Inspection on 12/06/06 for Haddon House Care Home

This inspection was carried out on 12th June 2006.

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

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

Other inspections for this house

Haddon House Care Home 22/08/07

Haddon House Care Home 09/02/06

Haddon House Care Home 07/09/05

Haddon House Care Home 07/03/05

Haddon House Care Home 09/09/04

Haddon House Care Home 25/03/04

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

CARE HOMES FOR OLDER PEOPLE Haddon House Care Home 38 Lord Haddon Road Ilkeston Derbyshire DE7 8AW Lead Inspector Jo Wright Unannounced Inspection 12th June 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 Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 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. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Haddon House Care Home Address 38 Lord Haddon Road Ilkeston Derbyshire DE7 8AW 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) 0115 944 1641 0115 944 5132 www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Rita Flanaghan Care Home 30 Category(ies) of Dementia - over 65 years of age (30) registration, with number of places Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One MD Place For The Service User Named In The Notice Of Proposal Letter Dated 18 May 2004 One MD place for the Service User named in the Notice of Proposal dated 06.02.06. 9th February 2006 Date of last inspection Brief Description of the Service: Haddon House is registered as a home providing nursing care for up to 30 residents with dementia. Built approximately 12 years ago, the accommodation is on two floors with all communal areas being on the ground floor. Bedrooms are located on both floors, with 14 of the places in shared rooms, and a passenger lift is available to ease access within the home. There is a small secure garden at the rear of the home, which is accessed from patio doors from within the lounge. The home is within easy access of the town centre of Ilkeston and all local shops and community facilities. The manager provided information about the fees at the time of this site visit. The fees for Haddon House are between £455.30 and £608.00 per week. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, carried out by one inspector, and lasted 7 ½ hours. A review of the evidence available prior to site visit was undertaken, for example, previous inspection report, notification of incidents and recorded complaints, and used to identify areas to be examined during the site visit. Records such as care plans (as part of the case tracking process, which is used to help determine how the home meets the needs of individual residents) were examined in depth during this inspection. Time was spent talking with residents and staff on duty and observing the daily routine. A small selection of bedrooms was viewed during this visit. Other records such as medication records, staff files and service certificates were also examined. The registered manager was on duty during this visit and the findings of this site visit were discussed with her. What the service does well: What has improved since the last inspection? Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 6 Staff were making better use of the documentation available to them when assessing residents needs. Completion of the risk assessment tools enables staff to identify potential risks and plan care accordingly. The manager has introduced systems for identifying staff training, through regular supervision and a training matrix. All staff have attended training on the protection of vulnerable adults, moving and handling, and fire safety training. Half of the care staff team have attended training on the care of people with dementia, providing them with the necessary skills and knowledge to care for the people living in Haddon House. 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. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 4 (Standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedures ensured that prospective residents were assessed prior to admission, and the assessments provided staff with sufficient information to fully identify individuals’ needs and plan care. EVIDENCE: The files of three residents were looked at in depth during this site visit. Case tracking confirmed that a structured admission process was completed for all prospective residents, and provided reassurances that their individual needs could be met at Haddon House. The manager had visited prospective residents prior to admission, and carried out an initial assessment of their care needs. The written assessment documentation was adequate and included a copy of care management assessment,and information from other health care professionals involved in the residents care. Sufficient information was available to staff to ensure that they could meet the social, emotional and care needs of new residents. It was noted that some sections on the assessment document had not been completed. Discussion with the manager indicated that information in these areas had not beenavailable at the time the Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 9 assessment was completed. The manager was advised to document this on the assessment tool. Staff were provided with training specific to the needs of the resident group. A number of staff spoken with confirmed that they had been provided with dementia care training, and felt that they had the necessary skills and knowledge to care for the current resident group. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care of residents was planned and given in a way that respected individuality and privacy. The management and administration of medication needs to improve in order to ensure that residents receive the medication that they are prescribed. EVIDENCE: Discussion with staff, the records and observation supported that staff had a good understanding of how to maintain personal privacy and individuality of the people in their care. Dialogue from staff was polite and respectful, and understanding of individuals difficulties with communication and memory loss. The files of three residents were looked at in depth during this inspection. Care plans recorded individuals needs, preferences and abilities, and were based on the information recorded in the assessments. The care plans had been reviewed regularly and any changes to the planned care were clearly identified. However, when recording whether the planned care was appropriate, staff tended to record care plan still relevant rather than detail how they had reached that decision. Staff would be assisted to do this if the Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 11 care plans contained specific and measurable actions rather than broad statements such as adequate nutrition and fluid intake. Additional information about residents’ abilities and needs was gathered through risk assessments. The required risk assessments had been completed and updated regularly, and any identified risks had been appropriately planned for. Equipment to be used when assisting residents to transfer was clearly identified. Again, the information contained in the risk assessments needs to be specific, for example, the type and size of continence products to be used. Although risk assessments were reviewed, changes in the needs of the resident were not always recorded, for example, the moving and handling risk assessment for one resident indicated that four staff were required to assist when using the hoist, but staff and the manager confirmed that only two staff were now required. The files supported that attention was paid to individual’s health care needs and access to other health care professionals facilitated as required. However, staff were inconsistent in their recording of this information, for example visits by chiropody and the optician. The manager indicated that the home was experiencing some difficulties in assisting residents to access the services of a dentist. Information about the personal wishes of the residents at the time of severe illness or post death were not recorded in the files, although families were asked to complete a form providing this information. Many of these forms had not been returned. Staff practice around the management and administration of medication needs to improve, in order to ensure that residents health care needs are fully met. The manager reported that to assist staff, training on the safe handling of medication was to be provided, and an audit tool for monitoring the management and administration of medication was being introduced. This audit tool was comprehensive, and when used, should identify the shortfalls as highlighted during this site visit. A few gaps were found on the medication records. These were brought to the attention of the manager, as there is a potential for staff to be unsure whether the medication has been given or not. The medication records were pre-printed, but where hand written entries had been made they were not always signed, checked and countersigned to make sure they were correct. Consequently incomplete and incorrect information was recorded on the medication record for one resident, which had resulted in this person not receiving their medication as prescribed. This was brought to the managers attention, who gave assurances that she would investigate this issue. The home had invested in a minimum/maximum thermometer for the medication refrigerator. Daily records indicated that the temperature had consistently been outside of the recommended range (2 to 8 degrees centigrade). Medication requiring cold storage was stored appropriately. However, four bottles of eye drops, which had been opened, had potentially Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 12 been in use for in excess of 28 days. These were discarded at the time of this site visit. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of suitable activities was being provided, which met the leisure and recreational interests of residents. The meals were good offering both choice and variety and catering for any special dietary needs. EVIDENCE: The activity co-ordinator was not on duty at the time of this site visit. It was reported that the activity co-ordinator worked with individual residents, getting to know which activities they enjoyed and were able to join in with, and recorded this information in the files. There was written evidence to support that a range of social activities were provided. Relatives were aware of the role of the activities co-ordinator and commented on her absence. The majority of residents living in Haddon House are not able to concentrate for any length of time. However, throughout this site visit, residents were observed engaging in activities such as listening to music, watching the televison or sitting quietly. Relatives said that they were kept informed about activities and events through the bi-monthly newsletter. Staff were observed socialising with residents, as well as organising activities on a one to one basis. Visitors spoken with during this site visit said that they were encouraged to come and see their reltative and were always made to feel welcome. Visitors Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 14 confirmed that they were kept informed about any change in the condition of their relative. One resident living at Haddon House had been supported by an advocate since moving into the home. The advocate was actively involved in the residents care and supported this person at care reviews. Residents were encouraged to personalise their rooms, and property brought into the home was recorded in their files. Menus were varied and offered a choice of meals. The additional dietary needs of this resident group had been recognised, and the meals provided were routinely fortified to provide extra calories. Catering staff stated that they prepared both choices at meal times, and reisdents were assisted to choose as the meals were being served. Catering staff had a good knowledge of the residents likes and dislikes and the individual dietary needs of residents. Relatives spoken with commented that the meals provided at the home were good. The manager reported that the company has introduced a new policy for nutritional screening, which includes a new risk assessment and flow chart for action to be taken. The manager reported that this tool will assist staff to identify those residents who are or are potentially at risk of becoming malnourished and take appropriate action. The Environmenal Health Officer visited the home on 4 May 2006. The manager reported that the issues outlined in the subsequent report have been addressed. Staff working in the kitchen had received appropriate training. A small number of care staff had completed training in basic food hygiene and the remainder were working through a distance learning training programme. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure was in place with some evidence that people felt that their views were listened to and acted up. Staff had a good knowledge and understanding of adult protection issues which protects residents from harm. EVIDENCE: Residents and relatives were made aware of the complaints procedure through the Service User Guide, as well as the procedure being on display. Relatives spoken with commented that they had had no cause to raise any issues whilst their family member had lived at Haddon House. although they were confident that their concerns would be listened to and taken seriously. The manager had received one complaint since the last inspection in February 2006. The records confirmed that the complaint had been dealt with satisfactorily and responded to appropriately. Procedures were in place in relation to the protection of vulnerable adults, and the manager reported that the internal policy links into the local authority policy, so that any potential referrals would be made through social services. Since the last inspection, all staff have received training on the protection of vulnerable adults. This was supported by training records and discussion with staff on duty, who had satisfactory knowledge and understanding of these procedures. There have been no incidents of use of the statutory procedures since the last inspection in February 2006. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 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 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were provided with a comfortable and safe environment, although residents would benefit from an increased range of bathing facilities. EVIDENCE: Haddon House was clean and tidy at the time of this site visit. All areas of the home were well maintained and decorated, with evidence to support that ongoing maintenance systems were in place. Laundry and domestic hours were adequate. The rooms of the residents whose care was case tracked were viewed, and found to be satisfactory. Staff were attentive to the privacy of needs of residents, and were observed knocking on doors prior to entering. Bedrooms had been personalised and families encouraged to bring in personal possessions. Residents made good use of the communal areas in the home, and were able to wander around the building as they wished. Residents had supervised access to a well maintained garden area. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 17 At the time of the last inspection, a requirement (not time expired) was made that the provision of assisted bathing facilities must be urgently reviewed and adapted so that a variety of provision is available and the numbers required by the standard is met. Limited progress had been made towards compliance with this requirement. Discussion to place with the manager regarding the bathroom on the first floor which is unsuitable for use by the current resident group. The manager indicated that she had been authorisation to seek advice and costings for altering this bathroom into a shower room. Residents had access to other suitable bathing facilities in the home, and the manager reported that these were well used. Aids and adaptations were provided and satisfactory to meet the needs of the resident group. Staff were observed making good use of equipment to assist people to transfer. The hoists had been serviced regularly. The laundry area was satisfactory and all equipment in good working order. Residents personal clothing was well washed and ironed, and residents looked well presented. No concerns about the laundry service were raised during this site visit. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 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 at least once during a 12 month period. 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. People living at the home were cared for by staff who were trained and competent to do their jobs, and protected from potential harm through robust recruitment procedures. EVIDENCE: The rota demonstrated that sufficient staff were on duty all of the time. Staff felt that they had time to meet peoples care needs as well being able to spend time with individual residents either socialising or organising activities. Relatives spoken with during this site visit indicated that in their opinion, there were sufficient staff on duty to care for the residents living in the home. The home continues to work towards the requirement (not time expired) of 50 of the care staff team with an NVQ qualification at level 2 or equivalent. 5 members of staff were working towards this qualification, and 3 members of staff had already achieved this qualification. Residents living in Haddon House were protected from potential risk of harm through robust recruitment and selection procedures. A review of staff files supported that the required documentation was in place. Staff awaiting criminal record bureau checks were also supervised by other staff. The staff team was provided with the necessary induction training, so that they had the skills and knowledge to deliver the care that the home offers to provide. Newly appointed staff were working through the induction Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 19 programme, which has to be completed during the 3 month probationary period. The manager had developed a training matrix, which enabled her to identify any individual training needs, and when update training was due. Good progress has been made towards meeting the requirement (not time expired) to provide staff with training in infection control, emergency first aid and in the care of people with dementia. Half of the care staff team had received training in the care of people with dementia, with the remainder of the staff team due to attend this training shortly. The manager reported that care staff would be working through distance learning training packs for infection control and food hygiene in the near future. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 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 at least once during a 12 month period. 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. This is a well managed home, which benefits from formal quality assurance and quality monitoring systems. The manager was supported well by the staff team, and provided clear leadership throughout the home. EVIDENCE: The manager, who is an experienced nurse, has completed the Registered Managers Award, and was currently waiting for the certificate. The manager reported that she was due to take maternity leave and that the deputy manager would be taking over the management of the home, with support from another homes manager and the area manager. The manager reported that she recieves good support from her line manager, who visits the home on a regular basis. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 21 Relatives and staff spoken with confirmed that manager approachable and provides support and guidance as required. Staff were encouraged to develop their skills and knowledge, and were provided with a range of training opportunities. The manager and deputy were responsible for supervision of staff, and 6 supervision sessions per year had been planned for each member of staff. The manager reported that the supervision sessions had been productive. Quality assurance systems were in place, and the company and the manager were committed to improving the quality of care and services provided at the home. The manager reported that the quality assurance programme produced by the company was being updated, and would be implemented when available. The last annual audit was carried out in July 2005. The manager reported that there were plans to hold resident/relatives meetings on a monthly basis. Systems were in place for safeguarding residents money. The records supported that that all accounts were balanced and all resident money was properly accounted for. A separate account was used for residents money. The records were audited on a regular basis. Staff were up to date with the majority of the mandatory training, although staff still had to compete infection control and food hygiene training. The mantenance person carries out extensive safety checks within the home, and provides fire safety training for staff. A sample of service/maintenance records was examined (including equipment, gas and electricity services) and there was confirmation that equipment and services are properly maintained. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 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 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 23 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 OP9 Regulation 13(2) 17(1)(a) Sch3 Requirement All hand written entries on the medication records must include the name, strength and dose of the medication and administration instructions, as detailed on the dispensing label. Eye drops must be discarded after 28 days of use. Residents must receive their medication as prescribed. The temperature of the medication refrigerator must be between 2 and 8 degrees centigrade. The registered person must urgently review and adapt the provision of assisted bathing facilities so that variety of provision is available and the numbers required by the standard is met. (Previous timescale of 31/12/05 not met). The registered person must achieve the target of 50 of care staff having achieved at least NVQ level 2 by the due date.(Previous timescale of 31/12/05 not met). Timescale for action 31/07/06 2 3 4 OP9 OP9 OP9 13(2) 13(2) 13(2) 31/07/06 31/07/06 31/07/06 5 OP21 23(2) 30/06/06 6 OP28 18 31/07/06 Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 24 7 OP30 18(1) All staff must receive appropriate 31/07/06 training or instruction in infection control, emergency first aid and the care of people suffering from dementia. 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 4 5 Refer to Standard OP7 OP7 OP8 OP9 OP9 Good Practice Recommendations Action to be taken by staff should be recorded in specific and measurable terms in the care plans and risk assessments. All visits by health care professionals, for example chiropody and optician, should be recorded in the residents’ files. Risk assessments should be updated to reflect the current needs and abilities of residents. Staff should receive further instruction on how to use and reset the minimum/maximum thermometer in the medication refrigerator. Hand written entries on the medication records should be signed, checked and countersigned to make sure that the information recorded is correct. Haddon House Care Home DS0000052159.V290028.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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