Inspection on 02/05/06 for Kingfisher Court Care Home

This inspection was carried out on 2nd May 2006.

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

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

Other inspections for this house

Kingfisher Court Care Home 28/10/08

Kingfisher Court Care Home 01/11/07

Kingfisher Court Care Home 24/04/07

Kingfisher Court Care Home 02/02/06

Kingfisher Court Care Home 20/09/04

Kingfisher Court Care Home 24/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Kingfisher Court Care Home The Spinney Sturgeon Avenue Clifton Nottingham NG11 8HE Lead Inspector Rob Cooper Key Unannounced Inspection 10:00 2nd May 2006 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 Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 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. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kingfisher Court Care Home Address The Spinney Sturgeon Avenue Clifton Nottingham NG11 8HE 0115 940 5031 0115 984 7071 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) Tawnylodge Limited Joan Pomeroy Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A service to be provided for one named service user with visual impairment and dementia. Application variation number V8877originally dated 24/05/04 2nd February 2006 Date of last inspection Brief Description of the Service: Kingfisher Court is a purpose built care home offering accommodation for up to 40 older people. In agreement with the Commission for Social Care Inspection the home has accommodated one person with dementia. The accommodation is sited over two floors with a passenger lift providing independent access for service users. Kingfisher Court shares a site with its sister home, the Spinney; situated on the edge of Clifton housing estate providing easy access to a range of local facilities including public transport links. There is a nature reserve to the rear of the property giving a pleasant outlook and a good-sized car park to the side and rear of the property. The fees for Kingfisher Court range from £272.58 - £307.96. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place through the middle of the day with one Inspector present, and lasted approximately four hours. The methodology used was to visually inspect the premises, talk with six residents, and four members of staff. Case tracking of three residents, was also used as an assessment tool. Case tracking involves looking at a range of care records, and making a judgement about the quality of care that the residents are actually receiving. This is done by consideration of all elements in a resident’s life – for example how they spend their day, who visits them, what their bedroom is like, how comfortable life is for them living at this particular care home. The general impression is of a care home that is in need of a tighter management structure, more activities for the residents, and better record keeping, particularly in relation to Health & Safety. The Conditions of Registration can now be removed from the certificate, as the named service user who had dementia and visual impairment is deceased. What the service does well: What has improved since the last inspection? The Conservatory is currently being decorated and a new carpet is on order. Requirements made at the last Inspection relating to: * * * * Resident’s involvement in care planning Changing the teatime menu to offer more choice Formally responding to complaints Improving access to the dining room table for wheelchair users Have all been met. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 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 Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1234&6 The quality outcome in this area is: Good Prospective residents would have the information they need to make an informed choice about living at Kingfisher Court. Each resident does have a written statement of terms and conditions within the home. Residents do not usually move into Kingfisher Court without having had their needs formally assessed. Residents are usually offered the opportunity to visit Kingfisher Court prior to moving there. Kingfisher Court does not offer Intermediate Care. EVIDENCE: Both the Service User Guide and the Statement of Purpose for Kingfisher Court were seen, and both found to be full and complete documents, containing all of the information required by Care Homes Regulations. Three resident’s files were seen and each one had a written copy of the terms and conditions of residence – including the scale of fees charged within them. Each of the three files also contained either a Standard or Extended Community Care Assessment or a Shared Nottinghamshire Assessment Process (SNAP) – which Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 9 is an assessment tool specifically for those, aged 65 and over, completed by the resident’s Social Worker prior to moving into Kingfisher Court. However there was on the day of the Inspection a resident at Kingfisher Court who had been taken from outside of the Registration category. This situation had arisen as a result of mis-communication and Social Services were actively looking to find accommodation suitable to the resident’s needs. Trial Periods do form part of Kingfisher Court’s admission procedure, and three residents said that they had visited before they moved in. Usually residents are invited to come for lunch, and have the opportunity to look round, and ask questions. Where residents have come direct from hospital this has not always been possible, and in those circumstances the resident’s family have been invited to visit instead. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 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 10 & 11 The quality outcome in this area is: Good Residents at Kingfisher Court do have their health; personal and social care needs set out in an individual plan of care. Resident’s health needs are not fully met at Kingfisher Court. No resident currently self-medicates, however residents are well protected by Kingfisher Court’s medication policies and procedures. Residents at Kingfisher Court feel that they are treated with respect and their right to privacy is upheld. Residents are assured that at the time of their death, the staff will treat them and their families with care, sensitivity and respect. EVIDENCE: At the last two Inspections requirements were set regarding resident’s involvement within the care planning process. Evidence was seen in three resident’s files that this requirement had been met, with residents signing their care plans, and having limited involvement in reviews of those plans. All of the resident’s files that were seen contained care plans relating to resident’s health, and these were found to be up-to-date, and covering a wide range of Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 11 health needs. One of the resident’s files, seen as part of the case tracking process showed that the resident had fallen twice during 2006, however the risk assessment related to falls had a rating of low risk, which is inconsistent. Three residents were asked about their health, and said that there was no problem seeing a doctor, and that they (the residents) felt their health was well looked after by the staff. During the course of the Inspection three different GP’s were seen to be visiting residents, and consultations were held in private. Medication is securely stored, and records relating to medication were found to be complete and thorough. The Boots (the chemists) Monitored Dosage System is in use, and this appears to be working very well. The Medication Administration Record sheets (MAR’s) were seen, and each one contained a photograph of the individual resident to aid identification. Two residents were asked about medication, and both said that they preferred the staff to look after their tablets. One resident commented that they were: “getting a little forgetful, so it was better the staff did it.” During the course of the Inspection a number of staff / resident interactions were observed. These were seen to be polite, courteous, and respectful. All six residents that were asked said that they thought the staff treated them well, always knocked on their bedroom door before entering, and were “very kind.” Each of the three resident’s files contained details of ‘last wishes’ or instructions after death. These were perfectly adequate, although good practice would see a little more detail, and a little more ‘personalization’ of these wishes/ instructions. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 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 & 15 The quality outcome in this area is: Poor Residents find that the lifestyle experienced within Kingfisher Court does not match their expectations and preferences or satisfy their social, cultural religious or recreational needs. Residents maintain contact with their families and friends, and community representatives as they wish whilst they are living at Kingfisher Court. Residents receive a wholesome appealing balanced diet. The dining room could be more homely and welcoming. EVIDENCE: At the last two Inspections a requirement was set that resident’s hobbies and interests should be assessed, recorded and provided for. There has been some effort to achieve this, however it was found to be not enough, and not detailed enough. For example: records showed that a number of identified residents watched a film, and that residents enjoyed it. The records did not show which film, how long it lasted, who chose the film, whether it was a modern film, or an old ‘classic.’ This simple activity could be so much more, with a little thought, planning, and presentation. All six residents who were spoken with were asked about activities at Kingfisher Court, every one said they thought they were poor, that there could be a lot more going on, and that the activities Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 13 could be more interesting. The impression given by the residents was of resigned disinterest. During the course of the Inspection a number of relatives were visiting. Two relatives were spoken with, and both said that they were able to visit whenever they liked, and that the staff always made them feel welcome. Both sets of relatives said they knew how to complain, and who to complain to, but said they had not had any need. One visitor said that they were quite happy with the care that their relative was receiving, while the other said they were happy, although there didn’t seem to be a lot of activities for residents, with a lot of people ‘just sitting’. At the last Inspection requirements were made concerning residents choice at teatime, and obtaining resident’s views around menu planning. There is a four-week repeating menu, which was seen. There now appears to be a choice every day, and choices made by residents are recorded. However consultation over menu planning does not appear to be happening, and there was no evidence to suggest that residents had had any input into the menus whatsoever. Records relating to refrigerator and freezer temperatures were seen, and found to be correct and complete. The dining room presented as stark. It was not a welcoming room, and had few ‘little touches’ to make it homely, it had the appearance of a room that was functional, rather than somewhere comfortable to enjoy a pleasant meal, in pleasant surroundings. Four residents were asked about meals, and said that the food was ‘alright’, however one commented that there could be more choice, and none of the residents had been asked to make suggestions with regard to menu planning. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 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 17 & 18 The quality outcome in this area is: Poor Residents and their relatives and friends are confident that their complaints will be listened to and acted upon. Resident’s legal rights are protected at Kingfisher Court. Residents are potentially at risk of abuse. EVIDENCE: The complaints procedure is prominently displayed throughout the building, and residents and relatives when asked said they knew how to complain and whom they should complain to. The complaints procedure also formed part of the Service User Guide, which had been given to every resident. At the last two Inspections a requirement was set regarding formal responses to complaints. The complaints file was seen, and this showed three complaints had been made since the last Inspection. These complaints were well documented, and there were formal responses attached to them, which shows that the requirement had been met. Residents at Kingfisher Court are registered for a postal vote. Four residents were asked about voting, one said they had only recently come to live at Kingfisher Court, two said they had voted at the last election by post, and the fourth could not remember if they had voted or not, but thought they had. Documentation within care plans and residents files could be clearer with regard to resident’s legal rights. It was not possible to evidence if anyone had voted, or if they had done so by post or in person. Recording this information would be very good practice, particularly in the light of ‘ballot box fraud’ which is currently in the news. The staff training records showed that no formal training around Adult Protection or Abuse had Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 15 taken place. Three members of staff were asked about abuse training, two said they had not had any at Kingfisher Court, while the third had covered abuse issues in other training. The lack of awareness and training regarding issues of abuse, and adult protection leaves residents potentially in a very vulnerable position. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 22 23 & 26 The quality outcome in this area is: Adequate Residents live in a safe, well-maintained environment, although the décor is not particularly homely. Residents at Kingfisher Court have access to safe and comfortable indoor and outdoor communal facilities. Residents have access to the specialist equipment they would require to maximise their independence. Resident’s bedrooms mostly meet their needs, although not every bedroom has a secure lockable space. Kingfisher Court is clean and hygienic. EVIDENCE: A visual inspection of Kingfisher Court showed it to be a large building with bedrooms laid out along corridors. The corridors do not have much natural light, and are narrow, which gives the impression of being dark, as electric lighting provides the lighting along these corridors. The conservatory is currently being redecorated and a new carpet is on order to replace the frayed edge of the existing one. There is a strong reliance on magnolia paint Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 17 throughout Kingfisher Court, with many areas appearing bland. The use of more varied colours in redecoration would help to create a more homely atmosphere. Kingfisher Court has a passenger lift to enable residents to access the upper floor, should they either choose not to use the stairs, or be physically unable to use them. There is a range of different hoists to aid bathing. At the last Inspection a requirement was made regarding wheelchair access to tables in the dining room. Reorganising seating within the dining room has now rectified this problem. Discussions with four residents showed that residents were mostly happy with their bedrooms, although one said they did not have a key, and they would like one. A number of bedrooms were found not to have a lockable space for resident’s personal belongings, and two residents said that this was a problem. A visual Inspection of Kingfisher Court showed it to be clean and tidy. Discussions with cleaning/domestic staff identified cleaning regimes and staff were observed to be cleaning areas of Kingfisher Court as the Inspection progressed. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 & 30 The quality outcome in this area is: Poor Residents are not supported by Kingfisher Court’s recruitment policies and practices. Staff training at Kingfisher Court is improving. EVIDENCE: Two staff files were seen; one of these contained an application form in which the applicant had declared they had no convictions. The Criminal Records Bureau check for this person was also in the file, and this showed that they did have a conviction, and a conviction relevant to working within the care environment. Clearly Kingfisher Court’s policies and practices had not worked adequately, and this has left residents potentially at risk. The second file did not contain any application form or references, with the staff member having been in post for many years, these were no longer available. It is a requirement that every member of staff has the required documentation within their file, irrespective of the length of time they have been in post. At the last Inspection two requirements were set in respect of staff files and recruitment, and while there was evidence of improved practice in relation to the recruitment of new staff, it is not possible to have confidence about the current staff in post due to Kingfisher Court’s poor record keeping. At the last Inspection a requirement was set outlining the need for a staff training programme, with training appropriate to the work staff are performing. There was evidence that there is a staff training programme, with training records being developed, and each of the staff members spoken with identifying Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 19 relevant training courses they had attended recently. However as already identified there has been no training in Adult Protection or Abuse, and there was no evidence to suggest that any such training has been arranged for the future. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 33 35 & 38 The quality outcome in this area is: Poor Residents at Kingfisher Court do not benefit from the leadership and management approach of the home. Kingfisher Court is not run in the best interests of its residents. Resident’s financial interests are safeguarded at Kingfisher Court. Residents and staff are potentially at risk from the health and safety procedures at Kingfisher Court. EVIDENCE: The Registered Manager’s post at Kingfisher Court is currently vacant, with the acting manager going through the process of becoming Registered with the Commission for Social Care Inspection. Resident’s meetings have not been taking place, and it was difficult to make a judgement about resident’s voices being heard at Kingfisher Court. Several residents said that they had not been Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 21 consulted with regard to menus and activities, and there was no evidence to support the view that residents are consulted or their views are currently taken in any area of Kingfisher Court’s activity. Regulation 26 visits, which are required by Care Homes Regulations to take place monthly, have not been taking place. The last recorded Regulation 26 monitoring visit was in December 2005. Resident’s financial records and procedures were examined, and the ‘system’ for booking in money was explained. Transactions were receipted, and there was a clear audit trail. A range of Health & Safety records were seen, including Fire records, and Control of Substances Hazardous to Health (COSHH). The fire records were incomplete, in that records of fire drills could not be located. The Gas Safety certificate could not be found, with the most recent one seen related to 2003. The records of Portable Appliance Testing (PAT) which relate to the electrical safety of equipment within the premises was last carried out in September 2004, good practice says PAT testing should be carried out annually. Record keeping in Health & Safety matters was not clear, and it was not possible to form a judgement that Kingfisher Court is safe. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 2 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 4 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 2 18 2 2 X X 3 2 X X 3 STAFFING Standard No Score 27 X 28 X 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X 2 2 Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation Requirement Timescale for action 12/05/06 2. OP12 Regulation The Registered person must 14 ensure that no resident is admitted to Kingfisher Court who is outside the Registration category identified on the Registration Certificate. The resident currently living at the home that is outside the Registration category should be found suitable alternative accommodation as soon as possible. Regulation The Registered person must 16 ensure that resident’s hobbies and interests are assessed, recorded and provided for. The assessment and recording of information should contain sufficient detail to truly reflect the current situation. This is outstanding from the previous Inspection 31/07/06 Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 24 3. OP15 Regulation The Registered person must 16(2)(i) ensure that residents are consulted and their views taken into account prior to drawing up the menus. This is outstanding from previous Inspection. The Registered person must ensure that the persons working at the care home receive training appropriate to the work they perform. Therefore all staff must receive training in the Protection of Vulnerable Adults and Abuse. The registered person must examine all staff files, and explore any contradictions from application forms to Criminal Records Bureau checks and take appropriate action. The Registered person must ensure that every member of staff – irrespective of their length of service has the documentation within their file required by Care Homes Regulations (Schedule 2) The Registered person must ensure that monthly monitoring visits are taking place, recorded, and copies sent to the Commission for Social Care inspection in line with Regulation 26. The Registered person must ensure that resident’s meetings are taking place, recorded and provide evidence that resident’s views are being listened to and acted upon. The Registered person must provide evidence to the Commission for Social Care Inspection that the Gas Boiler has a current safety certificate. DS0000002206.V290637.R01.S.doc 31/07/06 4. OP18 Regulation 18 30/11/06 5. OP29 Regulation 19(4) 31/05/06 6. OP30 Regulation 18(c)(i) 31/07/06 7. OP32 Regulation 26 12/05/06 8. OP33 Regulation 24 30/06/06 9. OP38 Regulation 13 (4) 05/05/06 Kingfisher Court Care Home Version 5.1 Page 25 10. OP38 Regulation The Registered person must 31/05/06 13 ensure that recording of Health & Safety checks (Fire, PAT testing) at Kingfisher Court are accurate, up-to-date and available for Inspection. 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 Refer to Standard OP7 OP15 NU17 OP20 OP24 OP24 Good Practice Recommendations The Registered person should ensure that resident’s assessments are consistent with information within files, on which those assessments are based. The Registered person should make every effort to make the dining room more pleasant, comfortable and homely. The Registered person should record more information in resident’s files regarding resident’s legal rights. The Registered person should consider the use of colour when redecorating to create a more homely atmosphere. The Registered person should ensure that every resident has a key to their bedroom if they so wish. The Registered person should ensure that every bedroom has a lockable space for the use of residents for their valuables. Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Kingfisher Court Care Home DS0000002206.V290637.R01.S.doc Version 5.1 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!