Inspection on 22/06/06 for Howard Castle Care Centre

This inspection was carried out on 22nd June 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Howard Castle Care Centre 05/09/08

Howard Castle Care Centre 28/08/07

Howard Castle Care Centre 26/10/06

Howard Castle Care Centre 28/11/05

Howard Castle Care Centre 21/06/05

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Howard Castle Care Centre Dacre Street Morpeth Northumberland NE61 1HW Lead Inspector Janet Thompson Key Unannounced Inspection 22nd June 2006 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 Howard Castle Care Centre DS0000063758.V292603.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. Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Howard Castle Care Centre Address Dacre Street Morpeth Northumberland NE61 1HW 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) 01670 - 510634 01670 - 513529 European Care (England) Ltd Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: The home is a large two-storey building that has undergone considerable alteration to provide a care home environment. Situated near the centre of Morpeth the home is within easy walking distance of the local shops and local amenities. A small, enclosed car park is available with ramped access to the home. There are large, level landscaped gardens at the front of the house with a spacious and well-used patio area. The home can accommodate up to forty service users including those with nursing needs. The home has thirty-six bedrooms with two registered as double rooms. Fourteen of the bedrooms have en-suite facilities. There is one main dining room and three lounges. There is an adequate number of assisted bathing and shower facilities on each floor and one passenger lift. Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place through the week. Two inspectors carried out the inspection. The manager was not present at the beginning of the inspection but staff contacted her and she arrived a little later. During this inspection both inspectors walked around the premises, one inspector then talked to residents and staff. The second inspector checked records. Residents care records, staff rota, recruitment and training files plus additional statutory records were examined. The manager, deputy manager, nurse, two care staff, three ancillary staff and eight residents were spoken to. 12 resident questionnaires and 8 relative questionnaires were received prior to the inspection. What the service does well: The staff appear to have a good understanding of residents individual needs. The residents and relatives were very complimentary about the staff. For example “they sat with me chatting” “all canny lasses” “very helpful”. Staff were kind and considerate when helping residents. Residents explained the admission process; this includes a gradual introduction to the home and a detailed pre-admission assessment. This helps new residents adjust and settle into living in the home. Staff recruitment files were well organised and all staff details had been checked. Residents monies were properly kept and accounted for. Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Care plans and records must improve to reflect individual care needs, risks and choices and steps taken to involve residents and their families. These must be completed accurately and for all permanent and respite admissions. Residents and their families could be more involved with their care plans. There remain insufficient record of social and leisure activities for residents. Satisfactory maintenance arrangements must be in place to maintain the health and safety of residents, this includes making sure gas and electrical wiring systems including portable electrical appliances are tested and are safe. Consideration should be given to the provision of table clothes. Many residents were drinking from beakers rather than cups and glasses. This practice should be reviewed. Although some improvements to the premises had been made there are still several areas requiring repair or refurbishment. Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 7 The arrangements for the laundering of linen were not good. All bed linen looked creased and crumpled. The laundry assistant did not have a press for ironing sheets. There were several areas requiring improvement to prevent or control the spread of infection. Staff training was not up to date. Not all staff had received statutory training. The Assistant Cook did not have any qualifications. She said she did not have her Basic Food Hygiene Certificate. The manager had already identified the need for staff training. Some residents were sitting with no access to a nurse call system. These residents would not be able to seek attention when they needed it. Some windows were not fitted with restrictors. This is dangerous as residents could fall from the first floor. Several requirements made in 2005 had not been met. A warning letter will be issued stating that enforcement action will be taken unless progress is made in these areas. 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. Howard Castle Care Centre DS0000063758.V292603.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 Howard Castle Care Centre DS0000063758.V292603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 3. Standard 6 does not apply to Howard Castle Quality in this outcome area is poor. This judgment has been made using available evidence including a visit to this service. The home undertakes a detailed pre admission assessment and liaises with the residents and family prior to admission. Satisfactory pre-admission assessments are undertaken but this is not always reflected in the care plan. Residents do not have access to enough information about this home. EVIDENCE: Pre-admission plans contained good information to ensure that the home can meet the needs of the prospective resident. The Manager is involved in the decisions and in the majority of instances visits the residents herself prior to their admission. Pre admission assessments are obtained from other professionals such as social workers, psychiatrists and health workers. An inhouse assessment is also completed. The care plans must consistently reflect all the assessed needs. The service user guide and statement of purpose have not been updated. A requirement is outstanding regarding this. The inspector agreed that the Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 10 manager could compile a few copies of the complete service user guide to give to new admissions to the home and to display in public areas. The manager appeared to be clear as to what was required in the guide. Howard Castle Care Centre DS0000063758.V292603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The health and social care needs of service users are being met but the records that support this care must improve. Staffs’ management of the administration of medication protects residents but the layout of the treatment room does not provide safe storage of all medication. Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Four care plans were examined and there is an inconsistency to the amount of information, which is recorded. The assessment tools such as pressure care, falls, nutrition and moving and handling are not completed consistently. Care plans are based on activities of daily living but not all individual needs are identified for example social care interest. Periodic evaluations are consistent, but care plans were not complete for a recent admission or updated for a Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 12 respite admission. A requirement was made regarding care planning in September 2005, this has not been met but some improvements have been seen. Contact with social and health professionals is good and staff were observed liaising with a number of professional visitors throughout the day. Residents have access to GP, Physiotherapist, Speech Therapist and Chiropodist. The medicines in the home are generally well managed and safely disposed. The treatment room was very untidy and had medicines stacked in boxes on the floor. Two residents medication was examined as part of the case tracking and were satisfactory. The controlled drugs were audited and were satisfactory. Staff were treating residents with respect and dignity. Personal care was given in privacy. Staff used residents preferred name at all times. Residents were complimentary about the staff in the home Howard Castle Care Centre DS0000063758.V292603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Resident’s social needs are being addressed but are not fully documented. Residents maintain contact with family/friends/representatives and the local community as they wish. Residents are helped to exercise choice and control over their lives but this is not evidenced in care plans. Residents generally receive a wholesome, appealing, balanced diet EVIDENCE: Residents were generally happy and enjoyed being able to move freely around the home. Residents spoken to said they enjoyed the social activities “the singer was really good” “we all joined in”. The Registered Manager was aware and is beginning to address the lack of recording of individual social assessments and activities. There is a coordinator who provides activities three days per week and the residents spoke of their enjoyment of the events provided. Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 14 Residents and their families are not involved with the plan of care. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. The residents are encouraged to go to places in the local area and families are encouraged and supported to take residents out and about. The residents’ bedrooms were personalised reflecting individual choices and preferences. Lunch served appeared satisfactory. The meal was good and all of the residents seemed to enjoy the food, which was well cooked. Staff support was on hand, but staff did not always sit when assisting residents to eat. Some residents were using drinking beakers designed for children, this practice should be reviewed. The tables were not set with table clothes. Comments heard during the lunch time was “this is lovely” and “nice and hot” There did not appear to be many fresh vegetables in the kitchen but the assistant cook said this was because a delivery was expected. This will be checked at the next key inspection of the home. Residents had undergone nutritional assessment and had been identified as needing additional daily calories, but this was not clear or detailed enough within the kitchen staff records. The assistant cook, who was in charge of the kitchen on that day said she did not have any qualifications or had any training in basic food hygiene. The manager agreed to take some action over this immediately. Residents can have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Howard Castle Care Centre DS0000063758.V292603.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Quality in this outcome area is poor. This judgement has been made The d 18 using available evidence including a visit to the service. Residents were not always sure of whom to complain to. The policies and procedures regarding adult protection were not adequate enough to protect residents. EVIDENCE: Residents spoken to said they were not always sure who to complain to. The complaints procedure has recently been updated and has not yet been reissued to residents. This would normally be given out with the service users guide. The complaints record book was not to hand but the manager stated that there had not been any complaints this year. Staff training in Adult Protection was not up to date. The manager had identified this already as an area to give priority. Local guidance on Adult Protection procedures was not available in the home. This is needed to inform the home’s own policies and ensure that staff know the course of action to take in event of an incident. Howard Castle Care Centre DS0000063758.V292603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, ,21, 23 and 26. Quality in this outcome area is poor. This judgment has been made using available evidence including a visit to this service. The residents do not live in a fully safe environment. There are good communal areas. There are suitable toilets and baths although not all of these are in use. The bedroom areas are personalised and comfortable. The home is basically clean, pleasant but not fully hygienic. EVIDENCE: Some refurbishment of the premises has taken place in the home with good results. New carpets were being fitted on the day of the inspection. Further refurbishment is planned and some of the issues highlighted by the inspectors had already been noted by the manager. Both inspectors walked around the premises and made the following observations. Residents own rooms were well personalised and pleasant. Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 17 Bins that had lids and were foot operated had not been provided in all areas. A requirement was made at the last inspection regarding this. Some soap dispensers were empty at hand was basins. Several toilets had cloth hand towels in them. They should be disposable. There were door wedges in most doors. This is a fire risk. In room 16, the toilet was dirty, the carpet was stained, the bed table was on the bed and it was dirty and stained. The walls were scuffed. In toilet 14 there was a stale smell, the ceiling was stained as if by a water leak. Room 10 smelled of urine. The external windows were rotted in places and the paint was flaking off. There were no curtains in Wallace lounge. In bathroom 8 the décor was poor, the toilet lid and seat were loose. Two commodes were stored there. There were cleaning fluids stored on the linen trolley that residents had easy access to. All linen was very creased. Linen in cupboards was badly stored, all of it was crumpled. T he linen on the beds was very creased. Some bedrooms did not have door locks. Bedrooms did not have lockable facilities. The sluice room door was propped open. It should be locked as cleaning fluids are stored here. There was no clinical waste bin, just an open topped bin with a yellow bag. A window on the first floor landing was rotten and was not fitted with a restrictor. The linen store on the first floor was propped open, the window was open and was not fitted with a restrictor. Room 23 and 24 had a window not fitted with restrictors. The wardrobe in room 23 was not fixed to the wall. The door frame of the first floor lounge was damaged. Several beds had bases that were not fitted with covers. This looked unsightly and did not protect the bases from soiling. In room 32 the floor was uneven and the carpet creased. This could cause a resident to trip. There was a hole in the wall and the bedside cabinet was worn. The bathroom in room 51 had a loose toilet seat and surround. The water temperature in the bathroom on the ground floor was 25oC and 39oC in the bathroom on the first floor. This is too cold. There was no access to a nurse call in room 33 or 35. Room 35 had an unpleasant odour. There were no handrails to the toilet in room 44. A requirement was made about this in November 2005. There was no hand washing solution in this room. The laundry in the home is washed in an annex across the yard from the main building. This room is not suitable. It does not have easily cleanable walls or floor. The laundry room was dirty. There was a very dirty cloth in the sink in Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 18 this room. The laundry assistant carries over the washed laundry to the main building. This is a moving and handling risk to the staff member and she should be provided with a trolley in the short term. There is not a press in the laundry so any ironing of bed linen has to be done with a small hand iron. This is not practical and explains why all of the linen in the home is creased. A requirement about the laundry location and practice was has been outstanding since November 2005. Howard Castle Care Centre DS0000063758.V292603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. The Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. The staffing number was short on the day of inspection. Staff are not fully trained. Residents are protected by adequate recruitment procedures. EVIDENCE: The usual staffing for Howard Castle is: Two qualified nurses all day. Four care assistants all day One qualified nurse and three care assistants at night. The off duty rosta for the home showed that these staffing levels were being met, however on the day of inspection there was one less staff member. This was not reflected on the off duty. The manager reported that more than 50 of the home’s staff were trained to NVQ level2 or above. The training certificates for these staff could not be found. However they were sent to the inspector later and the manager is reorganising the storage system. Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 20 Three staff recruitment files were checked and found to contain evidence of good recruitment procedures. The manager had already identified that statutory staff training was not up to date. She has taken some steps to address this. Howard Castle Care Centre DS0000063758.V292603.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. The Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. The manager is not yet registered to manage the home. There was not enough evidence that the home is run in the best interests of residents. Resident’s monies are safely managed. Staff are not appropriately supervised. The health and safety of residents and staff is not protected. EVIDENCE: The manager is a first level registered nurse. She has not yet applied for registration with CSCI therefore has not been assessed as “fit”. There was not enough evidence that the home is run with the resident’s interests foremost. This could be demonstrated by the involvement of residents in care planning. The provision of more appropriate drinking cups Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 22 and a more attractive surrounding would be in resident’s best interests. The manager is making attempts to find out what residents would like by sending out satisfaction surveys, the results of which are just returning. The manager has also attempted to improve attendance at resident/relatives meetings. This kind of action is good and it is anticipated that this standard would be met at the next inspection. Records relating to resident’s monies were examined. Records were clear and all transactions were well documented. Accounts are held individually and receipts kept of monies spent. Two amounts of money were checked and were correct. The manager has started a series of formal supervisions with staff but has not yet got into a programme covering all staff. The health and safety issues in the home have been covered in various sections of this report. These include the lack of window restrictors, health and hygiene issues such as open topped bins and inadequate laundry facilities. There were no certificates in the home to demonstrate that gas and electrical safety had been attended to. An immediate requirement was left and action has now been taken to address this. The handyman checks hot water temperatures weekly but his recording did not reflect the low temperatures found in the bathrooms identified. The manager should review the method used to assess water temperature. These records showed that there was a lack of nurse call bells in the home. This should be addressed as an urgent issue. Fire safety checks had been carried out but there was inadequate information recorded regarding staff training in fire drills. A quality assurance system has just been introduced in the home. So far care plans have been audited with some improvement seen and the nurses are auditing medication. The system is not yet complete though when it is it should assist in the proactive management of the home and result in improvement in all areas noted in this report. Howard Castle Care Centre DS0000063758.V292603.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 2 2 2 X X N/A 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 3 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 1 1 X 2 X 2 X X 1 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 1 Howard Castle Care Centre DS0000063758.V292603.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 OP1 Regulation 4 and 5 Requirement Provide the Commission and residents with an up to date copy of the statement of purpose and service users guide. (OUTSTANDING FROM OCTOBER 2005) Ensure that details of the current fees and criteria for charges are available. (OUTSTANDING FROM NOVEMBER 2005) The Registered person must ensure that care plans assess and identify all the needs of residents, provide actions and timescales, are periodically evaluated and consistently completed. (OUTSTANDING FROM SEPTEMBER 2005) The Registered person must review and refurbish the treatment room to provide safe storage for all medications. Provide the Commission with a copy of the home’ revised Adult Protection Policy which must take account of local and national guidance. Train staff in Adult Protection. Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 25 Timescale for action 01/09/06 2. OP2 5 01/09/06 3. OP7 15 01/09/06 4. OP9 13(2) 01/10/06 5. OP18 13(6) 14/11/06 6. OP19 23(2) Provide a programme to address the comment made in this standard in respect of. Repair of windows and the fitting of restrictors. Fixing of wardrobes to the wall. Provision of curtains and suitable bed linen in the areas identified. Continued redecoration of bedrooms and communal areas. Provide bathroom 44 with drop down handrails and a suitable shower screen. (OUTSTANDING PREVIOUS INSPECTION) Ensure that all toilets and their surrounds are fixed and safe. 14/11/06 7. OP21 23(2)(j) 30/11/06 8. OP24 23(2)(e) Fit suitable locks to all bedroom doors. (OUTSTANDING PREVIOUS INSPECTION) Provide lockable facilities in bedrooms. 31/12/06 9. OP26 13(3) Upgrade the laundry floor and walls to provide impermeable and readily cleanable surfaces. (OUTSTANDING PREVIOUS INSPECTION) Provide the laundry with suitable ironing equipment. Provide a trolley for the transportation of linen across the yard. 31/12/06 10. OP26 13(3) Provide lidded and foot operated waste bins. (OUTSTANDING NOVEMBER 2005) Ensure that all hand-washing facilities are fitted with cleaning solution and disposable towels. 30/11/06 Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 26 11. OP27 18 12. 13 14 15. 16. OP30 OP31 OP33 OP36 OP38 18 8 24 18(2) 13(4) & 23(2)(b) Ensure that the staff rota is kept up to date and is an accurate reflection of the actual staffing of the home. Ensure that all staff receive statutory training appropriate to their role. The manager should apply to the commission for registration. Ensure that the quality assurance system is carried out in all areas. Staff should receive formal supervision six times per year. Review the hot water temperatures in the home and ensure they are correctly recorded. Ensure that all staff receive adequate fire drill practise and that this is recorded. 01/09/06 01/10/06 01/10/06 01/11/06 01/12/06 31/10/06 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. 2. 3. Refer to Standard OP14 OP26 OP15 Good Practice Recommendations Ensure that care plans reflect resident’s social needs and choices in relation to privacy and dignity. Give serious consideration to the re-siting of the laundry facility. Review the information provided to kitchen staff regarding resident’s dietary needs. Provide kitchen staff with statutory and vocational training. Review the use of drinking beakers for residents. Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 27 Provide table clothes at meal times. Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 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 Howard Castle Care Centre DS0000063758.V292603.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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