CARE HOMES FOR OLDER PEOPLE
Glastonbury Care Home Pike Close Sedgemoor Way Glastonbury Somerset BA6 9PZ Lead Inspector
Justine Button Unannounced Inspection 30th August 2006 09:30 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 Glastonbury Care Home DS0000003259.V310183.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. Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Glastonbury Care Home Address Pike Close Sedgemoor Way Glastonbury Somerset BA6 9PZ 01458 836800 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) Brunelcare Ann Cave Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability (32) of places Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 4. Elderly persons of either sex, not less than 60 years, who require general nursing care Up to four persons of either sex, between the age of 55-60 years, who require general nursing care Registered for a total of 32 places in categories OP and PD That the clinical manager for the upper floor has a minimum of 30 hours managerial time. 23rd February 2006 Date of last inspection Brief Description of the Service: The Glastonbury Care Home was first registered in July 2000 and is a purpose built Care Home. It is a two-storey building, set in accessible gardens on the outskirts of the town of Glastonbury. At present it is managed as two separate homes, one on each floor, and within each floor there are two units. The ground floor accommodates service users requiring personal care (formally residential care), one unit for those with mental health needs. The first floor is for those who require general nursing care. All rooms are single occupancy and have en-suite facilities. There is a Registered Manager for the whole home and a separate Registered Clinical Manager for the nursing unit. This reports relates to the General Nursing units only. A separate report is available for the Personal Care areas. Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection took place at 09:30 on 30th August 2006. The inspection was of the first floor nursing unit only- Suite C Tealham and Suite D Tadham. There were 31 residents at home during the inspection. The inspector was welcomed by the Registered Nurse in charge and was able to spend time with her as well as wander freely throughout the Home with access to any relevant documents. The inspector spoke to several residents, some staff and undertook a tour of the premises. The inspector received feedback forms from five relatives and five service users. The comments received both on the day of the inspection and via the feedback forms are incorporated into the main body of the report. Medication was not inspected on this occasion as the CSCI pharmacist inspector was due to visit the service in September. These finding will be available in a separate report, which is available on request. The current fee levels at the home range from £487- £521. What the service does well:
The home provides information to prospective residents and their relatives/representatives so that they can make an informed decision about moving into the home. All prospective residents and their families/representatives are given the opportunity to visit the home, spend time there and meet the staff and the manager before they moving. Admission procedures are thorough to ensure that prospective residents social, health and care needs can be met at the home. The aims and objectives of the home reinforce the importance of treating residents with respect and dignity. Residents have right of access to healthcare and medical services. Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 6 Residents are supported and encouraged to retain control of there own lives as much as possible. Residents to maintain contact with their family and friends and visitors are made welcome in the home. Residents were generally satisfied with the meals served in the home. Comments received from residents and relatives via surveys and during the inspection included: ‘I like living here’, ‘I enjoy the garden’, ‘I feel very happy in this home’ ‘the food is good’, ‘the staff are very nice’, ‘the staff are kind and helpful’ and ‘on the whole I am very happy here.’ Residents’ benefit from the aids and adaptations provided at the home to include adjustable beds, mobile hoists and grab rails throughout. What has improved since the last inspection? What they could do better:
A number of bed rails were inspected on the day of the inspection. At least two of these were loose or badly fitting. There is specific guidance issued by the Health & Safety Executive and the Medicines and Healthcare products Regulatory Agency (MHRA) with regard to using this type of equipment. These guidelines were not being adhered to. An immediate requirement was issued on the day of the inspection requesting that immediate remedial action was taken to prevent the risk of injury or entrapment to the people living at the home.
Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 7 All people living at the home are issued with a contract detailing the terms and conditions of their stay. Consideration should be given to amending the wording on page 3 of the contract /licence to occupy which states that ‘a resident may become a threat to clients or staff ‘to a more appropriate description of residents changing needs. The contract/licence should make clear who is liable for the fees payable The complaints policy and procedure should make clear that complainants are able to contact the CSCI at any stage of a complaint. The complaints log should be available to staff at all times in case a complaint should be received. On the day of the inspection a number of frail people spent long periods in bed. People who spend long periods in bed or sitting in one place are at risk of developing pressure sores. On the day of the inspection there was not a systematic approach by staff of ensuring that people were supported to change position. During a tour of the building it was noted that a number of people’s toothbrushes were dry and the top of the toothpaste was hard. This leads the inspector to believe that people had been supported by staff to clean their teeth or dentures. All people living at the home had a care plan. The care plans contained the majority of the information needed however they did not give a clear picture of the individual concerned. Consideration should be given to developing the plans to reflect a more person centred approach. On the day of the inspection no social or recreational activities were available. Of the five feedback forms received from people living at the home all stated that there were only activities sometimes (the question stating “are there any activities arranged by the home that you can take part in?” with options for response being “always” “usually” “sometimes” and “never”) It would appear from discussion with staff that the dedicated activity time had been reduced in recent months due to the activity organiser being on maternity leave. The whistleblowing policy should include the telephone number of the public disclosure at work organisation 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
Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 8 contacting your local CSCI office. Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 9 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 Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 10 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): 1,2,3,4,5. Standard 6 is not applicable. Quality in this outcome group was good. Residents are able to make an informed choice of whether to stay at Glastonbury Care Home from the information available to them. Residents were assessed prior to admission to ensure the home can meet their needs. Residents have a contract of terms and conditions, EVIDENCE: The information leaflet about the home tells prospective residents that they are liable for a financial contribution towards a communal TV licence. Residents aged 75 for over are not legally liable for this fee. The home produces a Statement of Purpose and a brochure that gives information about the way the home is run to prospective residents and their family. The documents include details of local and national organisations such
Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 11 as Age Concern, Help the Aged and the Alzheimers Society that may be able to offer help and support. The Statement of Purpose states that it is registered to accept residents aged 60 years or over, this would be in breach of the homes current registration which is 65 years or over. The contract/licence to occupy care home accommodation is given to all prospective residents and their relatives/representatives. In the section headed ‘licence only’ it states that where resident becomes ‘a threat’ to either clients will staff it may be appropriate to reassess their care needs. Consideration should be given to using more appropriate person centred language when describing residents changing care needs. The contract/licence does not make clear who is responsible for the fees payable i.e. the individual resident or the local authority. The manager or a senior member of staff meets with prospective residents and their relatives/representatives and are pre admission assessment is undertaken to ensure that the home can meet their needs before they move into the home. The home also takes into account information provided by prospective residents GPs, district nurse and social services if funded via care management arrangements. Prospective residents are encouraged to visit the home and spend time there before making a decision on residency. Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 12 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): 7,8,10. Quality in this outcome group was adequate. Care planning practice was generally good however some areas require development. Care plans were not stored in line with Data Protection. Residents are able to have privacy in their own rooms. Personal support was offered in a way to promote the privacy and dignity of residents. Service users were treated with respect and looked well cared for. EVIDENCE: Five plans of care were viewed during the inspection. These contained all necessary assessment. These had all been reviewed regularly. The plans need some development in some areas. One person living at the home had lost weight. The advise of the dietician had been sought. The dietician had recommended that fortified drinks should be
Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 13 given when the individual’s appetite was low or they had not eaten meals. These guidelines had not been incorporated into the plan. Another plan, for a person who was frail and being nursed in bed for long periods, was viewed. The assessment stated “does not move very much in bed” The plan of care however did not give clear guidelines to staff on the frequency of turns nor the equipment to be used (e.g. slide sheets, which hoist or sling) All people had a plan with regard to personal hygiene. These were not person centred. There are set “bath days”. The plans did not explain personal likes and dislikes for example does the individual have a preferred brand of soap or bubble bath. Do they have dry or sensitive skin which precludes the use perfumed products. What activities can they do for themselves or what level of support do they require. This aspect of the plan may be met if people and or their representative was involved in the development and review of the plans. Care plans were not appropriately stored in line with the Data Protection Act 1998, and were accessible to service users and visitors to the home The healthcare needs of the people living at the home are generally met. There are regular visits by GP’s, chiropodist and dentists. During the inspection and tour of the building it was noted that a significant number of toothbrushes and toothpaste was dry. This leads the inspector to believe that a number of people had not been supported to clean their teeth or dentures. A number of frail people were being nursed in bed on the day of the inspection. The frequency of supporting these people to change position appeared spasmodic and unorganised. The frequency varied between two hours (best practise) and four hours for one individual. During the morning a number of people were observed to be sitting in wheelchairs. The majority of these were not specialist chairs and as such do not provide good postural support. Staff need to consider supporting people to sit in appropriate chairs for comfort and back support. This may be particular relevance for people who have had a CVA (stroke) or who have some muscle weakness. Staff were observed to treat residents with respect and the homes policies procedures and training make it clear that residents rights to privacy and dignity are paramount. Comments from people living at the home confirmed this. Medication was not inspected on this occasion as the CSCI pharmacist inspector was due to visit the service in September. These finding will be available in a separate report, which is available on request. Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 14 Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 15 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 group was adequate. Activity provision at the home was limited. Individual residents social care profiles were completed. Staff interaction with residents was mainly task orientated. Residents’ rights and choices were promoted. Residents are encouraged to maintain links with their families and friends. Visitors are made welcome at the home. Service users are offered a choice of nutritious well-balanced menus promoting their health and well-being. EVIDENCE: People spoken to during the inspection stated that some activities were on offer but these appeared to be limited. As previously stated this was confirmed the comments on the feedback form. There were no activities on the day of the inspection. The majority of people spent their time watching TV or chatting. The care plans showed that some people had been involved in some activities
Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 16 such as trips to local shops and visits by outside entertainers. Staff explained to the inspector that the level of activities had reduced due to one of the activity organisers was on Maternity leave. The management should consider how long term absences from work effects the provision of care and support they can offer and ensure alternative arrangements are in place. Residents are able to continue with their personal religious observance if they so wish and this was seen to have been noted on their individual file. The home has an open visiting policy and people living at the home confirmed that visitors were welcomed. The majority of residents spoken to were very complimentary about the food. However comments also included that the quality of food varied and had deteriorated since the appointment of the new chef. These concerns had been raised at a recent residents meeting on the 15th of August. A choice of all meals including breakfast is available. Menus look well balanced and varied. Dining rooms were pleasant rooms to have a meal in and residents could stay in their rooms to eat if they wished. Most residents asked knew what they were having for lunch, some had forgotten. Residents are asked on a daily basis for their choices for the next day. For those with memory problems it was discussed with the staff that maybe they could be asked at the actual mealtime. The staff told inspectors that if residents chose differently on the day there was no problem in changing the diet offered. Residents spoken to confirmed that this sometimes happens. The tables at lunchtime were nicely laid. Consideration should be given to serving vegetables at the table. This would allow people to chose the amount that they require. Staff provided support in a discreet manner that maintained dignity and self-esteem. Hot and cold drinks were available between meals and biscuits and/or cake were available. Fresh fruit was available. Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 17 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): 16,18 Quality in this outcome group was good. Residents were confident that any complaints or concerns would be taken seriously. The policies and procedures regarding the protection of residents are clear and protect residents. EVIDENCE: The home had a complaints procedure on display in the entrance hall. It required minor amendment to meet the standard. It could not be confirmed how people who require nursing care on the first floor could easily access this information. Consideration should be given to displaying this document on the upper floor. The complaints log was not available to staff on duty at the time of the inspection so could not be checked although information supplied by the home indicated that no complaints had been received. All residents spoken to were clear about whom to talk to if they had a complaint or concern. The home had an appropriate adult protection policy and procedure that gave clear guidelines to staff on how to recognise and report abuse of vulnerable adults. The service is clear when incidents need external input and who to refer to for support and advice. Staff have access to the policies and procedures and access to training on adult protection. The home has a detailed company
Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 18 whistleblowing policy, this does not include public disclosure at work telephone number. Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 19 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, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome group was good. The home has a well-maintained environment, which provides aids and equipment to meet the care needs of residents. All rooms have en suite facilities and are personalised by residents. EVIDENCE: The home was built in 2000 as a purpose built care home. There is an enclosed rear garden that is accessible by wheelchair. There is a designated maintenance worker employed for 30 hours per week. There is a planned maintenance programme. The recent extension, to the main building has increased the kitchen size, increase storage. The extension has also seen the development of a large space that is used for group activities, staff meetings and training.
Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 20 The General Nursing unit has two large and two small lounges. All bedrooms are single occupancy. Furniture, fittings and lighting are appropriate and in good condition. Each bedroom has an en-suite room, providing shower, toilet and hand basin. Additional toilets are available near the lounge areas. There are sufficient assisted baths for 1 to 8 people and it was reported that everyone who wants a bath could have a bath with the type of baths available. There is a sluice on each unit. No documentation was available since August 2005 to show that the shower heads in the en-suites, if they have not been used, had been flushed. This may increase the risk of legionella disease. The management need to ensure that this takes place. Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 21 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): 27,28,29,30 The quality of this outcome group is adequate. Staffing numbers are adequate. Some agency staff are used to cover vacant posts. Residents are generally satisfied with the care they receive but there are sometimes when no one is available immediately help them. The service recognises the importance of training although some training is outstanding. EVIDENCE: At the time of this inspection there were 34 residents living at the home. There was a Registered Nurse (RN) on duty and in charge of the shift from 8-8pm. There were eight care staff on duty during the inspection. Minimum staffing levels were being met at this time. Duty rotas seen evidenced consistency of staffing levels although some agency staff are being used to cover some shifts particularly night duty. Residents spoken to indicated that staffing levels were sometimes low and they had to wait to be seen sometimes. Residents had raised concerns about staffing at their meeting on the 15th August 2006.It was recorded that residents were satisfied with the care they received from agency staff. The majority of staff spoken to felt that staffing was adequate.
Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 22 There are 17 care staff employed at the home. 60 have gained an NVQ in care, which exceeds Standard 28. All staff spoken to were clear about their roles and responsibilities and all confirmed that they were supported and encouraged by the manager to access appropriate training. From information provided by the home it appeared that some staff did not have up to date training in moving and handling, health and safety, food hygiene and fire. Four staff recruitment files were examined which evidenced good recruitment practises. Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 23 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, 32, 33, 35, 38 Quality for this outcome group was adequate. Residents are benefiting from an experienced, knowledgeable manager. The manager had implemented systems to monitor compliance with the homes plans, policies and procedures. Residents are protected by the health and safety checks in place in the majority of areas Residents are not able top access their own money at all times. Some staff training is required. EVIDENCE:
Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 24 Mrs Cave has managed the nursing floor now for several years. Staff and service users spoken to stated that she had an approachable and open managerial style. The home has quality assurance systems in place some of which are overseen by senior managers within the organisation. Residents views are sought and Staff and residents meetings had taken place and minutes kept. The inspector was unable to look at residents’ financial records, as staff on duty did not have access to them. If any residents had wanted to access their own money the inspector was told that staff would provide it out of their own pocket and arrange for reimbursement when the administrator or manager was available. The majority of health and safety checks were in place and up to date. Accidents records were maintained. Staff accidents were recorded. According to staff spoken to and staff training records all staff had received mandatory training including manual handling, food hygiene, infection control and first aid. A number of bed rails were inspected on the day of the inspection. At least two of these were loose or badly fitting. There is specific guidance issued by the Health & Safety Executive and the Medicines and Healthcare products Regulatory Agency (MHRA) with regard to using this type of equipment. These guidelines were not being adhered to. An immediate requirement was issued on the day of the inspection requesting that immediate remedial action was taken to prevent the risk of injury or entrapment to the people living at the home. As mentioned earlier care plans were not securely stored and they must be In line with the Data Protection Act 1998. Glastonbury Care Home DS0000003259.V310183.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 2 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 X 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 1 X X 1 Glastonbury Care Home DS0000003259.V310183.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 OP1 Regulation Schedule 1(5) Requirement The statement of purpose must make clear that the homes of registration is to provide care for older people aged 65 years or over. It is required that all bed rails are checked in line with MRHA guidance to ensure that the health and safety of service users is not compromised. It is required that that the provision of activities is reviewed to ensure that leisure and social opportunities are available to meet the needs of the service users. It is required that all service users are supported to meet their oral hygiene needs All staff must have current qualifications in fire safety, first aid and moving and handling. It is required that the plans of care • Are developed and reviewed with the service user and or their representative • That guidance and from
DS0000003259.V310183.R01.S.doc Timescale for action 31/12/06 2 OP38 12 (1) (a) 19/10/06 3 OP12 16 (2) (m) (n) 29/10/06 4 5 6 OP8 OP38 OP7 12 (1) (a) 13 (4)(5) 23(4)(d) 15 29/11/06 31/12/06 29/11/06 Glastonbury Care Home Version 5.2 Page 27 • other healthcare professionals are incorporated into the plan of care. That the plans give clear guidance to the care staff on the needs of the individual. A person centred approach should be adopted. 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 OP26 OP8 Good Practice Recommendations It is recommended that the system of flushing unused shower heads is re –implemented. It is recommended that a systematic approach to supporting service users to have a regular change of position be developed. It is recommended that Staff consider supporting people to sit in appropriate chairs for comfort and back support. OP8 Glastonbury Care Home DS0000003259.V310183.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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