Inspection on 24/05/07 for Highfield Care Home

This inspection was carried out on 24th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Highfield Care Home 19/07/06

Highfield Care Home 20/02/06

Highfield Care Home 28/10/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Highfield Care Home Bekesbourne Lane Bekesbourne Canterbury Kent CT4 5DX Lead Inspector Brenda Pears Key Unannounced Inspection 24th May 2007 10:30 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 Highfield Care Home DS0000065782.V337187.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. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield Care Home Address Bekesbourne Lane Bekesbourne Canterbury Kent CT4 5DX 01227 831941 01227 832645 highfield@ashbourne.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited 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) Post Vacant Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (4) of places Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Physical disability is restricted to those persons whose dates of birth are 17.06.1945, 18.12.1951, 17.01.1945 and 17.04.1950 19th July 2006 Date of last inspection Brief Description of the Service: Highfield Care Home is owned by Ashbourne (Eton) Ltd, which is now part of Southern Cross Healthcare Ltd. This is a large company with experience in running care homes. Highfield is situated in the rural village of Bekesbourne near to the city of Canterbury. The home is easily accessible via the M2 motorway. Public transport is limited to a mainline railway station, which is approximately 15 minutes walking distance. The home offers nursing care for up to 34 service users. Most rooms are for single use, and most have en-suite toilet facilities. The majority of the rooms are on the ground floor. Rooms on the first floor can be easily accessed via a passenger lift. There are several communal rooms and seating areas inside the home; and extensive, pleasant gardens which are suitable for wheelchair users. Fee levels are set following an assessment and depend on the amount of support provided by the home. As a rough guide, fees can range from anywhere between £469 and £714 per week. There are some additional charges made for personal treatments and details of these can be found in the service user guide. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken on the 24th May 2007 and started at 10.30am. The focus of this inspection was on the previous requirements, on the core minimum standards and the well being of service users. The inspector spoke to five service users, two visitors and one family member. The methods used to complete this inspection consisted of a review of records, discussions were undertaken with the manager, service users, visitors and members of staff. A tour of the building was carried out plus observations and previous findings all inform the outcomes in this report. The inspector also observed interactions between staff and service users at this time. The manager and staff assisted with this inspection that was carried out with due consideration for service users. The inspector was introduced to service users and visitors during this inspection and service users appeared relaxed and happy. The home remains under review by adult protection since August 2005. This was discussed with the acting manager who explained that following CSCI inspection and outcomes in the report, contact is to be made with adult protection to discuss the current situation. What the service does well: The home was found to be clean and odour free with a relaxed and welcoming atmosphere. The inspector spoke to five service users and three visitors who all stated the home provided ‘excellent care’ and made statements like ‘you could not get a better home anywhere’. There are several seating areas in the large expanse of gardens to the rear of the property. These provide sheltered areas for quiet discussion or for group meetings, the front of the home consists of a large grassed area that has a fishpond and a gravel drive. Seating areas are surrounded by flowerbeds and these are being developed. There is currently an area for scented flowers and other areas that service users can plant and tend themselves. Special occasions such as cultural celebrations and other events are undertaken in the home. Pictures show a recent fund raising event that was carried out to support the local epilepsy society and a cheque was given to representatives of this society during the inspection. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: While staff work hard to support service users and comments were positive from both visitors and service users at this time, the home would benefit from the following reviews of – Staffing levels need reviewing as many staff have to deal with people who need two members of staff and service users have previously stated that staff are often busy. Staff members also voiced the concern of staffing numbers as there is not always time to sit and talk to service users and give this extra time as they would like to. There are regular trips out and special events undertaken in the home and a local taxi firm support individual trips out. However, as the home is in a rural area with no local amenities, the home would benefit from having it’s own vehicle. This would enable excursions and outings to be undertaken more regularly. This would also ensure those people using a wheelchair are able to take more frequent trips out. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 7 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. Highfield Care Home DS0000065782.V337187.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 Highfield Care Home DS0000065782.V337187.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&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are pre admission assessments on record that support the needs of new service users entering the home at all times. EVIDENCE: The statement of purpose and service user guide has been renewed and a copy is now in each room of the home. These documents contain a current mission statement that is also displayed on the notice board in the main entrance hall. The service user guide contains details of fees, contracts, term and conditions and details of the complaints process. The manager stated that these documents are also available on tape, in large print and can be translated into Braille or any alternative format. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 10 Pre admission assessments are undertaken by the manager and care needs are assessed, as is the need for any additional equipment that may be required. A trial period of four weeks is undertaken prior to any decision to move into the home permanently. All admissions to the home are supported with appropriate healthcare professionals and equipment is obtained to maximise independence. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. Individual care plans are in place that show healthcare needs are met and medication storage and records meet requirements. EVIDENCE: Three care plans were viewed for people with differing needs. These all contained clearly organised and clear records of assessments, admission information, life history, physical and social assessments and a matrix to show activities undertaken. Healthcare needs were clearly set out and documented. Reviews were undertaken regularly and seen to be up to date as was other information reviewed on these files. Weight charts, skin integrity and other healthcare charts are fully supported by information received from consultations with district nurses, GP, dietician and other appropriate professionals. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 12 The home currently has a good record of healing skin wounds of various degrees. The staff also explained that one person entering the home was non responsive, no eye contact and in poor health. This person was seen at this inspection to be bright, cheerful and chatting with staff. The inspector was informed that the family are very pleased with current progress. Sound practice such as hearing aid hygiene and spectacle cleaning is recorded on a tick sheet that shows what personal care has been provided. The medication room was seen to be well organised, clean and now has a new air conditioning unit that keeps this area at an acceptable temperature. Al medication administration records (MAR) sheets were clearly completed and up to date with service user pictures. There are also sample signatures of all staff who administer medication for cross-reference. Items were clearly labelled and cleanly stored in the drugs trolley. Medication is audited on a monthly basis. Observations and discussions with visitors confirmed that staff do consider the dignity and privacy of service users and always knocked and waited before entering a room. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Choice and autonomy are supported and staff ensure individuals have control over their own routines and life. However, the home would benefit from having its own transportation to ensure appropriate support is available for all service users. EVIDENCE: Activities are organised regularly and these are often undertaken in the local community and are well publicised. However, service users would benefit from having their own transport for days out and to ensure regular trips can be enjoyed. There is a detailed activities programme in place and the activities organiser described the events that have been enjoyed. Photographs show some of these events and the pictures are on display in the main entrance hall. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 14 Special ‘Awareness Days’ are undertaken in the home including subjects covering deaf awareness and abuse awareness. A recent fund raising day provided funds for the local epilepsy society and also money has been raised for the local a new music system for the home. Special celebrations are to be undertaken to recognise various cultural events of the calendar. Activities and outings are arranged and transport is the local ‘Dial-a-Ride’ organisation. Unfortunately the home does not have it’s own transport and this makes outings difficult as the home is in the centre of the countryside. The manager has negotiated a reduced rate of fares with a local taxi company. This enables family/visitors to take service users out for the day at a reasonable rate. This also provides access for families who do not have a car and enables more direct contact with service users. Staff work hard to bring activities and events into the home and local newspaper reporters and the mayor often attend these functions. The kitchen has a new two-door fridge following an assessment from the environmental health officer. The preparation area adjoining the kitchen was seen to be clutter free, clean and in good order. There are white coats for use in the clean area and the kitchen was found to be clean, organised and all equipment was working. There is a selection of meals and service users stated they enjoy the food very much and always have enough to eat. The meal on the day of this inspection consisted of chicken curry and other options were cheese/egg salad, soup followed by apple pie and custard or ice cream. There was also a selection of yoghurts and fresh fruit available. One service user explained that she had crossed out the offered options and written what she felt like eating and this was prepared for lunch. The conservatory area provides a large open space to relax and enjoy the garden area outside. There is also a library area where books are regularly changed for the use of service users. There are regular trips out and special events undertaken in the home and a local taxi firm support individual trips out. However, as the home is in a rural area with no local amenities, if the home had it’s own vehicle, excursions and outings would be undertaken more regularly. This would also ensure those people using a wheelchair are able to take more frequent trips out. Highfield Care Home DS0000065782.V337187.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have stated they feel safe and cared for in their home and any complaints are appropriately handled. EVIDENCE: There is a complaints procedure and this is on display in the main entrance area and also in the service user guide. This contains details of senior level staff in the organisation and also details of social services and the Commission for Social Care Inspection. There is a monthly audit of complaints undertaken by the organisational head office. Service users and visitors spoken to at this time all stated that the home and care provided ‘is good’ and ‘nothing to complain about’. The home remains under review by adult protection since August 2005. This was discussed with the acting manager who explained that following this inspection and outcomes of the report, contact is to be made with adult protection to discuss the current situation. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 16 Adult abuse training has been undertaken and the home has also carried out a day for ‘Abuse Awareness’. The matter outlined in the previous report of some new staff having a ‘poor command of English’ has been addressed. Following the last inspection, staff attended courses in English at the local college and received support from staff in the home. The inspector spoke to two members of staff who are from other cultures and who expressed a good understanding of the physical, social and emotional needs of service users. New staff had spoken English at their appointment, a senior member of staff explained, but they were not very confident or always clear. Confidence and competencies have been strengthened through training and support. Service users stated that all staff are ‘caring and hard working’. This was also confirmed through conversations with visitors at this time. Highfield Care Home DS0000065782.V337187.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): 19,20,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, well decorated and offers spacious and relaxing areas both internally and externally. EVIDENCE: The inspector viewed all areas of the home including most bedrooms and all external areas. All bedrooms seen were found to be clean, fresh, bright and free from any odours. Many rooms are completed to a high standard with matching curtains, armchair and bed linen. The manager explained that rooms are currently being reviewed to ensure they all have matching soft furnishings. The main entrance hall and all corridor areas have been redecorated and have new carpeting, providing a bright and comfortable atmosphere. There is an Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 18 ongoing redecoration programme in place and those choosing to have a personal lock on their door are provided with one. The consent forms for these were seen on care plans. Communal areas are comfortable and well decorated and include two lounges and other seating areas throughout the home, both internally and externally. The inspector saw call bells in the lounge areas and one particular service user had the call bell near at hand. New towels and linens have been purchased since the last inspection. The manager stated that this replacement is ongoing as rooms are redecorated. The external grounds of the home are in good condition and the large fishpond to the front of the building has chain link around it and also has warning signs. The rear gardens have lawns and flower beds that were well tended. One service user explained that her room opens onto an area of potted plants that she enjoys maintaining. Some service users were enjoying the afternoon sunshine at this time and meals are often taken in the garden under the gazebo. Following a visit from the Environmental Health Officer, the home is currently in the process of adjusting an external area to provide additional use for the laundry area. Staff were adjusting this area at the time of this inspection. A hedge had been removed to make way for a fence that would provide an external area where dirty linen could be brought and stored. The laundry can then be washed and clean items will not be in contact with the dirty washing. The laundry area has two industrial washing machines and two tumble dryers and this area was orderly and clean at this inspection. Highfield Care Home DS0000065782.V337187.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are appropriately trained and are caring and consider the dignity of service users, creating a relaxed and calm environment. However, staffing levels require a review to ensure all support and care needs are met at all times. EVIDENCE: Staff on duty at the time of this inspection consisted of the manager, one administrator, one activity organiser, one domestic, one maintenance person, one cook, one kitchen assistant, one laundry person, one RGN, three senior carers and the clinical manager/deputy manager. The manager is also often the second nurse on duty in the home. There are three carers on duty during the afternoon along with one RGN and the manager. It does take time for staff to respond to the call bell as there are just three points of reference around the home and staff have to access one of these to find out who needs assistance and where. While service users and visitors stated that care is good and staff are caring, service users are missing out on additional time to talk to staff. and service users have previously stated that staff are often busy Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 20 Staffing levels require a review to ensure all support and essential care needs are met at all times. There are service users requiring two staff members to meet full care needs and this often means that other areas suffer from lack of time. Staff also need time to discuss any worrying matters with service users and encourage open conversation with all those living in the home. Staff work hard to meet the needs of service users and conversations during this inspection confirmed this. Staff expressed their concern about not having enough time to sit and discuss matters with service users. Visitors and service users have also expressed these concerns at the previous inspection. Following the previous inspection, the manager has adjusted staff hours covering domestic duties to provide additional cover at weekends. Staff training figures are that all staff have undertaken manual handling, health and safety is 99 of staff, dementia awareness is at 65 , infection control is 74 , pressure area care (100 of nurses). Other training includes bereavement, food hygiene and COSHH. Training that has been booked along with refreshers for nutrition, continence management and customer care. All required information was seen on a sampling of staff files undertaken at this time. Recruitment is currently undertaken by the organisation and new staff are recruited and are then introduced to the manager of the home. Copies of all recruitment papers such as references and police checks are kept on individual files in the home. Files were orderly and any staff recruited from abroad had documentation translated. Although a translated copy of qualifications has been obtained by the organisation, checks have not been made to ensure these are equivalent to NVQ levels that are required for all care staff. The manager stated this would be addressed. The Skills for Care induction programme is carried out for all staff and copies of this are on staff files. There is a training programme in place to ensure all staff undertake mandatory and ongoing development training. Highfield Care Home DS0000065782.V337187.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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The current acting manager is a suitable and competent person to be running the home and staff work hard to ensure the safety, health and welfare of service users. EVIDENCE: The manage is a level 1 nurse and has six years experience in the care field but she is currently not registered as manager of the home. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 22 Staff spoken to at this time confirmed that the manager has an open management style and staff are able to discuss any matters with her. Staff feel they are well supported through the supervision process, regular staff meetings and that the staff group have a good working relationship. Regular service user meetings are held and family members also attend and support the home in fund raising events. These meetings are a good opportunity to share ideas and inform every one of any changes in the home. Policies and procedures are in place and these have been developed by Southern Cross. Incident reports are collated and regularly reviewed by the manager, ensuring that any patterns are recognised and that follow up action is appropriate to the individual. The current call bell system means that staff have to access one of the three call points in the home. An alternative system would be beneficial to the staff group while ensuring support is provided as quickly as possible to all service users. Service users are encouraged to keep a small amount of money that can be stored in a lockable area in their room. Money is also kept in the safe for service users. Fee payments are made directly to the organisation and all financial records are regularly audited. Adult protection meetings and discussions for staff do include coverage of financial abuse. There were no COSHH items in evidence at the time of this inspection and there are currently no oxygen cylinders kept on the premises. The electricity generator that is used for the home is currently still out of order. This is being addressed and the manager explained that while it is hoped this can be repaired, quotes are also being obtained for a new generator. Highfield Care Home DS0000065782.V337187.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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP27 Regulation 18 Requirement To review staffing levels to ensure staff are in sufficient numbers to meet the needs of service users and to ensure their health and safety and well being at all times. To send a copy of certification to confirm the rewiring of the home, and fitting of the new boiler, when these have been completed. Timescale for action 31/08/07 2. OP38 13 31/08/07 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 OP19 Good Practice Recommendations To continue with the planned programme for redecoration and refurbishment of the premises. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 25 2 3 OP27 OP13 OP14 To verify that staff qualifications obtained abroad are at a level equivalent to NVQ. To address the need for a vehicle for use by the home. Supporting trips out and enabling all service users to access such trips. Highfield Care Home DS0000065782.V337187.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Highfield Care Home DS0000065782.V337187.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!