Inspection on 11/05/05 for Hampton Court Care Home

This inspection was carried out on 11th May 2005.

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

Hampton Court Care Home 12/12/07

Hampton Court Care Home 05/04/07

Hampton Court Care Home 10/06/06

Hampton Court Care Home 12/01/06

Hampton Court Care Home 20/12/04

Hampton Court Care Home 22/06/04

Hampton Court Care Home 09/03/04

Hampton Court Care Home 06/10/03

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

CARE HOMES FOR OLDER PEOPLE Hampton Court Care Home Wrottesley Park Road Perton Nr Wolverhampton WV8 2HE Lead Inspector Keith Jones Unannounced 11 May 2005 09:00 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 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. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hampton Court Care Home Address Wrottesley Park Road Perton Nr Wolverhampton West Midlands WV8 2HE 01902 840317 01902 844200 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Gurdip Kaur Sahota Mrs Joanne Christine Moore Care Home 52 Category(ies) of 32 PD(E) registration, with number 22 PD of places Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: PD 30 Nursing Minimum Age 60 on admission OP - 22 (PC only) minimum age 60yrs on admission Date of last inspection 20 December 2004 Brief Description of the Service: Hampton Court is a care home located in Perton near to Wolverhampton. The home was purpose built, with service users accommodated on one level. Amenities can be reached easily by transport, but are not within walking distance. The proprietors outlined at the beginning of the report privately own the home. The home is registered to accommodate up to 52 service users in total including elderly service users requiring personal care and nursing care and elderly service users with physical disabilities, and are a minimum age of 60 years. The home is directly accessed from the main road and there is ample car parking facilities at the front. The home was built in open countryside backing onto farmland and there are grounds all around the home which are accessible to service users including wheelchair users. The proprietors have completed a 22-bedded extension to the home within the last 12 months. The extension accommodates elderly service users with personal care needs.There are 42 single rooms all with en suite facilities, with 5 double rooms also have en suite facilities. The corridor areas are wide and allow easy access for mobility and moving/handling aids. There are two large communal day rooms, each with a dining area off. There is also a reception lounge/sitting room where visitors can be received in private. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out with the provider, and assistance of the senior registered nurse and senior carer on duty. The last inspection report was discussed to which it was noted that a number of requirements had not been dealt with, although scheduled for early attention. There were 27 service users in residence on the day of inspection. A tour of the unit permitted free access to all areas, service users, relatives and staff, when open discussion took place. A full case tracking of six service users with the senior nurse yielded a valuable insight of policies in action. An inspection of administrative procedures and documentation preceded a detailed follow-up report. The provider, senior nurse and staff were thanked for their cooperation and open willingness to contribute to the inspection process. What the service does well: What has improved since the last inspection? The problems associated to lack of effective management control have stunted the enthusiasm initiated from recent inspections. However there has been a marked improvement in the catering service and organisation within the kitchen. The attention to the direct provision of care by a focused team has contributed significantly to improving overall standards throughout the Home Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 6 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. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4,and 5 The information given to prospective service users offers an insight in the service delivered in the Home, failing to meet a more detailed exposition of the depth of care that can be expected. However the package offers a usable foundation and guide, to present service users and families a declaration of philosophy. Pre-admission assessments are conducted by the care manager or deputy, at the point of referral. The aims of the assessment are to secure a firm profile of the prospective service user, to present as comprehensive a picture as possible prior to admission. The terms and conditions of residence are explained by a suitable agreement of contract. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 9 EVIDENCE: The Statement of Purpose review has produced a well-presented document that addresses most of the requirements as prescribed by Schedule 1 of the Regulations. Unfortunately the review has omitted requirements previously identified, i.e. Sections1, 4, 5, 6, 8, 9, 10. However the attempt has produced a usable foundation and generated a valuable User Guide. This requirement to amend was highlighted at the last inspection, and as yet has not been satisfactorily addressed. Contracts are exchanged after a settling-in, six-week period, with the fully signed agreement of service users and relatives. The client group also have the opportunity to decide whether or not the home meets with their expectation. Case tracking confirmed pre-admission/admission profiles as primary documents. On inspection and discussion with service users and relatives the policy of needs awareness was seen to be in place and appreciated. There is a policy available for emergency admissions, although rarely used. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10 and 11 Overall the care assessment and planning system is an organised, yet homely process offering meaningful and valid documentation of care administered. A broad vision of needs are addressed through the care planning process, attempting to meet personal and health needs, although there is little opportunity to provide a meaningful socialisation service. The provision of a secure and safe medicines administration is managed efficiently by registered nurses. Staff were seen to demonstrate a personal empathy with residents through a respectful, yet friendly discourse. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 11 EVIDENCE: Seven service users were case tracked, with a full examination of care records, health records including general practitioners visits, risk assessments, dependency charts, records of reviews and action plans. The pre-admission assessment represented the foundation for a well-considered and detailed care planning process. A profile of the service user’s social, physical and psychological status offered an individual plan of care, based upon a multiple point activity of daily living, to be implemented and reviewed monthly. Each service user has a named carer (key worker) who is responsible for maintaining an in-depth awareness of those service users. Evidence of health care professional visits showed an attentive awareness to service user’s needs Daily reports were acknowledged as a valuable process that have been standardised for all service users. There was evidence of consultations from medical specialists and other professional support services. There was evidence that administration of drugs procedures were seen to be up to date and accurate. Controlled Drugs security was satisfactory. Selfmedication is considered and the risks are assessed, should the service user wish to deal with their own medications. Records identified that any homely remedies had been identified, although the sanction by the General Practitioners needed update The spiritual orientation of each service user is recognised and accommodated with. The policy of handling death and care of the dying was seen to offer a sensitive and supportive assurance that all care will be given. The prevailing personable atmosphere in the home is extended to encompass the needs of relatives and friends during a difficult time. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12,13,14 and 15 The lifestyle for service users centres on the routine of services provided, with little in the way of diversion or socialisation, especially in the morning period. More emphasis is required on activity planning both in and out of the home, which suit the individual needs, preferences and capacities of the residents. EVIDENCE: Service users had little to motivate beyond their own efforts, or the occasional intervention by care staff busy with providing nursing care. Service users spoken to were generally complementary with the relaxed environment and the standards of care. The West wing lounge area would benefit from more attention to the layout of chairs to facilitate group activities and interactions During the inspection several visitors were seen to be engaged in social activities, those approached were happy with the freedom of visiting, and the involvement in care planning. It was pleasing to see improvements in the provision of meals and standards in the kitchen. Staff were seen to be actively engaged in dialogue with residents and helping with their meals. Menus were seen to be varied and offering choice. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 13 Although on visual inspection the levels of cleanliness and organisation in the kitchen were much improved, there was no evidence that either a cleaning rota or fridge/freezer temperature records had been addressed over the previous seven days. It was also noted that a recent gas service has raised issues of installation and maintenance. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16,17 and 18 Service users and families have a clear avenue of expressing their concerns and/or complaints. The policies and procedures protect the individual with a heightened awareness of the issues surrounding abuse. EVIDENCE: The home had a meaningful complaints policy, clearly identifying the CSCI as a resource to approach with a complaint or grievance. Six formal complaints had been received via the Commission since the last inspection; of which some of the issues, mainly organisational, were upheld. A complaints book is maintained which shows a responsible approach in handling complaints appropriately. Advocacy service is available to those who require it as indicated in the Statement of Purpose. Service users’ legal rights are protected by the systems in place, including a contract, the continual assessment of care planning and policies in place i.e. the complaints procedure. The care staff and provider had showed satisfactory evidence of a protocol and response to anyone reporting any form of abuse, to ensure effective handling of such an incident. Steps have not yet been taken to secure booklets from the General Social Care Council’s Code of Conduct for all staff to help reinforce the induction and training programmes. This matter will be addressed immediately. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19 through to 26 The purpose-built home has no in-house maintenance facility to render knowledgeable address to daily problems, or to provide an environmental development plan. This has resulted in some areas being shabby, and some in disrepair. Most resident’s bedrooms, however were comfortable with personal surroundings, safe and pleasantly furnished There are some areas and rooms that do not meet satisfactory hygiene standards. EVIDENCE: The external gardens and pathways were safe although showing little attention to development of a garden landscape. A rubbish burning area was clearly visible. The external state of the building was seen to be in good state of repair. It was acknowledged that the process of risk assessment throughout the building is near completion. It was reinforced that this work was essential in Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 16 the creation and maintenance of a development programme. There was evidence that routine maintenance has not taken place, with: • A disabled toilet unusable with no light bulb – this had been observed for several weeks. • Electrical fuse box in the laundry with no cover and bare wires exposed, in a humid environment. • The main boiler showing the last service, cleaning and disinfection as 2001. • Poor state of décor in the West wing corridor. • Recliner chairs broken and a hazard. • Several bathrooms showing disrepair and rusty fittings. Hoist not working, holes in the floor and exposed pipe work. • No thermometers available in some bathrooms. • Resident’s name/door plates missing. • Damaged toilet lids. • Fire door left open during the night, and disconnected from the system. • No signature of ownership of maintenance work undertaken. • PAT testing logbook not kept up to date. • Fire extinguishers had not been serviced since April 2004. • Sluices and storerooms were unlocked with easy access available. • A floor/free-standing heater was in use in a bedroom There is evidence that the named provider has been denied access to the necessary budgets to ensure address to these issues, and that decisions of a day-to-day nature are being made by non-registered individuals. This matter has been raised at previous inspections and will now be a matter of concern for resolution. There was evidence that insufficient hours for domestic and laundry work are deployed. The laundry area was dirty, disorganised and represented a risk to infection control. Dirty laundry had been thrown on the floor in the laundry with little regard to maintaining standards of basic hygiene. At the busiest time of day there was nobody to process the heavy flow of dirty linen and clothing. There was evidence that residents were using a communal supply of tights and stockings. The disorganised method of handling laundry would inevitably lead to confusion over ownership of clothing. A large mound of clean clothing ready for ironing was in close proximity to the dirty linen. Some bedrooms were seen to be dirty with cobwebs and a variety of items on floors. At the time of the inspection there was only one domestic on duty. There was also a slight urine odour on the West wing corridor. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30 Although staffing ratios are sufficient and training provision and opportunities have improved, the safety of service users is compromised by inadequate recruitment procedures. EVIDENCE: On the day of the inspection there were 27 service users accommodated in the home. There were 7 service users receiving personal care and 20 receiving nursing care. The duty rotas for weeks commencing 4/05/05 and the 11/05/05 were available and staffing levels were seen to be satisfactory. The daily care staffing rota showed adequate balance between skills, qualifications and numbers to provide a suitable standard of care. Agency staff were used to cover shortfalls in coverage, with a significant core of bank nurses supplemented with flexible rostering and overtime. There are three domestics/laundry assistants working a total of 105 hours. This will be increased by a further 40 hours to meet shortfalls. It was observed that the poor coverage, and diversity of jobs, has not complimented the quality of services to either cleanliness or laundry. It is recognized that a fully contracted cook has been appointed with 3 kitchen staff in support. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 18 The maintenance/handyman facility has been performed by contract staff, which has seen a decline of service in maintaining the fabric of the Home. Consideration should be given in an appointment of a committed and contracted individual. As previously mentioned the need for a socialization/activity coordinator is of a pressing concern. The named provider plays an active contributory role in management and direction, on a daily, high profile capacity, but there remains some concern regarding her authority to make essential routine decisions. Trainees were registered on a TOPSS certified training programme. It was evident from the inspection of 4 staff files that there is a pressing need to reinforce the procedure and practice of staff recruitment, selection and appointments. There remains a general disorganisation and inconsistency rather than inappropriate actions. Staff induction programmes were seen to contain all the required elements, and clearly recognising the partnership of training ethos. The agenda was adequate but requiring a commitment of all staff in the process. Mandatory training records identified an extensive awareness programme of fire training, moving and handling and basic hygiene. A health and safety training record complements an ongoing commitment from the probationary period. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37 and 38 The manager does not have sufficient authority to undertake the responsibilities commensurate to her role, and this is resulting in inadequate maintenance of services for service users. EVIDENCE: As pointed out at previous inspections the management of the Home is consistently failing to meet requirements and recommendations made by inspection. The named provider of care has not had access to the necessary budgets to maintain operations at a satisfactory level. There is evidence that staffing issues and contracts have been influenced by a non-registered control. This matter must be addressed as a matter of importance as soon as possible. There has been a prolonged period of care manager absence that has presented a significant lack of clinical leadership on policy and practice. The Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 20 named deputy care manager has attempted to maintain that influence, but lacks the necessary authority within a dysfunctional management scenario. Nevertheless the staff endeavour to provide a satisfactory standard of direct care. There is a relaxed and informal atmosphere apparent in the interaction of staff and residents that demonstrated a positive relationship, which was mentioned by several service users, relatives and staff, providing a basis for mutual respect, so essential to the provision of care. Positive moves have been made to establish service users and family forums, on a monthly basis, actively seeking consumer feedback through dialogue and through surveys. Staff meetings are re-established and are beginning to make an impact upon quality assurance issues. Service users and relatives are regularly involved in many aspects of the caring process, and Social Workers’ review meetings are often a vehicle for assessing quality. It was agreed that the provider would initiate a full risk assessment on the environment including the setting of objectives, effective budgeting of plans and target dates to aim for. A sample examination of administrative, monitoring, planning and care records showed an organised and professional attitude to effective record keeping. In general they were found to be well maintained, accurate and up to date. The procedures for maintenance and evaluation of risk were seen to be in need of re-evaluation to ensure the safety and welfare of service users and staff. Accidents were see to be dealt with speedily and recorded accurately. The recording procedure was robust and comprehensive. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 1 3 2 2 3 2 2 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 2 3 3 x x 3 2 1 Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 22 YES 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 19 Sch 2 (5) Regulation OP29 Requirement You must demonstrate robust recruitment, application and interview procedures within the home. (Previous timescale 1 October 2004). That all staff are supplied with a copy of the General Social Care Council code of conduct and practice. (Previous timescale 1 October 2004).. That an environmental risk assessment is undertaken to ensure the safety and welfare of service users. (Previous timescale 1 October 2004). The Registered Provider must ensure that the Statement of Purpose is further developed in order to include all of the requirements as set out in Schedule 1 of the Care Homes Regulations 2001 (Previous timescale 01/04/05). That a schedule of cleaning and fridge/freezer temperature recordings be established. (Previous timescale 01/04/05). Adequate attention be given to Timescale for action Immediate 2. OP29 Immediate 3. 13(4)(a) OP19 01/07/05 4. 4 (1) (c ) OP1 01/07/05 5. 16 2 (g) OP38 Immediate 6. 18 1 (a) OP27 Immediate Page 23 Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 7. 8. 18 1 (a) 12 (1)(2)(3)(4 )(5) 19 OP27.1 Conduct of care home 23 (2) 23 (4) 23 (5) 9. 10. 7 (2) (c ) (i) secure sufficient hours of domestic coverage, and training of staff to enable a hygienic environment. (Previous timescale 01/04/05). To maintain adequate hours of maintenance and laundry staff. (Previous timescale 01/04/05). You must ensure all previous outstanding requirements are fully met. (Previous timescale 01/04/05). Immediate attention be given to outstanding maintenance issues raised to ensure a safe environment, as identified by listing in Standard 19 report. That immediate attention be addressed to ensure the registered provider of care have the authority to manage the Home through budget control. Immediate Immediate Immediate Immediate 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 OP19.4 OP27 Good Practice Recommendations The management provide the NCSC a refurbishment/development plan for the Hampton Court site for period 2005/06. That consideration be given to the provision of an activity co-ordinator. Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Hampton Court Care Home E51-E09 S22329 Hampton Court V226879 110505 Stage 4.doc Version 1.30 Page 25 - 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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