Inspection on 27/09/05 for Kingswood Care Centre

This inspection was carried out on 27th September 2005.

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

Kingswood Care Centre 27/06/07

Kingswood Care Centre 27/02/06

Kingswood Care Centre 30/03/05

Kingswood Care Centre 23/10/04

Kingswood Care Centre 09/08/04

Kingswood Care Centre 22/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Kingswood Care Centre Wotton Road Kingswood Nr Wotton-under-Edge Gloucestershire Lead Inspector Sharon Hayward-Wright Announced 27 September 2005, 08:00 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 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. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Kingswood Care Centre Address Wotton Road Kingswood Nr Wotton-under-Edge Gloucestershire GL128RA 01453 844647 01453 520281 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Southern Cross Care Centres Limited to be considered for registration Care Home with nursing 47 Category(ies) of OP Old Age (47) registration, with number of places Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) Temporary Varaiation to accommodate a named service user under the age of 65 years. 2) Temporary Varaiation to accommodate a named service user under the age of 65 years. 3) To accommodate four service users between the ages of 55 to 65 years. Date of last inspection 30/3/05 Brief Description of the Service: Kingswood Lodge is part of the Southern Cross Care Centres, and provides personal and nursing care for the elderly person. The Home itself is an extended listed building sited in grounds shared by its sister home. Kingswood Lodge however, has its own level car park and gardens. Accommodation is provided across the building on two floors and divided into units. The home has undergone refurbishment and redecoration to improve the environment for the service users. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection by three inspectors, took place over 6 hours on one day in September 2005, Twelve service users were spoken with to gain their views on the home; the care of three service users was examined in detail and six staff members were also spoken to, as well as the Manager. Fifteen comments cards were received prior to the inspection and five of these were from relatives. Staff were observed going about their duties and interacting with each other and service users. The requirements and recommendations made at the last inspection were followed up and records relating to the homes’ Statement of Purpose, Service Users Guide, terms and conditions, service users care, duty rotas, staff training, complaints, activities, personnel files, quality assurance and servicing of equipment were inspected and a tour of the home took place with a number of service users rooms inspected. Since the last inspection in March 2005 the home has continued to improve following the appointment of a Manager. The home has performed exceptionally well in only receiving four requirements at this inspection. The home must now continue to maintain these high standards. What the service does well: Detailed pre admission assessments are completed on prospective service users to ensure the home can meet their needs and following this the home confirms in writing to the service user or their family that their needs can be met. Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their whole quality of life. Recent investment has significantly improved the appearance of this home creating a comfortable and safe environment for those living there and visiting. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 6 The home has a varied activities programme, offering service users the opportunity to satisfy their interests and needs. Links with the local community are encouraged and maintained and visiting to the home is flexible to meet the needs of service users families and friends. The Manager is well supported by her senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. The arrangements for induction of staff are good with the staff demonstrating a clear understanding of their roles. What has improved since the last inspection? The home’s Statement of Purpose and Service Users Guide provides service users and prospective service users with comprehensive details of the services provided, enabling an informed decision for those planning admission to a home. The improvements in handling medication seen at the last inspection have been sustained and medicines are managed safely. Staff are receptive to advice and keen to improve. Requirements from the last inspection have been actioned although more work is needed on information about use of ‘as required’ medicines. Information relating the Registered Nurse Care Contribution Scheme is included in the homes Statement of Purpose and Service Users Guide and a breakdown of the fees is now in the revised terms and conditions. Detailed records of food provided to service users are now maintained as required by the Care Homes Regulations. Recruitment practices in the home have improved since the last inspection with all but one of the required checks being carried out to prevent service users being put at unnecessary risks. The Manager has devised systems to monitor staff training and to ensure that they receive the training appropriate to the tasks they perform. The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking views of, service users, staff and relatives. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 7 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. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 & 5 The home’s Statement of Purpose and Service Users Guide provides service users and prospective service users with comprehensive details of the services provided, enabling an informed decision for those planning admission to a home. Prospective service users are not admitted to the home without a comprehensive assessment of their needs undertaken and the home proving they can meet their needs. Service users and/or their family where able are encouraged to visit the home prior to a decision being made to move in. EVIDENCE: The homes revised Statement of Purpose and Service Users Guide has now been completed following the merger last year of Highfield Care and Southern Cross. Copies of these guides were found around the home and in service users rooms. Information about the Registered Nurse Care Contribution scheme (RNCC) is included. The Statement of Purpose did not contain information that the home can accept service users who need nursing care, however the Manager is going to rectify this. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 10 Southern Cross has also revised their terms and conditions, following the review by the Office of Fair Trading and included in this is a breakdown of the fees payable. From the information gathered at inspection the home proved it could meet the needs of the service users. Aids are provided to assist service users and staff, and staff demonstrated they were aware of the needs of the service users whose care was examined in detail. Evidence was seen of health professionals’ involvement in service users care. One service user spoken with confirmed they had visited the home prior to moving in. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service users needs. Health professional are accessed for service users with an assessed need. The improvements in handling medication seen at the last inspection have been sustained and medicines are managed safely. Staff are receptive to advice and keen to improve. Requirements from the last inspection have been actioned although more work is needed on information about use of ‘as required’ medicines. Service users feel there are treated with dignity and respect. EVIDENCE: The care of three service users was examined in detail; two recently admitted service users had an assessment of their needs and from this, care plans were devised. The remaining service user had been at the home for a long time and had care plans devised to meet their needs. Monthly reviews were seen on all care plans. Risk assessments were seen for pressure area care, nutrition, dependency, moving and handling, continence and falls. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 12 Again these were reviewed monthly except for the bedrail assessment on the service user who had been at the home for a long time, as this had not been reviewed since March 2004. However the staff said this service user does not need to use bedrails, as he does not move around the bed independently. It is strongly recommended that following an incident last year that the home identifies in the moving and handling section the sling to be used as well as the hoist. This service user had a review of his care but no records were written to say what had happened. Evidence was seen of his family signing his care plans. One of the other service users did not have a continence assessment completed even though they had a care plan for this. The assessment for bedrails was also not completed. These must be done. This service user also had an entry in their daily records saying that a wound dressing had been applied to their leg but there was no care plan for this. The remaining service user had all the correct care plans in place, however it is recommended that individual problems are care planned separately to prevent confusion. There has been further improvement in the overall standard of the care plans since the last inspection. Evidence was seen of health professional visits documented in service users care plans. Safe administration of medicines was observed for the end of the breakfast time doses. There are good storage arrangements and recording systems for medicines. Any storage of external use medicines in bedrooms must be risk assessed as safe. An example was found where it was probably not safe to leave such medicines in the room. Care must be taken to watch that the third punched hole on the left side of the Medication Administration Record (MAR) charts does not obscure printed directions. These must be clarified in the home when necessary and the pharmacy asked to correct this. There were occasional examples where the actual medicine dose administered should have been recorded, as a variable dose was prescribed. Anticoagulant dose changes need to have written confirmation from the surgery or hospital (reference also NMC guidelines). The standard yellow anticoagulant book could be used to greater effect. Some information is in daily records. The warfarin dose information on the MAR charts could be more definitive. Progress has been made with written plans to describe use of ‘as required’ medicines but some more work must be done to include any medicine prescribed in this way. Staff wanted clarification as to how to approach this and further information was provided. Audits of some medicines were largely satisfactory. These were possible as medicine containers are dated when opened. The home should introduce regular sample audits as part of a quality assurance programme to help monitor that medicines are being administered correctly. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 13 The surgeries have been approached so that prescriptions (FP10s) can be seen in the home before being sent to the pharmacy. One surgery is ready to implement this whilst further work is needed with another surgery. Disposable blood lancing devices are now used. Service users felt their privacy and dignity is maintained by staff; examples included knocking on their door prior to entering, receiving their post unopened and being able to have their own telephone in their room. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 14 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 standard(s) 12, 13, 14 & 15 The varied activities programme provided, offers service users the opportunity to satisfy their interests and needs. Links with the local community are encouraged and maintained and visiting to the home is flexible to meet the needs of service users families and friends. EVIDENCE: The activities list is on the notice board opposite the main entrance of the home and provides a varied programme. The home has a designated person to provided activities on a group or individual basis. As part of the recent refurbishment of the home a ‘pamper room’ and designated hairdressing room have been provided. A ‘reminiscence’ room is also in progress. Activities were taking place during the inspection. Service users said they are able to choose if they wish to participate in the activities. Service users confirmed that visiting is flexible and where able service users said they could go out with their relatives/friends. Service users personal possessions were seen in their rooms. The home has a notice board by the main entrance that contains a selection of information for service users and their relatives/friends, to include the last inspection report, advocacy information, comments and suggestions. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 15 Service users said they could maintain control and make choices where able over their lives. The inspectors joined the service users for lunch and both enjoyed the lunch provided. All the service users seated near to the inspectors enjoyed their meals. Staff were seen offering assistance discreetly to service users. Service users are offered a choice each day. Bowls of fresh fruit are left in communal rooms for service users to help themselves. Food records and the kitchen were inspected and no issues were identified. The report from the last Environmental Health Department visit was seen and no issues were identified. The Manager has recently undertaken a survey of the menus with service users and found that some changes are needed. The Manager and the chef are going to review the menus in near future. The majority of service users said they enjoyed the food provided but several service users felt more variety is needed. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 16 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 standard(s) 16 & 18 Arrangements are in place to protect service users from abuse. The home has a good complaints system with evidence that service users feel that their views are listened to and acted upon. EVIDENCE: The homes complaints procedure is as required by the Care Homes Regulations and a copy of this is on the notice board by the main entrance and included in the homes Statement of Purpose and Service Users Guide. Service users and relatives comment cards indicated they are aware of the complaints procedure and who to speak to. Service users spoken to said they feel confident to speak to staff if they have any concerns. The home has a programme of POVA training taking place and one session was underway during the inspection. Three staff members were asked about what they would do if an allegation of abuse were made, all were aware of the procedure. Southern Cross has updated their adult protection policies. Adult protection information is available around the home for staff and visitors. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24 & 26 Recent investment has significantly improved the appearance of this home creating a comfortable and safe environment for those living there and visiting. EVIDENCE: A tour of the premises took place with a number of service users rooms inspected. Following recent investment in the home the environment for service users has greatly improved creating a homely appearance. Plans are in place to build raised garden beds for service users to grow their own vegetables or flowers. Several minor maintenance issues were identified, however these were rectified whilst the inspection was taking place. In the dining room the Manager said they are waiting for ceiling blinds, as it can get very hot during the summer months, this will be followed up at the next inspection. The Manager said that there are plans to refurbish the shower rooms on each floor to create walk- in showers for easier use by service users. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 18 The requirements issued at the last inspection in relation to the environment have been addressed. Aids to assist service users were seen around the home. Service users spoken with were all very happy with their rooms and three couples are living at the home. The home was very clean and no odours were found on the day of the inspection and service users said they were happy with the cleanliness of the home. Staff were seen wearing protective clothing when required. The Manager has introduced a new procedure for staff when entering the kitchen to include the wearing of hats and white overcoats. The laundry was inspected and found to be tidy with no laundry on the floor. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their whole quality of life. Recruitment practices in the home have improved since the last inspection with all but one of the required checks being carried out to prevent service users being put at unnecessary risks. The Manager has devised comprehensive systems for monitoring staff training and allowing her to plan ahead ensuring staff are trained and competent to do their jobs. EVIDENCE: The duty rotas were seen as evidence of staffing levels. On an early shift the there are seven care staff and one to two trained nurses, on a late shift there are six care staff and one to two trained nurses. On a night shift there are three care staff and one trained nurse. As the number of service users has increased the Manager is looking to increase the care staff on nights by one. The Manager works Monday to Friday and is on call at weekends; she is also supernumerary to the staff numbers. Ancillary staff are employed for additional duties. A number of comment cards received prior to the inspection state they feel there are not enough staff on duty. From the evidence seen at inspection the staff on duty were meeting the needs of the service users. Service users spoken with all praised the staff in the home saying they were very friendly and always willing to help them. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 20 Staff spoken with all said they enjoy working at the home and this was evident from observing them during their work. The Manager said five care staff has NVQ 2 training, with three doing the course and eight looking to start in the near future. One member of care staff has the NVQ 3 training. Personal files of four recently appointed staff were examined. All had the correct checks and information in place except that three needed to have a full employment history, with any gaps explored. A requirement issued at the last inspection in relation to obtaining General Social Care Council booklets has been addressed. The Manager has a training matrix in place enabling her to monitor and plan staff training needs. Requirements issued in relation to training at the last inspection have been addressed. Induction booklets were seen for three new staff, only one had the staff members’ supervisor written on the book, however the staff were aware of whom their supervisors were. The home must ensure that to meet the Care Homes Regulations records must be maintained as evidence new staff are appointed a mentor. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36 & 38 Service users and staff all praised the new Manager saying she is of good character and able to discharge her responsibilities fully. The home regularly reviews aspects of its performance through a good programme of self-review and consultations which include seeking views of, service users, staff and relatives. Service users monies are safeguarded. Staff are appropriately supervised to ensure the needs of the service users are met. The health, safety and welfare of service users and staff are promoted and protected. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 22 EVIDENCE: The Manager has applied to the Commission for Social Care Inspection to be considered for registration. She has a number of years experience as a home Manager and she is a qualified nurse. Service users and staff all said the Manager was friendly and approachable and they could pass on any concerns they have to her and feel confident they will be addressed. The Manager has a number of ways service users; their relatives/friends and other stakeholder can pass on their comments about the home. The Manager has plans in place on how to address certain issues identified, these include activities and food. Southern Cross updates the homes policies and procedures regularly. Service users monies were inspected and found to be correct. Receipts and appropriate records are maintained. The home has a secure facility to store service users monies. The Manager has a plan in place to undertake staff supervision. Records were seen of supervision sessions and the Manager is going to train the qualified staff to undertake supervision sessions with care staff. Appraisals are due to take place for all staff in the next few months. Comprehensive records were seen of servicing of equipment, to include electrical equipment, boilers, aids for service users, fire equipment and water temperatures. First aid boxes are visible around the home and a poster informing staff, service users and visitors about health and safety. Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 3 4 x 3 3 x 3 Kingswood Care Centre D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 24 yes Are there any outstanding requirements from the last inspection? 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 7 Regulation 15 Requirement Timescale for action immediate and ongoing 2. 3. 7 9 4. 29 The Registered person must ensure that all assessments for service users are completed in full to ensure their care needs are being met. Timescale of the 30/5/05 was not met. 15 The Registered person must ensure care plans are devised for all identified problems. 13(2) & Plans for individual residents to 17(1) be completed for use of any medicine prescribed on an “as required” basis. Schedule The Registered person must 2& ensure that a full employment Regulation history with satisfactory written s 7, 9 & explanation of reasons for gaps 19 in employment are obtained for all new staff. Timescale of the 30/5/05 was not met. immediate and ongoing 30/11/05 immediate and ongoing RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations D51_D03_36568_Kingswood_v242826_270905_AI_stage4.doc Version 1.40 Page 25 Kingswood Care Centre 1. 2. 3. 4. 5. Standard 7 7 9 9 30 Each identified problem should be care planned individually to prevent confusion. The home should identify in the moving and handling assessment the sling to be used. Regular audits to be documented to help demonstrate that medicines are being administered correctly. A standard anticoagulant book to be used for each resident prescribed warfarin with doses confirmed in writing. The home should record the supervisors name on new staffs induction booklets as evidence they are meeting the requirement. 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