Inspection on 22/06/07 for Glenarie Manor

This inspection was carried out on 22nd June 2007.

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

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

Other inspections for this house

Glenarie Manor 30/05/06

Glenarie Manor 26/10/05

Glenarie Manor 05/05/05

Glenarie Manor 09/11/04

Glenarie Manor 17/05/04

Glenarie Manor 02/02/04

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

CARE HOME ADULTS 18-65 Glenarie Manor 15 Aigburth Drive Sefton Park Liverpool Merseyside L17 4JG Lead Inspector Kath Oldham Key Unannounced Inspection 22nd June 2007 09:00 Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 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 Glenarie Manor DS0000025105.V335041.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 Adults 18-65. 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. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenarie Manor Address 15 Aigburth Drive Sefton Park Liverpool Merseyside L17 4JG 0151 726 0814 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) Colin McCabe Ian Boycott-Samuels Care Home 26 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (26) of places Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Residents between ages 16 and 64 years Within the overall total of 26 residents two named male residents may be accommodated who are over 65 years of age until such time as either persons assessed needs change and they cannot be safely cared for at home 30th May 2006 Date of last inspection Brief Description of the Service: The home is a large well maintained three storey Victorian House situated in Sefton Park in a suburb of Liverpool called Aigburth. The care home can accommodate 26 residents, most referred from various Primary Care Mental Health Trusts. All residents have their own single bedrooms, which have been personalised by the residents according to their cultural preferences and choices. The home has easy access to buses trains, local bistros and pubs. All of the residents have access to GPs and Social Workers, and access to a Community Psychiatric Nurse (CPN.) The home has a statement of purpose and service user guide, which were reported to be given to people living at the home or their families. The fees for staying at the home were reported to be between £407 and £460 per week Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was unannounced which means the home were not told we would be visiting and took place on 22nd June 2007 commencing at 9.00am. Time was spent with the manager and responsible person and in conversation with staff and residents. Examination of documents was also undertaken. In addition, a range of records, including care plans, medication records and health and safety and fire records, were examined. The focus of this inspection was how people living at the home felt about living at Glenarie Manor and their views and opinions of life within a residential care setting. The inspection was an opportunity to look at all the key standards of the National Minimum Standards (NMS) and was used to make a judgement on the quality of the service provided by the home. Comment cards were sent to the home for completion by residents, their relatives and visitors, asking them what they thought about the care at Glenarie Manor. The home also completed and returned a detailed preinspection questionnaire. Questionnaires were sent to health and social care professionals who have regular contact with the home or who have made placements seeking their views and opinions regarding the care of residents in the home and how they are received in the home. GP’s were also sent comment cards to ascertain their views of the care and support residents receive. Comments received in time for writing the report are included. Comment cards received after this time will be used to inform the next inspection. What the service does well: The manager is supported by a committed team. The carers are respectful towards the resident’s, their families and each other. The staff are loyal to the home and want to give a high standard of care. Residents were complimentary about the staff and about the food provided in the home. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 6 Staff training is provided in line with the residents needs. Staff have training in mandatory aspects of health and safety Quality assurance questionnaires are sent out and the results assist the home to develop the service they provide. The home is able to provide accommodation to 26 residents with mental health needs the majority of which are between the ages of 18 and 65. Several residents told the inspector that they liked living at the home and that they felt cared for. One resident said that living at Glenarie Manor was like living in ‘one big family’. Staff were seen to have good relationships with the residents and appeared kind and sensitive in their approach. The home continues to work hard at developing and maintaining the standards in the home and demonstrated a commitment to meeting the standards and positive outcomes for residents. The staff in the home know the residents well and what the health needs of each person are. The home works closely with doctors, and other people who help to look after health needs. The people living at the home who were spoken with said that they were well cared for and had no complaints. There have been no complaints about the home since the last inspection. What has improved since the last inspection? Changes have been made to the storage, administration and recording of medication, which provides additional safeguards to residents. The recording within the daily reports has been developed and provides more of a picture of the needs of residents and the support provided by staff. The menus have been devised with the involvement of residents. Residents were observed being asked what they wanted from the menu. Residents have an individual record of their personal allowance, which is signed for by them on receipt. This promotes their dignity and privacy. The same staff work in the home most of the time. This means residents get used to the people who support them and develop good relationships that help them to maintain as much independence as possible in their daily lives. Some new staff appointments have been made to ensure there are enough staff on duty to meet the needs of residents. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 7 Residents’ meetings take place, which gives people the opportunity to be involved in saying how they think the home should be run. 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. The summary of this inspection report can be made available in other formats on request. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 &5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service receive information about the home and are able to visit and have their needs assessed before they make any decisions about where they want to live. EVIDENCE: An assessment is undertaken prior to residents coming to the home. Staff visit the resident at their own home or where they are staying, which may be in hospital or at another setting. If the residents’ needs can be met by the home and they like the sound of what the home can provide, an introductory visit is arranged. When undertaking the assessment staff look at the residents’ needs and abilities, in addition to the current resident group and their needs and aspirations, and also the skills and experience of the staff group. The manager said it is important to get the balance right to ensure that the home is able to meet the needs of the new resident. Residents said they visited the home before making a decision to have a trial period. One resident said they were admitted from hospital and one resident said they visited the home to see if it was what they were looking for and Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 10 whether they liked the feel of the home. They further stated that they had a meal and stayed for as long as they wanted. Another resident said once they had been to look round, they knew they liked it. Examination of a sample of residents’ files identified that there was a contract of residency in place by the placing local authority. An individual terms and conditions of residency with the home was in the files examined. This clearly identifies to the individual the specifics of their residency so residents have all the information they need about the home and its rules and regulations. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 &9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is offered in such a way as to promote and protect people’s privacy and dignity. Care plans need to be developed further. EVIDENCE: Examination of care files identified the care plan process needs to be developed to include the service user’s mental health needs, how these are managed and what indicators are in place to identify when a service user’s mental health needs are deteriorating. In addition it was hard to determine from reading these files what support residents were given and what goals and aspirations they were trying to achieve or develop. The manager said that there are some developments within the home that need to be addressed and he intends to look at the care plan process too determine what is the best way of recording service user individual needs. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 12 Information needs to be transferred from the initial assessment to ensure that all residents’ care needs are recorded and staff are aware of how to assist and support residents. Care plans were reviewed and residents had signed to say they were involved in this process. The reviews need to be carried out more regularly to ensure that the care they need is recorded. Contact sheets are used to detail the daily support and interventions of staff and detail how residents have been. The contact sheets in some instances contained detailed information, which gave a picture of how residents spent their day and the support staff provided. Residents stated that that they spoke with their support workers about aspects of their life and felt they were receiving the support they wanted and needed. When talking with both staff and residents it was clear that residents were treated as individuals and supported to make decisions and choices for themselves. Risks and risk taking is seen by the home as everyday life occurrences. As part of the initial assessment process, the home should develop a more comprehensive risk assessment that looks at specific areas, such as, personal care, communication and risks associated with the community and environment. Those areas that are identified as known or potential hazards may need to be assessed further by the relevant specialist and support/guidance in minimising those hazards and risks may then need to be developed. The home works with the residents to find out what the person likes and does not like in terms of diet, activities, environments and communication. Through this, they try to offer residents day-to-day choices and decisions that reflect their needs. Restrictions of choice are only made to safeguard the residents. Residents meetings are regularly arranged and provide a further opportunity for them to comment on the service they receive. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 &17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given opportunity to take part in purposeful activity and are able and supported to make choices about their life. EVIDENCE: Residents are able to use communal areas of the home freely and are able to use their bedrooms at any time they want. The service has knowledge of what activities and facilities are available within the area and assist in developing the links to help residents find out about establishing structure and interest to their day. Residents do take part in some activity or visit shops independently or go to relatives. Should a resident express an interest in employment or further education, staff would assist. Residents are motivated and encouraged by staff. There are no residents currently in employment. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 14 Opportunities are provided for residents to attend day centres, take part in hobbies and activities and visit places of interest. Residents are expected to assist in the upkeep of the home and have tasks to complete according to their ability and willingness. Family relationships and friendships are promoted, however due to the nature of residents’ conditions, forming new friendships and relationships is limited. Restrictions would be placed on visitors where it is evident that visitors are not acting in the best interest of the residents. Residents were observed being asked what they would like to eat for particular meals to assist in the development of a menu. Residents who commented about the meals said they were “good”. Other residents said they “liked the meals” and “you get plenty of food”. The menus seen detailed a choice at all mealtimes. Residents are promoted to retain their independence and have roles within the home like clearing away their pots after meals. They are supported by staff to undertake this and are able to help themselves to drinks. Specific cooking staff are in post who have obtained food hygiene training; to ensure the routines they adopt is in keeping with safe and acceptable practice. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 &20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Records demonstrated that the home is prepared to make difficult decisions when a residents’s health care and/or capacity exceed that which can be managed. The home is not registered for physical disability and will not be able to care for residents who are not mobile. Serious concerns were highlighted with regard to medication practices at the home on the last inspection and a pharmacist inspector visited the home, which resulted in many requirements being made in relation to medication administration and practice. Since that inspection variations have been made to the medication process, which provides safeguards to residents. The medicine handling policy has been reviewed to ensure all relevant medicines handling information is contained within in it. In the main the requirements and recommendations of that inspection have been addressed by the home Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 16 Photographs were kept within the medication records; this is good practice for identification purposes. The three that were outstanding were to be arranged within the week after the inspection. Most medication is administered to residents by staff. Records were in place and were in the main correctly detailed. Some symbols were used in the medication records, which need to be explained on the record, these were not undertaken so it was not possible to find out why someone hadn’t had their medication. Warfarin medication was not being administered as prescribed to one resident. For those residents who self administer their own medication, risk assessments were recorded. These do however need to be recorded as having been reviewed more regularly to ensure that residents are administering correctly. The records of medicines being self-administered were clear and detailed. Patient information leaflets supplied with medicines were not available for all medicines kept in the home. These should be obtained and staff should be familiar with their contents to ensure medicines are being administered correctly. The manager was seen to be administering medicines in line with current best practice administration guidelines. A licensed waste management company as required on the last inspection now collects all medicines requiring disposal. Audit systems were in place for monitoring the medication in order to detect any errors. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 &23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by adult protection policies but there is a lack of recording of concerns and complaints. EVIDENCE: Residents at the home commented on the quality of service provision as a matter of routine. Staff said they listen to residents’ comments and, where they are able, address and deal with their views. A copy of the complaints procedure is displayed at various points throughout the home as a reminder for residents of what to do if they want to make a complaint. Residents told us that they knew who to complain to and felt that their complaint would be dealt with. Throughout the inspection residents were, in the main, satisfied with the services offered. Residents spoken to stated they felt safe and would report anything they felt scared of or were unsure about. The registered person said they had no recorded complaints however had a book to detail complaints if one was ever to be brought forward. There had been no complaints received by the Commission for Social Care Inspection. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 18 Staff had undertaken training in adult protection as part of their National Vocational Qualification training in addition to training provided by the home. A training matrix detailing those staff who had undertaken this training was made available at the fieldwork visit. All new staff recruited were required to undergo a Criminal Record disclosure check, including being checked against the POVA list, prior to commencing employment. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 &30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents have a safe, clean and comfortable living accommodation, which is adapted to meet their needs. EVIDENCE: Glenarie Manor is a large detached home which is bright and homely, offering residents comfort and space to live as they desire. Residents have comfortable lounges and a dining area with appropriate fixtures and fittings. There is ample space for residents to continue with their hobbies, join together in the evenings for TV viewing or have privacy in their own rooms. The home is maintained to a high standard and is kept clean and fresh with no odours evident. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 20 Bedrooms continue to be personalised according to residents’ individual tastes and preferences. Bathing and toileting areas were maintained in a hygienic manner. Since the last inspection a shower has been fitted to enable everyone to have access to bathing facilities. Residents said they would like another shower somewhere in the home as some of them quite enjoy a shower as opposed to a bath All parts of the home were clean and well cared for, with health and safety records identifying that servicing and checks are made to all equipment, including fire safety Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 &35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are appropriately recruited, trained and in numbers to meet the needs of residents. EVIDENCE: Three staff files were looked at. The files contained criminal disclosure checks and references, demonstrating that the home carry out all required checks. Inspection of staff files identified that the home completes appropriate recruitment and selection procedures. The application form need to be developed to ensure all areas are included as indicated within the standards, in particular in relation to the previous employment of prospective staff. Staff undertake induction training and continue with their learning through NVQ training. Staff are receiving in-house induction training, however the format does not meet Sector Skills specifications. This is to be researched by the home and induction and foundation training are to be provided to staff. Staff records indicated that whilst they received day-to-day guidance and supervision, they also receive formal one to one supervision. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 22 Staff training records showed that all staff have undergone regular training on a variety of subjects and confirms the information given by staff. Throughout the inspection staff completed their duties in a competent and professional manner. They were courteous and pleasant to residents. It was also evident that friendships had formed and residents enjoyed staff’s company. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality outcomes for this area are good. This judgement has been made using available evidence including a visit to the service. Glenarie Manor is a wellmanaged and well run home, which is meeting its stated aims and objectives. EVIDENCE: An manager has been appointed to the home and although it is very early days has had an opportunity to identify some development work that needs to be undertaken to improve the service and how this will be done. It is the intention to nominate the manager to the Commission for consideration for registration when all the paperwork is collated. Residents’ meeting are arranged and their views and opinions have been taken on board to assist in the development of the service provided by the home. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 24 Health and safety records were looked at and found to be in correct order. Accidents are recorded and safety checks carried out to fire safety equipment and the lift. The home is to undertake an analysis of the accidents and occurrences to see if there are any patterns and to attempt to minimise the risk of accidents to residents. This is seen as best practice. Servicing records were in place for all electrical equipment and other services to the home. Kitchen records were maintained in accordance with guidance from the environmental health department. Policies and procedures are reviewed annually or more frequently through increased knowledge, practice issues or if legislation changes. Staff confirmed they had access to polices and procedures and were made aware of up to date guidance. Glenarie Manor DS0000025105.V335041.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 Adults 18-65 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 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 YA6 Good Practice Recommendations Information needs to be transferred from the initial assessment to ensure that all residents’ care needs are recorded and staff are aware of how to assist them The care plans need to be reviewed on a 3-6 monthly basis to ensure staff keep up to date with the changing needs of residents. All handwritten medicines administration records should be double-checked and countersigned. All medicines patient information leaflets should be obtained and retained for information and staff training. A photograph of each resident should be kept with the medication administration records for identification purposes. 2. YA6 3. 4 .5 YA20 YA20 YA20 Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 27 6 YA34 7 YA35 To ensure some safeguards to residents and staff the job application form should be expanded to include all prospective employees work history is included as indicated within employment regulations To promote staff skills introduce induction training in line with the Sector Skills Council specifications. Glenarie Manor DS0000025105.V335041.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Glenarie Manor DS0000025105.V335041.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. 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