Inspection on 02/08/06 for Laurel Mount

This inspection was carried out on 2nd August 2006.

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

Laurel Mount 18/07/07

Laurel Mount 19/10/05

Laurel Mount 21/04/05

Laurel Mount 21/10/04

Laurel Mount 15/04/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Laurel Mount Woodville Road Keighley West Yorkshire BD20 6HP Lead Inspector Paula McCloy Key Unannounced Inspection 10:45 2nd August 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 Laurel Mount DS0000019880.V300649.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. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laurel Mount Address Woodville Road Keighley West Yorkshire BD20 6HP 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) 01353 667482 01535 604366 Mr Christopher Bolland Mrs Catherine Bolland Mrs Judith Helen Wardrope Care Home 34 Category(ies) of Dementia (9), Old age, not falling within any registration, with number other category (34), Physical disability (1) of places Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The places for DE are specifically for the service users identified on 2.4.4 The category of PD is specifically for the service user named in the variation application dated 21 May 2004. 19th October 2005 Date of last inspection Brief Description of the Service: Laurel Mount is a converted property in a residential area in Keighley, close to public transport routes. The home is registered to provide nursing care for up to 34 older people, some of whom may be suffering from dementia. Accommodation is provided in single and double rooms, two of the single rooms have en suite facilities. Residents have a choice of several lounges, one of which is used by smokers, and a small dining room. The home is situated in extensive and attractive gardens to which there is level access from the home. There is a car park to the front of the building. The current charges at the home range from £475 - £505 per week The fees do not include chiropody or hairdressing Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk The last inspection of the home took place on 19 October 2005. There have been no further visits to the home until this key inspection. This inspection was carried out to assess the home against a pre-determined selection of the National Minimum Standards for Older People and to check what progress had been made on meeting the requirements from the previous inspection visits. One inspector carried out the inspection over 1 day and spent approximately 9 hours in the home. The methods used in this inspection included discussions with 6 residents, 2 relatives, 6 members of staff and management a care co-ordinator, observation of care practice, examination of records, and a tour of the home. A pre-inspection questionnaire was sent to the home prior to this inspection visit asking for information. This questionnaire was returned to the Commission for Social Care Inspection and the information provided has been used in this report. Comment cards were sent to residents, relatives and GP’s; these cards provide an opportunity for people to share their views of the service with the CSCI. Comments received in this way are shared with the provider without revealing the identity of those completing them. Three residents and five relatives and three GP’s wrote to the inspectors with their comments. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 6 What the service does well: Anyone thinking of moving into Laurel Mount can go and look around and get written information about the home, the service user guide. If they decide to move in staff from the home will carry out an assessment to make sure that they can meet that persons needs and arrange a day for admission. Residents get a contract/statement of terms and conditions document, this means that they are given information about their rights and obligations. Each resident has an individual care plan that sets out what care and support they require from staff. Staff are vigilant and care plans are updated as peoples needs change. Staff are also quick to involve Doctors and other specialists for advice. One GP said “staff are always cheerful, friendly and caring to the residents. The senior staff who I have most dealings with are always knowledgeable about the residents background, medical conditions, treatments and families, and are highly efficient and caring in carrying out their duties. All the staff seem to work very well as a team.” Residents look well cared for. All residents spoke well of staff and they felt that they were kind and caring. One resident said “staff listen to what I say. There is a lovely atmosphere, homely and warm, staff are always cheerful and so caring.” Another resident said “I’m happy here. Staff are always respectful and they always have a smile.” One relative said “I would recommend the home” and another said “I am very happy with my mothers care, staff are very friendly.” Residents can follow their own routines and relatives and friends are welcome to visit at any time. Meals at the home are good. Two residents said that “ If there is something that I don’t like or don’t want I am always offered something else.” If residents and/or relatives are not happy about the service they are getting the home has a complaints procedure. Residents and relatives were aware of the procedure and said that they would be able to raise any concerns and that they felt and problems would be resolved. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 7 The home is clean, tidy, comfortable and well maintained. One resident said “The home is exceptionally clean, my visitors have remarked on the cleanliness and fresh smell.” Another resident said The home is always fresh and clean and so are we!” The staff are friendly and well trained. Staff enjoy working at the home and feel they work well as a team. What has improved since the last inspection? What they could do better: Provide more individual activities for residents to keep them stimulated. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 8 Involve residents and relatives in the monthly care plan reviews, so they can comment about how they are being cared for and supported. 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. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 9 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 Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, & 5 (standard 6 does not apply) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home’s statement of purpose and service user guide provide service users and prospective service users with details of the services the home provides. Prospective service users and/or their representatives are also encouraged to visit the home so they can make an informed decision about admission to the home. All prospective service users are assessed by staff from the home before admission to make sure the home can meet their needs. Service users are given a written contract/terms and conditions of residence document which details fees, room to be occupied etc. EVIDENCE: The home’s statement of purpose and service user guide are available from the home. One relative said that a member of their family been to look around the home before they decided to let their mother move in. Three residents said Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 11 that they had received enough information about the home before they decided to go and live there. The nurses assess any prospective residents prior to admission. The assessments for the two most recently admitted residents were seen. These were well completed and residents needs had been identified. One resident said that one of the nurses had been to see her in hospital before she was admitted. Residents are issued with a contract/terms and conditions of residence document when they move into the home. Copies of these documents were available and were seen. Four residents confirmed that they had received a contract. The home does not provide intermediate care. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There is a good care planning system in place that gives staff the information they require to meet residents individual needs. The health care needs of residents are well met with good multidisciplinary working taking place on a regular basis. The medication system is well managed and residents get their medication at the prescribed times. Personal support in this home is given in a way that promotes and protects residents privacy and dignity. EVIDENCE: Three care plans were examined in detail. Care plans are well organised and it is easy to find relevant information quickly. The care plans set out in detail Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 13 what action needs to be taken to ensure residents needs are met. There was some evidence of residents and relatives being involved in developing and reviewing their care plans. Seven relatives said that they were kept up to date about their relatives well being and that they are consulted about their relatives care. Staff are vigilant and new care plans are developed as resident’s needs change. Staff are also identifying any potential risks to residents and making sure that the necessary risk assessments are in place. For example one resident was identified as being at risk of developing pressure sores. A care plan is in place and the residents skin integrity has been maintained. Since the last inspection social care plans for each resident have been written. This is any area that needs to continue to develop, to make sure that residents are offered suitable and stimulating activities that interest them. Each element of the care plan is being reviewed monthly and the care plan updated as necessary. Whilst this ensures that each individual element of residents care is reviewed e.g. mobility, personal hygiene, continence etc., it does not provide an holistic overview of the residents wellbeing. This was discussed during the inspection and how the review process could be improved. More detailed monthly summaries would give staff an ideal opportunity to talk to residents about their care and support and involve them in the care planning process. This is an area that should be pursued. Residents health care needs are being identified and met. Staff are vigilant and health care professionals are being involved as necessary. There was clear evidence of GP’s, chiropodists, opticians etc., being involved in the ongoing care of individual residents. Three residents confirmed that they receive the care and medical support they need. Three GPs comment cards were received. These were all positive “all staff are always cheerful friendly and caring to the residents. The senior staff who I have most dealings with are always knowledgeable about the residents background, medical conditions, treatments and families, and are highly efficient and caring in carrying out their duties. All the staff seem to work very well as a team.” “I am increasingly impressed with the care at the home. Having a small number of senior nursing staff, one of which is always available, makes it easy to work with them.” The medication system is well managed. Residents get their medication at the prescribed times and the records are well maintained. Staff do need to introduce a brought forward system for any as required medication, this will make sure that it is easy to calculate the amount of medication being held at any one time. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 14 Residents looked smart and well cared for. All residents spoke well of staff and they all felt they were kind and caring. This view was also shared by relatives. One resident said “Staff are always cheerful and so caring” and another said “staff are very good and listen to what I say”. From observation staff carried out any personal care in a discreet and respectful way. Relatives and GPs confirmed that they were able to visit their relatives/patients in private. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users preferences’ in relation to the routines of daily living are respected. Relatives and friends feel welcome to visit at any time. The meals at the home are good and residents are consulted about the choice of meal available. EVIDENCE: Service users preferences’ in relation to the times they want to get up and go to bed are respected by staff. It was noted that service users were getting up at varying times during the morning. All of the staff said that residents can follow their own routines. Some activities are arranged, on the day of the inspection visit the weekly exercise class was taking place. Residents taking part said they enjoyed this. The home recently organised a Garden Party, residents said they really enjoyed this and would like one every week! Entertainers are also organised on a regular basis. Staff confirmed that they have time when they can sit and talk to service users. During the inspection there were some good humoured exchanges between staff and residents and ‘banter’ that was enjoyed by staff and residents alike. The home needs to Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 16 develop their activities programme for both group and individual activities to keep residents stimulated. Currently there is very little recorded in care plans about the activities people have participated in. This is an area that care staff could be more involved in and contribute to the written records. There are no residents at the home currently who have any specific religious needs. Staff will arrange for ministers to visit the home if this service is required. There is information in the service users guide about how residents can contact the advocacy service. Relatives confirmed that they can visit at any time and that they are made to feel welcome. Visits take place in the communal areas, the dining room or in service users bedrooms if they want to be private. There are five lounges in the home, one of which is the designated smoking area. Residents can choose the lounge that suits them the best. Service users stated that the food was good. The menu for the day is displayed in the dining room. There is a choice available for every meal. The cook has a list of residents likes and dislikes. Two residents said that if they don’t like what is on the menu that the cook makes them something else. Service users have their meals in a number of different rooms. The delivery of meals at lunchtime was well organised. From observation staff were available to supervise and assist residents. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 &18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has a satisfactory complaints system and complaints that have been made have been resolved. Staff have a good understanding of adult protection issues which protect service users from abuse. EVIDENCE: The complaints procedure is well publicised. It is in the service user guide and on display in the home. There have been no complaints since the last inspection. Service users and relatives said that if they had any concerns that they would feel able to raise these with the registered manager or the deputy and that they felt any problems would be sorted out. The local adult protection procedures wee available in the home. The registered manager will be attending a course in the near future regarding adult protection. She will then disseminate relevant information to staff. All staff spoken to were able to detail exactly what they would do if they felt any practices in the home were not in the best interest of the service user. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a clean, safe, comfortable, well maintained home. EVIDENCE: Laurel Mount is situated in a residential area of Keighley. It is a large property, which is set in its own extensive, well kept grounds. There is car parking to the front of the building. There is seating available outside which service users enjoy using in fine weather. There is also a secure part of the garden that residents can use safely, without any fear of them wandering too far from the home. The fire authority and environmental health have both carried out inspections of the home this year. The manager confirmed that the work that both these agencies required has been completed. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 19 There is a redecoration and refurbishment programme in place. Recently one bedroom has been redecorated and the office and staff room have been refurbished. The office and staff room have been ‘swapped’ over, the office is now in a better location off the front hallway. The home was clean and tidy on the day of the inspection. Four residents and seven relatives said that the home is always fresh and clean. There are infection control procedures in place. There have been no infection control issues at the home since the last inspection. The laundry is well equipped, clean and tidy. The required ‘non return’ valves are in place on the washing machines. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff morale is good resulting in an enthusiastic workforce that work positively to improve service users quality of life. Staff are receiving appropriate training to meet service users needs. Any new staff are thoroughly checked to ensure that they are suitable to work with older people. EVIDENCE: The duty rotas were examined. These show that during the day there is one nurse on duty with four care assistants during the day. At night there is one nurse and two care assistants on duty. There is cook, domestic and kitchen assistant cover during the day. The laundry assistants works seven mornings per week. Staff said that at the current time the numbers of staff on duty were adequate to meet residents needs. The manager is aware that she needs to keep the staffing levels under review as residents needs change and the number of residents in the home increase. All staff spoken to felt that they were working well as a team and that they enjoyed coming to work. New members of staff said that they had been made to feel welcome and were enjoying working at the home. Agency staff are being used to cover some shifts, these tend to be the same staff who are familiar with the home. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 21 The registered manager and deputy work very much as part of the team and are very ‘hands on’ in delivering care and support to residents and support to staff. Residents, relatives and GPs describe the staff as being very friendly. There is a lively atmosphere in the home and relationships between residents and staff are warm and good-humoured. There are 25 of the care staff qualified to NVQ level 2 or 3. A further 8 members of care staff are in the process of completing this training. Moving and handling update training is scheduled to take place in September for all staff. Recruitment procedures at the home are robust. Staff files confirmed that the necessary checks are being completed to ensure the suitability of new staff. One staff member had left the home and has since recommenced employment. The registered manager completed the necessary criminal records bureau check and protection of vulnerable adults check prior to her starting work at the home. However, no reference was obtained from her last employer. This was discussed with the registered manager. References must be taken up for staff if they return to work at the home. All staff are given copies of the General Social Care Councils codes of practice. All new staff receive induction training and records of this training are kept on their recruitment files. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well managed and run in the best interests of residents. Practices in the home promote the health, safety and welfare of the residents. EVIDENCE: The registered manager is a registered nurse and has completed her NVQ level 4 training, Registered Managers Award. Residents know who the manager is and all of them said that they could talk to her about any problems. Residents and relatives are consulted about the running of the home via the annual quality assurance questionnaires. The last survey was completed in January 2006. The results of this survey need to be published and made available to current and prospective residents. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 23 The manager does hold money on behalf of residents. The records examined were well maintained and accurate. The service users guide gives information about residents accessing the records that are held in the home. There is a policy in place regarding service users seeing the records that are held on them. Records at the home were readily available and well maintained. There is a written Health and Safety policy. Staff receive moving and handling, food hygiene, fire safety, first aid and infection control training. The fire alarms are tested weekly and fire drills/practices are held. The deputy manager has completed a course with the West Yorkshire Fire service and takes responsibility for delivering training. The passenger lift and moving and handling equipment service records were all seen and were up to date. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 2 Standard OP7 OP9 Regulation 15 13 Requirement Residents must be involved in the development and monthly reviews of their care plans. A brought forward system must be introduced for any ‘as required’ medication. This will ensure that staff can quickly calculate the balance of medication held at any one time. Residents must be consulted about activities they would like to participate in. The home then needs to look at how they will meet residents individual needs and add this information to their care plans. References must be taken up for staff who have worked in the home previously. A retrospective reference must be obtained for the member of staff who has returned to work at the home recently. The results of the quality assurance survey must be published and made available to existing and prospective residents. Timescale for action 31/10/06 31/08/06 3 OP8 16 31/10/06 4 OP29 19 31/08/06 5 OP33 24 30/09/06 Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 26 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 All staff should be encouraged to contribute to the care records. Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Laurel Mount DS0000019880.V300649.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!