Inspection on 05/07/07 for Heathercroft Care Home

This inspection was carried out on 5th July 2007.

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

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

Other inspections for this house

Heathercroft Care Home 28/06/06

Heathercroft Care Home 11/11/05

Heathercroft Care Home 21/04/05

Heathercroft Care Home 07/10/04

Heathercroft Care Home 29/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Heathercroft Care Home Heathercroft Care Home Longbarn Lane Woolston Warrington Cheshire WA1 4QB Lead Inspector Anthony Cliffe Unannounced Inspection 09:00 5 and 6th July 2007 th 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 Heathercroft Care Home DS0000059297.V338666.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. Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heathercroft Care Home Address Heathercroft Care Home Longbarn Lane Woolston Warrington Cheshire WA1 4QB 01925 813330 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) tperry@ashberry.net Ashberry Healthcare Limited Ms T Perry Care Home 63 Category(ies) of Old age, not falling within any other category registration, with number (63) of places Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 63 Service Users, within the category of old age (OP) may be accommodated The attached schedule of requirements must be met within the stated timescale 28th June 2006 Date of last inspection Brief Description of the Service: Heathercroft is a purpose built care home set in its own grounds in the Woolston area of Warrington. The home provides nursing and personal care for up to 63 older people. It is on a main bus route and has easy access to local shops, churches and a library. The home has 61 single bedrooms and one double bedroom, all on the ground floor. There is a large main lounge, an activities lounge, a smoking room, and recessed seating areas in some corridors. There is a large dining room and a hairdressing salon. Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 6th and 7th July 2007 and lasted Fifteen hours. A Regulatory Inspector carried out the visit. This visit was just one part of the inspection. Other information received was also looked at. Before the visit the home manager was also asked to complete a questionnaire to provide up to date information about services provided. Questionnaires were provided for residents, families, and health and social care professionals to find out their views. During the visit various records and the premises were looked at. A number of residents and staff were also spoken with and they gave their views about the service. What the service does well: What has improved since the last inspection? The recording of wound management and use of bed rails were supported by personal plans and risk assessments. A system for recording concerns, compliments and complaints had been developed and proved useful in bringing serious concerns to the attention of the manager. Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 6 One side of the building had been redecorated and new flooring laid to give a lighter look to the corridor areas. The manager had been registered and had developed an open and inclusive management style. 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. Heathercroft Care Home DS0000059297.V338666.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 Heathercroft Care Home DS0000059297.V338666.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed prior to moving in so appropriate care can be provided to them. EVIDENCE: Heathercroft accommodates mainly people from the Wolston area of Warrington and is welcoming to anyone from outside the area or with a disability, different ethnic or cultural needs or sexual orientation. The personal plans of two residents that moved into Heathercroft were looked at. The residents had met with the manager, senior nurse or senior care assistant to discuss their care prior to moving in. Information was gathered and this was recorded. This included information on their physical and mental health. Copies of these documents were in the residents’ personal plan. Copies of the social worker’s assessment and care plan were on file from the local council that placed the resident at Heathercroft. The paperwork used to gather information had not changed since 2002. Staff that used the paper work to gather information on residents’ needs said there were no sections to record Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 9 information on the life and family histories of residents in detail and there was insufficient space to write information generally. Residents that had moved into Heathercroft were spoken with and a resident said,” I am diabetic and have visits from the diabetic nurse and my doctor. The staff help me with my insulin four times day and take samples of blood to measure my blood sugar. I used to be able to do it all myself but wouldn’t be safe. I have a carer who I see regularly who helps me to get washed and dressed. I can help with my care and staff encourages me to move from my wheelchair to the armchair and back again. I use it to get about. As I smoke I prefer to spend the day in the smoking room, listen to music and chat”. Another resident said, “I know my two main carers. They help me to have a wash and shave. I dress myself but get the help I need”. Heathercroft Care Home DS0000059297.V338666.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Completed records of care, liaison with health and social care professionals and good medicine management ensures residents’ health and welfare needs are met. EVIDENCE: Three residents’ personal plans were looked at. All had plans of care in place to address health, personal and social care needs. They were reviewed regularly. Two residents had bed rails in use and there were a risk assessments in place for these. Personal plans were in place to monitor residents’ health conditions such as diabetes and contact with the diabetic nurse. Generally reviews of personal plans gave a description of how they supported residents’ needs but there were reviews which recorded ‘care plan no change’ and didn’t provide such detail. Personal plans recorded visits from General Practitioners, diteician, dibaetic nures and continence advisor. A resident said deceisions about his health and safety and personal care had been made but he felt he hadn’t been fully consulted. Staff accepted theses matters should have been discussed with him. They agreed to look at how they could discuss their concerns with him and complete a risk assessment with him. Issues about personal care were Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 11 addressed and his personal plan altered. Staff completing some of the information gathering sections in the personal plan format said it only allowed them to record and report limited information. One section recorded information on where staff did not provide personal care to residents and staff were not sure if it was relevant. Staff said they were keen to improve how they wrote personal plans and how they consulted residents and their families about them. They said the current documents had their limitations. The pre admission assessment was limited to space to write and didn’t include collecting information on residents’ life, work, family and recreational histories. They said they didn’t write care plans to support social activities or risk recording to show how they managed decisions. Staff said they were interested in new ideas on how to gather information and how plans could be written using the residents’ words and ideas about their care. They wanted to write plans about the ‘whole person’. A sample of medicine administration records was examined. There was only one error noted. The manager or senior nurse was completing checks on the administration of medicines and giving a verbal report on this. They were not providing written information on mistakes being found and who was responsible or accountable for them and what action would be taken if serious mistakes were found. In discussion the registered nurses and senior carers said they were going to discuss the idea of reducing the morning medicine round by having once a day items moved to later in the day and not administering medicines during meal times which were busy and caused distractions. These would reduce the incidents of making errors. Heathercroft Care Home DS0000059297.V338666.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are supported in making choices in their lifestyle, but the provision and coordination of social activities and choice of meals needs to improve so they have a varied lifestyle. EVIDENCE: The annual quality assurance assessment received 30th May 2007 recorded the activities coordinator had left and plans for improvement were to recruit a ‘self motivated’ activities coordinator were in progress. The manager recorded in the ‘What we do well’ section that residents were encouraged to keep their routine for the day. Religious observance was arranged and available for those that chooses. A resident had been supported to have a holiday and for a married couple to have private time together. There was an activities programme displayed and a volunteer visited to call bingo and someone came to do an art group every week. There were details of entertainments and entertainers visiting Heathercroft. Residents said they were satisfied with their lifestyle but improvements could be made. A resident said, “I would like to be able to get out more for days out but that’s limited”. Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 13 Another resident said, “I have lived here a year, this is my home, we have a good life. I have made friends and this is my good friend. We spend our day together as we live next door to one another. We both enjoy the bingo but there’s been a lack of someone to do things. Today we’ve no bingo and we normally have it three times a week. You see so much change in the old ones when there’s something going on. We have a party every month and music regularly. A man visits and plays his guitar we had a great sing song. I would like more to do during the day and more days out. Another resident talked about the activities coordinators role being vacant and said, “It has taken three months to replace her and the new one has not started yet. We have organised activities, on Mondays we have art but we need more to do”. In the annual quality assurance section ‘Evidence of what we do well’ the manager had written that visitors appreciated flexible visiting times throughout the day and residents formed good relationships. Visitors were seen visiting throughout the day especially at mealtimes. Visitors said they could assist their relative at mealtimes. A visitor said she visited her mother at meal times and brought lunch for resident who she had formed friendships with. She said she brought chips from the chip shop and they ate together. Another family that visited regularly said they visited at mealtimes and could bring meals in for their relative. The annual quality assurance assessment recorded that as a result of listening to residents a new food supplier was found and the chef would continue to introduce more exciting menus. Residents said they enjoyed the meals but the menu lacked variety and they were not consulted about choices available on the menu. A resident said, “I enjoy the meals but I’m not sure what’s for lunch. The breakfast is great you can always have a cooked one. The only thing I don’t like is there’s too much soup and sandwiches”. Another resident said, “The meals are not of a great variety. I enjoy curries but we don’t have them”. Another resident said, “Overall the food is very good, some days I would say it’s like a restaurant, other days not. I would like more variety. As I know it’s Friday we get fish and chips. There’s too much soup and sandwiches. I’m having my fish steamed in parsley sauce as I don’t like batter”. Heathercroft Care Home DS0000059297.V338666.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and concerns are acted on to demonstrate they are taken seriously. An informed staff group and manager protect residents from abuse. EVIDENCE: Since the last site the complaints procedure had been revised to a concerns, compliments and complaints procedure. Residents spoken to were aware of this and said the forms were located in the front entrance. The manager kept copies of concerns raised, compliments given and complaints received. The manager had dealt with complaints made and recorded when complaints were agreed with and an apology had been made. During the site visit the owner supported the manager in dealing with a concern raised and agreed to resolve the matter. The manager had made a referral to the local council under the protection of vulnerable adults. Heathercroft cooperated with the local council and suspended a staff member. The allegation was made using the amended complaints procedure and helped a resident to speak out about their concerns. A resident said of the amended procedure, “We are listened to and there are cards you can fill in for you to say what you think. The problem is that we don’t always say what we want we don’t open our mouths. It’s not that I’m unhappy as I’m not it’s I just want some things to change. It’s my responsibility and I’m confident if I ask the manager she will do something”. Heathercroft Care Home DS0000059297.V338666.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable environment, which is equipped to meet their needs but the maintenance of the décor and completion of alterations needs to progress so the environment meets residents’ expectations. EVIDENCE: A side had been redecorated and the floor replaced in a non-permeable wood affect covering. The décor was light and gave a much brighter appearance to the corridor areas. There were no odours noted and the proprietor and staff said odour control was much easier. Side B had not been redecorated or the floor replaced and there was a marked contrast in both the light and odour in this area. The proprietor gave a commitment that side B would be redecorated and the floor replaced. He said, “I will continue to invest in making the environment better so it’s more comfortable. I can see the benefit of the work we have done in replacing the floor in one side of the building and redecorating. There are no odours and the building is much lighter in appearance. The housekeepers find it easier to clean. I want to make the environment better for the residents that live here; I’m not interested in Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 16 chasing star ratings from the CSCI but providing the best standards for these residents. All the work that we have started and have had to suspend because of contractor problems will be sorted out starting next week when we will have builders on site”. Work on the smoking room was unfinished. Walls had to be moved to make a larger office and a new fire door fitted. The proprietor gave an assurance the work would be completed within the next few weeks. Residents expressed dissatisfaction with the work being incomplete a resident said, “I’m not particularly happy the smoking room alterations are not finished. We were told contractors would be coming into finish the job but nothing’s happened. So we’re left with the sound of the call system making you jump when it goes off as the speakers are now in the smoking room. Also with all the glass you feel like you’re sitting in a fish bowl. I want to know when it’s going to be finished”. The home was clean and tidy at the time of the inspection and all residents spoken with said it was always kept clean. Heathercroft Care Home DS0000059297.V338666.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff are adequate to meet residents’ needs. Staff recruitment ensures that residents are protected. The training programme needs to improve to provide a skilled workforce that protects residents’ welfare. EVIDENCE: Staffing levels were appropriate and the manager confirmed that staffing numbers were determined by the dependency of residents and could change. There was a low staff turnover with the core of staff having been established at Heathercroft for a number of years. No agency staff was used. Of the forty one care staff employed only two hold an NVQ level 2 qualification. Nine staff were commencing an NVQ level 2 qualification and another three an NVQ level 3 qualification. Two records of recently employed staff were examined. Staff had commenced employment and one was being supervised through an induction programme, which included training on the protection of vulnerable adults. Staff records contained appropriate identification documentation and completed POVA First and Criminal Record Bureau disclosures. The files had two written references. Files contained copies of the induction programme. Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 18 Staff had been provided with and had completed a variety of training. The local Primary care Trust (PCT) and local council provided this. It included catheter care, using a syringe driver, wound management, fire, medication training, care planning and protection of vulnerable adults as some examples. Four staff was spoken to about training and said training and regular supervision was good with regular training from the local PCT and council. The staff spoken with said they recently had refresher training on the adult protection procedure and were able to discuss what they should do and how to contact the relevant people should an allegation of abuse be made. Heathercroft Care Home DS0000059297.V338666.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a well managed service providing them with safe financial procedures and equipment to meet their needs. Quality assurance of the practices, safety systems and maintenance of the building need to improve to safeguard residents and ensure they are safe. EVIDENCE: The home manager has been registered since the last visit. She was a registered general nurse and was completing the registered manager award. The owner who was present during the site visit gave a commitment to supporting the manager to complete the registered managers’ award. She was previously the deputy manager for a few years. She said of her own personal development, “I am still learning about the role of the manager which is vastly different from when I was the deputy manager here. I have great support from the owner and director of operations. We have a fantastic relationship where she supports me, offers advice and is always there to help. I can ring her Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 20 anytime and ask for her advice. She’s knowledgeable and has done the job before. I have great support from the senior nurses and the registered nurses. The senior care staff are equally important and we pride ourselves that we don’t use agency staff or have a staff turnover. We have a good reputation locally and now have a healthy waiting list. I tell everyone I have an open door policy and I also work on the floor when needed. I involve residents, families and staff in decisions about Heathercroft. I include staff in the management and ask and listen to their ideas. We still have lots of areas to improve upon and I will hold up my hands and say where. If I need something to be done it’s generally done”. Staff said of the manager that she was approachable, honest, and open and someone that asked for and listened to your opinions. A staff member said “ you can ask for her support on anything and get it, training is very good and you can ask for it and be supported”. Another staff member said, “She will tell you when something needs to be said. The management of the home is different. It was good before this manager took over but I always felt we were told how to do our jobs and the manager made all the decisions. This manager is very different she asks our opinions and views and how we would do things. I feel more included and that my experience is valued and I have a say in how things are done. The manager comes and looks at how we do things. For example in February she looked at all the care plans and gave us some written and verbal advice. It was good and it would be useful if she did it more often so we can learn and see where we’re going wrong. We have trained and senior meetings and large staff meetings regularly and we contribute and are asked for our ideas”. There were quality assurance checks in place. A quality assurance survey was completed June 2007 and information from this was not available yet. Concerns, comments and complaints cards were readily available to residents and visitors and recently these provided a useful vehicle for a resident to highlight an allegation of abuse. Medication audits were done on an informal basis by the manager and senior staff but no formal recording of this was made. Health and safety audits were completed by the handyman and reported verbally to the manager but no written feedback was provided other than the records the handyman completed. Falls were monitored monthly and a report compiled. This identified the type and nature of falls and individual trends. Accidents were looked at against those reported and those recorded in daily records. This resulted in staff being given written warnings about the non recording of an accident regarding a resident. Regulation 26 visits for April, May and June 2007 were available. The manager compiles a weekly performance report on the home for the director of operations and the proprietor. Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 21 No personal monies other than personal allowances were held on behalf of residents. Relatives were billed directly for additional services such as chiropody or hairdressing. Residents’ personal allowances were safely secured and records for credits and debits maintained. Information provided by the manager in the annual quality assurance assessment and records held on site were examined. All the required maintenance and health and safety checks of the building and equipment had been completed. Heathercroft Care Home DS0000059297.V338666.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Heathercroft Care Home DS0000059297.V338666.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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations The documents for gathering information and recording residents’ needs should be revised so more varied and detailed information can be gathered to plan person centred care based on residents’ wishes. Reviews of personal plans should be detailed so residents are confident they are receiving the right support and healthcare. Residents, their relatives or representatives should be consulted about their life history, lifestyle and meal preferences so activities are coordinated around their recreational and lifestyle choices and meals of their choice provided. Further investment in NQV level 2 training should be made so a skilled and competent workforce provides high standards of care to residents. The quality assurance system should be reviewed so good practice around the monitoring of medicines, personal care DS0000059297.V338666.R01.S.doc Version 5.2 Page 24 2. 3. OP7 OP12 4. 5. OP28 OP33 Heathercroft Care Home plans and health and safety are incorporated into the quality assurance system so residents will be confident their health and welfare is protected. Heathercroft Care Home DS0000059297.V338666.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 - 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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