Inspection on 18/07/07 for Kidsley Grange

This inspection was carried out on 18th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Kidsley Grange 17/07/06

Kidsley Grange 30/01/06

Kidsley Grange 28/09/05

Kidsley Grange 12/11/04

Kidsley Grange 20/05/04

Similar services:

Carlton Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Kidsley Grange 160 Heanor Road Ilkeston Derby DE7 6DY Lead Inspector Claire Williams Unannounced Inspection 18th July 2007 09:00 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 Kidsley Grange DS0000002107.V341104.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. Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kidsley Grange Address 160 Heanor Road Ilkeston Derby DE7 6DY 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) 01773 769807 www.ashmere.co.uk Ashmere Care Group Mr Gerald Poxton, Mrs Sandra R Poxton, Mrs Ann Theresa Poxton, Dr Michael G Poxton, Mr David A Poxton Emma Conway Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Ashmere Care Group is registered to provide personal care with nursing at Kidsley Grange for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) (26) The maximum number of service users to be accommodated at Kidsley Grange is 26. 17th July 2006 2. Date of last inspection Brief Description of the Service: This Care home is situated in the village of Smalley. The home is a converted building on two floors. There are two lounges one incorporating a conservatory and an open plan dining room. There is provision for nursing care to a maximum of 26 service users. The home is located on an acute bend on the A608 road. The access to the car park and the main entrance is via a right turn off Adale road. Information about the service is provided through the Statement of purpose and Service user guide, both of which are made available to residents and their families and includes reference on how to access the previous inspection report. Information obtained on the day of the visit confirmed that the current fees for the home were £333.85 to £519.50, which includes a top up fee. Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. Where possible, we include evidence from other sources, notably District Nurses and Social Workers. We also use information gathered throughout the year, to support our judgements. This may include notifications from the provider, complaints or concerns and information from the Annual Quality Assurance Assessment. In addition to this seven surveys were received which were completed by the people living in the home with the assistance from staff or a relative. Findings from these are included in the report. The primary method of inspection used during the visit to this service was ‘case tracking’. This involved selecting four people and tracking the care they receive through the examination of their care plans and associated care records, inspection of their private and communal accommodation, and discussions with them or their representatives and the staff team. During this visit time was spent undertaking a brief tour of the service, looking at records and speaking to the people and staff about their experience of the home. Lunch was spent with the residents and medication was also examined. The manager was on duty and assisted the inspector with the inspection. The area manager for the Ashmere care group arrived at the home during the morning and stayed for the duration of the inspection. All of the key standards were inspected on this occasion. Following discussions with the people who live at this service it was agreed that for the purpose of this report they would be referred to as ‘residents’. What the service does well: Residents have the opportunity to undertake visits to the home and have an assessment completed in order to decide if the home can meet their needs. Feedback from relatives and two Care managers indicated their satisfaction with the running of the home and concerning the delivery of care. A comment received from a relative included: “the care and the staff are marvellous”. Discussions with the staff team confirmed their commitment and knowledge of the resident’s specific needs and preferences and how these are to be met. Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 6 Systems are in place in order to obtain feedback from the residents and their representatives about the running of the home. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 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 Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1, 2, and 3 (Standard 6 not applicable to this service.) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have the information they need to be able to choose a home and are fully assessed prior to moving into this service so that they can be confident that the home is able to meet their needs EVIDENCE: People and their advocates have access to a Service user guide, which contains information they need informing them about the service. The only information that was not contained in this document was specific information about the current scale of fees; but a separate sheet, detailing this information was available. However due to a change in the regulations this information must now be included within the Service user guide. A copy of the Statement of purpose was available in the reception area and this document has been updated to include information about the new manager. There is a visitor’s pack available for relatives to inform them about certain aspects of the service. Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 9 Comments from relatives and the manager supported that people do not come to live at Kidsley Grange unless a member of staff had visited them, and assessed that the home was able to meet the person’s care and social needs. Additional information about individuals needs was available from the care management, if the person’s care was funded in this way. Information from other health and social care professionals was also made available. The assessments for three people were examined and these were generally completed in full, but there was some gaps noted, for example the religious observance for one person was not recorded. From discussion’s held with families they indicated that they generally think the service meets their relative’s needs, and they felt well informed about their welfare. Comments received about the staff team included: “ the staff are friendly, polite and helpful”; this was also supported by observations made throughout the inspection. The staff spoken with demonstrated a good understanding of the needs of older people and all stated how they are committed to their role. They felt they received enough information, to deliver appropriate care, and received good support from the management team and positive training opportunities which assists them in meeting residents needs Kidsley Grange DS0000002107.V341104.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 7, 8, 9, and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The planning and delivery of care ensures that people’s health and personal care needs are fully met. EVIDENCE: Those people that are able to are encouraged to access their files, and be involved in the development of their plan. Relatives spoken with confirmed that they was consulted about the plan of care and are involved in the review of these plans. The manager is in the process of implementing new paperwork and three of the care plans examined was recorded on the new documentation and the fourth care plan was based on the old system. Each person’s file examined contained the required information to enable the staff team to deliver individual care and support to meet their needs, which is an improvement from the previous inspection. The new documentation was detailed and included the actions that staff should follow to meet individual’s needs. The files was well organised enabling the staff team, to locate information quickly. Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 11 Although the care plans were detailed some of the instructions were not clear for example in one file its states ‘support by 1 or 2 carers and ‘requires full assistant’. This does not give a clear instruction for the staff team to follow and therefore needs to be more specific as to what support the person actually needs. The files contained brief information concerning the individual’s life or preferences, or concerning individual daily routines. This information is required so that the care plans are based on a person centred approach and are individualised to ensure the staff deliver care based on the preferences and wishes of the individual. Each files contained the required assessments to identity any risk’s and support requirements in relation to moving and handling, tissue viability, falls and nutrition. There was evidence to support that people have access to health care professionals when needed, and attended routine or specialist healthcare screening. The care plans were reviewed on a monthly basis, changes was made to their care plan if required. In response to the requirement made in the previous report the medication room has been relocated to a room where the temperature is consistent. The medication practices and storage was examined and these were found to be generally satisfactory although the inspector did note that not all of the handwritten instructions were countersigned for validation and a code was used frequently but an explanation had not been recorded on each occasion. These issues were discussed with the manager who agreed to remind the nurses who administer the medication. Observations and feedback from residents and their families indicated that the staff deliver care in a manner that upholds individuals privacy and dignity, and relatives confirmed this during the discussions held. Kidsley Grange DS0000002107.V341104.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12, 13, 14, and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to social, cultural and recreational activities that meet their expectations, and were satisfied with the meals provided EVIDENCE: There was mixed feedback about the provision of activities from the completed surveys, as only one person stated that activities was always available and six people stated that they were usually available. In discussions with the manager she stated that she has tried many methods of ensuring people have access to interesting and valued activities, which has included a planned activities schedule for the week, to a flexible approach of activities being available when people want them. Depending upon how people are feeling they are asked if they would like to access any in house activities such as: bingo, board and card games, singalong, arts, crafts, quizzes, and movement to music. If they do not wish to participant staff try to spend quality time with individuals and paint their nails or chat to them and this was observed during the visit. Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 13 External entertainment visits the home on a weekly basis and relatives confirmed that people respond well to this. There was some information about resident’s interests or hobbies recorded in their care files. Details of entertainments and social activities was not displayed on the resident’s notice boards, which could result in people not being aware of what is available. The relatives, that was spoken to stated how they felt welcomed into the home and the following comment was made: “the staff are always friendly and we can visit when we want”. Comments from residents and information within the surveys confirmed that residents were satisfied with the meals provided. The inspector joined the residents for their lunchtime meal. The tables were set with napkins and a variety of drinks depending on individual’s choice. The meal was relaxed and conducted at the residents pace. Residents confirmed that choices are available and the menu detailing the food for that day is displayed in the lounge area. The inspector did note that a person who required support to eat there lunch had three staff members provide this support due to various interruptions. The catering staff had a good knowledge of individual’s dietary needs but this was based on experience and verbal information rather than detailed information based on individual preferences. Kidsley Grange DS0000002107.V341104.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to express their concerns and are safeguarded by the procedures in place. EVIDENCE: People that are able to self advocate confirmed that they felt able and confident to raise any concerns they had with the manager, who they stated would listen and resolve any issues. Relatives spoken with was aware of the procedures in place, and stated that they would not hesitate to raise any concerns on behalf of the person living in the home. The complaints records were examined and 3 complaints had been made since the last inspection, which had been investigated and responded to appropriately. In response to the requirement made in the previous report, the service has implemented and now follows the local multi-agency safeguarding adults and whistle blowing procedures. The staff members spoken to confirmed access to this training and had a good awareness of the procedures to follow. The training records indicated that all care staff have attended or are due to attend training in safeguarding adults. There have been no referrals made since the last inspection. Kidsley Grange DS0000002107.V341104.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 19, 24, and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a safe and comfortable environment, but would benefit from having several areas renewed and redecorated to make the facilities more homely. EVIDENCE: Feedback from the surveys and from the discussions with relatives confirmed that they was satisfied with the general maintenance and cleaning of the building. The inspector did note an odour when entering the service, but this may have been due to the bathroom being used, that is located near to the entrance. Devices have been fitted to release fragrance into the home at several intervals. Although the building is safe the environment would benefit from an upgrade due to the general wear and tear especially in the bathrooms areas, as they were not homely in design. The inspector noted that the toilet frame was rusty and would benefit from being replaced. A renewal and redecoration Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 16 programme is in place and areas are being decorated depending upon priority. The carpet that was identified previously was due to be replaced the following month. During the tour of the building of the inspector noted an odour coming from a bedroom. The inspector was informed that the flooring was due to be replaced within the next few weeks due to this issue. The inspector viewed some bedrooms, which were personalised in accordance with individual’s preferences. Residents commented on how they liked their rooms, and they confirmed they had places to lock their valuables and are given the choice to have a key to their room if they wish. Residents have access to a garden area, but this is on a slope, which could present risks to people accessing it in wheelchairs. Discussion with the area manager confirmed that a plan to landscape the garden area is being developed to enable people to access it on amore regular basis. Kidsley Grange DS0000002107.V341104.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 27, 28, 29, and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People benefit from being supported by a competent and stable staff team, however shortfalls in the recruitment and deployment of staff could place people at risk. EVIDENCE: At the time of the visit there was three care staff on duty and the manager was supporting the staff as the qualified nurse. Feedback from residents and their relatives indicated that they felt there was adequate staffing levels on duty and that the staff did meet their needs. The discussions with the staff demonstrated that they had a clear understanding of their roles and responsibilities and confirmed that they have access to training opportunities and supervision. Comments from the staff team indicated that based on the currently staffing levels for the morning period they are able meet people’s needs, but due to a decrease in the staffing levels in the afternoon shift, this has resulted in staff “rushing around” in order to support people, which could affect the delivery of care. The inspector confirmed that the staffing levels are based on dependency and not the number of people living in the home, and discussed the issues raised with the manager at the time. Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 18 The recruitment of the staff team was discussed and three files for the most recently employed staff members were examined. All of these files contained evidence to support that Criminal bureau checks (CRB) had been undertaken before they commenced employment. Two of the files contained references, but one file only had one reference although confirmation was given that two were obtained but the manager was unable to evidence this. A full employment history was not provided in two of the files examined, and an explanation of any gaps had not been explained. The inspector was informed that the application form would be updated, as the current format does not request the required information. Evidence of training undertaken was available in the staff files examined, and a training programme was in place covering the mandatory areas. This ensures that staff have access to the required training to enable them to fulfil their responsibilities. Staff confirmed access to an induction, which included shadowing an experienced staff member for the period up to two weeks. Staff then commence an induction, which is devised by the company, and the area manager confirmed that it meets the skills for care specifications. Staff are supported to complete this over a time of period applicable to the individual. The information provided in the Annual Quality Assurance Assessment indicated that 7 care staff have achieved a National Vocational Qualification to level 2 or above, and 1 staff member is currently undertaking this qualification. The service have therefore have not met the National Minimum Standard target to have at least 50 of the staff trained to level 2 by 2005. Kidsley Grange DS0000002107.V341104.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 31, 33, 35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well, and systems are in place to ensure the health, safety and welfare of residents is promoted. EVIDENCE: Feedback from the residents and their relatives indicated that the home was managed well and a good rapport between the residents and the staff was observed. Staff stated that they found the management team to be supportive and confirmed that they provide guidance and direction. The current manager is a qualified nurse who has had many years experience of working with this client group. She informed the inspector that she would process her application to register with the CSCI within an agreed timescale. Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 20 Systems were in place for the ongoing monitoring of standards and for the purpose of quality assurance, and these included; residents meetings, satisfaction questionnaires for residents, relatives, and visiting professionals in order to measure the success of the home in meeting its stated aims and objectives. The inspector examined the system in place for the management of resident’s finances. Residents have their own finance sheet detailing all of their transactions, and the systems in place were clear and easy to follow with an effective audit trail, therefore safeguarding individuals from any risks. Staff files indicated that the staff have undertaken or have training planned in the required mandatory health and safety subjects. The Annual Quality Assurance Assessment indicated that all of the records for the Health and Safety monitoring and the servicing of systems and appliances was up to date. A fire risk assessment was in place. Kidsley Grange DS0000002107.V341104.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 2 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 N/a DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x 2 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 5 Requirement Timescale for action 01/10/07 2 OP7 15 3 OP9 13 (2) 4 OP9 13 (2) The Service user guide must include the scale of fees and information concerning what this covers. This is to ensure people are aware of what the fees cover and how much they are being charged. Care plans must be person 01/10/07 centred and state clearly the action, staff are required to take to support individuals with their personal care. This is to ensure that staff can meet people’s needs in accordance with their preferences. All handwritten medication 01/10/07 instructions must be countersigned by 2 people to validate the instruction. This is to ensure individuals receive their medication as prescribed. When codes are used on the 01/10/07 medication record an explanation must be recorded to explain why the medication was not administered. This is to ensure the records reflect the reason why individuals have not had their prescribed medication. DS0000002107.V341104.R01.S.doc Version 5.2 Kidsley Grange Page 23 5 OP19 23 6 OP27 18(1)(a) 7 OP29 19 Schedule 2 clearly The renewal programme must be 30/12/07 on-going to ensure the carpets are replaced, and the bathrooms are upgraded so that individuals have access to homely facilities. The staffing levels for the 01/10/07 afternoon shift must be reviewed to ensure they are in accordance with the dependency levels of the residents. All of the information and 01/10/07 documents listed in the amended Schedule 2 of the Care Homes Regulations must be obtained to ensure residents are safeguarded 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 4 5 6 7 8 Refer to Standard OP3 OP7 OP12 OP12 OP12 OP15 OP21 OP25 Good Practice Recommendations The manager should complete the pre- needs assessment in full and ensure it is signed and date. The care plans should include information about individual’s preferences, routines and life history so that staff are aware of individuals preferences. Service users individual interests/assessed social needs should be recorded with a plan of care on how these are to be met. The activities available in the home should be displayed so people are aware of what they can access. Consideration should be given to the deployment of staff when people need support to eat their meal Information in relation to individual’s dietary preferences should be included in their plan of care and provided to the catering staff. The toilet frames that are rusty should be replaced. The corridor and bedroom carpets should be replaced as planned in the refurbishment programme. DS0000002107.V341104.R01.S.doc Version 5.2 Page 24 Kidsley Grange 9 10 11 12 OP26 OP28 OP29 OP31 The odours in the home should be monitored regularly and actions taken to reduce these were possible. The home should be working towards ensuring that at least 50 of care staff achieves at least NVQ level 2 in care. The target date for this was 2005. The application form should be updated to request a full employment history and an explanation for any gaps in employment. The current manager should apply to register with the CSCI Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kidsley Grange DS0000002107.V341104.R01.S.doc Version 5.2 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. 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