Inspection on 06/11/07 for King Edward Care For The Elderly

This inspection was carried out on 6th November 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

King Edward Care For The Elderly 08/08/06

King Edward Care For The Elderly 06/09/05

King Edward Care For The Elderly 14/06/05

King Edward Care For The Elderly 05/10/04

King Edward Care For The Elderly 27/04/04

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

CARE HOMES FOR OLDER PEOPLE King Edward Care For The Elderly 7/9 Warbreck Drive Blackpool Lancashire FY2 9JX Lead Inspector Mrs Jackie Riley Unannounced Inspection 6th November 2007 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 King Edward Care For The Elderly DS0000029626.V350568.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. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service King Edward Care For The Elderly Address 7/9 Warbreck Drive Blackpool Lancashire FY2 9JX Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01253 354785 Mrs Sarah Lynne Pitman Mr David John Wheeler Mrs Naden Johnson Care Home 11 Category(ies) of Dementia (11) registration, with number of places King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 11 service users in the category DE (Dementia) 8th August 2006 Date of last inspection Brief Description of the Service: King Edward care home provides residential care for 11 people diagnosed with various levels of dementia. The care home is situated in a residential area close to amenities and public transport services. There are nine single rooms and one double, three of which are on-suite. People living at the home have a range of aids and adaptations in place to help them to remain as independent for as long as possible. The first floor can be reached by two sets of stairs and there is a passenger lift for people with poor mobility.There is an enclosed garden area to the rear, which is secure for the safety of people living there. There is a statement of purpose/service user guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. At the time of the inspection visit the fees for living at the home were £350.00. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home that took place on the 06/11/07, over a period of approximately 5.0 hours as part of the inspection process. We spoke to the registered manager, three staff members, three individual residents and a group of residents in the lounge. In addition visitors at the home during the site visit were spoken to. It should be noted that due to the ranges of dementia, residents have difficulty communicating, so a lot of the comments made in this report are based upon what we saw although comments will be included from other sources such as staff and relatives as well as from surveys received prior to the site visit to the home. We spent time in various parts of the home where residents were residing. There were general observations made of interaction between residents, staff and the management team. We talked to people using the service, and asked staff about those peoples needs. We also looked at the care plans, and the records of three people, this is called case tracking. We toured the home to look at the environment. We received six (6) surveys from relatives or advocates of residents living at the home prior to going to carry out an inspection at the home. In general they were happy about the way the home is run. The records of three members of staff were also looked at. What the service does well: The way the home is run is flexible for the needs of the people who live there. There are no rules, which may restrict residents in what they choose to do on a day to day basis. Comments included, “we like people to feel at home here”, “They make my father feel at home as much as is possible”. “ I can visit anytime and am always made welcome”. We found the manager and staff members are committed to make sure residents needs are met in a way which is not intrusive, so that residents feel they can live their lives in a way in which they choose, with restriction only being in place based upon their safety and well being. “we only stop people from doing things if it might be too risky”. We saw the way staff assist residents to do things are carried out in a sensitive manner so that resident’s privacy and dignity are respected. “It’s important to make sure they don’t do things, which would be embarrassing to themselves or other people”. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 6 We found staff training is promoted by the management team and staff spoken to said they were happy with the amount of training they have access to, which they say, benefits themselves and the users of the service. What has improved since the last inspection? What they could do better: The way the home is staffed is based upon the dependency levels of the residents who live there. We found that the home is being staffed to a minimum level in that, care staff have the responsibility for domestic tasks as well as care, which at times hinder the amount of time, which could be used for activities and other personal care practices including bathing. Comments received said, “it would be really helpful if we had more time to spend with residents”, “They need more staff especially at weekends”, “Myself and my family feel that sometimes the home is understaffed especially at weekends”, “ don’t feel they have enough staff on duty at all times to cope with the demands of the residents needs”. Staff working in the home must have all fitness checks in place before they commence work. We saw a staff member had commenced work without completed references and before a criminal records check had been returned. We spoke to the manager about this and it was being addressed at the time of the inspection. We say staff must have all current checks in place so that all users of the service are protected. We found the home does not have enough storage facilities in that we found wheelchairs and walking aids stored in the lounge behind chairs, in some corridors and individual rooms. Continence aids do not have a place for central storage and are usually placed in individual rooms, which intrude on personal space and should be looked at with additional space made available so the home does not look cluttered and there can be no hazard for people who use the service. One room we looked at had an en-suite toilet without the seat and cistern cover. This had been noted in comments received in a survey and must be replaced by the provider so that the home is comfortable with the facilities intact and fit for purpose. The ground floor medic bathroom is currently the only bathroom being used to bathe all residents accommodated. We found the first floor bathroom is out of use. We discussed the bathing facilities with the registered manager who said, a grant has been agreed with the local council for the refurbishment of both bathing facilities, which are to made into ‘wet’ rooms by March 2008. This King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 7 would be beneficial for all users of the service and make the bathing experience a more positive one. Information we received regarding relatives knowing how to raise concerns or make complaints showed they are not all familiar with the homes systems for this. It important that all users of the service as well as relatives know what the homes procedures are in respect of concerns and complaints so that they are not disadvantaged in any way. 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. King Edward Care For The Elderly DS0000029626.V350568.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 King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admission and assessment procedures are in place so the home can meet individual needs. People have the opportunity to view the home and its services prior to making a decision about using the home for residential care. EVIDENCE: We looked at the records of four residents. They had assessment details recorded, so that staff have good insight into what the needs of residents are and how they will be met. We saw evidence on the records of social workers, and other professionals being involved in the assessment procedures prior to residents being admitted to the home, so that their specialist needs are going to be met and the home knows the level of care which will be required. Staff spoken to said, “we are told what residents needs are before they come into the home, so we know how we are going to care for them”. We found the assessment information includes a risk assessment. So that residents level of risk in the home and externally is recorded and used by staff King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 10 to manage behaviour patterns. We saw evidence of how this is managed through the records made by staff and by talking to staff who said, “ they are all different and can sometimes be challenging but we have had training in how to manage situations, and we look at residents behaviour patterns which usually give us an idea of what might happen”. The records we looked at showed there are regular reviews carried out and any changes recorded, however of the four files seen there have been no changes made to the care the residents receive. Visitor comments included, “they always tell me what’s going on”, “I can discuss anything with them and they inform me of any changes”. At the time of the site visit, we saw a number of people viewing the home and considering making a placement for a relative. They were provided with information about the home and were given time to ask questions, so that they would be able to make an informed decision. Standard 6 was not assessed, as King Edward Care Home does not provide intermediate care. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is monitored and health needs are identified and met. EVIDENCE: We looked at the records of four resident’s. We found they were accurate and had good information about their health and social care needs, which supported staff to maintain and promote each individuals daily needs. Care plans were up to date and reviews were taking place. Comments from surveys and staff included, “The management are always ready to talk to you about any matter”. “we take people to appointments when they need new glasses or the dentist”. “I have found management and staff to be caring and kind and they cope very well under pressures that involve looking after people with dementia and Alzheimer’s in various stages”. Significant events had been recorded and daily entries made by carers demonstrate the care given. “The staff are really helpful and know what my relative needs”. “They have the patience of saints”. Staff comments included, King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 12 “we make sure we write events up every day so that the staff following on know if there are any changes”. We looked at how the home manages its medication practices. We found medication administration is only carried out by staff who have received training. The registered manager makes a regular audit of medication so that it is being managed safely after receiving guidance from the Commissions pharmacy inspector and by following current Department of Health Guidance. Senior staff on duty had a good knowledge and understating of the homes medication policies and procedures. There are no controlled drugs being administered by the home, however we did recommend a drug being prescribed at the time of the inspection should be double locked for additional safety. The records we looked at showed medication to be recorded appropriately; with clear records and stock control, and evidence of returns being recorded individually so that there can be a complete audit trail of any medication being administered by the home. Resident’s rights to dignity and privacy were found to be upheld by a workforce who are aware of the need to make sure the rights of residents are met with respect at all times. This was confirmed by observing staff members knocking on doors before entering rooms, and the way staff talked to residents. This was carried out with sensitivity and patience on all occasions. Residents observed were seen to interact well with staff members, and appeared relaxed and receptive to things going on around them. We saw staff members encouraging residents to participate in activities with others in a way in which did not infringe their dignity. Comments included, “we like to get people involved with things, but if they don’t want to we accept that”. We spoke to a member of staff who said, “We cover privacy and respecting the rights of residents as part of our training”. Six surveys we received from relatives confirmed they are happy with the way their relatives are cared for by the staff. “They do an excellent job no problems”, “ They are extremely caring and treat the residents like family”, “They give good care with dignity and kindness to the residents but they are ‘thin on the ground’ to meet the needs of the residents”. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily life and social activities are designed to be flexible to meet the needs of people living in the care home. EVIDENCE: We found the staff team are responsible for the preparation of food. Staff we spoke to and observations made of how meals are prepared and nutritionally balanced showed the nutritional needs of residents living at the home are taken seriously. There was seen to be a varied menu, which is flexible to meet the individual needs of residents living in the home. Staff spoken to are aware of the individual likes and dislikes of residents, so that they can make sure people get the right meals for them. Staff were seen to act in a sensitive manner when encouraging residents with confusion to eat, so that they make sure it is done in a dignified manner. Special diets can be catered for including low fat and diabetic controlled diets. We saw evidence on individual files noting this where necessary. Staff spoken to say, “we always try and use fresh produce, so that we know they are getting a balanced diet”. We observed a lunchtime meal being prepared and served. We saw all residents enjoyed it and it was nutritionally balanced with choice being available to a resident who chose not to eat the main course. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 14 We saw the home takes activity seriously. The manager and staff said, “its important that there are things on going which resident enjoy”. Staff said they like to take things day by day depending on the choice and mood of the residents. We aw evidence of parties taking place, visitors commented positively about how the home puts on parties and takes residents out on trips on a regular basis. We spoke to staff members who are currently arranging Christmas activities both in the home and in the community. We found relatives are supportive of these events and participate on a regular basis. Comments included, “we like to get people involved with things, but if they don’t want to we accept that”, “they take residents out on a regular basis also out for meals and trips regularly”. Staff spoken to say, “the residents have their likes and dislikes when it comes to activities”. “The residents have their favourite things they like to do”. We saw there are no restrictions on visiting and this was confirmed through surveys received and relatives visiting the home during the site inspection. Visitor comments included, ”we can call anytime”. Six surveys showed staff keep relatives informed of any changes, so that they are aware of the changing needs of their relatives at any time and how this might affect them. Comments included, “I can visit anytime and am always made welcome”. Staff spoken to understand the need to make sure residents have access to family and friends beyond the home and they make every opportunity available for this to be continued. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. Staff have access to safeguarding adults training for the protection of users of the service. EVIDENCE: We found the home has a complaints procedure, which is made available to residents or their relative or advocate during the admission process. Four of the five relative surveys confirmed they are aware how to make a complaint, however in one instance this was not the case. The home should ensure all relatives or advocates are made aware of the complaints procedure, especially to relatives or advocates who live away from the area so that they feel they can raise any issues if they feel it necessary. Comments from staff included, “Had complaints information”, “ resident’s have there own ways of showing if they are not happy about something but we understand this and try to make things right for them”. There have been no complaints received by the commission in the previous twelve-month period. We saw the home has recorded concerns made to the home as well as the outcome and this is used as part of the audit by the home so that changes can be made if necessary for the development of the home. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 16 We saw the home has a procedure in place for dealing with allegations of abuse, so that people are protected. We spoke to staff members who are aware of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect, and have received training in this area. Staff comments included, “It’s covered in NVQ training and induction”. We saw staff training records and there was evidence safeguarding adult training has taken place. It is important that this training is ongoing so that all staff have received this training and the training is periodically updated so that staff are aware of the current best practice in this area. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 17 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): 19,21,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is designed to be homely and comfortable, however lack of storage and poor bathroom facilities and general poor maintenance means that it is not in the best interests of people living at the home, and has the potential to pose hazards. EVIDENCE: We found the homes design to be homely and generally comfortable. There is a large lounge area used by most residents. We saw residents like to walk around the ground floor area where there are no restrictions for them to do this. A dining room is situated not far from the lounge and is used by most of the residents living at the home. We were told that dining furniture is to be replaced in the near future with more substantial pieces for the comfort of people living in the home. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 18 We looked at a number of resident’s rooms, which are individually furnished with evidence of resident’s own items of furniture or personal items, making their rooms homely and inviting. In one room we saw an area of the room with loose and peeling wallpaper due to some dampness, in another the flooring has been damaged and requires repair or replacement. We found another room had a toilet seat missing and the lid of the cistern tank missing. These are areas, which require attention to make the environment suitable for the needs of people living there. All windows in the home have recently been replaced and comments included. Its nice and warm now, there are no more draughts. We were told the homes central heating system is to be replaced in the near future so that the heating will be more suitably distributed around the home. We looked at the bathing facilities in the home and found that currently only one bathroom is being used as the first floor bathroom is to be moved. The current bathroom is in a poor condition in that the room requires redecoration and the medic bath in place is old and requires replacing for the comfort of people using the facility. We were told this bathroom is to be replaced by a ‘wet’ room in the next three months. We saw there is limited storage space for wheelchairs, walking aids and continence equipment. We say this is an area, which must be looked at so that there are no hazards for residents. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some staff have commenced work in the home prior to the completion of all fitness checks being in place having the potential to pose a risk to users of the service. Staff have access to training so they can provide a good service to residents. EVIDENCE: We looked at three staff files, which showed that in one instance a staff member had commenced work prior to all satisfactory ‘fitness’ check being returned. We say this has the potential to pose hazards to people who use the service. We discussed this issue with the registered manager, who immediately arranged for renewed checks to be carried out. The home must make sure the recruitment of staff is robust and that all the essential information is kept on file including current fitness checks so that people are protected. Staff training is being focused upon and staff spoken to have had training in essential areas like, Moving and handling, health and safety, national vocational training in care, and first aid with others being planned. Comments received from included, “We all do training, which is really useful so that we keep up with the things we need to know to do a good job”. “They all seem to know what they are doing”. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 20 Staffing levels are based upon the needs of people living at the home, however we found staff roles include caring and domestic work. We found staff are working at a minimum level and we say by increasing staffing levels or to employee staff solely to carry out domestic tasks it would assist staff to spend more time with individual residents. Comments we received from surveys and from discussion with staff and residents included, “They need more staff especially at weekends”, “Myself and my family feel that sometimes the home is understaffed especially at weekends”. “it would be really helpful if we had more time to spend with residents”. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 21 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): 31,33,35,38 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 for the benefit of the people who live and work there. EVIDENCE: The registered manager demonstrated the necessary skills and experience required to support the staff and residents who live at the home. We spoke to the four members of staff on duty and a number of residents throughout the inspection of the home and we found they are happy with the manger and the support they receive. Comments included, “The manager and under manager are very good”, “we meet together regularly and have a chat about how things are going”, “We work really well as a team”. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 22 There is ongoing quality monitoring carried out through informal discussion with all users of the service including staff. The manager has recently undertaken a relative survey and is currently looking at the outcome and will make any necessary changes, which would improve the service. We saw from the information provided by the manager and the observations we made at the time of the visit to the home that all appliances in the home are checked regularly for the health and safety of all users of the service. We checked the water temperature in a resident’s room and found it to meet health safety guidance. King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 23 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X 2 X X X X 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 King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 24 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 OP29 Regulation 19 Requirement The home must make sure all staff have in place all necessary pre-employment checks prior to commencing work in the care home. (previous timescale 31/08/06 not met) The way the home is staffed must be looked at so that the roles of staff are clear and there is dedicated time for care and domestic tasks. The home must have adequate storage space for wheelchairs, walking aids and continence equipment. The home must be maintained to a satisfactory standard for the comfort of people who live at the home. There must be suitable bathing facilities for users of the service, which are in numbers to meet the needs of people who use the service. Timescale for action 31/12/07 2. OP27 18 31/12/07 3. OP22 19 2(l) 31/01/08 4. OP19 19 2(b) 31/03/08 4. OP21 23(2)(j) 31/03/08 King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 25 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. Refer to Standard OP16 Good Practice Recommendations The home should make sure all users of the service including relatives and advocates have information about how to raise concerns or complaints so they are not disadvantaged. The way some drugs are stored should be looked at so that they meet current good practice guidelines. 2. OP9 King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI King Edward Care For The Elderly DS0000029626.V350568.R01.S.doc Version 5.2 Page 27 - 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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