CARE HOMES FOR OLDER PEOPLE
John Joseph Powell Memorial Care Centre McKenna`s Court 11A High Street Prescot Merseyside L34 3LD Lead Inspector
Mrs Claire Lee Unannounced Inspection 8th November 2005 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 John Joseph Powell Memorial Care Centre DS0000065162.V262781.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. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service John Joseph Powell Memorial Care Centre Address McKenna`s Court 11A High Street Prescot Merseyside L34 3LD 0151 431 0247 0151 431 0247 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) Meridian Healthcare Ltd Mrs Dorothy Pye Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (38), Terminally ill (6) of places John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service users to include up 38 OP old age and up to 6 TI Terminally Ill. 2. Service users to include up to a maximum of 7 under pensionable age. 3. 7 Intermediate Care Beds OP Old age (inclusive of numbers). 4. One shower room on Intermediate Care Unit has been developed into a domestic style kitchen for therapies. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 5 Date of last inspection 25th May 2005 Brief Description of the Service: John Joseph Powell Memorial Nursing Home is registered to provide nursing care for forty four older people. The homes registration is for thirty eight older persons over the age of sixty five and seven persons under pensionable age. The home also provides seven beds for palliative (terminal) care and at this time one resident was receiving this input. Interemediate care is no longer provided. John Joseph Powell is located in the Prescot area of Liverpool, close to local shops and road links. The home is purpose built over two floors and has has forty four beds. There is a passenger lift to access all areas and hand rails are in place in the main corridors. Recreational space comrpises of a dining room, lounges and conservatory. These rooms are bright and attratively decorated. Bathrooms have suitably adapted equipment and a call system with an alarm facility is operatonal for the residents. The home has garden areas, a large pond and a secure entrance to the car park. The home was acquired by Meridian Healthcare Limited in July 2005. Meridian Healthcare own other care homes in the area, Leeds, Tameside and Scunthorpe. Mrs Pye is the registerd manager. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 6 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over two days for duration of nine hours. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. There have been no other visits to the home since the last inspection in May 2005. A general tour of the building was conducted and a selection of care, staff and nursing home records were viewed. Discussion took place with five residents, two relatives and number of staff including Mrs Pye (manager), Mrs Gaynor Harding (Regional Operations Manager for Meridian Healthcare), a registered nurse, two care staff, one cook and two student nurses. Satisfaction comment cards were also given to residents and relatives to complete at their leisure. What the service does well:
The home has a very friendly relaxed atmosphere and one resident reported, “The home is just like a real home and the staff are like family”. Residents were enjoying a game of bowls in the lounge and the hairdressing was visiting and providing a service in the conservatory. Visitors were made welcome by staff and were offered refreshments during the day. Staff were observed spending time with residents on a ‘one to one’ basis and helping with various aspects of personal care in a professional manner. Student nurses on placement were very complimentary regarding the care, service and overall management of the home. The staffing is consistent and it was evident through discussion with residents and relatives that the home is committed to providing a good caring service. Staff were observed working as an effective team and residents felt that staff were concerned about their welfare. Meridian Healthcare is introducing a variety of courses for staff which are relevant to the care of the older person. A new induction pack is also given to new staff and this is tailored to their position of work. The home has an ongoing programme for training in safe working practice areas. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 7 Generally meals were reckoned to be of a good standard, served on time and with a good choice of hot and cold foods. The dining room tables were attractively laid for lunch and residents interviewed stated that lunch was a sociable occasion. The upkeep and general maintenance of the building was seen to be good and colour schemes attractive throughout. There have been no changes to the environment since the last inspection however Meridian Healthcare are looking to lay new carpets and provide a hairdressing salon. Bedrooms seen were personalised with individual belongings and relative stated, “The room is just what we want, we like it very much”. What has improved since the last inspection? What they could do better:
Assessment documentation is available however the assessments viewed had not been completed in sufficient detail. There was a lack of information with regard to personal care, for example, hearing, continence and oral care. A number of medical and nursing needs had also not been identified and there was a lack of detail regarding family involvement. Assessments must be undertaken in full to ensure care needs are identified and can be met by the home. Each resident has an individual plan of care and information recorded was subject to regular review. It was noted that care plans are standardised (pre written information recorded) and a number of files required further information to ensure all health and social needs are met in full. This was discussed in relation to mobility, personal hygiene, continence management and social background (family involvement). An audit of the care files would be beneficial and Mrs Harding stated that Meridian Healthcare documentation is being introduced. This will assist staff when completing the plan of care. Care documentation should also be signed and dated by the staff to ensure care records are maintained to a good standard. Residents benefit from a safe system of medication and medicine sheets viewed had generally been completed to a satisfactory standard. Not all external preparations had however been signed for and this remains an
John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 8 outstanding requirement from the previous inspection, timescale of 25/6/05 not met. The home is to ensure safety checks of the hot water supply to the baths and of the emergency lighting continue on a regular basis. The last checks were recorded in September 2005. It was also noted that the fire alarms had not been checked since this date however a satisfactory test of one fire alarm was undertaken during the inspection. These checks must continue weekly. With regards to recruitment two staff files did not evidence the necessary checks required by home to ensure that staff are fit and safe. An Immediate Requirement was made that all staff must not commence work without a clear check being available from the Protection Of Vulnerable Adults register (POVA). Two references are also required relating to the person. The home has an ongoing programme of staff training however manual handling instruction is required to ensure staff are equipped with the skills and knowledge to carry out the work assigned. Staff training records were not up to date and a record must be kept of all training undertaken. 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. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 9 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 John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 10 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 and 6 (Intermediate Care is not provided at John Joseph Powell) Assessment documentation had not been completed in sufficient detail to ensure the health care needs of the residents could be met in full. EVIDENCE: Individual records are kept for each resident and the manager completes the assessment documentation prior to admission. Two assessments were viewed and it was noted that there was a lack of detail with regard to personal care, for example, hearing, continence and oral care. A number of medical and nursing needs had also not been identified and there was a lack of detail regarding family involvement. This information is required to form the basis for the plan of care. A number of assessments completed by social workers, hospital and community staff were available and this information assists staff when drawing up a plan of care. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 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, and 9 Residents have a plan of care however not all care files viewed recorded sufficient detail regarding health care of the residents. Some medicine charts also lacked staff signatures for medicines administered. These shortfalls have a potential to place residents at risk. EVIDENCE: The residents had an individual plan of care, which was subject to regular review. Resident and/or family member are gradually being involved with the care plan process and Meridian Healthcare are introducing an agreement form for residents to give their written consent to their plan of care. The care plans are standardised (pre written information) and these give staff an indication of care provision. Four care files were viewed and it was noted that these require more detail to ensure each residents’ individual health and social care needs are met in full. This was discussed in relation to mobility, personal hygiene, continence management and social background (family involvement). It is strongly recommended that an audit of the care files is undertaken as a present there is repetition of information as the home are using a variety of care documents. Mrs Harding stated that Meridian Healthcare documentation is being introduced in the home thus providing uniformity. Care
John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 12 documentation should also be signed and dated by the staff to ensure care records are maintained to a good standard. This was lacking in a number of files viewed. Supporting care documentation includes a Medley Score for assessing pressure relief, manual handling assessment, nutritional and dependency assessment. When completing the manual handling assessment, consideration should be given to recording further instruction as to the number of staff required when assisting residents and details of the equipment to be used, for example electric hoist, stand aid hoist. Specialist mattresses were in place where a need had been identified. A relative whose family member has recently been admitted was full of praise for the staff and said, “I am very pleased with the home, it feels safe and staff are very nice and caring”. If a resident is at risk of falling and requires bed rails this is stated in the plan of care. Records of wound care and treatment were viewed and a resident discussed the good input received from the hospital to aid recovery. This was recorded in good detail. The home cares for residents with a variety of medical conditions and those who require terminal care. Staff were observed offering assistance according to need and a resident said, “You could not get better care”. A record was seen of GP visits, other health professionals and hospital appointments. A resident reported, “The staff are very good and arrange for me to see a doctor when I want”. Residents benefit from a safe system of medication and medicine sheets viewed had generally been completed to a satisfactory standard. Not all external preparations had however been signed for following administration. The medicine trolley is kept locked to a wall in the treatment room when not in use. No residents are currently self-medicating however the home has policy and procedure for this purpose. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 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): 12,14 and 15 There is a very sociable atmosphere in the home and the daily life, routine, environment and social interests are based around individual choice and needs of the residents. Lunch was seen as a sociable occasion and residents are offered a good choice of well-balanced meals. EVIDENCE: Interviews with residents confirmed they were pleased with the routine in the home, for example, time of going to bed, times meals are served and the social activities offered each week. Residents were playing carpet bowls during the inspection and others were spending time with the hairdresser or meeting visitors. One resident was taking his twice daily walk around the building which he enjoys as he is able to stop and chat with staff and fellow residents. The home offers a good range of activities, for example, bingo, cards, jigsaws and gentle exercise however residents’ preferred hobbies and social interests should be recorded in the care file. A social profile had not been completed for a number of residents. A tour of the building was conducted and a number of bedrooms seen. These contained personal belongings, for example, photographs, pictures, ornaments and electrical equipment. Residents interviewed were pleased with the overall
John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 14 standard of accommodation and described their rooms as being, “Homely”, “Nicely decorated”, “Small but cosy” and “Very pleasant”. The main dining room is very well arranged and pleasant. Lunch is served in this room or in residents’ rooms if preferred. There were plenty of staff available to assist with the serving of meals and those residents who required extra help received this in a sensitive manner. The menu is based over four weeks however residents were unaware of the choice of meals being served. The menu should be displayed and it should also record the alternative that is available at lunch and tea. A resident stated, “I am not always aware what else I can have”. Comments received regarding the food were generally favourable. A health and safety audit of the kitchen has recently been conducted and satisfactory records of fridge, freezer and hot food temperatures were seen. Visitors reported that they are offered refreshments and can stay for lunch if they wish. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 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): 18 The home has a vulnerable adults’ procedure to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has an abuse policy and procedure and Knowsely’s local guide. Staff interviewed were knowledge regarding the concept of abuse and how to report an alleged incident. Staff have attended abuse awareness training over the last year. (Dates of training must be kept, please refer to Standard 30) John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 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, 25 and 26 John Joseph Powell is well maintained and is clean so that residents live in a safe environment that meets their needs and also contributes to their quality of life. EVIDENCE: The general environment of the home is maintained to a high standard and this was evident in all areas seen. There have been no changes to the décor, furnishings and fittings since the last inspection however Meridian Healthcare are looking to lay new carpets throughout the home, convert a room into a hairdressing salon and build a conservatory. All areas seen were clean and hygienic and residents interviewed confirmed that their rooms are cleaned to a good standard. Some of the bedrooms are quite dark however residents did not feel this was a problem. Safety checks of the hot water supply to baths and emergency lighting had been carried out routinely up until September 2005 however the maintenance man who was responsible for these safety checks has since left. There seemed to be uncertainty in the home regarding the frequency of the required checks
John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 17 and the manager was informed. Consideration should be given to appointing a member of staff to carry out these safety checks on a monthly basis. Hot water signs should also be placed above hand sinks to minimise the risk for the residents. Security access is provided at the reception area and the height of the walls that surround the building is being extended, as a drop is evident on one side. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Sufficient numbers of staff were deployed to meet the needs of the residents. There is an ongoing training programme for staff however manual handling training is required to ensure staff are equipped to carry out their role and meet general care needs of residents in a safe manner. Staff recruitment procedures are not robust to help ensure protection to people living in the home. EVIDENCE: Viewing of duty rotas demonstrated that the residents are supported by suitably appointed staff. The home employs an established workforce and staff interviewed confirmed how much they enjoy caring for the residents. Two registered nurses are on duty during the day and one at night. The manager has supernumerary hours for the completion of administrative work but she also assist staff with the care provision. Seven care staff were on duty during the morning and residents confirmed that staff were very helpful and patient. One resident stated, “The staff never rush me and always have time for a good chat”. The home has bank staff to fill outstanding shifts and residents and relatives thought the staffing numbers were adequate. With regards to recruitment practice two staff files of recently appointed staff were viewed. An Immediate Requirement notice was issued at the time of the
John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 19 inspection, as the home were unable to demonstrate robust recruitment practice. A member of staff commenced work prior to a CRB (Criminal Record Bureau) disclosure being received and there was no evidence of a POVA (Protection of Vulnerable Adults) First check being sent for. A member of staff commenced work prior to a POVA First check being received and there was no evidence of a CRB disclosure as this had gone to the employee and the staff file had not been updated accordingly. A new employee can only start working pending receipt of a CRB if clearance from the POVA register is received. A record of the CRB must also be kept for inspection. This is a requirement prior to employment in order to protect residents from known abusers and this needs to be addressed in all cases of future staff employment. A staff file evidenced only one written reference; two are required relating to the person. Another reference had not been completed in detail. The home has an ongoing programme of training in safe working practices including first aid, food hygiene and infection control. Staff confirmed they attend these courses however dates and course details are not recorded. A record must be kept of all training attended. Manual handling instruction is due now for staff and the manager will give this as she has recently completed a course for manual handling instruction. Meridian Healthcare have staff induction booklets tailored for each position. A sample of a registered nurse induction was seen as completed ones were not available. The induction booklets are given to staff to complete with their mentor. Consideration should be given to evidencing a start date for the induction in the staff files. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35 and 38 The manager is suitably qualified and creates an open, inclusive management of the home. Meridian Healthcare maintain financial records and health and safety systems are in place to protect the residents. EVIDENCE: Residents interviewed stated that the home is managed with ‘their interests at heart’. Staff are consulted regularly regarding the day-to-day management and they receive a hand over at each shift to discuss the residents’ welfare and care needs. Staff meetings are held and it is recommended that minutes be kept. Resident meetings are not held at present. The home distributes comment satisfaction cards however these were not available for inspection. Meridian Healthcare is in the process of collating information regarding the service, the results of which will be published in booklet form. An audit was seen for the placement of student nurses at the home. Meridian Healthcare
John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 21 have also undertaken a health and safety audit and audit of the kitchen, any action needed has been actioned. The home does not deal with payment of personal allowances and fee invoices and accounts are dealt with by head office. Records are kept of invoices for the hairdresser and any monies received from relatives. It is recommended that two members of staff sign for any money received. The fire logbook evidenced checks of fire prevention equipment. Fire alarms had been checked weekly up until September 2005 however this was the responsibility of the maintenance man who has since left. A satisfactory check of a fire alarm was conducted during the inspection and the manager was informed that these checks are to continue weekly. Consideration should be given to appointing a member of staff to undertake these tests. The home’s fire prevention equipment is subject to an annual safety check and this was conducted in September 2005. Accidents to resident and staff are recorded and the information stored appropriately. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X 2 3 STAFFING Standard No Score 27 X 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14 Requirement A needs assessment must be completed for residents to ensure their care needs are identified and met in full Residents health care needs must be recorded in more detail in the plan of care External preparations must be signed for when administered by staff. Timescale of 25/06/05 not met All staff must recive a POVA first check and clearence prior to commencing employment in the home The home must keep a record of all staff training. Timescale of 25/07/05 not met Manual handling instruction must be provided for staff Timescale for action 09/02/06 2 3 OP8 OP9 12 17 09/02/06 09/12/05 4 OP29 19 08/11/05 5 6 OP30 OP30 18 18 09/12/05 09/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 24 No. 1 2 3 4 5 6 7 8 9 10 Refer to Standard OP7 OP7 OP8 OP12 OP15 OP19 OP25 OP30 OP35 OP38 Good Practice Recommendations An audit of the care files should be taken to ensure uniformity of care documentation All care documentation should be signed and dated by the staff to ensure care records are maintained to a good standard Manual handling forms should include the number of staff required to assist the residents and details of manual handling equipment A social profile should be completed for each resident The menu should be displayed and evidence the alternative on offer at lunch and tea Safety checks of hot water supply and emergency lighting should be undertaken by an appointed person Hot water signs should be placed above hand sinks Staff files should indicate the date induction for new staff is commenced Two staff signatures should be obtained for any money received on behalf of a resident Testing of fire alarms should be undertaken by an appointed person John Joseph Powell Memorial Care Centre DS0000065162.V262781.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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