Inspection on 11/01/07 for Hinderton Mount

This inspection was carried out on 11th 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

Hinderton Mount 13/01/09

Hinderton Mount 14/11/07

Hinderton Mount 14/02/06

Hinderton Mount 21/04/05

Hinderton Mount 21/10/04

Hinderton Mount 30/06/04

Hinderton Mount 10/02/04

Hinderton Mount 30/09/03

Hinderton Mount 12/09/02

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

CARE HOMES FOR OLDER PEOPLE Hinderton Mount Chester High Road Neston South Wirral Cheshire CH64 7TA Lead Inspector Helena Dennett Unannounced Inspection 11th January 2007 09:30 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 Hinderton Mount DS0000006633.V320317.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. Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hinderton Mount Address Chester High Road Neston South Wirral Cheshire CH64 7TA 0151 353 1619 0151 353 1619 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) Weatherstones House Care Ltd Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 26 service users to include: * Up to 26 service users in the category of OP (old age not falling within any other category) may be accommodated * Within the maximum of 26, one named service user in the category of LD (learning disability) may be accommodated The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection 14th February 2006 2. 3. Date of last inspection Brief Description of the Service: Hinderton Mount has been operating as a care home since 1985. Weatherstones House Care Limited has owned and run it since 1998. The home is a converted large house, providing 26 places for older people. It is situated on Chester High Road, a mile-and-a-half from Neston town centre, and close to a pub and service station with a shop. The twenty-two single and two double bedrooms all have ensuite toilets and washbasins. There are two lounges - one with a large conservatory extension and a separate dining room. The home has very pleasant and well-maintained gardens/grounds to the front and side, as well as adequate car parking. The fees range from £334 - £450 per week. Additional charges are made for hairdressing, chiropody and visiting entertainers. This information was provided in the pre – inspection questionnaire which was given to the inspector before the site visit. The last inspection report is available from the manager on request. Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ used in this report describes people whose knowledge about social care services comes directly from using them. This key unannounced visit took place over 6.5 hours on 11 January 2007 and was carried out by one inspector. Ms Margaret Barry, an expert by experience, visited the home on the 11 January 2007 and stayed for about 3 hours. This visit was just one part of the inspection. Before the visit the home owner/manager was asked to complete a questionnaire to provide up to date information about services in the home. The views of residents and relatives were also sought their comments are incorporated into this report. Other information received by CSCI since the last key inspection was also reviewed. During the site visit the inspector spoke with the manager, some staff members and residents. Various records and the premises were looked at and the inspector also spoke with a relative after the site visit. The expert by experience spoke with several residents and also had lunch with some residents. The owners of the home were not available on the day of the visit and so a second visit to discuss the findings with them was made on 23 January 2007. What the service does well: The home was clean and tidy and free from any unpleasant smells. Residents looked well cared for. Residents are offered choice of meals and were very positive about the meals provided at the home. Comments such as ‘served tastefully, not too much’ were made. All of the residents knew how to make a complaint and said they felt they could approach any member of staff if they had a problem. A small amount of money is kept on behalf of residents. Staff keep good records of all transactions so residents know that their money is kept safe. Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Thorough assessments of the needs of new residents must be done before they move into the home so they know their needs can be met there. Although care plans have improved, staff need to make sure that they are updated as residents’ needs change so that the resident and staff know the most appropriate care that should be provided. Residents should be involved in making and checking their own care plans so they know all their needs will be met as they wish. Improvements are needed to the way medicines are given to make sure that residents, including those who manage their own medicines, are not put at risk of not receiving or taking their medicines. There are not enough activities going on in the home to keep residents active and stimulated. Residents said that they don’t go out and one resident said that she ‘goes to bed every afternoon because there is nothing else to do’ One resident said that they sit could sit in their room for long periods of time without seeing anyone. The views of residents and their relatives about the way the home is run should be obtained regularly to make sure that any concerns or suggestions can be acted on. Staff meetings should also be held regularly to promote communication, give staff up to and provide an opportunity for staff to air their views. Some health and safety issues need to be addressed by the manager of the home to make sure that residents are not placed at risk of injury or harm. Hinderton Mount DS0000006633.V320317.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. Hinderton Mount DS0000006633.V320317.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 Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although residents are given information about the home, the assessment that’s done before residents move into the home is not detailed enough to make sure that all their needs are identified. EVIDENCE: The manager or a senior member of staff visits prospective residents, before they move into the home, to make sure that staff can meet their needs. Information about this visit is recorded on an initial enquiry form. The records of one resident who has recently moved into the home were looked at. The initial enquiry form did not contain enough information about the resident’s health and social care needs to show that staff at the home could meet their needs. Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 10 The manager of the home should ensure that a person who is trained to do so does a full assessment of the resident’s needs before they move into the home. The outcome of the assessment should be recorded so that staff know what the person’s needs are and are confident they can meet those needs once the person moves into the home. Intermediate care is not provided by the home. Hinderton Mount DS0000006633.V320317.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 adequate This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents are generally met but there were some problems with risk assessments that could leave residents at risk. EVIDENCE: Some of the residents said that the staff were good and look after them well. The following comment was made on a CSCI comment card that was returned from a relative: ‘Mum is happy and cared for here as she could be anywhere’. Each resident has care plan that is put in place following an assessment of needs. This is done when the resident first moves into the home. Three care plans were looked at. These have improved since the last inspection. Most of them contained up to date care plans to cover the residents’ health and personal care needs. Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 12 However, one resident with a wound was receiving care from a district nurse. There was no care plan in place to identify that the resident had a wound, how often the district nurse was visiting and the action staff should take if there was a problem with the wound dressing. Some risk assessments were in place; however these were not detailed enough to ensure that all of the risks identified were assessed and the action taken to minimise risk of harm or injury to residents. For example: one resident had had two falls in December 2006. There was no falls risk assessment in place for this resident. It was also written in the night staff diary that this resident should be helped to get up relatively early and staff confirmed this was about 0710. The manager said the reason for this course of action was that the resident needed help to change clothing at that time and could return to bed after that. There was no record of any discussion or agreement about this with the resident or their representatives. One of the relatives who spoke with the inspector said that she felt there have been great improvements since the new manager came into post. She said her relative was quite ill and through the hard work and effort of staff her health improved. All of the medicines are stored in trolleys that are secured to a wall or in a locked fridge if appropriate. A sample of the Medicine Administration Medication Record (MAR) sheets was looked at. There were several gaps in the recording of one resident’s iron tablets, which suggests that she had not received her medication as prescribed. The code O (other) was used on some residents MAR sheets. It was not clear what ‘other’ meant and why the residents did not receive their medication as prescribed. One resident kept and administered her own medicines but a detailed risk assessment was not in place. This resident had several blister packs of medicines in her room but these were not being stored securely to keep them safe. The inspector did not see the care staff give out the medicines to resident during the site visit. However, two of the residents said that some of the staff put the tablets on the dining room table (not in containers) during meals. As some of the residents have problems with their sight they have difficulty in seeing their medicines and therefore cannot be sure they have taken all their tablets. This is considered poor practice and steps need to be taken to make sure this is not happening. Hinderton Mount DS0000006633.V320317.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 poor. This judgement has been made using available evidence including a visit to this service. There are not enough activities going on at the home to keep residents active and stimulated. EVIDENCE: The expert by experience spoke to several residents about the activities available in the home. Residents said that although bingo was held in the home regularly and visiting entertainers come occasionally there was little else to do. One resident said she could be in her room for long periods of times with no-one calling in to see that she was ok. Another resident said that she was bored and went to bed in the afternoon because there was nothing else to do. A member of staff said that in general residents play bingo in the afternoons and sometimes watch a film or DVD. Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 14 A CSCI comment card that was returned stated about activities: ‘Not organised, used to be 3 afternoons per week, board games, gentle exercises etc., current manager is re-introducing activities’. One relative who spoke with the inspector expressed the opinion that more could be provided for residents at the home. The use of DVDs and television is limited as several of the residents cannot see or hear properly and some are confused and so would find it difficult to follow programmes. The manager said that board games are used regularly but there was no evidence of this happening on the day of the site visit. The hairdresser visits regularly each Tuesday. Residents said that members of the local clergy visit regularly and give out communion. Visitors can come at any reasonable hour. It was difficult to determine how residents’ choice is promoted at the home. As stated previously night staff had been instructed to get one resident up early in the morning. There was no documentation to suggest that this was discussed with the resident. The expert by experience had lunch with the residents. She was offered mince with dumplings, green beans and potatoes. The meal was hot and tasty. The sweet was rhubarb crumble and custard, which was also hot and pleasant. The residents were offered an alternative the day before and some residents had an omelette with vegetables. Soft diets were given to residents and aids such as plate guards were used as necessary. The following comment was made: ‘The meals are always well balanced and appetizing, served nicely in a very pleasant dining room. One comment card stated ‘staff need encouragement to use appropriate language i.e. puree food, not mush etc.’ Hinderton Mount DS0000006633.V320317.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 adequate. This judgement has been made using available evidence including a visit to this service. Information about the complaints process for the home is readily available so residents and their relatives know how to make complaints and who to make them to. EVIDENCE: The manager said that the home has received no complaints since the last inspection. Residents said they would complain to the manager if they had a problem. One comment received by CSCI indicated the person had some problems early last year but staff had resolved these. This was not recorded in the complaints log. One relative said she felt that staff were more open and she felt she could approach the manager if she had any concerns. The other survey forms received back all indicated that residents and/or relatives knew how to make a complaint. A policy on adult protection is in place. The owners of the home confirmed that all members of staff working at the home have had training on adult protection so residents would be protected from the risk of injury or harm. Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment is maintained to a satisfactory standard although there are signs of wear and tear that will need to be monitored to ensure that residents continue to live in a safe and comfortable environment. EVIDENCE: On the day of the site visit it was very windy. As a result one of the telephones was not working; however the fax phone was still working so staff could get through to emergency services if needed. Some of the bedroom carpets were showing signs of wear and tear and should be checked regularly. The owners of the home confirmed that bedroom carpets are replaced as necessary. Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 17 Several of the residents had brought their own furniture in to their bedrooms to make them homely and welcoming. There were several items of pillows, towels, trolleys stored in two of the bathrooms of the home. This means that residents would not be able to use these bathrooms. One of the bathrooms had a small shower cubicle that did not have a shower curtain. The manager said that staff use a hand held shower to help residents have a wash and that it would not be possible to use a curtain in this situation. Some toiletries were stored in bathrooms that appeared to be for communal use. A large container of bleach was stored in the sluice, which was unlocked. This must be kept locked to ensure the health and safety of residents. Some of the bedding appeared to be creased and not ironed properly. Blankets are generally used as well as the duvets plus a top sheet. All the pillows need to be checked to make sure they are still suitable for use. The home was clean on the day of the inspection. Residents and relatives said that the home is always kept clean and there are never any unpleasant smells. Staff said that the carpets are cleaned regularly. Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Although there is usually enough staff on duty to meet the needs of residents, not all staff have had training on moving and handling techniques and so residents could be placed at risk of injury. EVIDENCE: On the day of the site visit there was a senior carer in charge of the home. In addition one carer was working with a second carer ‘shadowing’ her as it was her first day. The other carer due to work the morning shift had escorted a resident on a planned visit to hospital. She did not return to the home until approximately 1415hrs. Two of the comment cards returned to CSCI indicated that in their opinion there are not always enough staff on duty in the home. One comment was made as follows: ‘Staffing levels are adequate pm. There are times when the main lounge is not covered to assist with toileting’. Of the fifteen staff working at the home, 3 have a national vocational qualification (NVQ) in care. This falls short of the recommended level of 50 . Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 19 A sample of recruitment files were looked at. These were found to be satisfactory and contained all the necessary checks to make sure that the member of staff was suitable to work in the home. It was difficult to establish the amount of training staff have done as the training records are kept in the individual personnel files. In the personnel files that were looked at there was no evidence of moving and handling training in two carers’ files. The information sent to CSCI by the manager before the visit identified that staff had completed moving and handling courses and safe handling of medicines in the past twelve months. In addition some staff were doing National Vocational Qualification Level 2 and 3. The manager was in the process of doing NVQ level 4. Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The absence of a good quality assurance system together with some problems with health and safety could put residents at risk. EVIDENCE: Since the last inspection there has been a change of manager. The new manager has worked at the home for some time and knows the residents well. This is her first management position. The following comment was made by a relative regarding the management of the home: Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 21 ‘There have been tremendous changes since Gail took over, it is more like the home I first visited years ago, I now feel welcome’ Staff spoken with said they felt the management approach was open and inclusive. A representative of the company that owns the home usually makes a monthly report on how it is running. A copy of the report is given to the manager. Only one report was written for November and December. There was little evidence that any other quality assurance systems were in place at the home. Residents’ views have not been sought for some time. One resident who has been in the home for a considerable period of time thanked the expert by experience for asking them how they felt about things and that she was the first person to ask any questions since they moved into the home. The manager said she hadn’t held a staff meeting for some time. Residents and/or their relatives are encouraged to manage their own money. Only small amounts of residents’ money are kept at the home. Receipts are obtained whenever possible and two signatures are recorded for any transactions. Some health and safety issues were identified on this inspection. A large container of thick bleach and a container of disinfectant were stored in the sluice room, which was unlocked. These substances should be kept locked in accordance with legislation. There was insufficient evidence to suggest that all staff have had moving and handling training. Records of fire drills and training are kept but it was difficult to ascertain whether all staff had received the training and taken part in drills in accordance with fire regulations. A sample of maintenance records was looked at. These were found to be satisfactory. Hinderton Mount DS0000006633.V320317.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 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 2 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 2 X 2 X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 1 x 3 x x 2 Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 12(2) Requirement Residents and/or their representatives must be consulted on decisions about their care such as the time they wish to get up in a morning, so they know and agree to actions identified in their care plans. Detailed risk assessments must be carried out for residents who wish to keep and administer their own medication, to make sure this can be done safely for the residents. Suitable activities to keep residents active and stimulated must be provided regularly. An application for the manager to be registered must be made to CSCI. A quality assurance system for the home must be put in place to make sure that the home is run in the best interests of the residents Substances such as bleach that are classified under COSHH regulations must be locked away when not in use, to ensure the safety of residents. DS0000006633.V320317.R01.S.doc Timescale for action 22/02/07 2 OP9 13(4)(c) 25/01/07 3 4 5 OP12 OP30 OP33 16(2)(n) 8(1) & (2) 24(1) 28/02/07 30/03/07 30/03/07 6 OP38 13(4) 18/01/07 Hinderton Mount Version 5.2 Page 24 8 OP38 18 (1) (c) The registered person must 28/02/07 ensure that all receive up to date moving and handling training. 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 OP3 Good Practice Recommendations Residents should not move into the home without having their needs assessed in accordance with Standard 3 of the National Minimum Standards for Care Homes for Older People so they know their needs can be met at the home. Residents’ care plans should be updated when their needs change so that the most appropriate care will be given. Secure storage space should be made available for residents who wish to keep their own medicines so these can be kept safely. Staff should administer medication correctly so residents receive their medicines as prescribed. Residents’ bathrooms should not be used for storage so residents can use them at all times. Cover should be provided for staff who have to go with residents to appointments, so that the needs of the residents left at the home can continue to be met. A new method of recording staff training should be developed so the manager can easily check that all staff have done their mandatory training. Consideration should be given to providing more admin support for the manager or increasing her supernumerary hours in order for her to carry out her management role. 2 2 3 4 5 6 7 OP7 OP9 OP9 OP22 OP27 OP30 OP31 Hinderton Mount DS0000006633.V320317.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 Hinderton Mount DS0000006633.V320317.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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