Inspection on 23/08/06 for Kenilworth Nursing Home

This inspection was carried out on 23rd August 2006.

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

Kenilworth Nursing Home 02/09/08

Kenilworth Nursing Home 18/06/07

Kenilworth Nursing Home 19/12/05

Kenilworth Nursing Home 15/08/05

Kenilworth Nursing Home 31/01/05

Kenilworth Nursing Home 14/09/04

Kenilworth Nursing Home 23/09/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Kenilworth Nursing Home 26/28 Kenilworth Road Ealing London W5 3UH Lead Inspector Robert Bond Key Unannounced Inspection 23rd August 2006 10:00 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 Kenilworth Nursing Home DS0000010949.V310007.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. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kenilworth Nursing Home Address 26/28 Kenilworth Road Ealing London W5 3UH 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) 020 8567 1414 020 8567 1052 Mr and Mrs Gopaul Mr Coossialsing Gopaul Care Home 40 Category(ies) of Dementia (0), Dementia - over 65 years of age registration, with number (0), Mental disorder, excluding learning of places disability or dementia (0), Old age, not falling within any other category (0) Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 40 elderly mentally infirm 40 adults over the age of 40 with dementia Date of last inspection 19th December 2005 Brief Description of the Service: Kenilworth Nursing Home is a 40 bedded Care Home giving care to service users within the category of older people with mental health needs. The home, which is situated in a quiet residential area in Ealing, is sited in two formerly detached houses, which have been joined into one building. Rooms are sited on three levels, with a lift connecting the floors. The home has 15 double rooms and 10 single rooms. There are several communal areas, which vary in size and are all utilised by service users. There is also an attractive and secure garden area that service users can use. The home is 10 minutes walk from Ealing Broadway, where there is a shopping centre and access to bus, underground and surface rail transport facilities. Fees charged by the home vary between £517 and £750 per week. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a ‘key’ inspection that considered the outcomes of the ‘key’ standards in the Department of Health’s National Minimum Standards (NMS) for care homes for older people. The Inspector assessed 21 outcomes in total, and found that 1 was exceeded, 12 were fully met, and 8 were partly met. This led to the Inspector making 13 requirements and 3 recommendations. The Inspector interviewed the proprietors, one of who is also the Registered Manager, and the Inspector met other staff and talked to several service users. The Inspector toured most of the home, including two bedrooms, and examined a range of records and files. One care file chosen at random was examined in detail (case-tracked). The home was found to be fully staffed, and there was one service user vacancy. What the service does well: What has improved since the last inspection? A revised fire risk assessment is completed and available to staff in the home. A revised procedure for disposing of unused medication is now in place and is known to staff. Bathroom and toilet doors have now been fitted with locks in order to enhance the privacy and dignity of service users. Additional furniture has been purchased for use in the bedrooms, and some communal items of furniture have been replaced, with further new chairs being on order. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 6 Some areas of the home have been redecorated. Thermometers are now placed in the communal lounges. An air purifier has been installed in the smokers’ lounge. Additional use is being made of ‘adaptation nurses’ who are supernumary to the home’s staffing establishment. Nursing staff within the home have been trained in the ‘mentoring role’ necessary to assist in the adaptation process. Qualified nurses from abroad are being used as senior carers within the home. A dietician visits the home regularly and all staff members are now trained in good nutritional practice. What they could do better: All service users have social care needs that must be fully assessed, and the individual care plans must include a section on how those needs will be met. Staff will have to be trained in this process. The home’s activity programme must be extended to cover weekend days. The current use of the Visitors’ Book should be reviewed as the entries suggest that very few relatives or other people visit the care home each day. Minutes of Residents Meetings should identify the names of everyone present. A revised and updated Protection of Vulnerable Adults procedure is required. Some furniture and carpeting in communal areas must be replaced. Trip hazards along the back garden path must be removed. The kitchen must be refurbished so that potential Environmental Health concerns are dealt with. Soap and towels must always be made available adjacent to all wash-hand basins. The full range of recruitment processes and checks must be undertaken and recorded when taking on new staff. It is also recommended that existing staff should have a Criminal Records Bureau (CRB) disclosure check undertaken on them at least every three years. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 7 Records kept of money that is held by the home on behalf of a service user must be sufficient to demonstrate a running balance. All thermometers in use in the home must work correctly, and the temperatures of fridges and freezers must be accurately recorded on a daily basis. The home must have a hot water supply that is adequate to supply hot water at the recommended temperature to all parts of the building at all times. 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. Kenilworth Nursing Home DS0000010949.V310007.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 Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The assessment process is good, except where social needs are concerned. The home does not offer intermediate care. EVIDENCE: The Inspector selected at random the case file of one service user who had recently moved into the care home. The Inspector found a good assessment document had been prepared by the referring hospital, and this assessment had been supplemented by other assessments undertaken by staff of the care home. These internal assessments included moving and handling, skin condition, Waterlow pressure sore prevention, dependency rating, continence, Prideaux nutritional assessment, risks and falls. The assessments were seen to be subject to frequent and regular review. The service user’s interests were recorded but her social care needs were not assessed in a way that led to any needs being identified in her care plan. The Registered Manager reported that the home does not offer intermediate care. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The service users’ health, and personal care needs are satisfactorily set out in an individual plan of care. Further work is needed on identifying and recording social care needs. Service user’ health care needs are met in a satisfactory manner. Service users are well protected by the home’s procedures for administering medication. Service users are treated with respect and their privacy maintained to a satisfactory extent. EVIDENCE: The Inspector examined in detail the care plan for the service user he had selected for case-tracking. A satisfactory care plan had been devised upon her admission to the care home. In this case the care plan only covered nursing and personal care aspects. Social needs were not covered. A senior nurse reported that care plans only covered social aspects where specific needs were identified. The Inspector considers that every service user has social care Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 11 needs and hence service user’s care plans should always include a section on how assessed social care needs will be met. Requirements 1 and 2. The Inspector noted that care plans are evaluated and reviewed monthly, and that the care plan format has a space for service user’s to sign their agreement to the plan. The care plan examined by the Inspector had however not been signed by the service user (said by the Registered Manager to be unable to sign) nor by her son (said by the Registered Manager to be uninterested in signing). The Registered Manager reported that service users have a choice of GP, and that a dietician, optician, chiropodist and dentist all visit the home as required. In addition CPNs and psychiatrists visit as 10 service users are said by the Registered Manager to be under CPA. Tissue viability nurses also visit the care home. The Inspector noted that service users’ weight and other health indicator records are well maintained. The Registered Manager reported that no service user is able to manage their own medication. The Inspector checked a sample of the home’s medication records, which were satisfactory, except that the returned to pharmacist records did not always show the strength of the medication. The recording system for this was improved whilst the Inspector was still on site. The Inspector observed that service users were treated with dignity, and that their privacy was respected by the presence of screens in double bedrooms. Privacy and dignity have been recently enhanced by the supply of additional lockable cabinets in bedrooms and the fitting of locks to bathroom and toilet doors. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. However, as the programme of activities within the home does not include weekends, social and recreational needs of service users are not being adequately met. Evidence suggests that the extent of contact between service users and their families or other members of the community is not sufficiently high. Service users’ views are ascertained to a satisfactory extent. A satisfactory wholesome appealing and balanced diet is served. EVIDENCE: The Inspector noted that individual service users’ interests are recorded, but their social care needs are not adequately assessed and identified within care plans. However the individual involvement of service users in activities is recorded, and the home has an advertised activity programme. The programme only covers Monday to Friday. It must be extended to cover weekends. Requirement 3. The Registered Manager reported that one member of staff is designated each day to lead activities, with other staff to join in. Also one service user is able to go out alone, whilst others are escorted on walks, to go shopping or to church. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 13 In addition there is a group visit to Ealing Festival, and an annual outing to the seaside. Bar-b-ques are held in the garden, and birthday parties are held almost weekly. Catholic Holy Communion is held at the home monthly, Church of England vicars visit, as does a Hindu Swami, and Moslems are enabled to attend a mosque. The Inspector examined the home’s visitors’ book which is kept in the nurse’s office. Only two or three signatures were appearing each day which indicates a low extent of visiting by relatives and other visitors. The Registered Manager should consider whether this record is accurate. If not he should find ways of ensuring that ALL visitors sign the record. If it is accurate, he should consider ways of encouraging more relatives, friends, advocates, volunteers, and other members of the wider community to visit the home. See Recommendation 1. In terms of service user choice and control, the Registered Manager reported that service users are consulted during the assessment process, and at their care plan reviews, when relatives’ views are also sought. The Inspector observed minutes of monthly service user meetings, which were good but did not identify which service users were actually present. See Recommendation 2. Regarding meals and menus, the Inspector examined the current food menu and noted in particular that ethnic meals could be provided. The Inspector saw cooked chicken being prepared in the kitchen. The Registered Manager reported that the home now has the services of a dietician to advise them. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The complaints leaflet has been altered so that it is now satisfactory. The home’s Adult Protection procedure is not wholly satisfactory at present. EVIDENCE: The Registered Manager reported that no complaints have been received since before the previous CSCI inspection. The Inspector examined the home’s complaints leaflet, which was seen to be on the walls of the office, the entry hall, and at least one bedroom. The leaflet was seen to be out of date as it did not provide the current contact details of the CSCI local office. This was corrected whilst the Inspector was present, hence no requirement is made. The Inspector examined the home’s Adult Protection policy and procedure. The document was found to be out of date as it indicated that workers who were found guilty of abuse of service users should be referred to the CSCI. The Government has now set up the POVA list for such purposes and hence referrals must be made for inclusion of names on that list. See Requirement 4. The Inspector ascertained from training records that staff had been trained in POVA, now known as Safeguarding Adults. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 15 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 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Certain aspects of the premises are not sufficiently well maintained, or sufficiently safe. The home is sufficiently clean, pleasant and hygienic except where hand washing facilities are concerned. EVIDENCE: The Inspector toured most areas of the home in the company of a Senior Nurse. The Inspector noted that several items of communal furniture had been purchased, and examined an order that had been placed for additional chairs. The Inspector however noted a damaged individual table, and a damaged cupboard that was being used as a television stand, in the ‘extension lounge’. See Requirement 5. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 16 The Inspector noted that some carpets in communal areas were stained and burnt by cigarettes. The wife of the Registered Manager said new carpets were going to be purchased. See Requirement 6. The Inspector visited two double bedrooms that were adequately furnished and equipped, except that one that was on the ground floor had had the window opening restrictor disconnected. This created the danger of an intruder easily gaining access to the premises. The fault was corrected whilst the Inspector was still on site. The Inspector toured the back garden area and found that both garden sheds were unlocked despite the sheds being used to store items such as paint that were potentially hazardous to health. Pad-locks were fitted to both shed doors whilst the Inspector was still on the premises. The Inspector also noted the presence of a number of trip hazards in the garden due to the presence of some loose and uneven flagstones along the pathways. See Requirement 7. In the kitchen, the Inspector noted broken tiles and holes in the fly-screen that covered the window. The Registered Manager reported that the kitchen is due to be refurbished. See Requirement 8. The Inspector noted a lack of hot water in the kitchen, problems with three thermometers in use in the kitchen, no soap in the kitchen, and no soap or towels in one of the bathrooms. These omissions are dealt with in more detail in the Health and Safety section. The Inspector also noted a smell of urine when he entered the home. The smell subsequently dissipated. The home overall was found to be sufficiently clean and hygienic but procedures must be changed so that soap and towels are always available at every wash-hand basin. See Requirement 9. The Inspector was also concerned about the low temperature of hot water in the kitchen at the time of the inspection (38 instead of 60 degrees C. at 11a.m.), and this is also made a requirement in the Health and Safety section. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The numbers and skill mix of staff are very good. The qualification level of the staff group exceeds the minimum standard and hence is excellent. The recruitment procedure/practice does not adequately protect service users at present. Staff training programmes and records are good. EVIDENCE: The Inspector examined the home’s current staffing rota and found that numbers of staff members on duty exceeded the Proprietors’ minimum staffing levels. The Registered Manager reported that whereas 9 staff members needed to be on duty in the mornings, and 7 in the afternoons, often the numbers were 11 and 9 respectively, with four on duty at night. This was because the home trains nurses from abroad who are undertaking their adaptation courses in order for their overseas qualifications to be valid in the United Kingdom. In addition, such overseas trained nurses were being employed by Kenilworth to undertake senior care assistant duties. The Registered Manager reported that approximately 70 of the staff group were either nurse trained or have at least an NVQ level 2 in care. (The NMS level is 50 ). Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 18 The Inspector examined the home’s training records. The Inspector examined three staff recruitment files. He found that all three applicants had completed an application form, but there was no photograph of one successful applicant, and there was no evidence of one of the three having been interviewed. Two written references were seen on all three candidates, but only two had a CRB certificate on file. The applicant who did not have a CRB available for the Inspector to examine, had been employed since March 2003 and hence a CRB certificate must be obtained for him, and it is recommended that a renewed CRB certificate is obtained on existing employees every 3 years. Requirement 10 and Recommendation 3. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home is run and managed in a satisfactory manner. The home is run in the interests of service users to a satisfactory extent. Service users’ financial interests are safeguarded to a satisfactory extent but the personal financial records are not satisfactory. The promotion of health and safety for service users and employees is not satisfactory. EVIDENCE: The Registered Manager is nursing qualified, with a diploma in social science, and he has been registered by the CSCI as a fit person to manage a care home for older people with mental health needs. He has had management experience and training whilst previously employed by the NHS. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 20 The Registered Manager reported that Quality Assurance questionnaires are completed annually by service users, staff and other professionals. The Inspector examined a QA Strategy document that had been created subsequently, as an internal audit. The Inspector also saw an Annual Development Plan. The Registered Manager reported that the home is the appointee for only one service user. The Inspector examined the financial records of the personal allowance for this service user and found that although receipts and payment slips were available, the records were inadequate as no running balance was shown. Requirement 11. The Inspector found that in the food store, neither thermometer that was integral to the refrigerator and to the freezer were working. An independent check of the temperature of the refrigerator in the kitchen found that the thermometer in use in that machine was faulty. The same temperatures were being recorded each day for all the fridges and freezers and it appeared that the temperatures were not being accurately recorded on a daily basis. Requirement 12 The Inspector took the temperature of the hot water supply in the kitchen and found it to be 38 degrees as opposed to the expected 60 degrees Centigrade. The Registered Manager said this was because many service users take a bath in the morning. Means must be found to correct this, whether it is by changing bathing routines, or by installing a larger hot water tank, for example. Requirement 13. The Inspector noted that water borne Legionella testing was due to take place at the home shortly. The home has a premise’s risk assessment in place. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 21 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 x x x x x x 2 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 2 x x 2 Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 22 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 Standard OP7 Regulation 15(1) Requirement The service user’s care plan must include how the service user’s welfare (social care) needs are to be met. Staff must be trained in recognising social care needs, and how to record how they can be met. The home’s programme of activities must extend to weekend days. A revised Protection of Vulnerable Adults procedure is required. All furniture in communal areas must be of a good standard and not show signs of damage. All carpets in communal areas must be of a good standard and not damaged. All parts of the garden to which service users have access must be free from hazards to their safety. (remove trip hazards) The kitchen must be refurbished so that cracked tiles are repaired, and fly screens reinstated. Soap and towels must always be DS0000010949.V310007.R01.S.doc Timescale for action 01/11/06 2 OP7 18(1)© 01/11/06 3 4 5 6 7 OP12 OP18 OP19 OP19 OP19 16(2)(n) 13(6) 16(2)© 16(2)© 13(4)(a) 01/11/06 01/10/06 01/10/06 01/11/06 01/12/06 8 OP19 23(2)(b) 01/12/06 9 OP26 16(2)(j) 01/09/06 Page 23 Kenilworth Nursing Home Version 5.2 10 OP29 19(1)(b)S ch.2 17 11 OP35 12 OP38 13(3) 13 OP38 23(1)(a) available adjacent to all washhand basins. The requirements of Schedule 2 of the Care Home Regulations must be met when recruiting or continuing to employ staff. The home must maintain adequate records concerning service user’s finances where the home holds money for a service user. All thermometers in use must work correctly, and temperatures of fridges and freezers must be accurately recorded. The home must have a satisfactory hot water supply system in place so that at all times hot water at the correct temperature can be supplied to all parts of the building. 01/09/06 01/10/06 01/10/06 01/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP13 OP14 OP29 Good Practice Recommendations The use of the Visitor’s book should be reviewed as it currently indicates that very few people visit the care home each day. Minutes of Residents Meetings should identify exactly who was present. It is good practice to obtain a new CRB disclosure certificate on existing employees, every three years. Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West London Area Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Kenilworth Nursing Home DS0000010949.V310007.R01.S.doc Version 5.2 Page 25 - 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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