Inspection on 07/11/07 for Greycroft Residential Care Home

This inspection was carried out on 7th November 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Greycroft Residential Care Home 21/02/07

Greycroft Residential Care Home 19/01/06

Greycroft Residential Care Home 12/07/05

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

CARE HOMES FOR OLDER PEOPLE Greycroft Residential Care Home 15 Queens Road Accrington Lancashire BB5 6AR Lead Inspector Mrs Julie Playfer Unannounced Inspection 09:30 7 November 2007 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 Greycroft Residential Care Home DS0000063677.V349384.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. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greycroft Residential Care Home Address 15 Queens Road Accrington Lancashire BB5 6AR 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) 01254 234766 Mrs Helen Elizabeth Crickmore Mr John Crickmore Mrs Ann Bernadette Williams Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection The care home is registered to provide personal care to a maximum of 14 service users who fall into the category of Older People (OP) 21st February 2007 Date of last inspection Brief Description of the Service: Greycroft Residential Care Home is registered to provide accommodation and personal care for 14 Older People. The home is detached and is situated on a main road opposite to Accrington Victoria Hospital. There is a garden/patio area at the front of the home, which can be used by the residents in fine weather. There is a small car park to the rear. Accrington Town Centre is nearby and the home is on a local bus route. The home has 2 lounges, a large conservatory which is used as the dining room, 12 single bedrooms and one double bedroom, which has an en-suite. A stair lift is fitted to the main staircase. According to information provided by the home the scale of charges was £332.00 to £374.00. Additional charges were made for personal newspapers and hairdressing. The registered person made information available to prospective residents by means of an information leaflet and statement of purpose. The information leaflet was usually given to relatives and/or prospective residents on viewing the home or at the point of assessment. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Greycroft on 7th November 2007. At the time of the inspection there were 13 people accommodated in the home. The inspection comprised of spending time with the residents, looking round the home, looking at the residents’ care records and other documents and discussion with the staff and the registered manager and registered provider. As part of the inspection process the inspector used “case tracking” as a means of gathering information. This process allows to the inspector to focus on a small group of people living at the home. Prior to the inspection the registered provider completed a detailed factual questionnaire about all aspects of the care home, which provided useful information and evidence for the inspection. Satisfaction questionnaires were sent to the residents and their relatives. Four questionnaires were returned from relatives/visitors to the home and seven questionnaires were received from the people who live in the home. In addition eight questionnaires were received from staff and three questionnaires were received from healthcare professionals. The responses from the questionnaires were collated and used as evidence throughout the inspection process. What the service does well: The admission procedure involved an assessment of people’s needs. This enabled the registered manager and the prospective residents to determine whether or not their needs could be met within the home. The daily routines were flexible and designed to meet the wishes of the residents, many of the residents chose to have a lie in and breakfast was served throughout the morning to suit their preferences. The residents spoken to felt they were well cared for and the staff respected their rights to privacy and dignity. The residents were provided with a varied and wholesome diet. One person said, “we always get nice meals here”. Visitors were welcome in the home at any time and residents were supported to maintain good contact with their family and friends. The residents had access to a clear complaints procedure, which contained clear information about how to make a complaint or raise a concern. The residents were provided with clean and comfortable bedrooms. The residents could personalise their rooms with their own ornaments and small Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 6 items of furniture. The sitting and dining areas were decorated in a homely and comfortable fashion, with a variety of armchairs, foot stools, side tables, ornaments and pictures. A significant proportion of the staff had been trained to NVQ level 2, which meant the staff had received the necessary training in order to carry out their roles effectively. The health and safety of residents was promoted and protected. Staff received the necessary training and documentation was seen to demonstrate the electrical and fire systems were tested at regular intervals. What has improved since the last inspection? What they could do better: The care plans must reflect the residents’ current needs to ensure staff have up to date information about how best to meet these needs. The care plans must also clearly identify the residents’ healthcare needs and provide detailed guidance for staff about how to monitor and respond to the resident’s medical conditions. The risk assessments must incorporate control measures to ensure any identified risk is managed and reduced. All medication must be stored in line with the prescription label instructions, to ensure the medication is at the correct temperature. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 7 All records and documentation relating to the recruitment of new staff must be collated in line with legal requirements. This is to ensure all staff are fully vetted before commencing work in the home. 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. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in the home had their needs properly assessed and they were provided with appropriate written information to enable them to make an informed choice about where to live. EVIDENCE: Written information was available for the people who live in the home in the form of a statement of purpose and service users guide. The guide had been updated since the last inspection and was available in different formats. Both documents provided useful information about the services and facilities offered in the home. All residents were issued with a statement of terms and conditions of residence or contract. It was noted the contract had been signed by the residents and/or their representative and included information about the current level and Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 10 payment of fees. The contract had been updated since the last inspection to provide greater detail about any additional charges. The ‘case tracking’ process demonstrated the residents had their needs assessed prior to admission to the home by a social worker and/or the registered manager. Copies of the preadmission assessments were seen on the residents’ files. The registered provider had also informed the residents in writing that, having regard to the assessment, their needs could be met within the home. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The care plans did not always provide sufficient information for staff about the residents’ needs. EVIDENCE: From the case files seen, it was evident each resident had a plan of care, based on their assessment of needs. Since the last inspection, the care plans and risk assessment formats had been updated, to include a nutritional assessment, information about the residents’ mental health and cognitive needs and a consultation record. The plans were supported by records of personal care, which provided information on changing needs and any recurring difficulties. All records seen described the residents’ needs in respectful terms. However, it was noted that the residents’ changing needs identified in the care records had not always been transferred to the care plan. This meant the staff had limited written guidance on how to monitor, respond and meet these needs. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 12 The residents’ relatives were consulted and involved in the care of the residents. This was also reflected in the questionnaire responses received from relatives/visitors, which indicated they were always kept up to date about the care of their relative. Risk assessments in respect to moving and handling, pressure sores and nutrition had been incorporated, where necessary, into the care plan documentation. However, it was noted that the risk assessments had not always been updated and not all risk assessments were supported by risk management strategies. For instance there were no risk management strategies seen in respect to the risks identified following a “Waterlow” assessment of the risk of pressure sores. Healthcare needs were considered as part of the assessment process, however, there was little guidance for staff within the care plan on how best to monitor and meet the residents’ healthcare needs. A chart was maintained to monitor the residents’ weight. There was evidence to indicate the residents accessed NHS services and received specialist support as necessary. All residents were registered with a General Practitioner. The residents spoken to felt the staff respected their rights to privacy and dignity and all made complimentary remarks about the staff, for instance one person said the staff were “very good”. The residents, who completed the questionnaires prior to the inspection, also made positive comments about the staff, for instance one person commented, “I am quite happy with the service and attention I receive from the staff”. The staff were observed to interact with the residents in a positive manner and they referred to the residents in their preferred term of address. Policies and procedures were in place to cover all aspects of the management of medicines. The home operated a monitored dosage system for the administration of medication, which was dispensed into blister packs by a local pharmacist. Appropriate records were maintained in respect to the receipt, administration and disposal of medication and all staff designated to administer medication had received accredited training. However, it was noted that the instructions for the application of prescribed creams were not always recorded and one bottle of eye drops was not stored in line with the prescription label. Systems were in place for management and administration of controlled drugs. It was evident from checking the controlled drugs register that this type of medication had been administered in line with the prescribers’ instructions. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were able to choose their lifestyle and kept in contact with their friends and family. The residents received a healthy and varied diet. EVIDENCE: The residents’ preferences in respect of social activities were recorded as part of the assessment process. The residents were encouraged by the registered manager and the staff to pursue a range of activities. An individual record of activities had been maintained and was seen during the inspection. Activities included professional entertainment, watching television, table top games and manicures. The previous night to the inspection, a party had been arranged for bonfire night. The residents had varied views about the activities arranged in the home. Some people spoken to could not recall participating in any activities. It was also noted that three of the staff and one relative who completed the questionnaires felt there should be a more varied programme of activities. The routines in the home were well established and residents had a choice in the times they went to bed and got up in the morning. One resident said, “I can get up when I want to” and another person said, “I’m a early riser and like Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 14 to get up early”. Breakfast was served throughout the morning to suit the wishes of the residents. The staff were observed to seek the residents’ views throughout the inspection. The residents were supported to follow their chosen form of religious worship and a representative from a local church visited the home on a regular basis, for prayers and communion. There were no restrictions placed on visiting times and residents were able to receive their guests in privacy of their bedrooms, should they wish to do so. The relatives who returned a questionnaire and the relatives spoken to on the day of inspection said they felt welcome in the home and all were satisfied with the level of care provided. One person commented, that there is a “the staff are spot on – very organised but at the same time very relaxed”. The majority of the residents described the meals as “lovely” and “very good”. They also said the menu was varied and the food was a good quality and plentiful. However, one person commented that the food was “often not warm enough”. There was a choice of food at breakfast and tea, but the residents were not usually offered a choice at lunchtime. However, if the residents did not like the meal, they were given an alternative. On the day of inspection the meal looked appetising and was well presented. The residents spoken to said they enjoyed their meal. Drinks and snacks were served throughout the day and at other times on request. Residents were observed asking for drinks during the inspection and were promptly served by staff. The menu was displayed on the wall in the conservatory. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were able to express their views and had access to a clear complaints procedure. Policies and procedures were in place to respond effectively to any allegations or suspicions of abuse. EVIDENCE: The complaints procedure was incorporated into the service users guide and was displayed in the hallway. The procedure contained the necessary information should a resident wish to raise a concern. The procedure had been updated since the last inspection to include the new local address for Commission. The residents spoken to said they could speak to any of the manager, staff or the owner if they had a problem. The registered provider had received one complaint since the last inspection. The complaint had been recorded along with the details of the investigation and outcome. The policies and procedures for safeguarding vulnerable adults were available and provided guidance to staff should they suspect or witness any harmful practice. This documentation had been updated since the last inspection. Staff received training on safeguarding issues as part of their induction and NVQ training. In addition, all staff had access to a whistle blowing procedure. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were provided with a clean, pleasant and comfortable environment. EVIDENCE: Greycroft is a detached property set in its own grounds. Accommodation is provided in 12 single rooms and one double bedroom, which has an ensuite facility. Communal space is provided in 2 lounges and a conservatory, which is used as a dining area. Since the last inspection several improvements had been made to the premises and the registered provider had produced a detailed programme for renewal of fabric and decoration. The broken tile had been replaced in the ground floor toilet, handles had been repaired on bedside cabinets, a new pump had been fitted to the boiler, the roof had been repaired, the wallpaper had been replaced in one bedroom and a cover had been fitted to the radiator in the Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 17 toilet. In addition, the temperature of the home had been monitored and the corridor door had been altered to provide more space for the movement of wheelchairs. All bedroom doors had been fitted with appropriate locks and keys had been distributed as appropriate. However, it was noted there was no privacy lock on the ground floor toilet, which was used by both the residents and their visitors. It was evident on a partial tour of the home that the residents had personalised their rooms with their own belongings. The residents spoken to said they liked their rooms. One person said, “I have a lovely room and I enjoy keeping it clean and tidy”. The residents had been provided with appropriate aids and adaptations to assist their independence skills. These included grab rails, handrails raised toilet and ramps for wheelchairs. Since the last inspection, a new hoist had been purchased and a new curved stair lift had been installed to fit the whole of the staircase. This meant the residents no longer had to transfer between two stair lifts. The home was clean and odour free at the time of the inspection. The residents spoken to said that a good level of hygiene was maintained at all times. There was a separate laundry room, which had sufficient and appropriate equipment to meet the laundry needs of the number of residents accommodated. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst staff received appropriate training, some documentation was not available to demonstrate all staff were fully vetted prior to commencing employment in the home. EVIDENCE: The registered manager maintained a staff rota, which indicated which staff were on duty at any time on a particular day. All staff providing personal care were aged over 18 and all staff left in charge were aged over 21. The number of staff on duty had been reviewed, however, it was noted that two members of staff who completed a questionnaire said that sometimes there should be more staff on duty to meet the care needs of the residents. The files of three members of staff, who had commenced working in the home since the last inspection, were examined. All staff had completed an application form and had attended the home for an interview. Appropriate Police checks and references were obtained prior to the staff commencing work in the home. However, it was noted that two applicants had not provided a full working history or satisfactory written explanation of the gaps in employment. Documentation seen during the inspection demonstrated all new employees undertook an in house induction programme and completed a “Skills for Care” induction. The latter provided the underpinning knowledge for NVQ level 2. At Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 19 the time of the inspection, 8 members of staff had achieved NVQ level 2, which equated to 80 of the staff team. Staff also attended both internal and external training courses and had at least three paid days training a year. It was noted all the staff had a training and development profile and a staff training plan was displayed on the wall in the office. This meant that future training needs could be identified and courses arranged as necessary. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach promoted positive relationships between the staff and the residents. Systems were in place to monitor the quality of the service and the health, safety and welfare of the residents and staff was protected. EVIDENCE: The registered manager had the responsibility for the day to day management of the home and had completed NVQ level 4 in Care and the Registered Manager’s Award. The manager had several years experience working in various residential and nursing settings. Relationships within the home were good and staff spoke about the residents with respect. The residents valued the help and support they received from the staff. There was a programme in place for staff supervision and topics Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 21 discussed during supervision were recorded in a suitable format. The staff also received an annual appraisal of their overall work performance and were given the opportunity to participate in regular staff meetings. The service was awarded an Investor’s in People Award in 2004, which was reaccredited in June 2007. The registered people had continued to develop the quality assurance processes in the home. Satisfaction questionnaires had been distributed to the residents and their relatives in September 2007. The results of the surveys had been collated and published. Residents meetings had been held approximately every 6 weeks and from the minutes seen, it was evident a varied range of topics was discussed. Since the last inspection, the registered provider had produced an annual development plan, which set out the planned developments to the service. Appropriate arrangements were in place for handling money, which had been deposited with the home by or on behalf of a resident. A random check of monies was found to be correct. Records were also maintained in respect to the amount of fees charged and received. There was a set of health and safety policies and procedures available, which included the safe storage of hazardous substances. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. Documentation was seen during the inspection, which confirmed the fire and electrical safety systems were serviced at regular intervals. The electrical safety certificate was dated 2005 and was valid for 5 years. Appropriate arrangements were in place for recording accidents and incidents in the home. The registered manager had carried out environmental risk assessments covering safe working practice topics. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1) (2) Requirement The care plans must reflect the residents’ current needs to ensure staff have up to date information about how best to meet these needs. The care plans must clearly identify the residents’ healthcare needs and provide detailed guidance for staff about how to monitor/respond to the resident’s medical conditions. The risk assessments must incorporate control measures to manage, reduce or eliminate the risk. (Previous timescale of 15/04/07 – not met). All medication must be stored in line with the prescription label instructions, to ensure the medication is at the correct temperature. The ground floor toilet door must be fitted with a suitable lock, to ensure the privacy and dignity of the residents and their visitors. When recruiting new staff, a full history of employment must be DS0000063677.V349384.R01.S.doc Timescale for action 31/12/07 2. OP8 15 (1),17 (1) Sch 3 (m) 31/12/07 3. OP9 13 (2) 07/11/07 4 OP21 12 (4) (a) 15/12/07 5 OP29 19, Schedule 07/11/07 Greycroft Residential Care Home Version 5.2 Page 24 2 (as amended) obtained. This is to ensure all staff are fully vetted before commencing work in the home. (Previous timescale of 21/02/07 – not met). 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 Refer to Standard OP9 OP15 Good Practice Recommendations Staff should be provided with written instructions regarding the application of prescribed creams, to ensure they are aware of where and how to apply the creams. An optional meal should be offered at lunchtime, to enable the residents to have a choice of food. Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Greycroft Residential Care Home DS0000063677.V349384.R01.S.doc Version 5.2 Page 26 - 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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