Inspection on 11/10/07 for Holmewood Residential Care Home

This inspection was carried out on 11th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Holmewood Residential Care Home 30/10/08

Holmewood Residential Care Home 14/12/06

Holmewood Residential Care Home 26/01/06

Holmewood Residential Care Home 13/05/05

Holmewood Residential Care Home 10/01/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Holmewood Residential Care Home Holmewood Lamplugh Road Cockermouth Cumbria CA13 0DP Lead Inspector Diane Jinks Unannounced Inspection 11th October 2007 09:15 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 Holmewood Residential Care Home DS0000061658.V347110.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. Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holmewood Residential Care Home Address Holmewood Lamplugh Road Cockermouth Cumbria CA13 0DP 01900 828664 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) Lakeland Care Services Ltd Melanie Gilmore Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 26 service users in the category of OP (old age, not falling within any other category). 14th December 2006 Date of last inspection Brief Description of the Service: Holmewood offers accommodation and care for up to 26 older adults. The home is decorated and furnished to a good standard, is pleasant and comfortable. All of the bedrooms are for single occupancy, but one can be used for two people sharing if requested, they are spacious and individually decorated and furnished. All of the bedrooms have an en-suite toilet and bath or shower. The home has several communal lounges and a dining room. There is a passenger lift, a platform lift to assist with three stairs, handrails, grab rails and a range of equipment to assist people in their day-to-day lives. The home is set in large well-maintained gardens, including a vegetable garden seating areas and a large car park. The weekly fees for this home range from £373.00 to £600.00 per week. There are extra charges for hairdressing, magazines, chiropodists and other personal items that people may wish to have. Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of this service took place over several weeks and included a visit to the home. The home was assessed against the National Minimum Standards for care homes. During the visit some of the people living at the home and some of the staff working at the home were spoken to. Other residents, their relatives and some staff were sent questionnaires. Questionnaires were also sent to health and social care professionals. This helps to inform the assessment process and provides a variety of views and opinions about the home. The manager also completed an Annual Quality Assurance Assessment; this helped to verify information throughout the inspection of this service. What the service does well: What has improved since the last inspection? Some improvements have been made to the ways in which care plans are developed and monitored. There is still some work to do on these documents to ensure that people receive the care and support they need and expect. Some staff training has taken place and this helps to make sure that staff are competent and able to support people living at the home in a safe manner. Residents have been asked about the food and meals that are available at the home. Changes and additions have been made to the menus as a result of this. Most people said that the ‘food is alright’ and ‘have no complaints’. One person Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 6 in particular said ‘I get what I want’ and described the extra things she liked added to her meals, which the cook does. 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. Holmewood Residential Care Home DS0000061658.V347110.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 Holmewood Residential Care Home DS0000061658.V347110.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): Standards 1 and 3. (Standard 6 does not apply to this home). Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The care needs assessment process at the home does not always ensure that all aspects of the person’s daily life and needs are considered. This needs to be reviewed to help make sure that the home is suitable and will be able to meet their health and social care needs. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide brochure. This document provides some information for prospective residents, which may help them decide whether the home will be suitable to meet their needs and requirements. This document would benefit from a review and update to ensure that it clearly states the groups of people it can provide services to. A sample of three care files was looked at during this visit to the home. The records indicate that the home obtain assessments from the adult social care team or hospitals if applicable, prior to the person moving in. The manager also undertakes assessments. These assessments only cover the ‘behaviour’ Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 9 and ‘mental health’ of prospective residents. Care plans do include an element of assessment and a fairly detailed pen picture of the person is also obtained. This helps staff to understand the needs and expectations of people moving into the home, but all aspects of daily living activities, needs and requirements should be thoroughly assessed prior to admission to the home. This will help to make sure that the home is able to meet people’s needs appropriately. Holmewood Residential Care Home DS0000061658.V347110.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): Standards 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People using this service generally have their health and social care needs met appropriately. EVIDENCE: The sample of care plans looked at generally contain sufficient information to enable staff to meet the care needs of these people. Plans identify that people using this service are encouraged to maintain their independence. Care plans are reviewed at least monthly and any changes in care needs are usually reflected in these documents. Evidence of significant changes to one persons care needs was seen. Information relating to manual handling has been updated on parts of the care plan but not all of them. This could place the person and staff members at risk of harm or injury. Care records contain some element of risk assessment and nutritional assessment. These need to be taken on a stage further so that where risks are identified and strategies for minimising and managing them are recorded clearly. The gaps include for example, where risk of falls have been identified, Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 11 where mobility has changed or where other specialist equipment is in use, such as urinary catheters. Records and documentation kept in people’s care plan files are not always dated and this makes it difficult to confirm that they are up to date and monitored as frequently as they should be. Where restrictions on choice and freedom are made, records do not clearly demonstrate how the decisions have been made and whether they are in line with current good practice and legislation. Personal details relating to people who use this service are recorded but these are not kept with the care plans. This could mean that staff are not always aware of information that may affect the way in which care and support should be provided. Daily notes are kept and show that people living at the home have access to health care professionals such as doctors, community nurses, chiropodists, dentists and opticians. Samples of medication records were also looked at. Current records are kept with the person’s medication, whilst fully completed records are kept on the care file. The records were completed accurately. Staff responsible for the administration of medication have completed training to help ensure that this task is undertaken safely and by competent people. Photographs of people using this service are kept with the medication records and medicines, which helps with identification and reduce the risk of errors being made. All staff have had some refresher training in respect of the safe administration of medicines. The manager checks the medication coming into and going out of the home. A returns book is kept, which is signed by the pharmacist as an extra check. The pharmacist reviews the medication of people using this service from time to time. Medication at the home is stored in a very warm room. The temperatures of the room are checked daily. The door has been ventilated and a fan circulates the air. The manager is looking to change the fridge to help reduce the temperature in the room. Other ways of ensuring that medication is stored at the correct temperatures should also be given consideration. Holmewood Residential Care Home DS0000061658.V347110.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): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are treated with respect and dignity. They are able to make choices and are encouraged to maintain their level of independence in their daily activities. EVIDENCE: A record of activities is kept at the home. The records show that there are frequent trips out, bingo, quizzes, exercises, fashion shows, party nights and entertainers/singers coming into the home. Religious services are held monthly and a variety of denominations are catered for. The telephone numbers of religious leaders are on display in the home so that residents can contact them if they wish. One person chooses to attend church each week and is supported by the home to do so. The interests and hobbies of people using this service are recorded in their care files. Daily notes indicate that people participate in activities and outings as they choose. Some people like to stay in their own rooms and entertain themselves. Many people have their own televisions, radios and are helped to maintain their own interests and hobbies such as reading and knitting. One person regularly goes out of the home for walks, there is a procedure in place to help ensure safety but this could be improved upon. Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 13 On the day of this visit people living at the home were asked if they wanted to go out for a trip on the home’s minibus. Some were very keen to do this. For those people who did not want to go out a quiz was organised in one of the lounges. Many people joined in this game. During the morning the TV was on in one of the lounges and some people were actively watching a programme. Staff were observed at various times during the day and were seen to have a very positive rapport with residents. People were given choices and helped where necessary. Care staff chatted to residents and frequently checked on their wellbeing. Where people needed assistance from staff, this was done discreetly and sensitively and good manual handling techniques were used. The staff at the home treat people with respect and dignity, offer choices and maintain a sense of humour. Most people joined together in the dining room at lunchtime, although people can take their meals in their own room if they wish. Staff again helped people in a discreet and sensitive manner with choices being offered. Where needed, specially adapted cutlery and cups were available to help people maintain their independence. Samples of the menus were looked at and the cook was spoken to. The cook is aware of any one needing a special diet, likes and dislikes of all the people living at the home and there are food supplements available if necessary. People living at the home are offered several choices at meal times with extra alternatives available if needed. The cook said that ‘people generally choose whatever they want and we provide it’. The food safety officer from the local council visited the home recently (March 2007). The home has been awarded ‘Excellent’ – 5 stars for their food safety. Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home are generally protected by the procedures in place at the home. EVIDENCE: The home has a policy and procedure in place regarding the protection and safeguarding of vulnerable adults. This needs to be reviewed and updated to correspond to the local procedures in place for safeguarding adults. The manager has a copy of the local procedures and this is available to staff at the home. The manager has ensured that staff have received training on the subjects of abuse and safeguarding adults. These matters are also covered briefly in the staff induction training. There is a complaint process in place at the home, including a system for monitoring and recording complaints. Some of the people living at the home and their relatives indicate that they know who to direct any concerns to. They felt that they would be listened to and be dealt with appropriately. One person spoken to indicated that they had referred a matter to the manager once. They were happy with the outcome and said that the manager dealt with it quickly. The arrangements for making complaints would benefit from a review to ensure that people living at the home are fully aware of the process and what action they can expect if they need to raise a complaint or concern. The procedure should be clear and simple and include details of the stages and timescales. It should let people know who they can complain to and contain up Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 15 to date contact details, including addresses and telephone numbers for other organisations such as Commission for Social Care Inspection and Social Services. Some of the staff recruitment practices at the home need to be reviewed to ensure that people living at the home are properly protected from any risk of harm. Holmewood Residential Care Home DS0000061658.V347110.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): Standards 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using this service live in a well-maintained, warm and clean environment. This helps to ensure that there is a homely and safe environment for residents to enjoy. EVIDENCE: The home was clean and tidy on the day of the visit. There are housekeepers employed to ensure that the home is cleaned to a high standard. The housekeepers were spoken to during the visit to the home. They take great pride in their work and this is reflected throughout the home. They have undertaken training in health and safety matters, infection control and National Vocational Qualifications, which they have found beneficial to the work that they carry out at the home. The people taking part in this inspection indicate that they are very happy with their rooms and the standard of cleanliness at the home. Some areas of the home have recently been redecorated and resident’s private rooms are reHolmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 17 decorated on an on-going basis. People living at the home do not have keys to their rooms but are able to lock the doors from the inside if they wish. Some of the bedrooms were looked at. All are en-suite and have either a bath or shower. Rooms have aids and adaptations to assist with mobility and there are further adaptations around the home. People had personalised their rooms with pictures, ornaments, furniture, TV’s and radios to make them more homely. There is a room designated as a smoking room for the use of residents who wish to smoke. A passenger lift, hand rails and other aids around the home help people with their mobility and independence. There is a communal bathroom, which equipped with a special bath for people who may be less mobile. The bathroom is also warm, homely and comfortable. The communal lounge areas are tastefully decorated and furnished and there is a separate dining room. Outside there are extensive garden areas, which can be accessed by people living at the home. There is also a car parking area. There are one or two areas that do need attention. The laundry room although reasonably clean and tidy, needs some work doing to the flooring and the far wall. The manager indicated that the laundry is to be modernised in the near future with new machines and equipment, which are said to be environmentally friendly. There is a small storeroom on the first floor containing various items including a hot water tank. A notice has been placed in the room reminding staff to ensure that the door is closed properly due to the risk of residents entering the room and burning themselves on the hot pipes and tank. The room was not locked and this was discussed with the manager as a potential health and safety hazard. Holmewood Residential Care Home DS0000061658.V347110.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): Standards 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are gaps in the staff recruitment process, which potentially places people using this service at risk from harm. EVIDENCE: Staff rotas indicate that there is usually sufficient staff on duty to meet the needs of the people using this service. People participating in the assessment of this service indicate that they mostly get the care and support they need and that staff always listen and act upon what they say. A sample of four staff files were looked at during this visit. Records show that staff are sometimes employed without all the necessary checks being made prior to their employment. Furthermore records do not confirm that there are robust systems in place for monitoring and supervising newly recruited staff who are waiting for results and checks to be confirmed. Staff attend induction training but the records relating to this training have gaps in them. Staff are expected to familiarise themselves with the staff handbook and safety handbook as part of their induction. Staff training records show that fire training, infection control, safeguarding adults, medication, catheter care, speech and swallowing, first aid, COSHH, manual handling, Parkinson’s disease and National Vocational Qualifications (NVQ’s) are undertaken. There is no fixed training and development plan yet. Work on this has commenced and the training co-ordinator is putting together a staff-training Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 19 plan. This will help ensure staff are trained properly to meet the changing needs and requirements of the people living at the home. Training that has been planned for the future includes diabetes, first aid, manual handling, food hygiene, nutrition, leg and foot care and health and safety. The training coordinator also hopes to access training for staff in specialist subjects such as dementia care, elderly illnesses and palliative care. Holmewood Residential Care Home DS0000061658.V347110.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): Standards 31, 33, 35, 36, 37 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager tries to ensure that the home is run in an open and positive manner. There are gaps in some of the systems in place at the home, which potentially places people using this service at risk from harm. EVIDENCE: There is a qualified and experienced person managing the care home. An administrator and a recently appointed training co-odinator support her in her role. Staff supervision has commenced and staff meetings have started to be held. These need to continue on a frequent basis to help ensure that staff have their practice regularly monitored and continue to provide a good standard of care to people using this service. There is an annual development plan and a quality assurance process in place at the home. People are asked for their views on various aspects of the Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 21 service. Residents have recently been asked for their views on meals and menus. This has resulted in the menus being changed and updated to cater for individual choices. A sample of some of the policies and procedures were looked at during this visit. The manager has indicated that they have all been updated in March 2007. There is evidence to show that some have but some do not comply with requirements and/or local procedures. Records are generally well maintained. There are some areas that need attention, particularly in relation to staff recruitment, risk assessments and staff supervision. Accident books are kept for both staff and residents. Fire fighting equipment and detection systems are frequently checked and maintained. Staff training in fire prevention and procedures has commenced and includes instruction and practical drills. Fire records include floor plans of the building and a fire risk assessment has been drawn up. Most residents manage their own finances sometimes with the assistance of a family member. Where the home is responsible for this, records including receipts and a balance of their funds are kept for each individual. Signatures are obtained as an extra security check. Holmewood Residential Care Home DS0000061658.V347110.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 2 X 2 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 2 2 Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 23 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 OP30 Regulation 18 Requirement There must be a training and development plan at the home to ensure that all staff have the necessary training to meet the aims of the home and the changing care needs of people using this service. (Previous timescale of 30/04/06 and 31/03/07 not met). All staff must receive formal supervision at least 6 times per year. Supervision should cover all aspects of practice, philosophy of care in the home and career development needs of the staff. (Previous timescale of 31/03/06 and 28/02/07 not met). People using this service must have a comprehensive and up to date plan of their care needs and requirements. The plan must set out in detail the action that needs to be taken by staff to ensure that all aspects of their health and social care needs are met and the outcomes achieved. Any changes to the service users DS0000061658.V347110.R01.S.doc Timescale for action 31/12/07 2. OP36 18 01/12/07 3. OP7 15 01/12/07 Holmewood Residential Care Home Version 5.2 Page 24 needs must be clearly recorded in the plan. (Previous timescale of 31/01/07 not met). 4. OP18 13 The policies and procedures in relation to the protection of vulnerable adults must be reviewed and up dated in line with local multi-disciplinary guidance and current legislation. This will help ensure that people using this service are protected from harm. (Previous timescale of 28/02/07 not met). The staff recruitment practices and procedures used at the home must be reviewed to ensure that people using this service are protected from any risk of harm. Amendments must be made in line with current legislation and good practice to ensure that proper checks are made and references obtained prior to staff working at the home. (Previous timescale of 31/01/07 not met). Records must be maintained and up to date to help ensure that people using this service are kept safe and receive the care and support they need. This includes staff recruitment records, training records, care plans and health and safety risk assessments. (Previous timescale of 31/01/07 not met). 01/12/07 5. OP29 18 01/12/07 6. OP37 17 31/12/07 7. OP3 14 Care needs assessments must be 01/12/07 undertaken or obtained prior to the person moving into the home. Assessments must consider all aspects of the person’s health and social care needs. This will help to make sure that the home is able to DS0000061658.V347110.R01.S.doc Version 5.2 Page 25 Holmewood Residential Care Home meet their needs and requirements appropriately. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations It is recommended that the temperature of the medication storeroom is monitored daily to help ensure that medication is stored at the correct temperatures. Where it is found that correct temperatures cannot be consistently maintained, arrangements should be made to address this. It is recommended that the Statement of Purpose be reviewed to ensure that it clearly states the services that can be provided and the types of people for whom the service is intended. It is recommended that the complaint procedure is reviewed and updated to include details of the full process and the details of other agencies that complainants may contact about their concerns if they so wish. It is recommended that the policies and procedures in place at the home be reviewed and updated, where necessary, in line with current legislation and good practice. 2. OP1 3. OP16 4. OP37 Holmewood Residential Care Home DS0000061658.V347110.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Holmewood Residential Care Home DS0000061658.V347110.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. 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