Inspection on 18/04/07 for Larchwood Care Home

This inspection was carried out on 18th April 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Larchwood Care Home 05/05/06

Larchwood Care Home 06/09/05

Larchwood Care Home 28/04/05

Larchwood Care Home 30/09/04

Larchwood Care Home 02/06/04

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

CARE HOMES FOR OLDER PEOPLE Larchwood Care Home 108 Broad Road Braintree Essex CM7 9RX Lead Inspector Sharon Thomas Unannounced Inspection 18th April 2007 9:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Larchwood Care Home DS0000017864.V339868.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. Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Larchwood Care Home Address 108 Broad Road Braintree Essex CM7 9RX 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) 01376 347777 01376 345556 larchwood@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Care Homes No 3 Limited Mrs Sharon Thompson Care Home 64 Category(ies) of Dementia - over 65 years of age (64) registration, with number of places Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 64 persons) 5th May 2006 Date of last inspection Brief Description of the Service: The owners of Larchwood are Southern Cross Healthcare and the registered manager is Sharon Thompson. Larchwood is a large purpose built two-storey care home for older people. The service user accommodation is arranged within three self-contained group living units, Acorn and Chestnut on the ground and first floor in one building, and Rowan, which is a larger unit on the ground floor in an adjoining building. Each unit consists of a group of bedrooms, lounge/dining area, bathrooms/WCs and kitchenette. All bedrooms are for single occupancy with en-suite WC facilities. All meals are prepared in a central kitchen. The home is set back from the main road in a residential area on the outskirts of Braintree. There are ample car parking facilities and access to public transport is good. There is a passenger lift available. The grounds adjacent to each unit are enclosed and there is a secure central courtyard area. Access to the building and all areas is good. Larchwood specialises in the care of older people with dementia and also frail elderly people. The accommodation fees as at 12/5/06 were disclosed by the manager as ranging from £426.09 to £707.09. Extras to fees include chiropody, hairdressing and toiletries. Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on 18 April 2007, and took 6 hours to complete. This inspection covered Twenty-one of the thirtyeight National Minimum Standards, of these twenty were met and one was nearly met. The inspection included a tour of the premises and a selection of records and documents were studied (including any records of notifications or complaints sent to the CSCI since the last inspection). Time was spent in the lounge and dining room observing practice, and with one individual in their own room. This person was spoken to at length about life at Larchwood. The inspection process also included discussions with two relatives, the manager, acting manager, and staff on duty. The home had 10 requirements from the previous inspection report most of these were found to have been met at this inspection visit. The manager and the staff team are to be commended on the positive changes made in the home and the commitment to making the home a safer place for people to live in. The care at Larchwood has never been of concern, and the atmosphere in the home on this visit was calm and residents appeared happy and content. The home was warm and comfortable with good furnishings and a good level of decoration. The residents were cared for by a team of well-trained, skilled and caring staff. What the service does well: The admission process used in the home ensures that appropriate and safe admissions are made. The care plans used in the home are full of detail and well maintained, giving clear instructions to staff to enable them to give a good level of care. The home ensures that people are treated with dignity and respect. People are encouraged to live as independently as possible. The menu in the home provides people with a well-balanced and varied diet. The religious and cultural needs of individuals are addressed through the menu. The resident spoken with reported that relatives and visitors are welcomed into the home at all times. Some of the activities provided in the home are specifically designed to provide stimulation for people with dementia including Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 6 chair games to promote physical exercise and interaction with others The staff were observed to chat continually with the people in their care and involve them as they went about their work through out the day. The home has close links with the health care team in the area, and works with both professionals to promote and maintain the people’s health. Larchwood has an established and caring staff team. The staff group in the home are enthusiastic, well trained and skilled. They are cheerful attentive and keen to provide a good service. The standard of care is good, and the people living in Larchwood and relatives spoken with were happy with the way they are cared for and felt very relaxed in their surroundings. The health and safety of individuals is taken seriously by the proprietor, the manager and staff. Staff are well trained and provide an excellent level of care that promotes and protects the wellbeing of the individual and staff. What has improved since the last inspection? What they could do better: The home is not accurately recording the administration of medication, the hours of activity currently provided to people does not meet their needs, and staff are not supervised on a regular basis. The result of the above is that residents may be potentially at risk by the inaccurate recording of medication. The residents may not be provided with enough social stimulation and staff should be supervised on a regular basis to ensure that care practice issues and individual personal development is identified and acted upon. Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 7 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. Larchwood Care Home DS0000017864.V339868.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 Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3: People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The admission process is well managed and individuals and relatives are given clear information regarding the service. The home has pre-admission systems in place that ensures that people’s needs can be met. EVIDENCE: The manager and/or deputy manager assesses the needs of the prospective resident to establish the needs of the person to decide whether the home can meet the need. All of the six care plans examined on the day were the newest admissions into the home. Their files contained a copy of an up to date social service assessment and the home’s pre-admission assessment. The home had used its own pre-admission assessment, which has been developed and is comprehensive and contains an appropriate assessment of need. There was evidence that the individual and their relatives are involved in the care planning process. One relative spoken with confirmed that prior to the Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 10 admission, both they and other members of their family had been fully involved with all decision-making plans and that the home had provided them with useful information that had helped them make a clear decision. One relative commented that the staff had been very “…supportive and sensitive to the very difficult situation when the admission took place” and that “…. since they have moved here the staff are very aware of what they need”. Larchwood does not provide intermediate care. Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10: People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The individuals’ physical, emotional social and healthcare needs are well met in Larchwood. The home has appropriate systems in place that ensures the safe administration of medication. Staff treat individuals with respect and dignity. EVIDENCE: Six individuals care files were examined on the day. All contained detailed information regarding the resident’s need, the action to address this need, and the long-term outcome of the care given and are now fully reviewed on a monthly basis. The care plans are comprehensive and detailed, the level of information is good, well written, informative and instructive to staff. All of the care plans contained a detailed risk assessment that enabled staff to identify and manage the risk. The residents spoken with confirmed that the staff in the home provided them with a good level of support and assistance. One relative commented they “…. trusted the staff to give my wife with what she needs” Staff were observed treating residents with care and sensitivity, and Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 12 demonstrating a genuine level of care. The relatives spoken with on the day were highly complimentary of the care that their relatives receive in the home. The care plans that were examined all contained clear and detailed instructions to staff on how to give personal care to people. One of the care plans, that of a very recent admission did not contain as much detail of the needs of the person. Routine health checks offered such as optician, dentist, and chiropodist were well recorded. The home provides individuals with aids and equipment to address their healthcare needs and issues. Two relatives confirmed that stated that they were confident that staff would “…contact me if Mum were ill and in fact they have done in the past”. Healthcare issues are picked up speedily and dealt with in a preventative manner. The medication used in the home is securely locked and stored. The home has guidelines for staff to follow when administering medication. The records of the administration of medication are not accurate and moderate amounts of gaps in the recording were found. Upon further examination it became clear that the management had identified this issue and had spoken to staff regarding this matter. However, the gaps were continuing to occur and the manager stated that this would be a matter for urgent discussion with the staff team. The records of controlled medication, the receipt and disposal of medication were accurate and well maintained. The staff spoken with that are responsible for giving medication confirmed that they had received training and support for this task and that they are confident that “…people are safe when giving medication”. The relatives and the individual spoken with commended the staff with regard to the treatment they received in Larchwood. The individual stated that their privacy and dignity was maintained in a variety of ways, down to staff knocking on doors and “being discreet when I have visitors”. Both relatives commended the home the provision of private areas in the home that allowed for people to see visitors in private. Observation of staff during the inspection indicated that staff are friendly, considerate and respectful toward residents. Relatives commented that the “…. staff are wonderful” and “…respect my wife as a person” and “…. treat me with respect at all times” From observation it was clear that the home’s routines are relaxed and are as flexible as is possible. Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 &15: People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides the people who live there with variety and choice with regard to their daily lives. People’s expectations and preferences with regard to lifestyle are well met. People living in Larchwood are provided with a wellbalanced nutritional diet. EVIDENCE: The home’s activity programme has been improved since the previous inspection visit and includes reminiscence, board game, music and dance and card games. The care plans sampled detailed the social and leisure needs of the person and recorded a history of interests and past social activity. The home is currently providing 30 hours per week for social activity and it was agreed that this amount of time is not enough to meet the needs of the current group of people living there. People were observed spending time in various parts of the home, communal areas and in their bedrooms. Staff confirmed that the people were asked what external entertainment they wanted. On the day of the inspection a number of residents were observed enjoying a sing-aLarchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 14 long provided by external entertainers. The resident spoken with confirmed that “there was always something to get involved in” and relatives confirmed that the home provided “…a good range of activity for the people living here”. The individual spoken to confirmed that they felt that they had choices in their daily lives (e.g. where and how to spend their day, what to eat, when to go to bed, etc.). The person commented that there were “…no rules here”. The staff on duty were observed helping people make choices about where they sat, what they ate, and how they were transferred. Staff are very clear regarding the importance of helping people to make decisions about their care. The staff appear genuinely polite and caring when dealing with the individuals and provide care in a discreet and quiet manner. On more than one occasion the staff were observed taking time to speak with people, having a laugh and chat and were obviously aware of the individual they were dealing with. The atmosphere in the home is calm and soothing and this a benefit to the people living there. There has been an ongoing issue relating to access to the gardens by the people living on the first floor. It was suggested that the risk assessments in individual care plans for these people reflect the measures that the home is making to ensure that all residents have access to the gardens. The people living in the home and relatives were very complimentary about the menu and choices available at meal times. The 4 weekly rota’d menu that was examined reflected that the home provided people with a variety of well balanced, nutritional and quality meals. One person said the food was lovely and they were looking forward to scrambled eggs for tea. The kitchen was well organised and very clean, and the fresh, frozen and dried food stocks were substantial and of good quality. The meal presented on the day was appealing and was served with a range of refreshments. The relatives said that the quality of food in the home was “…. excellent”. Fresh fruit, biscuits, and homemade cakes are available throughout the day, and staff confirmed that residents could have a drink or snack at any time. When required, meals are served ‘softened’ and special dietary needs such as diabetes are catered for. Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18: People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service have access to a clear and understandable complaint procedure that ensures that they are listened to. The home operates robust practices and procedures to ensure the protection of the people who live there. EVIDENCE: The home has a Complaint Procedure that is clear and concise. It is in plain language and is understandable to those it is written for. The home’s complaint log is used for recording complaints and the action taken by the home. It contained one new complaint and this was dealt with in a timely and appropriate manner. The relatives spoken with confirmed that they knew whom to speak with should they need to make a complaint and that they …“would make a complaint if I needed to”. The home has an appropriate set of Safeguarding Adult policies and procedures. These documents provide guidance for staff on how to protect the people in their care. It describes the types of abuse, how to recognise abuse and what to do if staff witness abuse. The staff training records indicated that all but one member of the staff team had received training with regard to this issue. Staff spoken with were confident that they would respond appropriately Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 16 if an allegation of abuse were made. The manager and deputy manager have a sound knowledge regarding the protection of people who live in the home. Larchwood Care Home DS0000017864.V339868.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: People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a well-maintained environment, which on the day of the site visit was clean and hygienic. People have access to safe and comfortable internal and external facilities. The home has effective infection control practices and procedures that staff use to reduce the risk of infection. EVIDENCE: The home is clean, bright and airy and has a homely feel. A running redecoration and maintenance programme to maintain and improve the environment is in place. A dining room has had more suitable floor covering fitted and the odour in the home is considered good. The home has created a new communal area that resembles a living room from the 1940’s. It is also in the process of providing an activity room, which has had mural scenes, painted on the walls to provide atmosphere and stimulation. The person spoken with Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 18 stated that the home was a pleasant place to live in it was always clean and smelled nice. Larchwood has good levels of hygiene. The home employs appropriate numbers of domestic staff to ensure that hygiene levels are maintained. The laundry and kitchen areas are clean and tidy and staff wear appropriate protective clothing when undertaking their jobs. The home smelled fresh and clean and there was little or no offensive odours present. The communal areas and individual bedrooms are clean, tidy and homely. It was noted that some of the communal areas were in need of some further investment to make them more homely, discussion with the manager confirmed that this had been identified and was being acted upon. Bedrooms viewed are personalised by the pictures, ornaments and furniture brought into the home by residents and their relatives. Larchwood Care Home DS0000017864.V339868.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: People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people living in Larchwood benefit from a skilled and competent staff team. The recruitment procedure in the home is robust and provides the safeguards to ensure that appropriate staff are employed. People living in the home are cared for by staff who are provided with an effective programme of training. EVIDENCE: The staff rota examined on the day of inspection reflected that the home is providing the agreed level of staffing. The home had an appropriate number of day care and night care staff and additional numbers were on duty during busy periods. The home uses a member of the permanent staff team or a member of the bank staff in order to cover absence who are ready to work on stand by, it will also use agency staff if necessary, this results with a consistent staff team available to residents. Larchwood provides staff with a full and appropriate annual training programme. Of the forty members of staff, twenty-one have achieved their NVQ Level 2 or above, three carers have almost completed the course and there are plans to have the remaining staff enrol for the course in 2007. Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 20 The staff training and development programme provided in the home was available for inspection on the day. The home now provides a thorough and comprehensive induction programme for staff, which uses the Skills for Care induction standards; all staff are fully inducted within six weeks of their employment. Staff have a range of refresher and specialist training available to them and are obliged to undertake refresher training when identified. Discussion with staff confirmed that they are receiving the full range of training available in the home and appreciate the level and variety of training they receive. The relatives stated that they believed that staff were well trained and that this is reflected through the care they provide. The staff spoken with and staff personnel records of the newest appointed members of staff confirmed that all pre-recruitment checks are completed prior to employment. The staff files contained references, application forms, Criminal Reference Bureau checks, personal identification, photographs and contract of terms and conditions for staff. The file of the newly recruited employees confirmed that they will receive a full induction programme, and will shadow a senior care worker until being assessed as fit to work alone. The staff spoken with confirmed that they had to wait for confirmation of these checks before being given a start date to commence employment. Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38: People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Larchwood is well run by a competent and skilled manager. People live in a home where health and safety systems are in place to ensure the welfare of both individuals and staff. EVIDENCE: The manager of the home is registered with the Commission for Social Care Inspection. The manager has a wealth of experience in the social care industry and is knowledgeable and skilled. A member of staff said, “She pushes and supports me and that has given me more confidence”. Another member of staff explained that the manager of the home was organised and she had a clear management style. Another member of staff said that the manager was Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 22 “…. approachable and honest” and “easy to talk to”. The manager has the trust of the care team who view her leadership as a positive asset for the home. The manager has recently completed the NVQ4 Registered Managers Award. During the process of the inspection the manager was open and honest, and reflected a commitment and motivation to the people who live there and to the staff. The home has an established quality assurance system. The individual, representatives, staff and external agencies have been asked questioned about the home and the information that is gathered from those surveys has been used to enhance peoples’ lifestyles within the home. The proprietor has analysed the results and published a report a copy of which must be sent to the C.S.C.I. The home holds minimal amounts of personal allowance for people. The financial needs of individual are handled by relatives and representatives. The personal allowances of 4 residents were examined and found to be accurate and the records of expenditure were well maintained. The home provides staff with appropriate Health and Safety training. Risk assessments of the premises are undertaken and regular Health and Safety checks of facilities and equipment are completed. The manager is aware of relevant Health and Safety legislation and is committed to the welfare of both the people who live there and the staff group. Hot water, fire alarm and equipment checks were accurate and up to date. The staff spoken with are aware of the policies and procedures regarding Health & Safety issues. Larchwood Care Home DS0000017864.V339868.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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 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 X 3 X X 3 Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS • This sect Examine and case track two care plans. • Examine and review risk assessments • Speak with and confirm risk practice with residents and staff. Observe care practice and relate to documentation 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. Standard Regulation Requirement Timescale for action 1. OP9 13.6 The medication administration 18/04/07 records used in the home must accurately record all medication given to ensure the ongoing safety and welfare of the residents. Staff must be aware of the importance of accurate and well-maintained medication records and their responsibility in achieving this. 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. Refer to Standard OP30 OP12 Good Practice Recommendations The staff should receive one to one supervision from a senior member of staff at least 6 times a year. The number of hours dedicated to activities should be increased to reflect the needs of the residents living in the home. Larchwood Care Home DS0000017864.V339868.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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