Inspection on 07/08/07 for I Care Residential Homes Limited

This inspection was carried out on 7th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

I Care Residential Homes Limited 23/05/06

I Care Residential Homes Limited 06/12/05

I Care Residential Homes Limited 04/07/05

I Care Residential Homes Limited 11/02/05

I Care Residential Homes Limited 06/09/04

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 I Care Residential Homes Limited 14-18 Beach Road Cleveleys Lancashire FY5 1EQ Lead Inspector Ms Jenny Hughes Unannounced Inspection 10:00 7 August 2007 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address I Care Residential Homes Limited DS0000009683.V337910.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. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service I Care Residential Homes Limited Address 14-18 Beach Road Cleveleys Lancashire FY5 1EQ 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) 01253 852414 01253 829140 I Care Residential Homes Limited Mrs Helen Carson Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home can accommodate up to 15 service users in the following category Up to 15 service users in the category OP (older people who do not fall into any other category) 23rd May 2006 Date of last inspection Brief Description of the Service: I Care has been adapted from three adjoining two-storey residential properties, into a care home, which suits the needs of older people. It is close to the centre of Cleveleys, with easy access to transport links. It is equipped to suit the needs of its residents, for example there is a stair lift, grab rails and ramps. Single and double rooms are sited on both floors, with toilets and bathrooms being conveniently situated. There is sufficient communal space, with two lounges and a dining room. Outside seating is available in the pleasant front garden. Information about the service the home provides is available in the form of a standard brochure, and also a clearly written guide which tries to cover everything a resident needs to know about daily life in the home. CSCI reports are readily available from the manager to anyone who asks to see them. As at 7th August 2007, the fee scale ranges up to £390 per week, with additional charges for chiropody and hairdresser visits, and extra toiletries requested. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit to the home, in that the owners were not aware that it was to take place. The length of the visit was for 6 hours. Before the visit took place, the manager was asked to complete a preinspection questionnaire, giving details about who they provide care to, who provides that care, and any changes to the service since the last visit. Surveys were received from residents and their relatives, and visiting professionals. During the inspection visit, staff records and resident care records were viewed, alongside the policies and procedures of the home. The manager, residents and care staff were spoken to, along with a relative who called during this visit. Their responses are reflected in the body of this report. A tour of the home was made, viewing lounges, dining room, bedrooms and bathrooms. Everyone was friendly and cooperative during the visit. What the service does well: The home has some long-term experienced staff who lead by example with good practices and attitudes. Younger staff are enthusiastic and encouraged to develop by management with training courses. There are good recruitment practices, and care staff have regular formal supervision. The manager of the home encourages open, easy communication between residents, relatives and staff. All of the residents said that the staff were friendly and kind. Care plans for residents are clear for staff to understand how to best look after each individual, and personal routines are respected. Staff are clear on everyone’s differences “Once we get to know people we try to do things the way they like best”, said a staff member. The staff and manager welcome resident’s comments, and encourage them to say if something is troubling them. A visitor said they felt the manager was very approachable if they had a problem. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 6 Visitors are welcome at any time. Tasty home cooked meals are prepared by a cook who strictly follows health and food hygiene procedures. The home has been decorated throughout. What has improved since the last inspection? What they could do better: Whenever it is agreed to use cot sides for the safety of a resident, cot bumpers must be used to pad them for the safety and comfort of the resident. Records should also include whatever food each person has been provided with each day, to be able to monitor nutrition, and also any problem areas which may arise, such as food allergies. The activities programme could be further developed, using staff and resident suggestions, to help enhance the daily lives of the residents. The registered providers could provide formal supervision for the manager, as well as the care staff, to help with their personal and professional development, which then also has positive effects on the service the home provides. Since the refurbishment, the replacement and updating of inadequate furnishings has not yet taken place, leaving the home fresh and bright, but bare, and not a homely environment for the residents to live in. The furniture, curtains and blinds, and supply of bedding and towels needs to be addressed to fully complete the work, and make the home an attractive place to be. The water temperature delivered to residents is too hot in some places, and needs to be reduced to around 43 degrees centigrade to help prevent scalding. I Care Residential Homes Limited DS0000009683.V337910.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. I Care Residential Homes Limited DS0000009683.V337910.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 I Care Residential Homes Limited DS0000009683.V337910.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): Standards 1, 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information the home gives to people about the services available, and the way it gathers information about people who want to live there, means that proper choices can be made about the suitability of the home. EVIDENCE: The Statement of Purpose for the home holds all of the information people need to understand what service the home provides, and how the manager makes sure everyone living there is looked after in the right way. There is also a guide for people living at the home, which is in a question and answer format, so easy to understand. Both of these documents are being updated at present. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 10 Individual records are kept for each of the residents, and there is a set procedure for admitting someone to the home, with a pre-admission assessment form being seen on three selected files. These are used by management to check that staff can give suitable care to each person, before the manager agrees that the home is the right place for them to live. The information in this assessment was informative and appropriate. One resident said, “Yes, I came and had a look first, with my daughter. I chose my room as well. Signed contracts were seen, detailing the services to be provided. The room number occupied should be included to make it clear what was being provided. All staff were aware of the needs of the people living at the home, and confirmed that they are given the care plans and assessments to read of any new residents, and also discuss their needs, together with the manager. A GP response to a survey confirmed that health care needs are met, staff have the right skills and abilities, and they respond in the right way to different individuals. “I am not aware of any problems with this home. The quality of care seems to be good,” stated one GP. I Care Residential Homes Limited DS0000009683.V337910.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): Standards 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs for everyone living at I Care is well organised, meaning people benefit from individualised care and support. EVIDENCE: Individual care plans are available, identifying the areas of need for each person, and with clear instructions for staff for what they must do to meet that need. These are reviewed every month, to make sure the care given and recorded is always right. Residents are aware that the home has their records. “They’ve got it written down what I need,” said one. People’s choices are taken into consideration, alongside their health needs. “I’ll have two showers a week, but don’t be wanting to give me any more!” commented a resident I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 12 Information about each person is easily found, and daily notes are made by staff about each person’s care and condition. Cot sides were in use for one resident, and a risk assessment had been completed, along with discussion with family. The manager was advised to use cot bumpers for safety reasons. Different needs are catered for by staff, “everyone’s different after all. Once we get to know people we try to do things the way they like best”, said a staff member. Aids and adaptations around the home try to help people with their day to day lives there, such as ramps, raised toilet seats, and a stair lift. There was evidence in the records of GP contact, and the residents confirmed GP’s call if needed. Staff were seen to close doors and retain privacy when helping residents with any personal care, speaking and guiding tactfully and gently. They respected the feelings of one resident who was anxious of eating in the dining room with other people, and helped them to eat in the lounge. Residents choose to sit in either of the lounges. Visitors call in through the day, and sit in the lounges or go to the resident’s own room to chat. Medication records were available for all residents, and were seen to be clear and up to date, with photographs of residents identifying these records further. Only trained staff administer medication. Patient information leaflets are kept for staff information on each individual’s medication. It was evidenced with signatures that new medication arriving at the home is always checked on receipt, and any which needed returning to the pharmacist were listed and signed for. Medicines are stored in a secure, dedicated cupboard. I Care Residential Homes Limited DS0000009683.V337910.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): 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. Residents daily lives and social activities are well catered for, and all people benefit from living in a home that works hard to ensure that people are provided with opportunities to live lives that are fulfilled. EVIDENCE: The individual care plans include information on each person’s life history, their religious needs, and which hobbies and activities they prefer. On the day of this visit a T’ai Chi instructor was with the residents, encouraging gentle armchair exercises, and some residents enjoyed a hand massage. Music was played in the afternoon and some residents happily sung along, with one taking centre stage with a little dance as well. An entertainer calls playing a banjo and singing, and bingo is always enjoyed. Most of the residents said they were happy with the activities, and liked them, while a couple said that they weren’t really bothered with them. “I’m not I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 14 bothered about joining in. I like to watch though”, said one. One resident liked to sit in their room, “I like sitting here in the quiet, looking out of the window, reading or writing letters”. The Statement of Purpose of the home states that residents have the right to regard it as a home from home, and not somewhere with rules and regulations. Staff had various ideas about how to develop people’s daily lives, from having a small raised garden area at the rear of the home for residents who were interested in gardening, to the ability, with enough staff available, to assist individuals who needed support out for a short walk. Suggestions from residents themselves were always welcome. These ideas should be noted and acted on where possible, to provided a variety of stimulation. Visitors are welcome throughout the day, all recorded in the visitors book by the front door, with some residents saying that they enjoyed trips out with family and friends. One visitor said “I call in quite regularly, and made to feel welcome. I know my relative is happy here, and well looked after. Staff tell me of any issues, and keep me updated” A tasty sample meal was taken of stewing staek, potatoes and broccoli, with bananas and custard to follow. Drinks of juice or tea were readily available, and staff made sure everyone had had their fill. There was a clear choice and a varied menu. “It’s good food – she’s a good cook. They’ll make you something different if you don’t like it” said a resident “We have all sorts of things for tea you know – cheese on toast, sandwiches, soup – and then we have supper as well. And you can always have a cup of tea” One resident suggested tripe for tea, and another toad in the hole, both of which were provided for a change. Special diets are accommodated. The cook followed strict routines in the kitchen, ensuring health and food hygiene procedures were complied with. The majority of the the time the small number of residents ate the same meal, and the manager confirmed that they knew who had an alternative. However the manager was advised to formally record whenever any resident had a change from the planned menu, so there was a full record of food eaten by all individuals in case of any problems. Staff address any diverse and individual needs in order to make sure each person is cared for equally, and feel as much at home as possible. “I don’t want to be doing things. I’m happy pleasing myself. I like it here, they all know me well. I can do what I want. I help them out sometimes!” stated a resident who liked to answer the door to visitors he knew, being monitored by care staff. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 15 I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 16 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 good. This judgement has been made using available evidence including a visit to this service. Residents are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, with a complaints book to record any complaints, which may come to the manager’s attention. The home’s complaints book has no records of complaints. Residents spoken to said they would “tell any of the staff” if they were not happy with something. A visitor said they felt the manager was very approachable if they had a problem. Staff spoken to knew about the Adult Protection procedure, and what to do if they had any concerns. They said they would always act if they thought a resident was at risk. Staff were able to give examples of whistleblowing, and how they had used the procedure to good effect in the past. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 17 Staff were very positive, and said they were aware they had a duty of care to the residents, and should protect them. All staff attend abuse awareness training. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 18 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, 24, 25, and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The refurbishment of this home needs to be fully completed to provide a safe comfortable and homely place for people to live. EVIDENCE: Following a major refurbishment, the structural work and decoration has now been completed. However many of the rooms are left under-furnished, and although clean, fresh and bright, do not give a homely feel. Also the furnishings at present could not accommodate the 15 people the home is registered for. For example the dining room only has 9 chairs, and enough tables for 9-10. One lounge is not in use at all as it has very limited furniture. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 19 All rooms have been redecorated and have new carpets, and the manager was advised to audit each room against the National Minimum Standards for Care Homes for Older People, to check that they were appropriately furnished, and that provisions such as bedding, towels and curtains were of a good standard as well. The water temperature was tested and found to be very hot in some rooms. The manager was advised that the thermostat valves need adjusting to regulate the temperature the water is delivered, to around 43 degrees centigrade. “The water does get very hot,” commented a resident. There are no baths provided in this home, only showers, which the manager said staff have found to be easier to help people with. The residents said they enjoyed their showers. A new commercial washer and dryer have been fitted in the laundry, and an organised system is in place to try and prevent misplaced clothing. Staff spoken to were aware of the correct way to work to prevent and control infection. Everywhere is clean and fresh and bright, as it is newly decorated. Resident comments were, “During the major refurbishments the home has been kept as clean as possible”, “Staff are working under very difficult circumstances. The home is fresh and clean as far as it can be with workmen about” I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 20 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 good. This judgement has been made using available evidence including a visit to this service. The home is properly staffed, which means that the residents are presently supported by sufficient numbers of trained and appropriately qualified staff. EVIDENCE: Two staff files showed that the necessary recruitment checks had been carried out, with one having one written reference only. The manager confirmed that written references had been requested, and that no staff start working at the home before they receive a disclosure from the Criminal Records Bureau. Records of staff checks were seen. A new Human Resources Officer confirmed that verbal references are requested, followed up by written confirmation. She was advised to record all such contacts. All new staff have induction training, and are given guidance and information on their terms and conditions, and working practices in the home. Most of the staff are long term and experienced, so able to guide new younger staff and lead by example. “I’ve been put on training courses”, commented a staff member, “and we also have refresher training”. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 21 Records show mandatory training for all staff includes food hygiene, health and safety and first aid, with medication awareness attended by those involved in helping with medication. Abuse awareness is attended by all. Seven of the twelve staff (58 ) have NVQ qualifications. The manager stated that more diverse training for care staff is being addressed, such as in diabetes, or continence, to further enhance their abilities to care. This will be done through the recent appointment of a Training Officer by the company. The rota showed which shifts care staff were working each day. The appointment of a designated cook, and separate domestic hours, allows staff to provide more appropriate care hours to the residents. The staffing levels may need to be adjusted according to the needs of the residents at particular times of the day. The managers’ office is based at the back of the home, in a temporary building in the backyard, so if she is busy in the office there is only one care staff in the home monitoring and providing care to the residents. As more residents are admitted to the home, this will need to be addressed, to ensure there is always enough care staff available with the residents to provide the right amount of monitoring and care. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 22 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an experienced manager and staff who work to make sure people who live at the home are safe and as comfortable as possible. Their aim is to improve services and so provide a good quality of life for residents. EVIDENCE: The manager has several years experience in a supervisory role in care homes, and has been the Registered Manager at this home for the last 2 years. She has the appropriate qualification required in the Registered Managers Award. Due to the circumstances within the home during the major refurbishment, surveys have not been used to get feedback from residents and their families. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 23 The small number of residents freely inform the manager and staff of their likes and dislikes in the home, as they were seen doing without hesitation during the visit. “I just tell them If I don’t like something”, said one resident. “Helen’s (the manager) a lovely girl. She sorts things out for you” said another. The manager monitors the care, regularly viewing medication records, accident records, and any concerns raised, plus daily care plans, to try and ensure a continual good standard. The manager said that she was very aware that the residents and families had become weary of the continual upset caused by the building work, but now that was completed, it was important to make the environment as homely as possible, as soon as possible. The manager is not responsible for handling any residents’ finances, and they either manage them themselves, or family help in this area. Clear records are kept of any personal allowances which family may have left for their relatives. Records show that all maintenance and servicing checks of equipment, including fire alarms and nurse alarms, were up to date and correct. The fire officer’s last visit was in May 2007,when all was satisfactory. Every week the manager tests the fire alarms, and the manager discusses what would happen with the residents. Staff have fire training. The manager ensures all staff have one to one supervision about every 2 months, followed by an annual appraisal. These are targeted to each staff member’s individual needs, and identify training needs and confirm correct working practices. The manager has an annual appraisal carried out, and the Human Resource officer was advised that it would be beneficial for the manager to also have formal one to one supervision sessions throughout the year, in order to address her individual issues and development needs, which in turn influence the service as a whole. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 24 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 2 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 25 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. 2. Standard OP8 OP15 Regulation 12(1)(a) Requirement Timescale for action 31/08/07 31/08/07 3. OP24 4. OP25 5. OP36 Cot bumpers must be used on cot sides to ensure the safety of the resident Schedule A record must be kept of food 4 provided to all residents to be able to monitor nutrition and any problem areas 16(2) (c) All rooms must have adequate furniture and other furnishings to provide a homely environment for residents 13(4)(a)(c Water must be delivered to ) residents at around 43 degrees centigrade to help prevent scalding 18(2) All staff working in the home, including the manager, must receive appropriate formal supervision through the year, to help develop themselves and the service the home provides. 31/08/07 31/08/07 31/08/07 I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 26 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 Refer to Standard OP2 OP12 Good Practice Recommendations The contract should include the room number the resident is accommodating The activity programme should be further developed using staff and resident suggestions to enhance the daily lives of the residents. I Care Residential Homes Limited DS0000009683.V337910.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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. 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