Inspection on 24/10/05 for Ivonbrook Care Home

This inspection was carried out on 24th October 2005.

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

Ivonbrook Care Home 25/11/08

Ivonbrook Care Home 13/09/07

Ivonbrook Care Home 13/09/06

Ivonbrook Care Home 07/06/05

Ivonbrook Care Home 03/08/04

Ivonbrook Care Home 28/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Ivonbrook Care Home Eversleigh Rise Darley Bridge Matlock Derbyshire DE4 2JW Lead Inspector Jenny Thornton Unannounced Inspection 24th October 2005 12:30 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 Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 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. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ivonbrook Care Home Address Eversleigh Rise Darley Bridge Matlock Derbyshire DE4 2JW 01629 735306 01629 735441 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) David Treasure Mr A Wright, Mrs Glenys Pamela Wright, Alison Treasure Manager post vacant Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2005 Brief Description of the Service: Ivonbrook care home is situated in its own grounds in Darley Bridge village, and provides nursing and personal care for up to 40 persons aged 65 years and over. The home is purpose built and the facilities are on 2 floors; stairs and a passenger lift access the floors. All bedrooms are single rooms; 12 rooms have en-suite facilities. There are 2 lounges, dining rooms and a smoking room. Residents have access to a garden. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was un-announced and took place over five hours. The Inspector spoke to 8 residents, 3 relatives, 4 members of staff, the Acting Manager and the Provider. Several residents had difficulties in expressing themselves in words and were unable to contribute directly to the inspection, but they were observed throughout the visit as to how well their needs were being met by staff. The Inspector examined various records. The home has made some progress towards meeting the requirements from the last inspection report, although a number of the requirements remain outstanding. What the service does well: What has improved since the last inspection? A new Manager has been appointed who was due to take up post at the beginning of December. Further qualified nurses and care staff had been recruited and were due to take up post. An air conditioning unit had been fitted in the treatment room to maintain the room temperature. Improvements have been made to safeguard resident’s money placed in safekeeping. Some improvements had been made to residents care plans although further improvements were needed. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 6 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. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 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 Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Pre-admission assessments did not contain sufficient information on which to identify and to meet individual’s needs. EVIDENCE: Three residents care plans were examined as part of the case tracking process, which is used to help determine how the home meets individuals’ needs. Information recorded on the pre-admission assessment form was brief and not all sections of the assessment form had been completed. Care plans combined assessment of residents needs, and generally contained a good level of information about individual’s needs and preferences. Various risk assessments had been completed and were being regularly reviewed, although this did not include a nutritional risk assessment. The section to record resident’s weight and baseline observations on admission had not been completed. A copy of the nursing assessment had not been obtained for one resident. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 9 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 and 8 Improvements have been made to residents care plans to show how individuals needs are to be met, although certain care plans lacked detail. EVIDENCE: Residents and relatives considered that staff are friendly and caring in their approach. Residents able to express their views said that their privacy and dignity is respected; relatives shared this view. Three care plans examined were generally detailed and set out how resident’s needs were being met. Although certain care plans did not provide sufficient detail on which to care for residents, i.e. personal hygiene care plans did not include all needs such as teeth, nails and shaving and care plans relating to continence needs did not specify what type of continence aids were used, how often the resident was assisted to the toilet, and how their continence needs were managed at night. A care plan relating to management of pain was not recorded for one resident who had a terminal illness and was on various medications for pain. Care plans relating to prevention of further falls did not state how the person required checking during the night. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 10 Staff said that resident’s or their relatives were involved in completing the care plan and reviews where possible, but this was not clear from reading the care plans. Two out of three care plans contained a review date and brief statement relating to resident’s care plans. However, care plan reviews did not report on the effectiveness or appropriateness of the care and treatment being delivered on a monthly basis. Care planning issues identified remain an outstanding requirement from previous inspection reports. Residents and relatives spoken with felt that qualified staff contacted GPs as required. Relatives said that they were kept informed of changes in their family members condition. Arrangements were in place to enable residents to be seen by an optician and chiropodist on a regular basis. Staff said that a dentist visited residents as required. It was not evident that 2 resident’s seated in the lounge, were toileted and assisted to change their position according to their needs. The resident’s care plans did not clearly state why they were seated in a recliner chair, the maximum time they should spend in the chair, and how often they should be moved to relieve pressure. The acting manager agreed to address this issue with staff. Medication administration records had been duly signed, including medicines that had been handwritten onto resident’s medication administration records. These records were signed by the member of staff completing the record, and checked and counter signed by a second member of staff. Following recent changes in legislation relating to the disposal of medicines, the acting manager said that the home was setting up a new contract with a licensed company to dispose of the home’s medicines. Until a new contract was in place, medicines requiring disposal were securely kept as advised by the home’s community pharmacist. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 11 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): 13 and 15 The home promotes contact with residents’ family and friends and visitors are made welcome. The home provides an alternative choice and variety of foods but needs to ensure that all meals are well presented and appealing. EVIDENCE: Residents, relatives and staff confirmed that contact with family and friends is supported. Relatives said that they can visit at any time and are made to feel welcome in the home. Relatives said that they had formed good relationships with staff. The weekly menus included a variety of meals, and some alternative choices. The cook reported that the menus had recently been changed to include resident’s preferences. Residents said that the meals included home cooked foods, which they generally enjoyed and that their dietary needs and preferences were accommodated, where possible. The weekly catering hours were 52.5, which certain staff considered were not altogether sufficient for the needs of the home. Care staff were required to carry out some catering duties such as washing the pots at lunchtime and the evening time and serving the evening tea, which reduced the staffing levels at key times of the day. Not all Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 12 care staff involving in preparing and handling food had completed basic food hygiene training. Several residents required soft or liquidised foods. Liquidised meals were not well presented or appealing in that they were served in a dish and were not liquidised separately to aid presentation. The evening meal left prepared for residents requiring a liquidised diet, looked bland and contained different foods to those stated on the menu. A record was not kept of alternative meals provided to show that residents were receiving a varied and nutritious diet. Residents had their evening meal in the lounge or their bedroom. Several residents had their evening meal placed on their knee, as apposed to a table or tray. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 13 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): EVIDENCE: The above standards were not assessed on this inspection. Residents and relatives spoken with said that they found the Registered Provider and Acting Manager approachable and felt that concerns are listened to and acted upon. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 14 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): 26 The home is generally well maintained although additional domestic staff are required to ensure that all areas of the home are kept clean and hygienic. EVIDENCE: Residents and relatives considered that the environment is comfortable and homely and that the home is generally well maintained. A programme of fitting locks to bedroom doors had not progressed since the last inspection, where 10 rooms were fitted with a lock. This requirement remains outstanding from the inspection report dated October 2004. A loop system is not installed to assist residents with hearing loss. Domestic staff worked five days a week in the home; care staff carried out some basic domestic duties on days where cover was not provided. The Registered Provider and Acting Manager acknowledged that additional domestic hours were needed to ensure that all areas of the home are kept clean and Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 15 hygienic, and said that interviews were being held with a view to increasing domestic cover to seven days a week. The home was generally clean and free from odours at the time of the inspection, although domestic cover had not been provided for the last two days and areas throughout the home required hovering and tidying. The need to provide additional domestic hours was identified on the previous inspection report. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 16 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 and 30 The general care needs of residents were being met although minimum staffing requirements on days were not maintained. A training plan needs to be put in place to ensure that all staff receives appropriate training for the work they carry out. EVIDENCE: The home has some very committed staff that have worked at the home for several years, which results in residents receiving care from staff they know. Residents said that they had formed good relationships with staff. Residents and relatives considered that general care needs were being met, although staffing levels were short at times. Discussions with staff and records showed that staffing levels on days over the last month and forthcoming weeks were below minimum staffing requirements on a number of occasions. For the majority of shifts the staffing rosters showed 1 trained nurse and 4 care staff on the morning shift, and 1 nurse and 3 care staff in the afternoon. On several shifts the staffing levels were below these levels. Staff spoken with said that there was often 2 trained staff in the afternoon as the nurse in charge on the early shift generally worked until 4 or 5pm, although this was not recorded on the staffing rosters. The Acting Manager received some supernumerary time. A requirement was made on the previous 2 inspection reports to achieve and maintain minimum staffing levels as set out in the Residential Staffing Forum, and the Registered Provider agreed to keep the occupancy level at 30 residents Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 17 until the home had recruited additional staff. The Registered Provider and Acting Manager acknowledged that additional staff were needed to further meet residents needs. The Registered Provider said that additional care staff and qualified nurses had been recruited from overseas, and were due to take up post at the home, which will increase the staffing levels on days. Staff spoken with said that they had attended recent training; individual training records supported this. The Registered Provider acknowledged that not all staff had attended all mandatory and essential training, including first aid, infection control and food hygiene. Several members of staff had recently completed training to carry moving and handling and fire safety training for all staff. A number of the residents had dementia and five members of staff had attended a course on dementia awareness. The Registered Provider planned for further staff to attend dementia training although a date had not been set for this. The home did not have a written annual training plan, and had yet to meet the 50 target of care staff having achieved NVQ Level 2 or equivalent. The Registered Provider confirmed that 6 out of 15 care staff have achieved N.V.Q Level 2 qualification or above to ensure they are trained and competent to do their job, and that a further 4 staff had applied to commence the training. The last two persons appointed to work in the home, a cook and a domestic, had not completed the home’s induction programme, to ensure they received essential information to carry out their work. The home’s induction programme was brief and did not meet national training requirements as set out by Skills for Care. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 18 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, 35, 36 and 38 The home is run in an open and positive way, which staff and residents benefit from, and the appointment of a registered manager will support the running of the home. Progress has not been made in establishing formal supervision for staff. EVIDENCE: The Registered Provider confirmed that the administrator now worked five days a week to further support the running of the home. The administrator also worked as a senior carer, and at the time of the inspection undertook administrative and care duties. The Registered Provider agreed to record on the staffing roster actual hours spent on administrative duties each week. The Registered Manager resigned in August 2004 but has continued to work as the Acting Manager until a new Manager is appointed. The Registered Provider confirmed that a new Manager has been appointed, and that the person was Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 19 due to take up post at the beginning of December. The new Manager is a Registered Nurse, who has considerable nursing experience. An application for registration of the new Manager has been submitted to the Commission for Social Care Inspection. The Acting Manager stated that she is generally supernumerary to the staffing levels 2 days a week, which enables her to carry out some of her management duties. However in view of the staffing situation and limited qualified nurse cover, she has been unable to carry out all of the requirements from the previous inspection reports such as establishing formal supervision for staff. This requirement remains outstanding from the inspection report dated 03.08.04. Discussions with staff and observations supported that safe working practices were followed, although certain staff transferred several residents from their chair to wheelchair underarm, which is not an approved method. The Acting Manager agreed to address this issue with all staff. Records showed that the required service and maintenance checks had been carried out except for the following: • Records relating to the testing of the electrical appliances were not available. The Registered Provider said that all appliances had recently been tested but the records were not kept in the home. • The Registered Provider said that the hot water temperatures including the baths and showers were regularly checked, although records were not kept of this. • Some Legionella prevention work was carried out such as chlorination of the water system. However the home did not have a clear written maintenance schedule relating to the prevention of Legionella. The Health and Safety Executive carried out a Health and Safety inspection of the home in August 2005; the report detailed various health and safety issues. The Health and Safety Inspector was due to re-inspect the home in October 2005 to check that all requirements listed in the report had been carried out. The home’s policy and procedure relating to the management and safekeeping of residents finances and money was brief and did not set out all standards to safeguard residents interests. The Registered Provider confirmed that resident’s relatives or an independent person managed their finances and personal allowances, where possible. At the time of the inspection the most residents had a small sum of money in safe keeping at the home. Appropriate records were kept of money in safekeeping to safeguard resident’s interests, apart from individual balance sheets contained only one signature. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x 2 STAFFING Standard No Score 27 2 28 3 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x 2 1 X 2 Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 21 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 OP3 Regulation 14 Requirement A full assessment of residents needs, preferences and abilities must be completed on admission. (Previous timescale of 03.08.04 not met) Timescale for action 31/12/05 2. OP3 12 A nutritional risk assessment and 31/12/05 baseline observations including residents weight must be recorded on admission and at regular intervals. (Previous timescale of 03.08.04 not met) Care plans must detail the action 31/12/05 that needs to be taken by staff to ensure that all aspects of residents needs are met, and show involvement of residents/relatives. (Previous timescale of 03.08.04 not met) Resident’s care needs must be met as set out in their care plan. 31/12/05 3. OP7 15 4. 5 OP8 OP9 12 13 Arrangements must be put in 31/12/05 place to ensure that medicines are disposed of by a licensed company/person. Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 22 6. OP15 13 All staff involving in preparing 28/02/06 and handling food must complete basic food hygiene training. Sufficient catering hours must be provided to meet the needs of 31/12/05 the home. A record must be kept of alternative meals provided to 31/12/05 show that residents receive a varied and nutritious diet. Sufficient domestic staff must be provided to keep all areas of the home clean. The staffing roster must provide an accurate record of staff on duty and hours worked. 31/12/05 31/12/05 7. OP15 15 8. OP15 15 9. OP26 18 10. OP27 18 11. OP27 18 The home must provide sufficient suitably qualified, 31/12/05 competent and experienced staff at all times to meet the needs of residents. (Previous timescale of 03.08.05 not met) The home’s induction training 31/03/06 programme must meet national training requirements as set out by Skills for Care. All staff must receive appropraite training to carry out their work, 31/03/06 including induction training within the first six weeks. All staff must attend mandatory training. all 31/03/06 12. OP30 18 13. OP30 18 14. 15. OP30 OP30 18 18 Further care staff must achieve 31/03/06 N.V.Q Level 2 qualification or equivalent. All staff working in the home 31/03/06 must be appropriately supervised. (Previous timescale DS0000002061.V261437.R01.S.doc Version 5.0 Page 23 16. OP36 18 Ivonbrook Care Home of 03.08.04 not met) 17. OP38 13 Staff must ensure that approved 30/11/05 procedures are used for moving and handling residents. Records must be kept in the 31/12/05 home that show that the electrical appliances are regulary tested. The hot water temperatures 31/12/05 including all baths and showers must be regularly checked, and records kept of this. Update the home’s policy and 31/12/05 procedure relating to the management/safekeeping of residents finances and money to include all standards in place. 18. OP38 13 19. OP38 13 20. OP35 17 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 1. Refer to Standard OP3 OP4 Good Practice Recommendations A copy of resident’s nursing assessment should be kept in their care plan. The home should consider the provision of a loop system for the benefit of residents with hearing loss and obtain an assessment in the first instance. (Outstanding from the inspection report dated 29.10.03) Monthly reviews of residents care plans should report on the effectiveness or appropriateness of the care and treatment being delivered. All residents should be offered regular dental checks. Liquidised foods should be individually presented to aid presentation. Staff should receive training on how best to DS0000002061.V261437.R01.S.doc Version 5.0 Page 24 2. OP7 4. 5. OP8 OP15 Ivonbrook Care Home present liquidised foods. 6. OP15 Residents who choose to have their evening meal in the lounge should be provided with a tray or table to have their meal on. The Manager should receive sufficient supernumerary time to ensure that the home complies with requirements and recommendations identified in this report. An annual training and development plan should be put in place to ensure that all staff receives appropriate training. Staff meetings should continue to be held on a regular basis. (Outstanding from the inspection report dated 03.08.04). A clear maintenance schedule should be put in place relating to the prevention of Legionella in the home. 7. OP27 8. 9. OP30 OP31 10. OP38 Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Ivonbrook Care Home DS0000002061.V261437.R01.S.doc Version 5.0 Page 26 - 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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