Inspection on 10/01/07 for Heathside

This inspection was carried out on 10th January 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.

Other inspections for this house

Heathside 30/01/06

Heathside 03/10/05

Heathside 24/02/05

Heathside 17/08/04

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

CARE HOMES FOR OLDER PEOPLE Heathside Plank Lane Leigh Greater Manchester WN7 4ND Lead Inspector Stuart Horrocks Unannounced Inspection 09:00 10 January 2007 th 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 Heathside DS0000005739.V312819.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. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heathside Address Plank Lane Leigh Greater Manchester WN7 4ND 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) 01942 602328 01942 682937 Wigan Social Services Department ** Post Vacant *** Care Home 32 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (32) of places Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Within the maximum registered number (32), there can be up to 2 service users aged between 60 and 65 in the category of DE. The service should at all times employ a suitable qualified and experienced manager who is registered with the CSCI. Staffing levels are to be calculated in accordance with the Residential Forum Guidance (Older People) by April 2004. 30th January 2006 Date of last inspection Brief Description of the Service: Heathside is owned by Wigan Council and is run by the Social Services Department. The home is purpose built on one level and can accommodate up to 28 older people with dementia care needs and two respite care beds are also available. The home is situated near Leigh town centre, close to local shops and public transport. All of the bedrooms are single with fifteen of these being provided with en-suite facilities. Communal space within the home includes, two dining rooms, three lounges, and a conservatory, all of which are suitably decorated and furnished, and a separate hairdressing room is also available. There are two secure central garden areas that are easily accessible from the main building. The layout of the building allows residents to walk freely and securely around the home. Specific colours have been used in different parts of the home’s walking area, which helps to orientate the residents. A Service User Guide that describes the home’s services is readily available in the home and the staff give other information about the home to new and prospective residents and their families verbally. A copy of the latest inspection report and the home’s Statement of Purpose are also displayed in the home. At the time of writing this report the charge for accommodation and services is £337:24 per week with this being subject to negotiation to allow for individual circumstances. Additional charges are made for hairdressing, preferred toiletries and privately purchased chiropody services. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which included a site visit that was started at 9.00am on the 10th January 2007.It took place over one day and it lasted for eight and a half hours. The time was split between talking to the acting manager and checking records, looking around the home, watching what was happening and talking to residents, a relative and other staff. Three residents, one relative and six staff were spoken with. A completed pre-inspection questionnaire was received along with feedback surveys from residents, relatives and local doctors. Of the surveys sent out four were returned by residents, three by relatives and three by GP’s. The care services (case tracking) provided to three specific residents were used a basis for the process of the inspection. What the service does well: What has improved since the last inspection? Good progress has been made by the manager and the staff to make sure that the things, which needed improving from the last inspection, have been done. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 6 As required various carpets in the home have been replaced and health and safety issues regarding fire protection have been dealt with. 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. Heathside DS0000005739.V312819.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 Heathside DS0000005739.V312819.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): 3. Quality in this outcome area is good. Pre-admission visits, and the initial assessment process, enable all parties, including potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files of the three case tracked residents were checked for the required pre-admission needs assessment information. Such assessments were seen to be in place that demonstrated that the admission procedure was thorough and checking of the above records showed that a full assessment of these residents care needs had been completed prior to their admission to the home. The manager or a senior member of the staff usually visits new residents either at home or in the hospital as a part of the assessment and admission process. Evidence of this was seen in the above checked files. From the above information the home is then able to assess whether these people’s needs can be met and a care plan and a range of other care delivery information is then put together. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 9 Where practical new residents and their families are welcome to visit the home where they can spend some time and meet the residents and the staff. This visiting opportunity is described in the home’s useful and helpful Information Booklet and was also confirmed in discussion with staff. Heathside DS0000005739.V312819.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. Quality in this outcome area is adequate. Proper arrangements are in place that ensures the residents health care needs are monitored and met. Individual care plans are also in place, which were up to date, regularly reviewed and provided the staff with the information needed to give a good standard of care. Although the home’s medication arrangements are on the whole satisfactory some staff need training in the giving out of medicines so that residents can be assured that they will always receive medication as prescribed. Care practices in the home ensure that the residents are treated with respect and their privacy and dignity is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files of the three case tracked residents were looked at. These contained care plans that had been kept up to date monthly as is required. The care plans are properly laid out and they are easy to read and follow. Each plan contained details of health, personal and social care needs for the resident. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 11 All of the above records also showed that the residents weight is also checked regularly. The staff said that they knew each residents needs by reading the care plans, which are readily available to them. The required risk assessments were found to be in place in the above files and they were up to date. Personal care charts were seen to regularly record bath times and water temperatures. Talking to the staff and looking at records showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. All medicines were safely stored and lockable Controlled Drugs storage is also available although none were in use at the time of this inspection. Medicines are provided in pre-filled packs and also in individual containers. Pre-printed prescription/recording sheets also provided. These records were found to be properly completed and to be up to date. The medications supplied are checked in to the home , and medicines returned to the pharmacy are also recorded. Identification photographs of each resident are kept with the medication administration records. The home has a satisfactory medicines policy and procedure that includes guidance for the self-administration of medicines and the use of homely remedies. No resident was dealing with their own medicines at the time of the inspection. Discussion with staff and examination of records showed that not all of the staff who give out medicines have had the necessary training for this task. A requirement is therefore made that these staff must be given the appropriate training, which will fully ensure that people receive the correct levels of medication. The home’s Guide for Residents and Carers and various other documents reinforced the importance of staff treating residents with respect and dignity. Residents spoken with were all complimentary about how staff assisted them with personal care tasks and felt their privacy and dignity was respected at all times. This was also observed during the inspection. The care assistants interviewed were able to give good examples of how they promoted privacy and dignity in their daily care routines, for example knocking on bedroom doors before entering. Those residents and a relative spoken with said that the staff were “kind”, “caring”, “lovely” and that “they (the staff) talk to them properly”. The staff were seen to have a good relationship with the residents, speaking to them in a natural, thoughtful and warm manner. Heathside DS0000005739.V312819.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 and 15. Quality in this outcome area is adequate. Although the residents have choice about their daily routines, mealtimes are not entirely satisfactory and the home does not offer enough sufficient social, cultural and recreational activities to keep the residents interested and stimulated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the previous inspection the home employed a part time activities worker who devised and ran a programme of social and recreational activities for the residents, but this post is currently vacant. The staff are therefore providing some activities on an ad hoc basis when and if they have the time to spare from their caring duties, but the inspector’s enquiries revealed that relatively few activities are being provided. Three of the people that returned survey questionnaires also commented that they felt that there was a lack of recreational currently being provided at the home. The inspector and the acting manager therefore discussed the home’s existing activities programme that was felt to be inadequate and was also not being operated for the reasons as given above. It was subsequently jointly decided that that this programme would be reviewed with a more detailed and comprehensive plan to be put together that would need to be tailored to siut Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 13 these residents particular needs. The inspector also suggested that the reemployment of an activities coordinator would be beneficial in making sure that that recreational activities are provided for the residents on a regular basis. Paperwork was available that recorded when residents have taken part in activities but the use of this appeared to be irregular. The homes visiting arrangements are described in a variety of documentation including the home’s Information Booklet. In discussion the residents, a relative and staff confimed unrestricted visiting arrangements with visitors seen to be coming and going from the home at will and a visitor confimed that they were made welcome and that they were usually offered refreshments. Issues regarding residents choice are described in a variety of documentation including the home’s Statement of Purpose. Due to their condition many of the residents have a limited ability to make decisions and choices about their dayto-day living arrangements. In discussion the staff said that they try to assist the residents with this by offering them choices about such things as what clothing to wear, when to rise and retire and helping to choose from the menu. The inspector confirmed this whilst looking around the home when the staff were seen to be asking the residents what they wanted to drink and which television programme they wished to watch. The residents are able to, and do bring personal items in to the home such as televisions, radios, photographs, pictures and ornaments. Apart from breakfast food has not been prepared at the Heathside for some time now due to the home being unable to recruit catering staff The lunchtime and teatime meals are presently being provided by a local hospital, they are brought to the home pre-cooked and then served to the residents. At this time the home uses the same menu that is repeated weekly. This menu describes a nourishing diet with choices and warm food being available at both mealtimes. The above method of providing food is not ideal as the quality of the food may deteriorate during the time it is transported and by its nature a weekly recurring menu is limited in variety. However the home has addressed the above issues in that shortly uncooked, refrigerated, pre-prepared food will be delivered to home that will heated in recently purchased units that are specially designed for this task. Four workers have been recently recruited who have been specifically trained to operate this equipment and it is hoped that the quality and variety of the food served will improve. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 14 In order to monitor progress with the above described plans the inspector requires that the home provide the CSCI with the date when this system of food provision is to be started and a copy of the menu that will be used. Heathside DS0000005739.V312819.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. Quality in this outcome area is good. The home has a clear complaints system that ensures that concerns are properly dealt with and good protection of vulnerable adults guidance and staff training in this topic makes sure that residents are protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a copy of the Wigan MBC Adult Services Department comments, complements and complaints procedures that are available in leaflet form in the reception area. Further information regarding the making of complaints is also included in the home’s Service User Guide. A displayed complaint notice and the above leaflet state how a complaint can be made, who to and that an initial and final response will be provided within a given period of time. The facility of contacting the local CSCI office is also included in this documentation. The home also has a complaints and comments book displayed in reception, with a written request, asking visitors to write down their concerns or comments. This is an informal way of communication, visitor raise issues and the manager addressing issues; the book is available to be read at anytime by everyone. However no prescribed complaints log or register is currently kept, the home needs to put together such a record so that the full detail and outcome of formal complaints can be monitored. Discussion with residents, a relative and information obtained from the survey questionnaires showed that these people would feel comfortable about raising concerns and that they would “talk to the staff” if they had any worries. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 16 It was clear in discussion with staff that they knew what steps to take should a resident make a complaint. A number of staff said that if “they couldn’t sort things out at the time” then they would inform the manager about the problem. Two complaints have been made directly to the home since the last inspection in January 2006. Discussion showed that one of these complaints has been dealt with properly and that enquiries in to the other are presently ongoing. A further complaint has also been to the CSCI, which the home has been requested to look into. There are written procedures and policies covering adult protection, whistle blowing, the none acceptance of gifts, borrowing money and legacies and the home has a full copy of the local inter-agency adult protection policy and procedure. All staff receives training on the protection of vulnerable adults during the induction period and NVQ Level 2 training in care has a unit on adult abuse with twenty four staff having competed this instruction. A number of staff have also attended separate training sessions about this topic. Those staff spoken with demonstrated an awareness of the different sorts of abuse and they also understood what they should do if they suspected that someone was being abused. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. Heathside provides clean, safe, comfortable, homely and friendly surroundings for the people living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Heathside is well maintained both to the inside and to the outside. The home is pleasant and welcoming. Decoration, furnishing and lighting is to a good standard and is domestic in style Some new furniture has been provided in the lounges and dining rooms; new curtains have been put up in some areas of the home and new equipment has been purchased for the kitchen and laundry. As required at the time of the previous inspection carpets in various parts of the home have been replaced. The three case-tracked resident’s bedrooms were checked. All were found to be properly decorated, furnished and equipped and these residents and the relative spoken with were satisfied with the standard of the accommodation provided. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 18 There is good accessibility around the building with ramps,assisted baths and other equpment provided. Aids and adaptation are provided in bedrooms, bathroom and toilets. The laundry is properly equipped and information regarding the control of infection is available. The building was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. Enough staff is provided to make sure that the residents are properly looked after and the staff are properly trained to give the care that the residents need. This judgement has been made using available evidence including a visit to this service. Staff recruitment (Standard 29) could not be checked; as Wigan Council does this work centrally therefore not all staff recruitment records are kept at the home. The outcome for this Standard was therefore not assessed. However the home operates Wigan Social Services Departments, recruitment policy and procedure, which ensures the protection of residents. All prospective staff completes an application form, attend an interview, provide two satisfactory references and have CRB checks (Criminal Records Bureau), before commencing employment. EVIDENCE: Looking at staff rotas showed that as well as employing care staff, the home also employs domestic and maintenance staff Although there have been some changes to the staff group during the last twelve months those staff interviewed described a settled staff team with good morale and they said that the enjoyed working at the home and providing care for the residents. Staff rotas for the period were examined. The inspector was told that 5 carers and an assistant manager are on duty in the morning and 4 carers and an Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 20 assistant manager are available in the afternoon and the evening. Three staff covers the night time period with on call support being provided. The manager who is also present from 8.45am to 5.0pm from Monday to Friday also provides on call support. Examination of staff rotas for the period 31st December 2006 to the3rd February 2007 showed that the above figures are usually achieved although this sometimes requires overtime working and the use of bank or agency staff. In discussion the general feeling amongst the staff was that the above-described staffing levels are in the main sufficient to meet the needs of the residents although some of the staff did point out that at times when dependency levels increase that they are “a bit pushed” to meet everyone’s needs. The home is required to have 50 of the care staff with NVQ level 2 qualifications or above by the end of 2005. Of the 28 care staff employed at the home 24 have got a National Vocational Qualification at Level 2 or above with two other staff presently undertaking NVQ assessment at Level 2/3. 85 of the staff are therefore trained to the required level or above with the above target being exceeded. Discussion with the staff and looking at records showed that there is a strong commitment to staff training within Wigan Local Authority. The staff gave examples of the wide range of training that they had done. This included induction to the job training, NVQ assessment, understanding dementia, safe moving and handling, fire safety, food hygiene and first aid. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31.33.35 and 38. Quality in this outcome area is adequate. The home needs to consult the residents and their families about the way that the service is run so that both improvements can be made and problems can be dealt with. Procedures and practices within the home promote and safeguard the health, safety and welfare of the people living and working in the home. This judgement has been made using available evidence including a visit to this service. An acting manager is presently in post at the home. Standard 31 has therefore not been able to be assessed (please see text below). EVIDENCE: Standard 31 could not be assessed, as presently the home does not have a registered manager. An acting manager came in to this position very shortly before this inspection that will run the home until a permanent manager is appointed. The appointed person will then be required to be approved and registered with the CSCI. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 22 A requirement of Standard 33 is that care homes must use quality assurance systems that are largely based on seeking the views of residents and their families to measure their success in meeting the home’s aims and objectives. A useful method of obtaining these people’s views is by the use of survey questionnaires that are periodically given to them. The inspector and the acting manager discussed the value of such surveys where the information returned is often helpful in highlighting good practice and also in making improvements to the service that is delivered to the clients. The inspector provided the acting manager with information and guidance to assist in the development of such a method of obtaining the clients views. However the home does undertake regular internal quality audits of the home’s systems for items such as residents care plans, standards of care, cleanliness and laundry services. These audits are analysed with necessary action taken. A number of survey questionnaires were sent out to the residents, relatives and health workers (GP’s, district nurses etc) before the inspection. These questionnaires give these people the opportunity to comment upon various aspects of the services provided by a care home. At the time of writing this report 10 questionnaires had been returned; all of these were generally complimentary about the accommodation, the services and the care provided at Heathside. One person said “The staff and managers always take time to offer care for residents and support for families” and another person said, “I am very satisfied. It is an excellent home”. The home holds money for a number of residents for safekeeping. This system was checked with the details found to be properly recorded. The money is held collectively with the total and individual balances being recorded in such a way as to ensure that these can be readily checked and verified. Information obtained from the pre-inspection questionnaire and from random checking of servicing records showed that the homes fixtures, fitting and equipment is properly maintained and regularly serviced. Looking at records and conversations with staff also showed that the necessary training had been provided so that they can work safely. The home is safely maintained with fire precautions tests done weekly and the details of accidents are properly recorded. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 1 X 3 X X 3 Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13 (2) Timescale for action The staff must be given training 28/02/07 in the administration of medicines, to ensure that people receive their medications correctly. A social and recreational 28/02/07 activities programme must be formulated, displayed and operated, to ensure that people are stimulated and kept suitably occupied. The start date for the new 28/02/07 system of providing food at the home and a copy of the menu must be forwarded to the CSCI, to ensure that the residents are receiving a satisfactory diet. A system for recording 28/02/07 complaints and of showing the response and the outcome must be developed, so that the frequency and nature of such complaints can be monitored and any necessary action taken. The homes quality assurance 28/02/07 processes must include the views of the residents, relatives and other interested parties (GP’s, social workers etc), so that the DS0000005739.V312819.R01.S.doc Version 5.2 Page 25 Requirement 2 OP12 16 (2) (n) 3 OP15 16 (2) (i) 4 OP16 17 (2) 5 OP33 24 (1) (5) Heathside home can measure its success in meeting the residents’ needs. 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 OP12 Good Practice Recommendations The inspector recommends that a record be kept of when residents take part in social activities so that the level of the residents’ involvement is monitored and also such information often shows which activities are the most successful. Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 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 Heathside DS0000005739.V312819.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!