Inspection on 01/06/06 for Half Acre House

This inspection was carried out on 1st June 2006.

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

Half Acre House 10/07/07

Half Acre House 25/01/06

Half Acre House 23/08/05

Half Acre House 07/03/05

Half Acre House 17/09/04

Half Acre House 11/03/04

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

CARE HOMES FOR OLDER PEOPLE Half Acre House Roch Valley Way Rochdale Lancashire OL11 4DB Lead Inspector Bernard Tracey Unannounced Inspection 1st 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 Half Acre House DS0000025474.V292018.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. Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Half Acre House Address Roch Valley Way Rochdale Lancashire OL11 4DB 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) 01706 861098 01706 633891 Mrs Anita Lewis Mrs Lesley Rider Lynne Kowalski Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 25 service users, to include: Up to 25 service users in the category of OP (Older People) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 25th January 2006 Date of last inspection Brief Description of the Service: Half-Acre House is a care home providing personal care and accommodation for 25 older people. Nursing care is not provided. The home is located approximately 1.5 miles from the centre of Rochdale and has good transport links to the motorway and several bus routes. Half-Acre House is a large 2-storey building, which has been converted and extended into a residential care home. Bedrooms are located on the ground and first floor and all are single occupancy with en suite facilities. A passenger lift is provided. A variety of communal space is available. The home is situated in its own grounds with ample parking available. A copy of the most recent Commission for Social Care Inspection report is available in the manager’s office. The home makes charges for the following, over and above the weekly care and accommodation fees that are listed in this section: Chiropody Hairdressing Newspapers Events Tickets Dining Out and Transport. Fees charged by the home provided in April 2006 are as follows: In the range of £329.00 per week and £410.00 per week Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not made aware that this inspection was going to take place. Several weeks before the inspection questionnaires were sent out to doctors, social workers and district nurses, as well as to the residents of the home and their relatives. The questionnaires asked what people thought of the care and services provided by the home. The home was also asked to fill in a questionnaire. Where appropriate these comments have been included in the report. The Inspector spent 5 hours at the home. During this time he looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A full tour of the building was undertaken and time was spent looking at records regarding safety in the home. He also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. The Inspector spent time speaking to 7 residents as well as speaking to 2 relatives, 3 staff, the manager and the owner. All of the key National Minimum Standards were looked at on this visit to the home. What the service does well: What has improved since the last inspection? Most of the previous requirements and recommendations from the last inspection have been complied with. Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 6 The way that care plans are set out had improved; on the whole they gave a much clearer picture of how the health and social care needs of the residents were to be met. More work needs to be done however, to include in the plan what the residents are able to do, as well as what they are less able to do. Staff have attended training and more is planned so that staff will be better able to provide care for the residents and develop themselves within their job 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. Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 3 5 (Standard 6 does not apply in this home) The quality outcome in this area was considered poor. This judgement has been made using available evidence including a visit to this service. The home provides prospective residents and their relatives with adequate information to make a judgement about moving into the home. The home does not complete an adequate assessment of the individual before admission and is therefore unable to demonstrate that the home can meet the person’s needs. EVIDENCE: The statement of purpose and the service user guide has been up dated and reviewed since the last inspection. These documents are available in every resident’s room and contain information about the home and the service provided. Prior to the inspection questionnaires were sent out and asked; Did you receive enough information about this home before you moved in so you could decide if it was the right place for you? Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 9 All stated that they had received enough information. One stated “ I made two spot visits and was warmly greeted on both occasions” One resident spoken to is fairly new into the home and said that her family had been able to visit the home prior to her making the decision to come in. The resident had been provided with sufficient information about the home to make an informed choice about the placement. A relative spoken with during the inspection confirmed that she was given ample information prior to her mother coming to the home. She explained that her mother had also spent half day at the home then visited and had a meal before moving in on a trial basis. Records of three residents were examined. The information gathered through admission assessments made by the home was poor. The social workers assessment was available but information regarding the residents recorded by the home was seen to be in conflict with the social worker’s. An example of this was seen where the home had recorded in their assessment that the resident had “no history of falls” whereas the Care Manager assessment stated “at risk of falls” and “Prone to falls”. Also the home’s assessment stated that the resident did not require a walking aid but in fact she used a frame to assist her mobility. This lack of information can lead to residents failing to receive the care they require. The Statement of Purpose for the Home states that there is a policy for admission, which ensures that a person’s care needs are comprehensively assessed prior to admission. It is not acceptable for the home to have a policy that the assessment is carried out by the home or social services. New residents are to be admitted only on the basis of a full assessment undertaken by the home. Emergency admissions should be avoided. The Statement of Purpose needs to be amended to this effect and also contain the information required in Standard 5.3 in relation to emergency admissions. All residents receive a contract which apply to admission to the home and describes the terms and conditions. Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The quality outcome in this area was considered poor. This judgement has been made using available evidence including a visit to this service. Care plans do not always fully demonstrate how aspects of health, personal and social care needs would be met. The care planning system does not provide staff with adequate information to reflect the changing needs of residents and also fails to ensure that residents care needs are identified and met. The home is not consistently good at involving residents or their representative in the development or review of care plans. EVIDENCE: The manager informed the inspector that a review of the documentation in respect of the care plans had been undertaken. It was evident from examining care plans progress has been made with the documentation. Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 11 To ensure that all health, personal and social care needs are met the care plans should also include the positive aspects and capabilities of the resident. The care plans did not include information about the residents’ routines in relation to their daily living. Some aspects of the care plans were not reviewed monthly including pressure area risk, moving and handling and mobility. One resident had been assessed by the social worker as being prone to falls but no care plan had been initiated to help the residents and staff to prevent the individual from falling. Only one of the care plans had been signed by a relative. A discussion with a relative identified that whilst she was kept continually informed about her relative’s condition she had not been involved in the drawing up of the care plan. Residents and relatives must be involved to ensure that important and relevant information is obtained, thereby ensuring an accurate and agreed care plan is in place. Risk assessments were in place and covered such areas as moving and handling, nutrition, pressure sores, the use of bed rails and falls but review of these risks had not been recorded. One resident had bedside rails in her room but no risk assessment had been completed and the rails did not have the required bumpers attached, which are needed to avoid possible entrapment and subsequent injury to the resident. The residents were weighed at least on a monthly basis and the weight recorded in a book kept in the office. The record of weight must be recorded on the recording sheet in the care plan. There was equipment in place for the prevention of pressure sores and the manager informed the Inspector that the District Nurse, if required, would supply specialist mattresses and pressure relieving chair equipment. Designated and appropriately trained staff administered medicines. Medications were securely stored; the prescription administration sheets were not filled in accurately as there were examples noted where signatures were missing on the administration record sheet. The home should ensure that drugs included on the recordable list of medications are signed by two staff members when dispensed and that a record of these drugs are kept separately, including total held by the home, and stored separately for disposal by the pharmacist if the drug is not given following removal from the cassette. It is recommended that when it is necessary to hand transcribe prescriptions on to the medicine administration sheet, the entry is checked and signed by two members of staff to avoid errors. This recommendation was made at the last two inspections but further evidence of staff not following the good Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 12 practice recommendation or the home’s policy in relation to safe handling of medicines was seen. A discussion with the residents and a relative identified that they feel their privacy is respected and that they are treated with kindness. Staff spoken to gave examples of how privacy and dignity were maintained. All of the 4 relatives who had returned the questionnaire expressed complete satisfaction with the way the home cared for their relatives. The general practitioners who completed questionnaires stated that the home worked in partnership with them and that the staff at the home demonstrated a clear understanding of the care needs of the residents. A discussion with the residents identified that they had access to other health care professionals, such as dentists, opticians, chiropodists and district nurses. Evidence of these visits was kept in the residents’ individual files. Relatives and friends are encouraged to visit as often as possible and the home operates an open visiting policy, which is referred to in the Statement of Purpose and confirmed in discussion with residents’ relatives at the inspection. A discussion with the residents identified that they feel their privacy is respected and that they are treated with kindness. Half Acre House DS0000025474.V292018.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 The quality outcome in this area was considered good. This judgement has been made using available evidence including a visit to this service. The range of leisure activities available in the home was varied, reflecting the diversity of residents and their social, intellectual and physical capacities. Links with the community were good, supporting and enriching service users social opportunities. Staff valued the role, which relatives and friends could continue to play in the lives of service users, and encouraged and enabled such contact. The dietary needs of the residents were well catered for with a balanced and varied selection of food that met the residents’ preferences, tastes and choices. Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 14 EVIDENCE: An activities person visits the home on Tuesday and Friday mornings, providing a variety of activities including, craft sessions, exercises, games, quizzes and discussions. In addition musical entertainment was arranged on occasions. Special occasions and birthdays were appropriately celebrated. Residents spoken with said there were “ enough things to keep me happy”. One relative commented that the home provided her relative with stimulation and she was never bored. A visitor interviewed considered they were made welcome at the home. They could visit whenever they wished and could see their relative in private. In particular, positive comment was made about the welcoming manner of staff when visiting the home initially. Religious services of various denominations are held at the home, giving a good example of diversity. The choices residents made each day varied, dependent upon their frailty but residents generally chose what time to get up, go to bed, what clothes to wear, what to eat, where to spend their day, whether or not to participate in activities and whether or not they wished to have a key to their rooms The majority of residents chose to have their monies managed by relatives. Residents and relatives had limited involvement in care planning. Resident meetings were held every two months and notes from these meetings are produced with evidence of the home’s response to concerns raised by the residents. Hot and cold drinks were offered to residents on a regular basis throughout the time of the inspection. All of the residents spoken with said that the food was good. All of the responses to the questionnaires stated that the food was always enjoyable with one resident commenting that it was “good wholesome food” Half Acre House DS0000025474.V292018.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 The quality outcome in this area was considered good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with evidence that residents’ views are listened to and acted upon. Staff and residents are confident about reporting any concerns and the manager acts quickly on any issues raised. EVIDENCE: The home has a clear and simple complaints procedure that residents, relatives and staff are aware of and are confident of using if needed. The complaints records show that there have been no complaints made since the last inspection and residents spoken to said “Lynn or Lesley come round to see us every day and talks to us about any niggles we may have. They always solve them immediately or will get back to us if it needs to take time to resolve them”. All residents spoken to were aware of their right to vote and one individual said that she had used her postal votes at the last general election, although two others said that they “could not be bothered with politics”. The home has policies and procedures to cover adult protection and prevention Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 16 of abuse, whistle blowing, aggression, physical intervention and management of resident’s money and financial affairs. The home does not act as appointee for any of the residents. The staff on duty displayed a good understanding of the vulnerable adults procedure. They are confident about reporting any concerns and certain that any allegations would be followed up promptly and the correct action taken. Information in the staff training record showed that they all have received Protection of Vulnerable Adults training in line with Rochdale Inter Agency Abuse Procedures and that this was an ongoing part of the homes staff development programme. Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 17 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 21 26 The quality outcome in this area was considered good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home provides residents with an attractive and homely place to live. EVIDENCE: The home has a variety of communal spaces – lounge, conservatory, small sitting area on the first floor, and two dining rooms, including one that has additional sitting space. Access to the gardens is either via the conservatory that provides level access, or via the steps from the main door. Furnishings in communal areas were domestic in character, generally of good quality and suitable for their purpose. All residents state that the home is always clean and odour free. The business manager has an ongoing programme of maintenance and renewal. Six residents spoken to were very pleased with their individual rooms Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 18 and said that they had ‘brought in a number of personal possessions to make them feel more homely’. The home is presently reviewing the use of locks provided for personal accommodation. The bathroom on the first floor was cluttered with the shower area being used for storage for various pieces of equipment. The floor covering in this area required cleaning and removal of old paint stains. Following this the home should ensure that steps are taken to make the bathroom more comfortable and less stark looking. Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are trained to ensure they have the competencies to meet residents needs. The deployment of staff throughout the day is sufficient to meet the needs of residents. The homes recruitment procedures do not provide safeguards for the protection of residents. EVIDENCE: From discussions with management and staff, and from an examination of duty rosters, sufficient staff are employed within the home. There is a settled staff team. Most of the staff spoken to have worked at Half Acre Care Home between 5 and 10 years. One resident said she felt the staff “are lovely and they look after me well” Staff said that they were clear about their role and work well as a team to ensure the individual and collective needs of the residents are met. The majority of residents and relatives spoke well of staff. Relatives particularly commented on the staff’s clear communication with them. Those returning comment cards said that they thought staff kept them informed and consulted appropriately. All of the comment cards received from residents stated that the staff always listen and act on what they say. There was a Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 20 perception from two residents who felt there were not enough staff and that they were “worked off their feet” – both felt that “they could do with more staff”. Staff spoken to, informed the Inspector of the training that they had done. They stated that they are encouraged to attend courses and given the time and support to do this. 83 of care staff has an NVQ (National Vocational Qualification) at level 2 or above. A staff-training programme has been planned for the following twelve months The Inspector examined two staff files and found that all of them did not contain information required, confirming that the recruitment procedures had not been followed. One file contained only one reference whilst evidence of a record of induction when starting their job was not available. Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 21 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 38 The quality outcome in this area was considered good. This judgement has been made using available evidence including a visit to this service. The Managers and staff work hard to maintain an atmosphere where everyone feels included and valued. There are systems in place to audit the service, so that improvements are made, and poor practice eradicated, in keeping with residents best interests. EVIDENCE: The manager role is taken on a job share basis. The most recently appointed manager has been registered with the Commission for Social Care Inspection since the last Inspection report. Staff interviewed spoke of good communication and effective teamwork Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 22 The managers have implemented a system of formal supervision within the home in the timescale set at the last inspection The home has achieved the Investors in People award. Quality assurance systems introduced to the home for this award have continued and includes residents meetings, staff questionnaires, staff meetings and residents questionnaires. The Business manager informed the Inspector that he is presently reviewing the system for obtaining details to measure the quality of services provided by the home. Maintenance of equipment in the home is up to date to ensure that the safety and welfare of the people using the service is promoted. . Monthly reports required under Regulation 26 of the Care Homes Regulations 2001 are provided to the Commission. Appropriate systems are in place to ensure service users’ health and safety is protected. bHowever, issues raised by the fire officer in a recent visit must be addressed and a detailed action plan with timescales sent to the Commission. Further assessments relating to the use of bed-rails should be reviewed to ensure that they are only used if necessary and have the appropriate bumpers fitted when in use. Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 2 X 3 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X 2 X X X X 3 STAFFING Standard No Score 27 3 28 3 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 2 Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP1 Regulation 4 Requirement The Statement of Purpose must be amended to ensure that the information regarding assessment by the home before admission reflects that the home responsibility to carry out an assessment. The detail contained in Standard 5.3 must also be included in the Statement of Purpose. A copy should then be forwarded to the Commission. Care plans must be accurate complete and regularly updated to reflect residents changing needs and current objectives. (Outstanding requirement in the timescale of 2nd October 2005) Timescale for action 30/07/06 2. OP7 15 30/07/06 3. OP7 15 30/07/06 To ensure that an accurate and agreed care plan is in place there must be evidence of relative and resident involvement in the drawing up and review of the care plan. (Outstanding requirement in the timescale of 2nd October 2005) Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 25 4. OP3 14 5. 6. 7. OP9 OP22 OP21 17 13 12 8. OP29 19 (Schedule 2) 9 OP38 23 The manager must ensure that no resident is admitted to the home unless a thorough assessment has been made by the home. A record must be kept of all medicines administered to a resident. Bumpers must be fitted to bedside rails to avoid possible injury to the resident. The bathroom on the first floor must be clear of stored equipment, the floor cleaned and made to feel more comfortable. Safe recruitment and selection procedures must always be followed and required documentation held on file, including evidence of induction for all new starters. Issues raised by the fire officer in a recent visit must be addressed. 30/07/06 30/07/06 30/07/06 30/07/06 30/07/06 30/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations Hand transcribed medication should be witnessed by two members of staff to avoid errors being made. (Outstanding from the last two Inspections) To ensure that all health, personal and social care needs are met the care plans should include the positive aspects and capabilities of the resident. 2. OP7 Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Half Acre House DS0000025474.V292018.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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