5.2 Page 26 Garson House Care Home possible eliminated With regard to: • Ensuring that all areas that pose an unnecessary risk to residents living at the home are secured 11 OP38 23 (4) a,b,c The registered person shall after consultation with the fire authority take adequate precautions against the risk of fire including the provision of suitable fire equipment; provide adequate means of escape; make adequate arrangements against fire With regard to: • Ensuring that Devon Fire and Rescue Service visit the home and that all their guidance is followed at all times 06/09/06 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 Refer to Standard OP15 OP31 OP35 Good Practice Recommendations It is recommended that the home provides planned menus, a choice of food and ensures that residents know what they are going to have for their meals It is recommended that the owner/manager ensures that she has designated protected time for managing the home It is recommended that two signatures are sought when pocket monies are deposited into the home on behalf of residents living at the home Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 27 Garson House Care Home DS0000066653.V305380.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Garson House Care Home DS0000066653.V305380.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!