Inspection on 15/12/06 for Longfield

This inspection was carried out on 15th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Longfield 14/04/08

Longfield 26/10/05

Longfield 31/05/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Longfield Fambridge Close Fambridge Road Maldon Essex CM9 6DJ Lead Inspector Jane Offord Key Unannounced Inspection 15th December 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 Longfield DS0000063090.V314745.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. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longfield Address Fambridge Close Fambridge Road Maldon Essex CM9 6DJ 01621 857147 01621 852254 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) Longfield Healthcare Ltd Mrs Anne Chitty Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (11) of places Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 40 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 29 persons) The total number of service users accommodated in the home must not exceed 40 persons 26th October 2005 Date of last inspection Brief Description of the Service: Longfield is a large purpose built single storey care home situated in a quiet residential area at Maldon. Excelcare Holdings plc owns the home and the manager is Anne Chitty. The home is close to local shops and within a half a mile of Maldon town centre. There are car-parking facilities at the front and rear of the home. Residents’ accommodation is arranged within five self-contained group living units, each with its own group of bedrooms, lounge/dining area, bathrooms/WCs and kitchenette. There are thirty-three single bedrooms and three shared rooms. There is a large central communal lounge area. Three secure courtyards allow outdoor access for people with dementia to wander in safety. Access to all areas of the home is good. Fees for the home range between £383.31 and £404.04 per week. The fees do not cover the cost of hairdressing, chiropody, newspapers, toiletries or optician care. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection looking at the core standards for care of older people took place on a weekday between 9.30 and 15.30. This report has been compiled using accumulated information and evidence found during this visit. The registered manager was on a training day but left the course to assist with the inspection. On the day a tour of the home was undertaken, three new residents’ files, care plans and daily records were inspected, as were three new staff files, the policy folder, some minutes of staff and residents meetings, some maintenance records and the medication administration records (MAR sheets). The lunchtime medication administration round and the serving of lunch were observed. A number of staff and residents were spoken with in the course of the day. During the day residents were observed in all areas of the home and appeared relaxed and comfortable. Interactions between staff and residents were friendly and appropriate. Everywhere was clean, tidy and warm. Visitors came and went throughout the day and were welcomed by staff. The lunchtime meal looked appetising and hot and residents afterwards said they had enjoyed the meal. What the service does well: What has improved since the last inspection? The maintenance person has embarked on a programme of redecoration of the whole home. The areas done so far look fresh and attractive. The daily records completed by care staff give a better picture of the residents’ day and well-being. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 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. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 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 Longfield DS0000063090.V314745.R01.S.doc Version 5.2 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): 1, 3, 6. Quality for this outcome area is good. People who use this service can expect to have the information they need to make an informed choice, have their needs assessed and an assurance given that they can be met prior to moving into the home. The home does not offer intermediate care. This judgement has been made using information available including a visit to the home. EVIDENCE: Residents spoken with remembered being visited by the manager prior to moving into the home. The home’s statement of purpose and service users guide both explain the pre-admission process and offer the opportunity for prospective residents and families to visit before admission. Residents are also offered a trial period when they first arrive to ensure the home meets their expectations and life style. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 9 Three new residents’ files were seen and each one contained a pre-admission assessment signed by a senior member of staff and dated prior to the date of admission. They assessed areas of need such as personal hygiene, diet, communication, mobility, continence, night needs, dressing and undressing. There was also information about their mental state, emotions/depression and difficult behaviours such as aggression or wandering. Their preferred activities and likes and dislikes were recorded. Each file had a document signed by the resident or their representative to record that they had received a copy of the home’s statement of purpose and service users guide. Longfield DS0000063090.V314745.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality for this outcome area is good. People who use this service can expect to have a care plan to help staff meet their needs, be treated with respect and have their health needs met, however they cannot be assured that the medication policy gives guidance on all aspects of administration. This judgement has been made using information available including a visit to the home. EVIDENCE: Three new residents’ care plans were seen and showed interventions to help staff support the residents’ assessed needs. Some of the areas covered included personal hygiene, continence, mobility, night needs and dressing and undressing. The interventions encouraged independence and respected the choice of the resident for example, ‘likes a cup of Horlicks before retiring. Likes to sleep in the dark’. ‘Can choose own clothes but will need help with buttons and zips because of arthritic hands’. There was evidence that all care plans were reviewed and evaluated monthly. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 11 Each file contained a number of assessments for areas of potential risk such as falls, nutrition, moving and handling and tissue viability. When the assessments showed a score ‘at risk’ an appropriate care plan intervention was generated. A high Waterlow score for skin integrity had a care plan to address pressure area care. All the files had contact details of health professionals involved with the resident such as GP, community nurse, dentist, chiropodist and optician. There were records of visits to and from health professionals with details of any instructions left for treatment or care. A cardiac care nurse specialist had visited one resident and details of the interventions they wanted for the resident’s care were all detailed and actioned. The community nurse visits a resident each day to give a calcium injection. There was information about the residents’ mental state and emotional needs, their hobbies and preferred pastimes, their social needs and their final wishes. The medication administration policy was seen and offered guidance on ordering, storing, dispensing and disposing of all forms of medication. There was no guidance on administering medication covertly or altering medicines from the form licensed by the manufacturers i.e. crushing tablets. Part of a medication administration round was followed at lunchtime. The home uses a monitored dose system (MDS) so tablets are dispensed into blister packs by the local pharmacist for administering by a trained carer. The medication administration records (MAR sheets) were seen and no gaps in signatures were noted. ‘As required’ medication that has a choice of dose i.e. one tablet or two, had the number of tablets given recorded each time. One prescription for Citalopram read, ‘Citalopram 40mgs/1.0ml. 0.5ml to be given’. The medicine is dispensed in a drop bottle with one drop= 2mgs. The carer gave the resident 6 drops instead of 10. They agreed, in discussion, that the dose was incorrect and corrected it and added instructions to the MAR sheet for further reference. The carer administered some eye preparation without washing their hands before or afterwards. The controlled drugs (CD) register was seen and was correctly completed. The controlled drugs in the cupboard were checked and tallied with the records. During the day care practice was observed and carers addressed residents by their preferred name and offered choices about what they would like to do or where they wanted to sit. Staff were seen knocking on doors prior to entering a room and the maintenance person asked permission from one resident to enter their room to check a problem with the window. Longfield DS0000063090.V314745.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 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. People who use this service can expect to be encouraged to maintain contact with family and friends, be offered suitable pastimes and have a healthy choice of diet. This judgement has been made using information available including a visit to the home. EVIDENCE: The residents’ files seen all contained contact details of the next of kin and other family members and friends. They included the relationship to the resident and important birthdays and anniversaries. The daily records noted when a resident had had visitors. During the day a number of visitors came and went, they were greeted by staff and offered refreshment. Some family members joined a resident for the lunchtime meal. The records included some life history work and information about hobbies, preferred activities and likes and dislikes. There was a record of any religious persuasion, details of the resident’s final wishes and the person responsible for carrying them out. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 13 The home employs an activities co-ordinator who is there five days a week. They said they spend time with new residents to find out about their special interests and past life. They keep an activities file on each resident with their preferred pastimes recorded and the information is available to carers who spend time with residents as well. Activities undertaken by a resident are recorded in the daily records together with the mood of the resident. Residents spoken with talked about enjoying the armchair exercises that the co-ordinator organises. There had been a Christmas bazaar at the home the previous week and a Christmas party with an entertainer had been booked for the next week. Some residents and staff had been to support a Christmas Fayre held by a nearby residential home and the co-ordinator said the staff from that home would support one of Longfield’s weekly coffee and raffle mornings. The mobile library visits the home regularly and the co-ordinator organises cooking and sweet making sessions. One new resident is an artist so watercolour painting has been added to the list of activities. The main lounge has a piano that is used by one of the residents and music sessions take place in there. The co-ordinator was helping a resident colour a picture during the morning and said they have reminiscence groups at times. The lunchtime meal was seen served and looked hot and well presented. There was a choice of fried or steamed fish with chips or mashed potato and peas or broccoli and macaroni cheese. Dessert was Bakewell tart and custard or apricots and ice cream. Residents spoken with said, ‘the food is lovely’, ‘I really enjoyed my lunch today’. Relatives have raised some issues since the take over by Excelcare that the quality and quantity of food has been reduced. The food stores seen showed that a national company that specialises in catering for larger establishments is supplying dry goods. The portions seen offered to residents for lunch on the day of inspection were generous and residents said they always had sufficient to eat. ‘You only have to ask for something and you get it’. The kitchen was visited and was clean and tidy. Stores of dry goods were ample and the cook said they are rotated when deliveries arrive. Fresh fruit and vegetables are delivered twice a week but a local greengrocer will deliver on request if there is any shortfall. Temperatures of refrigerators and freezers are recorded daily and showed they are functioning within safe limits for food storage. A report from the Environmental Health Officer from an inspection done in February 2006 was seen and said, ‘…. Inspection of the kitchen found standards to be satisfactory’. Longfield DS0000063090.V314745.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality for this outcome area is good. People who use this service can expect any complaints to be taken seriously and to be protected from abuse. This judgement has been made using information available including a visit to the home. EVIDENCE: The service users guide and statement of purpose both have a copy of the home’s complaints procedure. It offers investigation and a time scale for reporting any findings to the complainant. There are addresses to take a complaint further if the complainant is dissatisfied with the outcome. All the residents’ files seen had a signed document to say the resident or representative had received a copy of the service users guide and statement of purpose. Eight ‘have your say’ comment cards and eight relatives comment cards were received by CSCI prior to this inspection and only one relative’s card said they were unaware of the complaints procedure. Early in 2006 there were some concerns raised by some relatives and a union about the standards of care and staffing since the home was taken over by Excelcare. These issues were referred to the manager and management of Excelcare. They were not upheld after investigation by Excelcare but were included in information used to plan this inspection. Reference to concerns about food provision and staffing is made in other sections of this report. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 15 The protection of vulnerable adults (POVA) policy and guidance for the home was seen and followed the procedures issued by the county POVA committee and cross-referenced to that guidance. It was supported by a whistle blowing policy to protect staff who exercised their duty of care in the course of their work. Staff training records showed that POVA is covered in the initial induction and general training has been repeated in the last twelve months. Staff spoken with confirmed they had received training and were able to say what action they would take if they had any concerns about the safety of any resident. CSCI is aware of two POVA referrals in the last year. They concerned unexplained bruising on two residents. The investigations and outcomes were seen and showed that in neither incident could a conclusion be arrived at about how or when the bruising occurred. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 16 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 for this outcome area is adequate. People who use this service can expect to live in a safe home that is clean but they cannot be assured that the décor is fresh or that the gardens will be tidy. This judgement has been made using information available including a visit to the home. EVIDENCE: A tour of the home was made that included all five units and the communal rooms. A number of residents’ rooms, some bathrooms and toilets, the laundry and kitchen were all seen. Everywhere was clean and tidy with no unpleasant odours present. Some of the décor and furnishings look a little ‘tired’ and need updating. The manager is aware of that and has a programme of redecoration and refurbishment planned for early in 2007. The plan was seen and showed a detailed programme, with time scales, that includes the furniture that needs to be replaced and the sequence in which rooms and corridors will be repainted. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 17 The programme has begun and two rooms and a corridor that have been decorated were seen and looked very fresh and attractive. Two other residents’ rooms were seen that had been decorated by relatives to the taste of the resident. They, too, looked individual and fresh. On the day of inspection everywhere looked festive with Christmas decorations and cards up. Each unit had a Christmas tree with a large one in the main lounge. The laundry was visited and the washing machines were noted to have sluicing programmes and automatic product feed. The windows beside the tumble dryer were open to allow air to circulate. Soiled linen is brought to the laundry in alginate bags and put straight into the machines to reduce the risk of cross infection. Residents spoken with said they were happy with the standard of care for their clothing. The maintenance person is employed by Excelcare and works between two homes owned by the company. The manager said if there was an emergency they would be able to contact them even if they were not on site at the time. There is a system of reporting ongoing repairs and faults, which are then dealt with when the maintenance person does their shift. There is an area of car parking and shrubs in the front of the building that looked tidy but the area at the back of the home was less tidy and there were a large number of Zimmer frames and some obsolete furniture awaiting collection/disposal. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 18 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 was good. People who use this service can expect to be supported by a team of wellrecruited and trained staff. This judgement has been made using information available including a visit to the home. EVIDENCE: The files of three new staff were seen and contained documentary evidence that recruitment checks had been made prior to employment. Each file had a POVA 1st check and a criminal bureau record (CRB) dated from before the first day of work. There was evidence that the identity of the person had been established using birth certificate, passport or driving licence. There were two references, a recent photograph of the applicant and a record of their interview questions and responses. The duty rotas showed there was a shift leader on an early and late shift supported by seven carers. The manager and administrator worked five days a week but were supernumerary to the care team. The ancillary staff included a cook, a kitchen assistant, a laundry worker and two domestics in the morning and one in the afternoon. There were only three carers rostered for night duty and in view of the layout of the home and the number of people with special needs this seemed sparse. The manager said there had not been an issue about meeting residents’ needs at night. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 19 The training records seen showed that mandatory training is updated regularly and this was confirmed in discussion with staff. The maintenance person said they had had training in moving and handling, health and safety and control of substances hazardous to health (COSHH). Carers said they had recently had training in caring for people with dementia and the activities co-ordinator had had a course about activities for people with dementia. On the day of inspection the manager and senior staff were on a first aid training day to be first aid trainers. The manager left the course to assist with the inspection but said they would attend a course at a later date. Since the takeover by Excelcare there has been a more rapid turnover of staff although the manager said they have recruited to all posts except one night carer. A number of staff who have left held NVQ level 2 certificates and the percentage left of the overall staff team who have achieved their certificate means the home, at present, does not meet the 50 standard of the national minimum standards (NMS). The manager said they are encouraging staff to enrol for the course after their induction programme is completed. Residents spoken with said, ‘the staff are wonderful. Nothing is too much trouble’. Longfield DS0000063090.V314745.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality for this outcome area was good. People who use this service can expect to have their personal monies and health and safety protected and their opinions sought. This judgement has been made using information available including a visit to the home. EVIDENCE: The manager has been in post a number of years and has over twenty years experience in the field of residential care. They hold the NVQ level 4 in care. Staff spoken with said they were approachable and gave clear direction. The system for managing residents’ personal monies has been inspected in the past and found to be safe. The administrator went over the details again and there was no change to the methods being used to safeguard the money. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 21 Minutes of the most recent residents’ meeting held in October 2006 were seen. They showed that a wide range of issues were discussed from the redecorating programme, including the carpets to be replaced, to recruitment and the recent food survey undertaken by the home. A copy of the results of the survey was sent to CSCI and showed that the residents who participated were generally satisfied with the food offered and the presentation of meals. The maintenance person said they were responsible for some testing of equipment and alarms in the home. They test fire alarms weekly and emergency lighting, the nurse call system and water temperatures monthly. They have also had training for portable appliance testing (PAT testing) for electrical equipment and undertake the routine testing of small electrical appliances. Some maintenance records were seen and showed that external consultants inspected fire equipment in June 2006. The tumble dryer in the laundry had been inspected in November 2006 and been found to be, ‘at risk because of insufficient in-let air’. The manager was asked what action had been taken to remedy this and said that louvered windows had been fitted. These were noted during the tour of the building. Records showed that specialised baths and hoists were inspected in November 2006. Longfield DS0000063090.V314745.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 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 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 3 X 3 X X 3 Longfield DS0000063090.V314745.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 OP9 Regulation 13 (2) Requirement The registered persons must expand the medication administration policy to include guidance on covert administration of medication and altering medicines from the form licensed by manufacturers. The registered persons must ensure that residents receive the prescribed amount of medication. The registered persons must ensure that correct hand washing procedures are followed when administering topical preparations. The registered persons must take steps to tidy the gardens and dispose of all obsolete equipment left there. The registered persons must provide a plan of how and when the minimum target of 50 of staff to have a National Vocational Qualification at level 2 will be achieved in 2007. This is a repeat requirement. Timescale for action 31/01/07 2. OP9 13 (2) 15/12/06 3. OP9 13 (2) 13 (3) 13 (4) (c) 23 (2) (b) 15/12/06 4. OP19 31/01/07 5. OP28 18 31/03/07 Longfield DS0000063090.V314745.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. Refer to Standard OP27 Good Practice Recommendations The registered persons should constantly monitor the number of night care staff rostered in relation to the needs of the residents and the geography of the building. Longfield DS0000063090.V314745.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: 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 Longfield DS0000063090.V314745.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. 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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