CARE HOMES FOR OLDER PEOPLE
Haven Lea Residential Care Home Shaw Lane Prescot Knowsley Merseyside L35 5BS Lead Inspector
Mrs Joanne Revie Unannounced Inspection 8th March 2007 11:00 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 Haven Lea Residential Care Home DS0000021472.V315887.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. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Haven Lea Residential Care Home Address Shaw Lane Prescot Knowsley Merseyside L35 5BS 0151-430-8434 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) misslbrown@hotmail.com York Valley Limited Mrs Linda Brown Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (2), Physical disability of places over 65 years of age (30) Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service Users to Include up to 30 (OP) and up to 30 (PD (E)) Service users in category of physical disability must be at least 55 years of age Date of last inspection Brief Description of the Service: Haven Lea is a purpose built home which provides personal care to thirty Older People. It is registered to provide care to service users who have physical disabilities. It is owned by a company called York Valley ltd. Accommodation is on two floors. It has its own private garden and is situated close to Whiston hospital. Public transport links are good therefore it is easy to reach. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The visit was unannounced and took place over 5 hours. During the visit discussions were held with four residents, two members of staff, the deputy manager and the manager of the service. Five completed residents questionnaires were also received. Comments from all of these groups are reflected in the summary section of the report. The environment of the home was viewed along with a sample selection of bedrooms, and bathrooms. A variety of records were also viewed. Information relating to these areas can be found within the evidence section of the report. The home charges between £327.00 - £ 336.00 pounds per week. Some charges are made for extras and interested parties should seek advice from the Home Manager regarding these. What the service does well:
The service tries to prepare for residents care as much as possible before admission takes place. Residents believe that staff are very supportive during this time. One resident commented, “ I came in fear and trembling- you hear such bad press about these places on the tele, but I was agreeably surprised- its very nice!” The home has a stable staff team with many staff working at the home for some time. This means that residents receive care from staff that know them well. The majority of staff have achieved a recognised qualification in care. One resident commented that “ Oh yes they know what they’re doing alright” Residents also commented “ The minute I ring that bell they arrive” Another stated, “There are four carers in particular who are absolutely marvellous but they’re all gems really”. The manager has worked at the home for many years and is well known to residents and their families. One resident commented that “She’s a marvellous woman- nothing is beyond her” Residents are supported to make choices, which affect everyday life. One resident commented “I can get up when I want and go to bed when I want- I enjoy a whisky in the evening then the staff help me to bed”. A choice of nutritional meals is offered to the residents every day. One resident commented that “ We get good food, the cook tries very hard to please- I like the food it’s not bad at all”.
Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 6 The home has a large communal lounge, a separate dining room and a small conservatory. These are all comfortably furnished. The home is clean and warm and residents are encouraged to make their bedrooms their own by furnishing them with personal effects. One resident commented that “ I like my room, It s not big but I have everything I want, and how I want it”. What has improved since the last inspection? What they could do better:
Staff rely strongly on verbal communication, as staff know residents and each other well. This means that many written records contain little or no detail regarding the residents needs, likes and dislikes. This must be addressed, as record keeping with the home is generally quite poor. Written records act as important evidence to show that residents have received the correct care and support that they require. Medicine management within the home needs some further development. Generally medications are managed safely however some good practise issues such as monitoring the temperature of the storage room and demonstrating the “ give as required” medications have been offered should be addressed. The deputy manager monitors this area but does not keep any records to demonstrate this process or any action taken if discrepancies are found. This should be addressed as part of the overall need for clear record keeping within the home.
Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 7 The provision of activities has reduced since the last inspection. One resident stated, “the staff are great but I’m so bored”. Residents must be consulted about how they wish to spend their day and then supported to undertake the activities that they have chosen. Recording of complaints and concerns is another area within record keeping that needs addressing. The volume of complaints and concerns is very low at the home never the less the manager should consider recording all concerns no matter how small to demonstrate that residents and relatives concerns are being listened to and acted on. Another weak area of record keeping was identified regarding the induction undertaken by new staff when they start work at the home. Both the manager and the deputy manager explained the process that new staff follow but no records were available in staff files to demonstrate this. Generally the home is clean, warm and reasonably maintained however some concerns were noted as follows: Attempts have been made to tile part of the wall in the sluice room. However water was still splashing on to the wall causing the paint to bubble and the underneath plaster to be exposed and damp. This could pose a risk of infection due to the purpose of the room and must be addressed. A ground floor toilet was viewed which staff explained was a single sex toilet. The floor to this room was stained and the room had an unpleasant smell. This must also be addressed. Some action needs to be taken to reduce the risk of fire occurring in the building. In particular staff must explore the use of Door guards for those residents who wish to keep their bedroom door open and staff must refrain from blocking fire escape routes with bulky items, which would prevent the escape route from being used if a fire occurred. Staff within the home undertake mandatory training to ensure residents health and safety needs are met. However training should be sourced on specific topics, which match the resident’s needs. E.g. management of diabetes. This would demonstrate that the home tries to provide individualised care and that staff have the skills to provide this care. 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. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service ensures that as much information is gathered as possible before a resident is admitted to the home. EVIDENCE: The home does not provide intermediate care therefore standard 6 was not assessed. Three care plans were viewed. Two were for residents who had been admitted to the home quickly due to urgent circumstances. All plans contained full assessments by other health care professionals or the manager as appropriate. One resident spoken with stated that moving into the home had been much easier than expected and that the staff had been very welcoming. Haven Lea Residential Care Home DS0000021472.V315887.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): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff meet residents health care needs and residents believe they are well cared for. Staff are respectful towards residents and maintain their dignity. Medications are managed safely however the record keeping for resident’s needs and medication is poor. EVIDENCE: Three care plans were viewed. One showed that a resident had been admitted close to Christmas 06. No care plan was in place detailing this residents needs. The other two plans viewed contained all the required documentation however much of this information had not been reviewed for some time and in some case this was greater than six months. The manager explained that staff were responsible for reviewing the plans and that they had been reminded of this responsibility. Staff approached the inspector during the visit and apologised for this oversight.
Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 11 Viewing daily records within the plans revealed that staff are more likely to write findings and outcomes as they occur on a daily basis rather than identifying needs and developing a plan of care. Staff had recorded that one resident’s health needs had deteriorated in their opinion. There was no further reference to this opinion until several months later when the same comment had been recorded again. The deputy manager was able to demonstrate that senior staff were aware of this staff members opinion and the actions that had been taken to investigate this. However no records were available to support these views. Five questionnaires received stated that these residents believed that they always received good care from the staff. Discussions were held with three residents who also supported this view. Within the care plans information was available to show that outside health care professionals such GPs, district nurses, chiropodists, nationalists visited the service at the request of staff. Records viewed showed that residents are regularly weighed and that action is taken should a change in residents needs occur. Medication systems and records were viewed. The home has lockable storage, which ensures medicines are stored safely. The service has implemented self-medication risk assessments for those residents who wish to self medicate, however during a discussion with the deputy manager it became evident that one particular self-assessment record was out of date. The medication administration records showed that staff sign to show that medication that is prescribed to be given regularly is administered regularly but not to show the “ give when required” medication has been offered to the resident at each medicine round. The deputy manager confirmed that she undertakes medications audits however no written records were available to support this. Viewing the medication fridge showed that staff understand which stock needs to be kept cold and that eye drops etc are being dated on opening. Records viewed showed that the temperature of the fridge is recorded daily but no records were available to show that staff are recording the temperature of the room that the medicines cupboards are within. During the visit all residents met with appeared very well presented. Staff were observed knocking on bedroom doors. Two residents spoken with confirmed that they believed that staff respect their privacy and dignity. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The provision of weekly activities is not enough for some residents or for a home this size. Residents are supported to go out with their family and visitors are welcome at the home. Residents are supported to make everyday decisions and choices. Residents are provided with a choice of nutritional meals, which they enjoy. EVIDENCE: An activities rota was not on display at the time of the visit. Three care plans viewed did not contain any social information regarding how residents liked to spend their time. Activities records viewed for February showed that communion and a visit from the hairdresser had occurred. A game of bingo had taken place and a resident had been supported to take part in a T.V. documentary. Two residents spoken with complained that there was nothing to do. Another resident spoken with stated that the lack of activities didn’t bother her as she enjoyed knitting. Another resident stated that they preferred
Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 13 listening to music in their room rather than group activities. The manager stated that the provision of activities had decreased compared to what it was. A minibus with the homes logo was parked at the front of the home. Activities records viewed showed that residents had attended a pantomime in January. The manager explained that trips would be occurring again as soon as the weather became warmer. Records showed that a resident had been supported to take part in a TV documentary. Other residents have been supported to go out with close family. The manager stated that one resident is supported to attend church each week and that visitors come and give communion within the home. Viewing the visitor’s book supported this statement and also showed that visitors arrive at a variety of times during the day. Since the last inspection the cook has been discussing the forthcoming meal with each of the residents to enable them to make an informed choice. Three residents spoken with agreed that they went to bed and rose when they wished and always chose what they wanted to wear that day. The lunchtime meal was observed. This was served in an unhurried manner and was attractively presented. Residents were encouraged to sit at tables that were set with tablecloths, sprig vases and condiments. A menu board was displayed which had photographs of the next meal. Staff were observed to support residents appropriately. Menus were viewed which showed that a variety of nutritional food is offered. A board was viewed which the cook takes with her as she discusses choices with each resident prior to meal times. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know how to complain and believe their concerns will be listened to. Staff have the skills to protect the residents from abuse. EVIDENCE: A simplified version of the homes complaints procedure was displayed by the front door of the home. The full complaints procedure was displayed at various other points around the home. Three residents spoken with knew who to complain to and agreed that they believed action would be taken. No complaints have been made to CSCI since the last inspection. A complaints log is kept in the office but this was empty as the manager stated that no complaints had been made to the home. A discussion took place with the manager around documenting all concerns however small. A number of staff files were viewed (5) which contained evidence of protection of vulnerable adult training. Copies of the local authorities guidelines were available in the office. A copy of a whistle blowing policy and Abuse awareness policy was also available for viewing. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home presents as having clean, comfortable communal and bedroom areas. Resident’s bedrooms are personal to their needs Some other areas of the home require attention to reduce the risk of infection occurring. Malodourous smells need to be eliminated. EVIDENCE: A tour of the environment was undertaken and this included sample viewing some bedrooms, bathrooms and toilets. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 16 All communal areas were found to be clean tidy and appeared comfortably furnished. The home has a terrace area, which has been furnished with garden furniture for the residents use. A selection of bedrooms were viewed. These were personal to the occupant and were furnished with personal possessions. The manager and deputy explained that a rolling programme of refurbishment is commencing in the near future for all bedrooms within the home. The laundry was viewed. This is very small for the size of the home and consequently staff are unable to clearly separate dirty laundry from clean laundry in line with current good practise. This has been an ongoing issue for some years. The owner is planning to extend the home to include the provision of a new laundry room to address this problem. During the visit the laundry room was found to be clean tidy and organised . Attempts have been made to tile part of the wall in the sluice room. However water was still splashing on to the wall causing the paint to bubble and the underneath plaster to be exposed and damp. This could pose a risk of infection due to the purpose of the room. A ground floor toilet was viewed which staff explained was a single sex toilet. The floor was stained and the room had an unpleasant smell. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. 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. The home is staffed consistently with the majority of staff having worked at the home for some time. Checks are undertaken to ensure staff are suitable to work at the home. New staff are supported to undertake induction training outside the home Staff have the skills and knowledge to provide care for the residents, but these do not include formal training on subjects, which are relevant to residents individual health needs. EVIDENCE: Copies of off duty viewed showed that the home is staffed consistently with 5 staff every morning, 4 every afternoon and evening and two staff over night. The deputy manager and manager take charge of a shift and are supernumerary to these staffing levels. A discussion with the manger and viewing of staff files revealed that with the exception of three staff all have achieved a national vocational qualification in care. These three staff were undertaking training to complete the award at the time of the visit. Five staff files were viewed including one for a recent new member of staff. All necessary checks in line with the care home regulations 2001 had been undertaken. However discussions with the manager and the deputy manager
Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 18 revealed that new staff receive a basic induction to the home but this process is not recorded. Files and discussions with the manager and deputy revealed that all staff also undertake induction standards training outside the home. The staff files viewed revealed that staff have undertaken mandatory training to ensure residents are safe (i.e. manual handling, food hygiene, first aid etc.) The manager explained that plans are being developed to revisit first aid training as this is becoming outdated. Some staff have undertaken Dementia Care training and the manager plans to source further training on this subject for other staff within the home. No plans are in place to develop specialist training for the staff in line with residents needs. E.g. management of diabetes, Parkinson’s disease etc. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management structure supports staff and residents within the home. Residents are consulted about their views of the home but action is not always taken on this information. Personal allowances are managed safely. Staff are not as Fire safety conscious, as they should be. EVIDENCE: The manager has worked at the home for many years. She is registered with CSCI to be the manager of the home. The manager is undertaking the registered managers award qualification. All residents spoken with commented positively on her ability to manage the service. The service also employs a
Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 20 deputy manager who works opposite the manager. This means that more often than not a senior manager is available and in charge of the running of the home. These two senior staff are on call for night staff and weekend staff at the home. Since the last inspection meetings have been developed for residents within the home. Minutes were viewed and a discussion was held with the manager. Two residents confirmed that they had enjoyed attending the meeting. The manager explained that questionnaires are also sent out to resident’s seeking their views of the service. These were viewed however the manager also confirmed that this information is not compiled into a report nor is an action plan developed. During the tour of the home a bed was found to be being stored temporarily in the ground floor stairwell, which was obstructing a fire escape. The deputy manager explained that this had been stored there as a specialised bed had been on loan and used for one of the residents within the home. One resident requests to have their bedroom door wedged open. Staff obliged this request and the door was wedged open during the visit. The fire risk attached to this practise was discussed with the manager and advice was given regarding sourcing a door guard for the bedroom door. No other Health and Safety concerns were identified during the tour. Records were viewed which showed that staff have been undertaking practise fire drills 3 to 6 monthly. Records were present, viewed and current to show all fire safety equipment within the building is regularly serviced. The cook has been provided with a copy of “ safer food, better business” which is provided by the local council and promotes good practise. This was viewed. The Gas safety check is due to be carried out in the very near future (end of march 07) and the manager explained that plans have been developed to address this. Portable electrical appliance testing has taken place and is current and the service has a NICEIC certificate to show that the electrical supply is safe. As stated in the section relating to staff training staff have had training on mandatory subjects to enable them to promote the residents health and safety. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 22 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. - 1,2 Requirement Each resident must have an up to date care plan, which clearly reflects the care that they need. These records must be kept under review and updated as part of that review when residents needs change. This will reduce the risk of a resident receiving the wrong care as staff will have clear written instructions to follow Consultation with residents regarding the provision of activities must take place and Activities must be offered as regularly as resident’s wish. Care plan documentation must be developed to include the personal choices of how residents wish to spend their time. This will enable residents to spend their time in a fulfilling way. An activities rota must be displayed so that residents are aware of what the activities on offer will be. Action must be taken concerning the damp plaster in the sluice room. This will ensure that the
DS0000021472.V315887.R01.S.doc Timescale for action 30/06/07 2 OP12 16. - 2 m n 30/06/07 3 OP19 23. - 2 b 30/04/07 Haven Lea Residential Care Home Version 5.2 Page 23 4 OP26 16. - 2 k 5 OP29 18. - 1 a, ci 6 OP38 13. -4 a, risk of infection occurring is reduced which promotes residents health and welfare. Action must be taken to address the unhygienic flooring in the ground floor single sex toilet and for the malodorous smell to be eradicated. All in house induction training must be recorded to demonstrate what subjects were discussed and when this training occurred. This will show that staff have had basic training to promote residents health and welfare. Staff must receive training to understand the importance of keeping fire exits free from storage, and that bedroom doors must not be wedged open. Alternative safe methods of holding doors open need to be implimented. This will help to ensure that residents live in a safe home. 30/04/07 30/04/07 01/04/07 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 Staff should sign medication administration records to show that “ give as required medications” are being regularly offered to the residents. This will ensure that residents are receiving medication, as they require it. The deputy manager should ensure that medication audits are recorded. This should include any action taken if discrepancies are found. This will show that senior management are ensuring that residents are receiving the correct amounts of medication at the right time and in the
DS0000021472.V315887.R01.S.doc Version 5.2 Page 24 2. OP9 Haven Lea Residential Care Home 3. OP9 4. OP12 5. OP18 6 OP30 7 OP33 right way. Staff should record the temperature of the room that medication is stored in to show that medicines are being stored at less than 25 degrees (i.e. at room temperature). Staff need to be aware that some medications no longer have the desired effect if stored at the wrong temperature. The manager should ensure that regular trips out are offered following consultation with the residents. This will ensure that residents are offered the opportunity to be part of the local community. The manager should record all concerns (however small) as complaints and record actions taken including the timescale for completion. This will provide an audit trail for the manager to follow should further concerns arise and provide written evidence to prove that the manager and staff are responding to residents and relatives concerns. The manager should consider sourcing training according to residents individual needs. This will demonstrate that the service is focused on providing individualised care and support. The manager should follow through her intention to develop the information gathered form surveys into a report and an action plan. This can then be distributed to residents and relatives to show them that their opinion is listened to and acted on. Haven Lea Residential Care Home DS0000021472.V315887.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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
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