CARE HOMES FOR OLDER PEOPLE
Kirkby House Residential Care Home James Holt Avenue Kirkby Knowsley Merseyside L32 5TU Lead Inspector
Mrs Trish Thomas Key Unannounced Inspection 11:00 13th November 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 Kirkby House Residential Care Home DS0000062026.V295383.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. Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Kirkby House Residential Care Home Address James Holt Avenue Kirkby Knowsley Merseyside L32 5TU 0151 289 9202 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) Meridian Healthcare Ltd Ms Madeleine Ward Care Home 30 Category(ies) of Dementia (10), Old age, not falling within any registration, with number other category (20), Physical disability over 65 of places years of age (20) Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 4. 5. 6. The service should employ a suitably qualified and experienced Manager who is registered with the CSCI. Day staffing levels for 10 service users with dementia to be on duty in the ratio of 1:5, in accordance with the Notice of 9/3/04. Services to be provided for one Service User of 55 years or over, within the registered number of 10 DE The service is registered to provide personal care to a maximum of 30 Service Users The service is registered to provide personal care to a maximum of 20 Older People (OP) The service is registered to provide personal care to a maximum of 10 Older People with Dementia DE(E) 11/11/2005 Date of last inspection Brief Description of the Service: Kirkby House is a care home for 30 older people. The manager of Kirkby House is Mrs. Madeleine Ward and the home is owned by Meridian Healthcare Ltd. Kirkby House is a single storey building surrounded by well-maintained grassed areas and secluded gardens. The home is situated in a residential area of Kirkby, close to bus routes and a train station. Care and accommodation in Kirkby House is provided in three units. General administration, laundry and cooking are carried out centrally, and the manager has over all responsibility. Individual Units are otherwise self-contained, having designated staff, toilet and bathing facilities and lounge/dining areas. The building is suitable for people with a physical disability, providing level access, mobility aids and further communal spaces available to all residents for joint social gatherings. All Service Users are registered with a local G.P. when admitted on a permanent basis. The home is undergoing a complete refurbishment and extension. Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. A un-announced visit was carried out to Kirkby House and discussion took place with the manager, Madeleine Ward, residents and staff. A number of records maintained in the home relating to care practice, staffing and health & safety were read. A tour of the building was carried out. Reference was made to the pre-inspection questionnaire, which had been completed by the manager, prior to this visit. The current scale of charges for the service, as stated in the pre-inspection questionnaire, range from £327.46 to £381.15 p.w. What the service does well: What has improved since the last inspection?
Requirements relating to care planning and consultation have been addressed and care plans which were read, had been recently and regularly reviewed. Care plans were written in language, which respects the resident’s dignity. The report book has been replaced by use of individual daily diary sheets, to protect residents’ confidentiality. The home’s complaints procedure is now in a large print format for residents’ convenience and ease of reference. The home now employs domestic staff and standards of cleanliness in the home have much improved, despite the dust caused by building work. Staff files were well maintained and formal supervision is ongoing, though the absence of one senior staff member had caused a delay in some staff receiving
Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 6 regular supervision sessions. Training in the home is ongoing and staff spoken with had received Moving and Handling Training. The manager said that all staff have had their annual updates in this. The home has reached the target of at least 50 of staff having achieved their NVQ2 qualifications. To protect against fire in the home, risk assessments regarding residents who smoke are carried out and were observed in their care plans. Two signatures are now contained on residents’ personal allowance accounts, either two members of staff, or one member of staff and the resident/their representative. What they could do better:
To ensure that staff are clear as to how residents’ needs will be met, the registered person must ensure that care plans do not generalise, and give a detailed account of how the residents’ needs are to be met. To ensure the safe management of medication, the registered person must ensure that accurate administration records are in place for all residents who have prescribed medication. Unused medication must be returned to the hospital each month to ensure there is no build-up of out of date medication in the home. To ensure residents’ health and safety, the manager must obtain an up to date gas certificate. The last annual certificate is dated 10/2/05. Some equipment has been replaced and the manager must provide certification from a qualified engineer, that the building is safe. To ensure residents’ wellbeing through accurate record keeping, the registered person should ensure that monitoring charts (eg. Diet sheets), are kept up to date. If monitoring is discontinued this should be stated on the resident’s care plan. To protect residents from the risk of abuse, the registered person should ensure that all staff have training in Protection of Vulnerable Adults when this is arranged. Some, but not all staff had received this training at the time of this visit. To ensure that cooks have the equipment they need, the manager should arrange for a review of kitchen equipment and arrange for repair/replacement as necessary. The meat-slicer was said by the cook to be unsuitable and this should be replaced. To ensure that staff receive ongoing and regular management support in their roles, the registered person should ensure that staff supervision arrangements
Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 7 are made for staff who have not received this recently due to the absence of a senior. To ensure that residents’ lifestyle is to their preference and expectations, the registered person should arrange, in consultation with residents, for them to have day trips. This recommendation is given in response to an outcome of the home’s quality assurance consultation exercise. 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. Kirkby House Residential Care Home DS0000062026.V295383.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 Kirkby House Residential Care Home DS0000062026.V295383.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): Standard 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents are admitted only on the basis of a full assessment undertaken by people who are trained to do so. EVIDENCE: Reference was made to the care files of three residents. Residents had been assessed as being in need of residential/dementia care, and referred to Kirkby House, by social workers employed by the Local Authority. Kirkby House has in use, a format to be followed by home’s staff, to assess residents’ needs before they move in. The assessment documents, which were read, covered a wide range of social, personal and physical and mental health care needs. The residents whose files were read, were spoken with, and their care plans were
Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 10 tracked. It was evident that the needs of the residents concerned were within the category, services and facilities available in the home. Kirkby House Residential Care Home DS0000062026.V295383.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): Standards 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans in place for all residents and systems for management of medication, are generally satisfactory. Actions plans to meet residents’ assessed needs are not always sufficiently detailed and medication procedures have not always been followed. EVIDENCE: The care plans of three residents were tracked. There were systems in place for their identified needs to be addressed in action plans and for regular reviews. The reviews were up to date but in some instances, action plans lacked detail. For example in one such plan it was stated, “Staff to maintain a safe environment.” Action plans must be specific, (for example), as to how
Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 12 staff will ensure the environment is safe for residents in accordance with the outcomes of their risk assessments. An example of how risks to residents may be avoided was seen during the visit. A resident was observed in the main lounge area, she was seated in a wheelchair, presenting repetitive jerking movements, which could have caused injury if her limbs had come into contact with the mental wheelchair frame. Staff assisted her to an armchair where she settled down and where the risk of causing personal injury was reduced. For one resident whose diet was being monitored, there had been nothing stated on the diet monitoring record for ten days and on some days, evening meals were left blank, without comment. All aspects of care plans should be consistently maintained and updated. It was on record that residents have access to relevant health services, such as district nurses, community psychiatric nurses and G.P.s. The manager, Ms. Madeleine Ward, confirmed that all residents are registered with a G.P. on admission. There was evidence in their care plans, that the residents had been referred to relevant health professionals if feeling unwell or if their mental health or condition had deteriorated. Residents’ dependency had been assessed after admission and risk assessments and moving and handling assessments had been carried out. The are policies and procedures in place for managing residents’ medication. Staff who administer medication who were spoken with, had received training. The storage area was visited and was secure and generally well organised. In checking administration records against pharmacy containers, there was evidence that medicines were being given as prescribed. There was evidence of a small amount of out of date medication in store. There was no Medication Administration Sheet for one resident, recently admitted, who had supplies medication in store in the home. This was discussed with the manager during the visit. It is advised that for residents who self-medicate, this is stated on the administration record. Residents who were able to express their opinions said that staff were very kind and hardworking and they had no concerns as to their conduct. Bathroom, toilet and bedroom doors are kept closed and staff were seen knocking on doors before entering. The home has a policy on confidentiality and residents’ files and personal records are secured in the office. Since the last inspection, improvements have been made to recording systems to ensure residents’ confidentiality if safeguarded. Residents looked well cared for and careful attention had been paid to their personal grooming and clothing. One resident said “Everything is fine. The girls do a very hard job.” Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 13 Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lifestyle and routines of the home have been influenced in recent months, by ongoing building work and the planned refurbishment of the premises. EVIDENCE: Residents appeared relaxed and contented, though one lady said she was not feeling too well. On the ground floor in the old communal dining room, part of which is currently used also as a lounge, a number of residents were spoken with. Two were able to make comment and said they had no concerns and the disruption caused by building work did not bother them. Residents on the dementia unit were spoken with. They did not comment in depth but appeared relaxed. The building work was not affecting this part of the home at that time. One resident said everything was going well, the staff could not do more and the food was second to none.
Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 15 Reference was made to resident/representative questionnaires, which had been distributed to residents and their families by staff. Most of the questionnaires gave positive responses regarding care, meals and the environment. There was less satisfaction regarding social activities, some residents had stated that they wanted trips out. In-house activities stated by the manager in the pre-inspection questionnaire are bingo, musical bingo, dominoes, board games and aromatherapy. There was evidence in care files, that residents wishes are ascertained and they are offered choices of rising and retiring times, meals and activity. The manager confirmed that quality questionnaires are distributed to residents and their families. Forty-six percent had been returned when the consultation exercise was last carried out. There was evidence on care plans of residents’ signatures or those of their representatives, giving consent to the care to be provided. Their personal choices and preferences were observed on record in their care files, for example, how many pillows the resident would prefer, what food and activity preferences they have, their religion, next of kin and family contacts. The manager said that religious ministers visit according to the needs and wishes of those in residence at any time. It is stated in the preinspection questionnaire, that ministers of the Church of England, Catholic Church and Christian Fellowship visit the home to attend to residents’ spiritual beliefs. Residents said that they have visitors, family and friends. One resident said his children and grandchildren visit him regularly. There was evidence in daily reports that residents go out with their families. During the inspection a visiting relative brought in Christmas presents for the staff. She said her mother likes to buy small tokens for the staff to express her appreciation for all they do for her. Some of the residents have dementia and are unable to make their wishes and feelings known. Staff have received some training in dementia care and said they have found this useful. Residents who live on the dementia unit are offered activities and have space to move around under supervision. Some of the residents were relaxing in their bedrooms. One lady said she prefers to be in her bedroom and staff respect her wishes. The cook said that residents are offered choices. The menu is distributed daily and residents are asked what they would like if they do not want what is on the menu. Residents who commented had no complaints about the quality or quantity of their meals. Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ complaints are listened to and they are protected from abuse through the home’s procedures. EVIDENCE: The home has a complaints procedure, which is provided to residents and their representatives in large print format. A record of complaints is kept in the home. There have been no complaints to CSCI regarding this home since the last visit. The home has adult protection and “whistle-blowing” procedures. Some staff have not received training in Protection of Vulnerable Adults and the manager said that this was being arranged. Kirkby House Residential Care Home DS0000062026.V295383.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): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is in a transition period whilst Building work is in progress. This has caused some disruption to residents’ daily lives and their personal and communal accommodation. EVIDENCE: The home is undergoing a complete refurbishment and an extension to the building to increase room numbers. The completed areas are evidence that
Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 18 when work is completed, the home will provide a high standard of accommodation. The home was clean in most of the areas which were visited and residents appeared to be unaffected by the work in progress. They have experienced a change of lounges and bedrooms during the work but had no complaints, some preferring to remain in their new bedrooms. The “link” corridor was in poor condition, the carpet badly worn and stained due to the work in progress. This will be rectified as work progresses. One resident was sitting in this area by choice. The home now has designated domestic staff, one was in employment and another was awaiting a start date (subject to CRB clearance) at the time of visit. The home was hygienic and dust free in the areas which were visited. The kitchen and storage areas were clean and well organised. There is an outstanding recommendation from the last inspection regarding a review of kitchen equipment (repeated in this report) and the manager was advised to replace the meat slicer, which the cook said was not suitable. The manger said that the kitchen would be refurbished as part of general improvements to the home. Kirkby House Residential Care Home DS0000062026.V295383.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 good. This judgement has been made using available evidence including a visit to this service. The home has policies and procedures in place for recruitment, training and support of staff. Staffing levels in the home are maintained. EVIDENCE: Reference was made to staff rosters, staff files and discussion took place with the manager and staff on duty during the visit. The staff rosters were satisfactorily maintained (Four care staff, a senior and ancillary staff during the day and three waking night staff). It is stated in the pre-inspection questionnaire that four staff have left the home since the last visit. The home has a recruitment procedure and two written references and CRB clearance are taken up before the successful candidate’s start date. Staff files read, were in good order.
Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 20 The manager confirmed that over 50 of staff have now achieved NVQ level 2. (About 68 ). There is an ongoing training programme and staff who were spoken with had received mandatory training in addition to health related courses and NVQ. Kirkby House Residential Care Home DS0000062026.V295383.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): Standards 31,33,35,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experienced and qualified and there are systems and procedures in place to ensure that residents’ best interests are safeguarded. EVIDENCE: The manager’s role is supported by senior staff members who have delegated areas of responsibility. Ms. Madeleine Ward is an experienced and qualified manager and the home appears to have been well run during the disruption
Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 22 caused by building work, which has included a change of office accommodation. Ms. Ward showed awareness of the condition and needs of the residents who were discussed. Residents knew her by name and spoke highly of her, and staff said they are well supported. The home has a quality assurance system and questionnaires are distributed to residents and their families (the outcomes referred to elsewhere in this report). The manager said that there has been 46 return of questionnaires, some completed by residents, others by their families. She said she was hoping for a higher number of completed questionnaires during the next exercise. The manager confirmed that the home does not become involved in residents’ personal savings. Those who are unable to manage their finances and have no representative have access to advocacy services. The home holds small amounts of money for residents to use for personal items, and all transactions are recorded, endorsed by two staff signatures, or one staff signature and the resident’s signature. The manager stated in the pre-inspection questionnaire, that the home acts as appointee for two residents. The manager said there is a system for staff to receive formal supervision (one to ones) and staff confirmed that this is the case. One member of staff said she had not received formal supervision recently as the senior person responsible was absent. There was a staff meeting in progress at the time of this visit. Staff said that they are well supported through the management team and there was evidence during the visit that the manager would address a problem stated by a member of staff. Fire procedures were being followed and health and safety certification and maintenance of equipment certificates were seen. There is work ongoing to the electrical system and recommendations from the certificate dated December 05, remain outstanding until work is completed. The gas certificate was out of date (10/2/05). The manager said that as part of recent improvements to the building, the gas boiler has been replaced. The home requires an annual gas safety certificate. The home has a satisfactory Environmental Health Officer’s report, (November 06). Kirkby House Residential Care Home DS0000062026.V295383.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 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 3 2 X 2 Kirkby House Residential Care Home DS0000062026.V295383.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 OP7 Regulation 15 Requirement Regulation 15 (1) “Unless it is impracticable to carry out such consultation with the service user or a representative of his, prepare a written plan as to how the service user’s needs in respect of his health and welfare are to be met.” The registered person must ensure that care plans do not generalise and state details of how the residents’ needs are to be met. Regulation 13 (2) “The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home.” The registered person must ensure that accurate administration records are in place for all residents who have prescribed medication. The registered person must arrange for all surplus medication to be returned to the pharmacy each month and
DS0000062026.V295383.R01.S.doc Timescale for action 13/01/07 2. OP9 13 14/11/06 3. OP9 13 30/11/06 Kirkby House Residential Care Home Version 5.2 Page 25 maintain records. 4. OP38 23 Regulation 23 (c) “Equipment provided at the care home for use by service users or persons who work at the care home is maintained in good working order.” The registered person must obtain an up to date gas certificate. 01/02/07 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 OP7 Good Practice Recommendations The registered person should ensure that monitoring charts (eg. Diet sheets, are kept up to date. If discontinued this should be stated on the resident’s care plan.) The registered person should ensure that all staff receive POVA training when this is arranged. The registered person should arrange for the meat-slicer to be replaced. The manager should arrange for a review of kitchen equipment and arrange for repair/replacement as necessary. (Repeated from the previous inspection). The registered person should ensure that staff supervision arrangements are made for staff who have not received this recently. The registered person should arrange, in consultation with residents, for them to have day trips. 2. 3. 3. OP18 OP19 OP19 4. 5. OP36 OP12 Kirkby House Residential Care Home DS0000062026.V295383.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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
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