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Inspection on 24/09/07 for Haslington Residential Home

Also see our care home review for Haslington Residential Home for more information

This inspection was carried out on 24th September 2007.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The atmosphere around the home was calm and peaceful. The home manager is keen to ensure the home complies with all standards and requirements and was receptive to advice given throughout the visit. Staff are enthusiastic about their roles and enjoy working at the home. The manager promotes an open atmosphere at the home and relatives/advocates and staff are appreciative of this. Comment card and survey respondents` comments included "I think they do a first class job"; "the staff are always very helpful to myself and my [relative] answering any questions I have"; "Am very pleased with the care provided by the home"; "we made four visits before deciding [on this home]"; "the home looks after the physical needs of my relative very well. The house is very clean and tidy and the food is good"; "they take care of [relative] very well. I have no complaints"; "Generally [resident] well cared for by pleasant staff and well fed and kept clean and tidy"; "Provide very good individual care in a safe and homely environment and I would be happy to place other residents at the home".

What has improved since the last inspection?

There were no requirements or recommendations made following the last visit. This was the inspector`s first inspection visit to the home so it was difficult to establish. However the environmental changes are now complete, providing residents with better facilities. Staffing levels have increased to reflect the increased numbers of residents now residing at the home.

What the care home could do better:

So as not to unwittingly mislead the public, the providers must clarify with the Commission the actual ownership of the home. If the Commission`s information is out of date, the providers must make application to the Commission to request a change. To enhance residents` safety the home needs to review and update its recruitment documentation and procedures. Care staff have a good understanding of residents needs and demonstrated a sympathetic and kind approach. However care records do not fully evidence all needs, preferences, support and problems are being re-assessed in a meaningful way; that a detailed care plan component is always compiled or that all the care and support required is actually being delivered. This has the potential of placing some residents at risk. To ensure the efficacy of medicines is not compromised, the home must start recording the temperature of the room and or area where medicines are stored. To minimise cross infections, sluice rooms must be provided with hand wash facilities. Comments from comment card respondents for how the service could be improved included "ongoing training is important for areas including addressing challenging behaviours and understanding person centred care in dementia"; "I would like to be able to get into the garden more" and "there seems to be very little evidence of any extra curricular activities".

CARE HOMES FOR OLDER PEOPLE Haslington Residential Home Cobham Terrace, Bean Road Greenhithe Kent DA9 9JB Lead Inspector Elizabeth Baker Key Unannounced Inspection 24th September 2007 09:45 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 Haslington Residential Home DS0000031967.V348570.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. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haslington Residential Home Address Cobham Terrace, Bean Road Greenhithe Kent DA9 9JB 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) 01322 383229 01322 380556 haslingtonhome@aol.com Mrs Carol Anne Jansz Mr Edward Raphael Jansz Frances Maynard Care Home 46 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Dementia - over 65 years of age (DE(E) The maximum number of service users to be accommodated is 46. Date of last inspection 26th June 2006 Brief Description of the Service: Haslington Residential Home provides residential accommodation for up to 46 older people with dementia requiring personal care. Following the completion of a major extension and refurbishment of the original building there are now 46 single bedrooms, of which 32 have en-suite facilities. Bedrooms are situated on the ground, first and second floors with access assisted by two passenger lifts. All rooms used by residents are connected to the nurse call alarm system. Each floor has sitting and dining facilities. The home has a range of communal WCs, bath and shower (wet) rooms. The home is staffed 24 hours, including four awake staff at night. The home is located near to the Bluewater shopping complex. Rail and bus services operate nearby. Residents, visitors and staff have access to newly landscaped terraces. On and off site car parking is available. A copy of the latest inspection report is kept in the dining room on the 2nd floor. Current fees range from £410.82 to £546.00 per week. Additional charges are payable for chiropody, hairdressing, toiletries, individual newspapers, dry cleaning, some external activities, escorting to hospital outpatient appointments and special equipment. Current activities include musical bingo, seasonal planting, quizzes, sing-a-longs, bowls and trips to Bluewater for coffee. A monthly religious service also takes place. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first key unannounced visit to the home for the inspection period 2007/08. Allocated inspector Elizabeth Baker carried out the visit on 24 September 2007. The visit lasted almost eight hours. As well as briefly touring the premises, the visit consisted of talking with some residents and staff. One resident, two visitors and three members of staff were interviewed in private. Verbal feedback of the visit was provided to the home manager during and at the end of the visit. At the time of compiling the report, in support of the visit, the Commission received survey forms about the service from five residents, two healthcare professionals, one care manager and four relatives/advocates. At the Commission’s request the home manager completed and returned the home’s first Annual Quality Assurance Assessment (AQAA). Some of the information gathered from these sources has been incorporated into the report. At the time of the visit 41 residents with varying stages of dementia, requiring personal care, were residing at the home. The Commission has not received any complaints about the service. What the service does well: What has improved since the last inspection? Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 6 There were no requirements or recommendations made following the last visit. This was the inspector’s first inspection visit to the home so it was difficult to establish. However the environmental changes are now complete, providing residents with better facilities. Staffing levels have increased to reflect the increased numbers of residents now residing at the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Haslington Residential Home DS0000031967.V348570.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 Haslington Residential Home DS0000031967.V348570.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5 and 6. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. The pre admission process ensures prospective residents are properly assessed prior to a decision of admission being made. EVIDENCE: Following the completion of the extension, the provider has updated and published a new Statement of Purpose and Service User Guide. However it was noted that the documents inferred the provider of the home to be Haslington Healthcare Limited. However according to the latest information held by the Commission the registered providers are Mrs C A and Mr E R Jansz. The providers are now requested to make contact with the South East Regional Registration Team so that the matter can be clarified. Generally the home manager or a director visit prospective residents in their current place of occupation to determine whether the home is suitable to meet their assessed needs. Not all prospective residents are able to visit the home prior to admission. Where this is the case, their relatives or advocates do so Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 9 on their behalf. Information is also sought from other agencies, where a sponsor is involved in the placement. The home does not provide nursing care. However were the assessed needs of residents determine there has been a change in a resident’s condition, the home assists residents in transferring to more appropriate homes. The home is not registered for intermediate care. Standard 6 is not applicable. Haslington Residential Home DS0000031967.V348570.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Residents who use the service experience adequate outcomes. This judgement has been made using a range of evidence including a site visit to this service. The health and personal care needs of residents are generally met with evidence of multi-disciplinary working taking place when required. However documentation in support of this is somewhat lacking, preventing a coherent picture and potentially placing some residents at risk. EVIDENCE: A number of care records were inspected. The records include a combined Long Term Needs Assessment and Care Plan; daily progress notes and a number of supporting charts and risk assessments. Although not all care plans evidenced they had been completed with input from the resident and or their advocate, the home manager is endeavouring to obtain this, where it is appropriate. The combined Long Term Needs Assessment and Care Plans had been signed and dated as evidence of review. However the current format does not promote a meaningful re-assessment of the original assessed needs. Short term individual care plan components are used where significant changes in the residents’ condition requires more detailed information for staff guidance. However where pain relief was a need for a particular resident, it was difficult to establish from the care records whether the resident actually Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 11 suffered with pain and if so the site of the pain. There was no pain management care plan component or chart to assess and or monitor the treatment. The resident’s corresponding medication administration record (MAR) chart indicated the resident had been prescribed regular dose analgesia. However the prescriber’s dose had been changed. There was no recorded evidence of who made the change, the date of the initial change or indeed on whose authority the change was made. The resident requires special pressure relieving equipment. Indeed this has been provided. However the resident was prevented from using the special seat cushion because of another resident’s behaviour. Although the staff are fully aware of the situation and have attempted to address the matter, it has not been satisfactorily resolved, placing the resident at further risk. The resident’s care records had contradictory instructions for the frequency of night turns. For another resident with significant behaviour problems, comprehensive information of the problem and the action to be taken to address it had been recorded on a risk assessment. In another record details of a concern raised by a relative with the request that the GP be contacted was recorded. However there was no recorded evidence whether this had been done or not. Care records contained moving and handling assessments. However for a newly admitted respite resident the form was blank. Whilst recognising the resident had not been in the home long, recorded guidance should have been available for staff in the event of the resident having a fall. Daily progress notes are maintained and generally contained a mix of quality of day experiences. The home has a designated room for the safe and hygienic storage of medicines and other associated sundries. The room was warm on entering. It has not been the home’s practice to monitor the temperature of the room and record details. Doing this should ensure medicines are stored in accordance with manufacturers instructions. Although it was established that a domestic takes the temperature of the fridge which is used to store medicines, there was no available records to see whether medicines requiring refrigeration were being stored in accordance with manufacturers’ instructions either. Limited life eye drops were in use. However there was no date on the item when the course had actually commenced. A review of some MAR charts indicated that not all handwritten transcription entries are signed or countersigned by a witness. The home manager may find some useful information about medicine management on the Commission’s website – www.csi.org.uk. The records inspected contained varying degrees of social and biographical information. To assist the home in developing this, new documents – Our Story, Our Life, have been acquired. The home is now in the process of getting these completed with input from residents and relatives/advocates. The feedback so far has proved positive. Residents were dressed and presented to the level of detail, which is obviously important to them. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 12 Residents can have a telephone installed in their bedrooms if that is their wish. A cordless phone is available for residents to make or receive calls. This would be done in the privacy of their rooms. However the home’s service user guide does not refer to telephone calls. During the visit a resident was of the opinion that they could not receive or make calls. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13, 14 and 15. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Meals offer choice and variety and residents are supported in attaining their lifestyle preferences. EVIDENCE: Arrangements are made for residents to take part in activities, socialise with others and to be as independent as possible. Visitors are welcomed at the home at any time and are offered refreshments. Special teas are arranged for celebratory purposes. To supplement the in-house activities, motivation sessions facilitated by external providers are held on a fortnightly basis. Residents can choose where to spend their time and whilst the majority were up and about during the visit, others were seen resting in their rooms watching the TV or listening to the radio. The home provides a number of national newspapers on a daily basis and many residents were seen reading these. A religious service takes place at the home on a monthly basis, as this is important to some residents. A number of residents attend a day centre in the community and transport is arranged to take them there and back. Residents are able to choose to eat their meals in the privacy of their rooms or in the dining facilities provided on each floor. Daily menu choices are available. To assist residents in making an informed choice, staff either offer plated choices to some residents, while other more able residents choose Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 14 directly from serving dishes. This is good practice. Over time the home has attempted to improve its menus. Finger foods have been introduced for certain residents whose condition indicates this would be a better method of encouraging them to eat sufficient amounts of food. Specialist input is obtained from dietitians and speech and language therapists, where eating and or swallowing becomes a problem. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents and or their advocates know their complaints and concerns will be listened to and acted upon. EVIDENCE: The home’s complaints procedure is displayed in the entrance vestibule. A copy is also included in the Statement of Purpose and Service User Guide, which all residents and or their advocates are provided with. A complaints book is maintained. Visitors and a resident spoken with clearly knew the action they would take if they were not happy about any aspect of care. The training matrix provided at the visit did not include details of staff having received adult abuse/protection training. However staff members interviewed were clear about what they would do if they had a suspicion of abuse. The home has a copy of the County’s multi agency adult protection policies and procedures, and has made its own referrals where it was considered in the best interests of the residents. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Recent investment has significantly improved this home creating a comfortable and homely environment for those living there and visiting. EVIDENCE: Since the last visit the home been extended and upgraded. All bedrooms are for single occupancy with just under two thirds now having en-suite facilities. Handrails are fitted in corridors to promote residents’ independence in walking around the home. To make best use of outside space, all floors have access to terraces, which have been designed with the elderly infirm in mind. An external ground level area is being re-designed into a sensory courtyard for residents to enjoy and benefit from. To assist residents in accessing toilets, doors have been painted in primary colours. A picture of relevance to the individual resident, as well as their name, is conspicuously displayed on their bedroom doors, helping them to return to their rooms. A representative of Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 17 the local council carried out an inspection of the kitchen and servery areas. Some legal requirements and recommendations were made. The home manager said all the matters had been put right. An officer of Kent Fire and Rescue Service carried out a fire safety inspection and this identified some matters putting right. The home manager said the work has now been done. The home was warm, clean, tidy and apart from one area mostly odour free. Staff should be complimented on this. The onsite laundry is suitably equipped to do the home’s washing as well as residents’ personal clothes. The home has two designated sluice rooms. However it was identified on this visit that neither had soap or paper towel facilities and one did not have a hand wash sink. To maximise infection control practices, sluice rooms should be fitted with facilities for staff to effectively wash their hands. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Residents who use the service experience adequate outcomes. This judgement has been made using a range of evidence including a site visit to this service. Staff morale is high resulting in an enthusiastic workforce that works positively with residents to improve their whole quality of life. However residents could be potentially at risk because robust vetting checks are not always carried out. EVIDENCE: In addition to care staff, staff are employed for cooking, activities, cleaning and maintenance. Staff rotas are maintained and demonstrate the home is staffed 24 hours a day. To coincide with the increased bed numbers, the home manager strives to ensure that seven carers are on duty mornings and afternoons, with four awake carers on duty at night. Staff were seen interacting with residents and carrying out their duties in an unhurried manner. The returned AQAA indicates that 52 of care staff are now trained to NVQ level II care or above and a number of staff are now working towards this. The training matrix supplied at the visit indicates that since the last visit, some staff have received training in subjects including food hygiene, first aid, dementia, moving and handling and medication. Two staff files were inspected. Although there was evidence that application forms had been completed, references sought and vetting checks made, two references had been accepted from the same referee for one of the applicants. One of the references was addressed “to whom it may concern”. Accepting this type of reference is poor practice. The inspection also identified that the Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 19 application form currently in use requires the applicant to state 10 years employment history. Regulation now requires that full employment histories must be stated and any gaps investigated. The Commission’s InFocus publications Safe and sound? – checking the suitability of new care staff in regulated social care services (June 2006) and Better safe than sorry – Improving the system that safeguards adults living in care homes (November 2006) are available from the Commission’s website. These may assist the home manager in developing the home’s recruitment practices further. Prior to an offer of employment, prospective staff are invited to spend time at the home to meet with residents and talk with staff. This is good practice as it helps to see whether or not they would be suitable in working at this home, particularly if dementia care is new to them. To improve the home’s induction programme, the Skills for Care model is now being introduced. This should equip new staff in understanding and meeting the personal care needs of residents. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents benefit from a well run home. The manager has a good understanding of what needs to be done to improve the service further. EVIDENCE: Since the last visit, the home has a new registered manager. The manager has been involved in caring for older people for the past 15 years; the majority of these working at the home as a carer, night co-ordinator and deputy manager. The manager has successfully completed NVQ Level 4 Care and the Registered Managers Award. Staff, visitors and residents spoke positively about the manager being open, approachable and supportive. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 21 Residents and or relatives meetings do not routinely take place. However the home endeavours to obtain the views and opinions of them by way of twice yearly satisfaction surveys. This includes seeking the views of health and social care professionals. The results of the surveys are analysed and made available. Staff meetings take place and care staff receive regular supervision of their practice and performance. The home’s AQAA indicated policies and procedures are regularly reviewed. The AQAA also indicated that other than the testing of portable electrical equipment, regular servicing and checking of the home’s equipment takes place. To address the issue the home has now obtained a special device and the maintenance man will commence on checking electrical appliances soon. The home maintains small amounts of monies on behalf of some residents. Records and receipts are kept of all transactions. Where monies are held, these are kept individually. To assist staff in safely moving and or transferring residents, the home has a range of equipment, including belts, sliding sheets and turntables. For lifting somebody off the floor, a new device known as an Elk Cushion has been acquired. The manager said this has resulted in residents’ anxieties being greatly reduced if there is a need to lift a resident off the floor. Although prevention of falls assessments were not seen on this visit, the home does make referrals to the falls clinic in the local area, when there is an assessed need. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 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 X 18 3 3 X X X X X X 2 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 X X 3 Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 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 OP7 Regulation 15 Requirement Care plans must be reflective of all assessed needs, problems and support, with details of how this will be addressed to reach the ultimate goal. Medicines must be stored in accordance with manufacturer’s instructions. Medicines must be administered as per the prescriber’s instructions. Hand washing facilities must be provided in sluice rooms Two references from different sources must be obtained; The acceptance of “to whom it may concern” references must cease. Full employment histories must be obtained and any gaps identified fully explored. Timescale for action 31/12/07 2 3 4 5 OP9 OP9 OP26 OP29 13(2) 13(2) 13(3) 19 15/10/07 30/09/07 31/12/07 31/10/07 6 OP29 19(1)(b) Sch 2, para 6 31/10/07 Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 24 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 Refer to Standard OP7 OP8 OP9 OP18 Good Practice Recommendations Moving and handling assessments must be available for all residents, including those receiving respite care It is strongly recommended that pain management assessments are used to monitor the effectiveness of treatment plans It is strongly recommended that handwritten changes or transcriptions entries on MAR charts are signed by the transcriber and countersigned by a witness All care staff should receive adult protection training to reflect the County’s procedures. Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Haslington Residential Home DS0000031967.V348570.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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