Inspection on 30/01/06 for Little Heaton Care Home

This inspection was carried out on 30th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Little Heaton Care Home 25/09/07

Little Heaton Care Home 18/07/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Little Heaton Care Home Little Heaton Walker Street Middleton Manchester Greater Manchester M24 4QF Lead Inspector Jenny Andrew Unannounced Inspection 30th January 2006 09:30 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 Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 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. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Little Heaton Care Home Address Little Heaton Walker Street Middleton Manchester Greater Manchester M24 4QF 0161 655 4223 0161 654 0200 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) Little Heaton Care Limited Sandra Beatrice James Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered for a maximum of 25 service users to include:up to 25 service users in the category of OP (Older People) The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. The home`s manager must be supernumerary to the rota for at least 20 hours per week in a management capacity. Date of last inspection Brief Description of the Service: Little Heaton is a converted church building situated in a quiet street off the main road into Middleton and Manchester. It is registered to provide personal care for up to 25 elderly persons in 13 single and 6 double bedrooms. The home is on a main bus route with easy access to the motorway network. Local shops are situated closeby. Disabled access is provided by ramps and a passenger lift. The home does not provide nursing care. There is one lounge/dining area and a separate smoking lounge. Whilst there is no garden area, residents may sit outside in the car parking area or in the church grounds. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five and a half hours. An extra visit had been made to the home on 22 September 2005 to check whether the owner had completed all the things he needed to do from the last inspection. The Inspector looked around the building, checked care plans and some records. In order to obtain information about the home, the manager, deputy manager, 2 care assistants, cook, domestic, 5 residents, 2 relatives and the visiting district nurse were spoken with. What the service does well: What has improved since the last inspection? Records (risk assessments), were now in place where residents had been found to be at risk so they could be safely cared for by the staff. The lounge, dining area and 3 bedrooms had been re-decorated and some new curtains fitted. A separate lounge had also been provided for the residents who liked to smoke. The residents’ files now contained more information about what they used to like to do before they came to live at the home. More activities were being arranged for the frailer residents and records were being kept showing what they had enjoyed taking part in. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 7 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 Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 8 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): 4 Staff demonstrated a high level of commitment to ensuring the needs of the residents were being met. EVIDENCE: The manager goes out to assess new residents, so that she can be certain their needs will be able to be met. Any residents who require nursing intervention are referred to the District Nursing service. The visiting nurse was spoken to at the time of the inspection. She confirmed that the staff were co-operative, instructions given were followed, and that the residents always looked clean and cared for. Since the last inspection, the manager had contacted the local authority training department and had been promised some places on the next dementia care training day. In the interim, they had received a lecture on Parkinsons Disease and also had a talk from the visiting optician on eye care. Several staff had undertaken NVQ training and more were due to enrol. Residents interviewed felt they were well cared for, as did the relatives who were spoken to. Observations also indicated the staff were very familiar with the needs of the residents. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 9 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&9 Detailed care plans were in place, which were reviewed and updated monthly, identifying each persons’ needs. The medication systems at this home are well managed, thus promoting residents’ health. EVIDENCE: Three resident files were checked, two for very recently admitted people and one for someone who had lived at Little Heaton for sometime. All had a care plan in place and monthly reviews were taking place. Two of the plans had been discussed and agreed with the residents and relatives who had signed their agreement to the plan. One care plan, for one of the newer residents, was waiting to be discussed and agreed with the relative. The care plans are pre-printed and it is sometimes difficult for the staff to find a section, which relates specifically to an individual. This was identified, for one resident, who sometimes had challenging behaviour. Staff had not noted this in her care plan, nor had a risk assessment been completed. The manager said she would address this immediately. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 10 Two care plans contained information regarding social history and whilst the third had not yet been completed, this was because staff were waiting to speak to the person’s relative to obtain the relevant information. Risk assessments were in place for areas around nutrition, skin integrity (Waterlows) and moving/handling. Where other risks had been identified i.e. fitting of bedsides, smoking etc. risk assessments had been completed. The good practice of undertaking falls assessments was also noted. Discussion took place around the need to ensure all risk assessments were dated and signed. One relative said the person she was visiting had improved considerably since she had come to live at the home and had started to speak a few words. She felt this was due to her getting more individual care and attention from the staff and being happier in her surroundings. A full pharmacist inspection had been undertaken on 7 October 2005 and the requirements made at that inspection were followed up on this visit. All requirements made and some recommendations had been implemented, making the whole system much safer. The medication administration records (MARs) had been appropriately completed by the person administering the medication. Following a recommendation made at the pharmacist inspection, arrangements had been made to have medication labels printed instead of hand writing medication on the administration sheets, making them much easier to read. Following the last inspection, a full stock take of drugs had taken place and all unused or out of date medication had been returned to the supplying pharmacy. Eye drops or other medication requiring refrigerated storage was kept in the bottom compartment of the kitchen fridge, which was clearly labelled for that purpose. Following a risk assessment, residents are supported to self-administer creams and ointments which are now being listed as prescribed medication. The system in place for the storage and administration of controlled drugs was satisfactory. Two good practice recommendations were still outstanding from the last pharmacist inspection i.e. development of a homely remedies policy and inclusion of residents’ photographs with the MAR. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 11 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 & 15 The range of activities provided for residents had improved and better met the needs of the more dependent people. The dietary needs of the residents are well catered for with a balanced and varied selection of food being offered. EVIDENCE: The staff team had a good understanding of the residents support needs and preferred routines, many of them having worked in the home for many years. This was evident from observations made on the inspection and from talking to residents and their relatives. Throughout the inspection, staff were heard to ask residents for choices with regard to drinks, where to sit, what they wanted to eat for tea, whether they wanted to spend some time in their room, one person liked his main meal at teatime and one resident was taken by the manager to visit his friend, who had been admitted to hospital. Another resident enjoyed a regular walk around the area and providing he told staff when he was going out, staff encouraged his independence. Social activities were continuing to be offered and promoted and more music and ball therapy sessions had been introduced which the more frail and dependent residents could join in. As activities were offered dependent upon what residents wanted, a programme was not displayed but an activities file Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 12 was in place in which staff recorded what was offered to residents and who had taken part. Other activities included quizzes, table games, craft sessions and singsongs. On the day of the inspection, a care assistant did a short quiz with some of the residents, who clearly enjoyed shouting out the answers. In addition, one of the other carers was doing nail care with each person, ensuring they were given one to one attention. One window in the lounge was decorated with a Valentine theme which some of the residents had assisted with during a craft session. Over the Christmas period a Christmas fair had taken place as well as a party. Several entertainers had come into the home over the last few months and further bookings had been made for Valentines Day and Easter. Since the last inspection, the menus had been reviewed and the four weekly menus now offered more nutritious and varied meals. Fresh orange juice was also now a daily option for breakfast. The residents spoken with were unaware of the menu for that day and the home should ensure that either large printed menus or a blackboard are displayed so they will know what is on offer. Special dietary needs of individuals were being met i.e. soft, liquidised and high fibre. On the day of the inspection, the main meal of the day was potato hash and mixed vegetables, followed by rice pudding. The inspector tried the potato hash and found it to be extremely tasty with some vegetables added. The added option of beetroot was appreciated by many of the residents, who were asked on an individual basis whether they wanted some. An assortment of drinks were available i.e. tea, coffee, water or squash and one person enjoyed hot chocolate, which was not a problem for the staff. The residents enjoyed their meals and with the exception of one, all felt the meals provided were good. It was noted that where one resident chose to request an alternative, the option offered was a corned beef sandwich as she had previously declined the hot alternative. This resident said she enjoyed salads and fish and this should be noted for the future. One person was on a liquidised diet and the food was liquidised altogether, rather than individual portions. This practice should be reviewed in order to ensure both texture and taste is retained. Carers assisted the more dependent residents at lunchtime, in a sensitive and unhurried manner, on a one to one basis. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 13 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 The home has a satisfactory complaints procedure in place with some evidence that residents’ feel their views are listened to. EVIDENCE: A satisfactory complaints procedure was in place. It was noted that a copy was affixed behind each residents’ bedroom door, so they would have easy access to it. In addition the procedure is contained in the Service User Guide, a copy of which has been given to each person. One of the relatives spoken to confirmed she had been given a copy on behalf of her mother who suffered from short term memory loss. A complaint book is used but no recent complaints had been logged. The Commission for Social Care Inspection have not had cause to undertake any investigations over the last 12 months. The residents spoken to said that if they had any problems, they would speak to either the manager, deputy or a care assistant, who would try to put things right. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 14 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, 21 & 26 Improvements to the décor had been made creating a more pleasant environment for the residents. In places the home was not considered clean and hygienic which could potentially place residents at risk of infection. EVIDENCE: There was no maintenance and renewal programme in place although the environmental requirements made at the last inspection had been addressed as had the Greater Manchester County Fire Service’s, following an inspection in 2004. Since the last inspection, several areas within the home had been re-decorated e.g. the lounge, dining room, reception and corridor and three of the bedrooms. Also some new curtains had been purchased and 2 bedroom carpets had been replaced. Since the last inspection, a large ground floor bedroom had been converted back into a smoking lounge. This facility has been much appreciated by the residents who smoke. New lighting had been Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 15 fitted and comfortable seating supplied. The room was used by several of the residents during the inspection. Due to residents not wanting to be sat in a draught, the windows were not opened because of the cold weather and therefore the room became very smoky. As the smoke was drifting out into the corridor, action must be taken to fit a fan, which would dispel the smoke and protect residents and staff who do not smoke. The ground floor bathroom’s assisted hoist was broken and this bathroom was not being used. Residents were therefore, having to be taken to the other assisted first floor bathroom so they could be safely assisted into the bath. The provider was said to be considering replacing the hoist in the near future. If the hoist is not replaced, it must be repaired so that this bathroom can be brought back into use. This bathroom was being used as a storeroom and was cluttered and unsafe. All inappropriately stored equipment must be removed. Whilst the communal ground floor corridors, lounge and dining areas were clean, several toilets and the first floor bathroom were in need of a thorough clean. There is only one domestic employed who works 20 hours per week and from speaking to her, it was identified that she does not always have time to clean the home thoroughly and sometimes has to leave certain areas. This shortfall must be addressed and if she cannot adequately clean the home in her allocated time, then another domestic must be employed. Infection control practices had improved since the last inspection, with liquid soap and paper towels being supplied in bathrooms and toilets. It was however, noted when meals were being served, that staff did not wear a different coloured disposable apron and it was difficult to distinguish, whether the white aprons used for assisting residents with personal care tasks, had been replaced by staff when serving meals. It is strongly recommended that blue disposable aprons, which are widely available be purchased for staff to wear at meal times. Satisfactory laundry facilities were in place with one industrial washer and drier being provided. The washer was equipped with a sluice programme and the washing machine complied with the Water Supply Regulations. The laundry was neat and individual baskets were supplied so that each persons clothing could be kept separate, after ironing. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 16 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 & 30 The staff team offer consistency and stability to the residents but whilst required staffing hours are being maintained, the number of staff on the evening shift is not meeting the needs of the present resident group. There was no satisfactory induction training programme in place, which could result in new staff not being properly equipped to care effectively for the residents. EVIDENCE: The home has continued to have a low turnover of staff, which clearly benefits the residents as they are cared for by staff who know their individual routines and likes/dislikes. One night care assistant was waiting to start, subject to a satisfactory Criminal Record Bureau (CRB) check being obtained so that the current night staff did not need to work as many shifts. A handyman had also been recruited, subject to a satisfactory CRB. At the time of the inspection there were 18 residents living at the home. Whilst the calculated hours were adequate, the deployment of hours was lacking on the evening shift. From 17.00 to 22.00 only two care assistants were on duty. As several of the residents needed two to assist them with transfers and personal care when retiring to bed, those residents remaining in the lounge were unsupervised and potentially at risk of falling. Bathing could only be done during the day as the evening staff did not have the time or opportunity to do this and therefore residents’ choice of bath time was limited. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 17 The door bell could not be heard from the first floor level and any visitors to the home had to wait to be let in. With the exception of domestic hours, which are addressed in the environment section above, sufficient ancillary hours were supplied. Feedback from residents was complimentary about the manager and staff team. They all felt they were well cared for and that the staff treated them with respect. Observations made during the inspection also confirmed this and relative and district nurse feedback was also good with regard to staff manner and attitudes. The manager, deputy manager and both carers interviewed felt the team were now working together better which was benefiting the residents. They also felt the provider was giving good support and that communication all round had improved. It was noted however, that the home still do not have a printer or Internet facilities. This should be addressed. Files for the 2 most recently recruited staff were checked and all records were in place with the exception of clear identity photographs. Only one carer had undertaken a one day external induction course. The other person, who had started work at the beginning of January, had not done any induction training whatsoever. The manager said she had received instruction with regard to fire, call bell system etc. but nothing had been recorded. Whilst the manager had photocopied the “Skills for Care” induction training pack it had not been implemented and this must be addressed as a matter of urgency. All future new staff must complete a full induction programme including all the relevant health and safety training if they have not already done so i.e. moving/handling, food hygiene, first aid, health & safety and infection control. All but 3 staff had done food hygiene and the majority of staff were said to have done moving/handling. Fire training for the whole team had been arranged for early March. Few staff had completed first aid and infection control training and this must be addressed. The manager was currently on the Registered Manager’s Award and had just had her first assessment. She was hopeful that she would complete the course by July this year. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 18 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): 38 Health & safety policies and procedures operating within the home promote and safeguard the health, safety and welfare of the people using the service but not all staff had received all the required health and safety training. EVIDENCE: Whilst standard 36 was not fully inspected on this visit, progress had been made with regard to staff supervision. A system was now in place and staff were having one to ones on a more regular basis. The meetings were being recorded and both the supervisor and supervisee were signing the notes. As was highlighted at the last inspection and again referred to above, not all staff have received all the necessary health and safety training needed. The manager should collate all staff training on a matrix so that she can identify who still needs to undertake what training and also to ensure that staff receive appropriate refresher health and safety training. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 19 During the inspection, the deputy manager completed a maintenance records form showing dates when equipment had been serviced/maintained. Whilst the lift had been serviced twice since July 2005, the hoists had last been checked on 20 July 2005 and the manager must ensure that they are checked six monthly. The emergency call system was operating effectively but had not been serviced since 21 June 2004. All accidents were logged in the accident book and in order to maintain resident confidentiality, were stored safely away on individual’s files. Since the last inspection, improvements were seen with regard to the safe storing of cleaning equipment and hazardous substances which were now kept locked away. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 20 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 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X 2 X X X X 2 STAFFING Standard No Score 27 2 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 2 Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Care plans must record information in relation to challenging behaviour together with risk assessments and action plans to address the problem. In order to protect non smoking residents and staff, a fan must be fitted in the smoking room. The hoist in the ground floor bathroom must be repaired or replaced so that residents may have a choice of bathroom. All equipment stored in the first floor bathroom must be removed for the safety of residents. All areas of the home, especially bathrooms and toilets must be kept clean. A review of the cleaning arrangements must be undertaken and additional domestic hours supplied in order the home is kept clean throughout. Arrangements for staff cover during the evening must be reviewed in order that residents are kept safe. Staff personnel files must DS0000064013.V266817.R01.S.doc Timescale for action 31/03/06 2. 3. OP19 OP21 13 13 31/03/06 30/04/06 4. 5. 6. OP21 OP26 OP27 13 23 18 28/02/06 28/02/06 28/02/06 7. OP27 18 28/02/06 4. OP29 17 31/03/06 Page 22 Little Heaton Care Home Version 5.0 5. OP30 18 contain clear identity photographs. (Previous timescale of 31/10/05 not met). All staff must receive a minimum 31/07/06 of 3 days training per year and health and safety training must be prioritised where staff have not received such training. The staff induction programme must meet the TOPSS spec. and all new staff must undertake the induction and foundation training. (Previous timescale of 31/10/05 not met). Fixed and mobile hoists must be serviced every 6 months and the call alarm system annually. 31/05/06 6. OP30 18 7. OP38 13 28/02/06 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 3. Refer to Standard OP4 OP7 OP9 Good Practice Recommendations Staff should receive training in dementia care. Risk assessments should be dated and signed. Consideration should be given to the development of a homely remedies policy in agreement with residents’ GP’s and the supplying pharmacist. (This was a previous recommendation which has not been implemented). Consideration should be given to the inclusion of residents’ photographs with the MAR. (This was a previous recommendation which has not been implemented). In order that residents may see the food choices each day, large print menus or a blackboard should be provided. An alternative substantial & nutritional option should be available each mealtime. Liquidised meals should be pureed in separate portions in order to retain appearance, texture and taste. DS0000064013.V266817.R01.S.doc Version 5.0 Page 23 4. 5. 6. 7. OP9 OP15 OP15 OP15 Little Heaton Care Home 8. 9. 10. 11. OP19 OP26 OP27 OP30 A maintenance and renewal programme should be written and implemented. (This recommendation was previously made but not yet implemented). Disposable aprons should be purchased in a different colour to those worn for assisting residents with personal care tasks. Internet facilities and a printer should be available within the home. A training matrix should be formulated showing what training staff have received and what is still needed. Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Little Heaton Care Home DS0000064013.V266817.R01.S.doc Version 5.0 Page 25 - 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. 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