Inspection on 12/10/06 for Leafield Residential Care Home

This inspection was carried out on 12th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Leafield Residential Care Home 24/07/08

Leafield Residential Care Home 16/01/08

Leafield Residential Care Home 11/08/05

Leafield Residential Care Home 18/04/05

Leafield Residential Care Home 10/01/05

Leafield Residential Care Home 17/08/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Leafield Rest Home 32a Springfield Drive Abingdon Oxfordshire OX14 1JF Lead Inspector Delia Styles Unannounced Inspection 12th October 2006 12:20 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 Leafield Rest Home DS0000013103.V315924.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. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Leafield Rest Home Address 32a Springfield Drive Abingdon Oxfordshire OX14 1JF 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) 01235 530423 leafieldcarehome@aol.com Mr Prashant Brahmbhatt Mrs Ruth Bowell Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (24) of places Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 24 11th August 2005 Date of last inspection Brief Description of the Service: Leafield Care Home is situated to the north of Abingdon town centre, within a residential housing estate. The accommodation is provided on two floors and there is an automatic passenger lift for access. There are 21 single rooms, 5 of which are en-suite, and 1 double room with en-suite facilities. Plans to provide a further 5 en-suite facilities are being progressed at the present time. There are 4 bathrooms, 2 of which are on the 1st floor. The communal areas of the home are spacious and provide a choice of places to sit, or entertain visitors. The grounds are accessible to the residents and offer a pleasant area to wander in safety, or to sit and enjoy the fresh air. The home provides care for older people who are frail and may be mentally infirm. The current range of fees is £403.12p to £525.00 per week. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived at the home unannounced on 12/10/06 to undertake a ‘key’ inspection and, because the start of the inspection was delayed until lunchtime because of traffic disruption in the town, arranged with the manager to return to complete the inspection on the following day. The inspection was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. Comment cards were received from 3 individual GPs a general manager of a GP practice, and a consultant psychogeriatrician who provide medical services to the home. No comment cards were received from residents, relatives or visitors on this occasion. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The inspector fed back to the manager, her deputy and to the home owner at the end of the inspection and would like to thank all the staff and residents for their time, patience and hospitality. What the service does well: The home provides very individualised care for the residents who live here and it is clean, comfortable and ‘homely’ The manager describes Leafield as ‘a happy home – sometimes chaotic, but happy!’ Three visitors met during the inspection confirmed their view of the home as being very good and the staff are very caring. Comment cards from doctors who visit their patients here were complimentary about the standard of care that the staff provide - one such comment was: ‘I have formed a very high opinion of the care provided at Leafield Home. Staff have a knowledgeable, sensitive and appropriate approach to my patients there who have mental health problems’. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 6 The manager and staff work well together and with visiting health and social care colleagues, so this helps to develop good and supportive relationships with residents and their families. What has improved since the last inspection? What they could do better: No further progress has been made in improving the remaining bathroom and storage facilities in the home. The proposed addition of en-suite rooms to four ground floor bedrooms should be carried out. The home’s dining room is cramped at present and there is not enough storage space for equipment. If the proprietor undertook the work to build an extension at the back of the home, this would allow for the laundry, kitchen and dining areas to be improved and create additional office and storage space. The carpets in the conservatory/lounge and corridors should be cleaned or replaced as they are badly stained in places. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 7 The boiler in the old part of the house is prone to breakdowns and replacement is recommended so that the hot water supply to the bathroom and other ground floor rooms is safe and consistently maintained. Staff should be observant and report any broken or damaged equipment promptly so that the manager and proprietor can take action to repair or replace faulty items and safeguard residents from accidents. The homes recruitment procedures and practices for checking new staff are inadequate and have not been improved since the last inspection. New staff had been employed to work in the home before the manager or proprietor had received satisfactory clearance from Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (PoVA) register. A serious requirement letter was sent to the proprietor on 16th October requiring a response by 27/10/06 with the actions that must be taken to amend this poor practice that could put residents at risk. Written confirmation of the proprietor’s actions to comply with the requirement was received by 27/10/06. The inspector made good practice recommendations about the home’s recruitment and interview procedures for prospective new staff. 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. Leafield Rest Home DS0000013103.V315924.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 Leafield Rest Home DS0000013103.V315924.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): 1 and 3. Standard 6 is not applicable; the home does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have good information about the home in order to make an informed decision about whether the service is likely to suit them. The home undertakes a personalised needs assessment so that prospective residents’ needs are identified and planned for before they move into the home. EVIDENCE: The home has updated the Statement of Purpose and Service Users Guide and this information, together with residents’ individual contracts, provide residents and their families with enough information on which to form an opinion about whether the home is likely to meet their needs. The manager assesses prospective residents needs before they come in to the home. This process includes family’s and other professional carers’ information and provides the basis for the resident’s individual care plans. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The planning and delivery of care is carried out in a way that means residents’ health and personal care needs are met and there is good communication with doctors, community nurses and social care workers. EVIDENCE: The inspector looked at the care records for two residents. The manager has worked hard to re-write and develop care plans for all the residents since the last inspection, using a commercially produced system purchased by the provider. Each resident now has bound set of documents that encourage a ‘person-centred’ assessment of their needs and describes the actions that staff need to take to meet each person’s needs in a way most likely to suit that individual. The manager is hopeful that all staff will become more confident about developing and contributing to residents’ written care records. The inspector also sat in on the handover report to the staff starting their afternoon shift. It was evident that staff have a good day-to-day knowledge of the residents and their care needs. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 11 Comment cards received from GPs and a consultant psycho-geriatrician, confirmed that health care professionals are satisfied that the care received by residents in the home is of a good standard: ‘good staff, good care of my patient there. Contact when appropriate and follow through actions requested’; ‘I have formed a very high opinion of the care provided at Leafield Home. Staff have a knowledgeable, sensitive and appropriate approach to my patients there who have mental health problems’. The homes staff liaise regularly with the district nurses and community psychiatric nurses about the care of any resident who needs temporary nursing care in the home. There was evidence that if residents need special equipment, such as pressure relieving mattresses or seat cushions, that these are promptly obtained through the community nurse service. The medication system was examined and found to be well organised and managed overall. There were some gaps in the Medication Administration Records (MAR) so that it was not clear whether the resident had received the dose of prescribed medication or the reason for omitting it. It is important that staff always complete the MAR pages accurately and promptly, as a record that the prescribed medication has been given to residents. The home had an out of date British National Formulary (September 2000) – the book that lists medications and their purpose and usual dosages. The home should have a more up to date reference book. The inspector noted that staff spoke to residents politely and respectfully and their individual opinions were asked about various activities during the day. The staff are of a more varied ethnic background than the residents. The home is planning training for staff in equality and diversity and there is a booklet on this topic given to staff. From the evidence seen by the inspector and comments received, the inspector considers that this home would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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 this service. There are a variety of activities in the home that give individuals the opportunity to take part in activities suited to their interests and abilities. Meals and mealtimes provide an enjoyable social occasion for residents. EVIDENCE: The home has a member of staff whose specific responsibility is to encourage residents with individual and group activities – board games, floor games, cookery etc This makes sure that there is the opportunity for residents to take part, or watch others, as they want and caters for those whose concentration is poor but who benefit from feeling included in the home’s social life. Residents regularly go on walks into the town and for minibus trips. A trip to the seaside during the summer was very much enjoyed. There is a programme of outside entertainers who visit the home to provide monthly concerts. Visitors are welcomed in the home. The inspector spoke to three visitors over the inspection period. All were made welcome by staff and they said the care and concern shown by staff towards them and their loved ones is very reassuring. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 13 Most residents come to the dining room for main meals, but can remain in their rooms at mealtimes if they prefer. The menus and meal choices seen show a good variety of traditional food. Residents spoken with enjoyed their meals and visitors confirmed that the ‘food is always good’. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. Service users feel safe and able to talk to staff about any concerns. Staff receive training and information about adult safeguarding issues to protect residents from abuse. EVIDENCE: There have been no formal complaints made directly to the home and no complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The Statement of Purpose and Service User Guide information has been amended as recommended at the last inspection to include the contact details for the Commission, should a resident or their representative wish to raise concerns directly with the Commission. From observation of staff and residents’ interactions during the inspection, it was evident that residents felt at ease and confident to talk to staff about any worries or requests. Safeguarding of residents is included in induction training for all new staff and update sessions are held for all staff so that they are alert to the potential for abuse of vulnerable residents and know how to report any concerns. The manager and provider have taken appropriate steps to safeguard a resident who no longer has support and contact from family members. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 15 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, 21 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a clean, comfortable and homely environment for residents. There is a programme to improve the decoration, fixtures and fittings, but there is delay in undertaking new building work that would improve the facilities and storage areas in the home. EVIDENCE: The inspector toured the building. The home is clean and fresh throughout, with the exception of the carpeting in the main lounge and corridor area that was stained in places and should be cleaned or replaced. Residents’ own rooms are homely and personalised with their own ornaments and possessions. Since the last inspection, the proprietor has installed a new shower in a first floor bathroom. The shower has to be accessed by two carpet-covered steps; a washable non-slip floor covering for the steps would be more practical for cleaning and hygiene purposes. The inspector noted that the floor covering Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 16 around the shower basin had split and needs to be repaired as the raised edges are sharp and could cause injury to a resident. A wall tile near the shower base is cracked and should be replaced so that the surface is waterproof and can be easily cleaned. The light in the passenger lift was not working and this should be replaced as soon as possible for the safety of residents and staff who use the lift. The inspector recommends that the system for staff reporting any faults or damaged equipment should be improved, so that the manager is aware of any problems and can promptly organise repairs. Plans for building en-suite toilets for some ground floor rooms have not been progressed. A ground floor bathroom is very small and the bath is not accessible from both sides and is not large enough to accommodate a bath hoist or bath aids needed by most residents. On the day of the inspection the water supply to this bath was turned off as the boiler had broken down and was being repaired. The plumber has recommended the replacement of the boiler in this older part of the home, as it is prone to breakdown. One bathroom on the first floor is not used for bathing, as it is unsuitable for residents’ use. The manager said that the bath is used to bleach and disinfect commode inserts. The bath facilities remain inadequate and planned improvement work to the bathrooms should be completed as soon as possible. The home has insufficient storage space for equipment and disability aids for residents; for example, incontinence pads are stored in the en-suite facilities of a ground floor bedroom. The lack of storage space can only be improved by extending the premises to create additional rooms and the provider’s plans should be progressed as soon as possible. There is a very small laundry area that is cramped and also used as a storage area. The home uses an external commercial laundry service in the town for bed linen and towels; the homes own laundry is used for resident’s personal clothing only. The kitchen was clean and tidy. The kitchen units and work surfaces are of a domestic type and the work surfaces are worn and should be replaced so that they can be easily cleaned and maintained. The manager said that decisions about improving the kitchen area were dependent on the proprietor carrying out planned work to extend the building. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff meet the care needs of residents and the home has a planned programme of training and supervision for staff. However, the standard of vetting and recruitment practices in relation to new staff employed to work in the home has not improved since the last inspection: appropriate checks had not been carried out, potentially leaving residents at risk. EVIDENCE: The staff rotas showed that the numbers and skill mix of staff agreed with the commission is consistently maintained and meets the current needs of residents in the home. The home does not use agency staff so that residents are cared for by staff who know them well. The manager said that the provider supports the home well in terms of providing training resources for staff. Where possible, local health and social care staff provide training in-house for staff. The sample of staff files examined contained records of induction, training and regular formal supervision. The home is below the expected target (50 ) for care staff who have achieved a National Vocational Qualification (NVQ) Level 2 or above. However, the Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 18 manager and deputy are supporting new staff to start their training and two carers are currently undertaking NVQ2 courses. The inspector undertook examination of a sample of three recently appointed staff members. The inspector was concerned to find that there was no written evidence that the appropriate police checks had been undertaken before employees had started work in the home. The manager said that the proprietor deals with this from his head office. The proprietor told the inspector that it was not his practice to apply for Criminal Record Bureau (CRB) checks or to check the list of people unsuitable to work with vulnerable adults (Protection of Vulnerable Adults - PoVA) before an employee starts work in the home. The proprietor said that in his experience paying for CRB checks was expensive because staff may leave before the end of their probationary period, or were not prepared to wait for CRB clearance because they needed immediate employment. For two of the staff, there was no proof of identity documents; the manager said these would be held at the head office whilst their CRB checks were being processed. The registered manager must not allow people to work in the home unless she has written confirmation from the employer (the home owner) that he has obtained all the information and documents required under the regulations relating to staff working in a care home. The references for one staff member gave very different accounts of the qualities of the applicant, with one referee stating positively that they would not recommend the applicant be employed in the role for which s/he is currently undertaking in the home. There was no written evidence to show that the manager had been aware, or had followed up the reasons for the poor reference with the applicant and/or referee. It was not clear from the homes’ application forms, that prospective staff should provide a full employment history and a reference from their most recent employer. The home does not have written records of interviews with prospective new staff, or of initial assessments that the applicant is likely to meet the criteria for working in a care home for vulnerable adults. The inspector discussed good practice guidance to improve recruitment and vetting practices and information about a CSCI publication on this topic with the registered manager. In practice, the manager said that this is a small home and that all new staff work under the close supervision of a more experienced staff member during their induction training in the home. However, she confirmed this was not always the case where, for example, an ancillary worker works unsupervised or where a CRB check had taken some time to come through. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 19 The inspector considers that the home fails to provide sufficient evidence that they have obtained full and satisfactory information about prospective employees, potentially leaving residents at risk from unsuitable staff. A serious requirement letter was sent to the proprietor on 16th October requiring a response by 27/10/06 with the actions that must be taken to amend this poor practice that could put residents at risk. Written confirmation of the proprietor’s actions to comply with the requirement was received by 27/10/06. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management arrangements meet the needs of the service. The manager is supported well by the senior staff in providing good leadership in the home so that staff are aware of their roles and responsibilities in caring for residents. EVIDENCE: The registered manager is very experienced in managing care homes for older people. She hopes to complete the Registered Managers Award (NVQ4), the formal qualification that should be achieved by all managers of registered services by the end of 2006. The manager and her deputy work well together and provide strong leadership and good management in the home. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 21 The home has just started to use a formal quality assurance system and the manager is working to introduce regular questionnaires and meetings with residents and their representatives to get their views about the home and the facilities and ways in which the service might develop and improve. The home maintains accurate records of the small amounts of ‘pocket money’ held on behalf of residents in the homes safe. All members of staff receive mandatory training in fire safety, moving and handling, food hygiene and first aid. The inspector observed one instance of poor practice by staff when they were transferring a resident from a wheelchair to an armchair using an under-arm lift; lifting a resident in this way may injure the resident’s shoulder joints. Managers said they would ensure that staff are reminded of the correct moving and handling techniques. The inspector recommends that, where chemical solutions are used to disinfect equipment, that staff are advised about correct dilution of chemicals and wear protective clothing and eye goggles to protect them from splash back injuries. Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19; Schedule 2 Requirement Satisfactory CRB and PoVA checks for prospective new staff must be received prior to the employment of staff to work in the care home. The registered person/employer must inform the registered manager in writing that he has obtained the information and documents specified in paras. 1 to 7 of Schedule 2. 2 OP29 17 (2); Schedule 4(6) The home must keep records of all persons employed at care home, including the details set out in Schedule 4(6) 30/11/06 Timescale for action 27/10/06 Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 24 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 OP19 OP21 Good Practice Recommendations Clean or replace stained carpeting in conservatory/lounge and corridors. * Repair or replace the broken tile and floor coving in the shower room. * Replace the carpet covering of the steps to the shower with non-slip waterproof flooring material. * Undertake the proposed building work to improve the bathroom facilities and provide en-suite provision as planned to ground floor rooms. * Replace the faulty boiler in the older part of the house to ensure reliable and consistent hot water supply in area of the home supplied by this boiler. * Undertake the proposed building extension to improve the laundry facilities, provide adequate storage space and a separate sluice room facility. * Replace the worn, damaged kitchen units and provide stainless steel work/food preparation surfaces. Improve the recruitment and vetting procedures for new staff in line with the recommendations set out in the CSCI publication ‘Safe and Sound’, details of which were provided at the inspection. Continue to develop and expand the opportunities for care staff to gain nationally recognised qualifications – NVQ Level 2 or equivalent – to attain the 50 trained care staff target. * Staff should always use the correct moving and handling procedures when assisting residents, to protect residents and themselves from injury. * Staff should be provided with, and use, protective eye goggles and clothing when using chemical products to disinfect used sanitary equipment. * Staff should report any breakages or faulty equipment promptly to enable managers to arrange prompt repair or replacement 3. OP26 4. OP29 5. OP30 6. OP38 Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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. Extracts may not be used or reproduced without the express permission of CSCI Leafield Rest Home DS0000013103.V315924.R01.S.doc Version 5.2 Page 26 - 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. 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