Inspection on 06/03/07 for Manorfield House

This inspection was carried out on 6th March 2007.

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

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

Other inspections for this house

Manorfield House 15/03/06

Manorfield House 26/10/05

Manorfield House 22/03/05

Manorfield House 24/02/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Manorfield House Manor Road Horsforth Leeds LS18 4DX Lead Inspector Valerie Francis Unannounced Inspection 1:00 6 March 2007 th 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 Manorfield House DS0000033211.V312271.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. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manorfield House Address Manor Road Horsforth Leeds LS18 4DX 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) 0113 2583561 0113 2583561 Zena.Naheedyb@leeds.gov.uk Leeds City Council Department of Social Services Jacqueline Ross Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th March 2006 Brief Description of the Service: Manorfield House is a purpose built residential home offering personal care to twenty-seven older people. It is owned and operated by Leeds City Council. The home has undergone a major refurbishment and the rooms are now all single and apart from two have en suite facilities. Accommodation is provided over two floors, the first being accessed by a passenger lift or staircase. All bathrooms have been fitted with specialist baths and equipment allowing residents to retain independence, privacy and dignity. Personal laundry is done on the premises and an outside contractor has responsibility for laundering towels and bed linen. All food is freshly prepared on the premises. The home is situated off the main road and parking is available for visitors. The fees range from £70.85 to £ 458.86 per week. There are additional charges for hairdressing and newspapers. This information was provided by the service on the pre-inspection questionnaire completed by the home. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. All regulated services will have at least one key inspection between 1st April 2006 and 30th June 2007. This is a major evaluation of the quality of a service and any risk it might present. It focuses on the outcomes for people using it. All of the core National Minimum Standards are, assessed and this forms the evidence of the outcomes experienced by residents. More information about the inspection process can be found on our website www.csci.org.uk This visit was unannounced and one inspector was at the home from 11.15am until 18.30 pm on 6th March 2007. The manager Mrs Jacqueline Ross the registered manager was available to assist during the inspection process. The purpose of the inspection was to make sure the home was operating and being managed for the benefit and well being of the residents and in accordance with requirements. Before the inspection accumulated evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. This information was used to plan the inspection visit. A number of documents were looked at during the visit and all areas of the home used by residents were visited. A good proportion of time was spent talking with residents as well as with the manager and her staff. A pre-inspection questionnaire (PIQ) had been completed by the home before the visit, to provide additional information about the home. Some survey forms were sent to the home providing the opportunity for residents and/or visitors to comment on the home, if they wish. Information provided in this way may be shared with the provider but the source will not be identified. Twenty two survey forms for residents and five relatives form were returned to the CSCI area office, their comments are included in the body of the report and what the service does well. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The manager must make sure that clear and detailed care plans are in place for all the residents, to provide clear instructions for staff and evidence that care needs are met. All staff must have up to date moving and handling training to make sure that residents and staff’s health and safety, and welfare is not compromised. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Manorfield House DS0000033211.V312271.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 Manorfield House DS0000033211.V312271.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1.3 and 4 (Standard 6 does not apply to this home). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. Prospective residents and their families have access to enough information to help them make a decision about moving into the home. Pre-admission information is gathered together before residents move into the home. Residents’ needs are met at the home by well-informed and knowledgeable care staff. EVIDENCE: Information about the home is available to current and prospective residents. There is a brochure as well as a statement of purpose and service user guide. The statement of purpose and service user guide is reviewed annually to make sure that the information is accurate. Copies of these documents are available in the home and copies can be provided if necessary. Prospective residents Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 10 and/or their representatives are welcome to visit the home to help them make a decision. From the CSCI survey information residents said they had received enough information about the home before they moved in. Prospective resident information is gathered before their admission. This includes the local authority Easy Care document as well as other detailed information from other professionals. The pre-admission assessment is carried out during the prospective resident’s visit to the home. The resident and/or their representative is involved in this assessment. From a discussion with a visiting relative and from residents it was clear that they had been involved in the assessment process and had shared information about their life history. The manager said she was aware that a full assessment must be carried out, because in many cases the Easy Care document is sometime out of date and does not have enough information to put together a comprehensive Life Style Plan. The manager and her staff are very knowledgeable about the residents and their specific needs. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this home. Health care needs are met but the lack of detailed care plans provides the opportunity for care needs to be overlooked. The practice of not securing the medicine trolley and secondary dispensing, compromises the recommendations made by (RPS) Royal Pharmaceutical Society Guidelines. Staff respect the privacy and dignity of residents at all time. EVIDENCE: The case records of four residents at the home were looked at, they all had individual plans of care in the form of a Lifestyle plan. The standard of recording information about the residents in these documents was variable. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 12 Although they all had information on their care needs, only one had clear information of the action to be taken to meet the person’s identified need. There is some good personal detail in some plans indicating personal preferences about care needs and how these can be met. The information was brief and incomplete in others. Records need to provide clear evidence of the good care provided. Summaries of the Lifestyle plans were seen, which had been completed monthly. Some Lifestyle plans had been signed by residents or their representatives. It was clear from discussion with staff and residents that staff did discuss care needs with the residents, and that care staff were knowledgeable about the individual care needs of the residents. In the survey information some residents said they usually receive the care and support they need, others said they felt well looked after by the staff. Nutritional risk assessments were seen but had not been completed in every case. Where risk had been identified a specific and clear care plan on how to address the risk was not in place, however there was documentation in the daily notes of appropriate action to be taken. There were regular reviews carried out involving the resident and family and action taken on any issues arising from these. Support and guidance is also sought from other healthcare professionals when necessary. There were records of the involvement of other healthcare professionals. General Practitioner (GP) visits in particular were documented. From the information seen and from discussion with the manager it was evident that the home tries to make sure that yearly review of medications with the GP are carried out. However the information seen on file indicated that this had not been done since 2005, the manager said in most cases reviews had taken place but was not documented. There is a small room used as a medication storage room. The medicine trolley is kept in the dining room, but it is not secured to a wall. There are records kept of all medication received and returned to and from the pharmacist. Medication Administration Records (MAR) show that staff administering medication follow proper procedures. Staff training in the administration of medicines is ongoing and they are also supported by policies and procedures. The home does not always follow correct procedures when handling and administering control medication. During the inspection of medication it was found that the home transfers control medication received in a bottle from the pharmacist and places it into the individual’s Nomad medicine box. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 13 This is secondary dispensing and is unsafe because it increases the risk of errors. The manager was advised that this practice must cease. The home does not have a controlled drug cupboard, which must be provided to make sure that (CD’s) Control Drugs are stored in accordance with RPS guidelines for residential homes. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 14 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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Home. Residents are able to exercise choice in their daily routines and overall their social expectations are met. Residents are provided with a varied and nutritious diet that they have chosen. EVIDENCE: This is a very busy and lively home with several residents moving around the building visiting and speaking to each other. Visitors are made welcome at the home throughout the day and refreshments are available for them. All the residents spoken with said that they could make choices in their daily routine and staff would support them. Most people during discussions and from survey information indicated that staff listened and acted upon what they had to say. Many residents indicated that there are activities arranged for them. One resident said, “I have the option but decline to take part.” The details of the weekly programme of activities were displayed on the notice board the home. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 15 From discussion with residents it was clear that the home operates a Key Worker system where a member of staff is assigned to a resident, to look after their personal day to day things like going shopping and bathing. This was apparent during this inspection when one member of staff went out shopping for residents using the local shops, to purchase toiletries and other personal items. During the visit there were several activities taking place, there was a sing along session, which was in accordance with the plan displayed on the notice board and several residents were engaged in games of dominoes. One resident said he gets the newspaper everyday but he doesn’t go out. A good rapport was seen between residents and staff. Residents’ views have been taken into account during menu planning, and there is a good choice of food available at all mealtimes. The majority of residents completing the survey said that they usually like the food served. Those spoken to on the day they said the food is good, that they have a choice, and are able to ask for items not on the menu. Residents take their meals in the main dining area. Hot drinks and snacks are available at all times. The main meal is given at lunchtime with a light meal during the evening. Menus are discussed at the regular monthly residents’ meetings and during discussion with individual residents. Special diets are provided in accordance to the needs of the resident. The lunchtime meal was observed. It was relaxed and calm with staff assisting when necessary discreetly. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 16 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. Residents felt confident that their concerns would be listened to and knew how to make a complaint. Residents are protected from abuse. EVIDENCE: Residents were aware of the complaints procedure and felt confident that they could tell their key worker or the manager about any concerns, and they would be taken seriously. Relatives who returned survey cards indicated that they were not aware of the home’s complaint procedure, although it was displayed on main notice board near the office. The manager was advised to consider putting the procedure in large print on a notice board in area that is more accessible to visitors. There is a comprehensive complaints procedure available at the home and a log of complaints is kept. The pre-inspection questionnaire shows that there have been no complaints in the last twelve months. Residents who were spoken to said that they felt safe and well cared for at the home. Although staff have not had specific training on adult protection the manager said staff who had completed NVQ (National Vocational Qualification) training Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 17 had covered to elements on adult abuse. Two sessions of training on adult protection are planned. The home has polices and procedures relating to adult protection and whistle blowing procedure in place. These are available to staff. The manager was advised to give some consideration to placing a copy of the adult protection procedure and the whistle blowing policy on the notice board in the staff room so that they are easily accessible. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe, well maintained and provides comfortable accommodation for residents. EVIDENCE: The home is situated in a residential area of Horsforth, within easy reach of nearby shopping centres. A full tour of the building was undertaken which showed that the home is well maintained throughout. All residents have single bedrooms, which are well furnished and equipped, with the majority being highly personalised reflecting their occupants’ past life and family ties. Two bedrooms have been designated for people coming into the home for short-term respite care. All bedroom doors are fitted with locks and a lockable facility is provided for residents to keep their belongings safe. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 19 Communal areas are spacious, comfortable, and furnished in a domestic style to suit the needs of the residents. One sitting room has been designated a smoking room for residents. The home was clean and there were no odours. Only personal laundry is done on site. The laundry is well equipped, clean and tidy and complies with regulations. All staff have had training on infection control. Hand washing facilities are provided throughout the building in the interests of the prevention of cross infection. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this home. The numbers of staff are not always sufficient to meet the needs of the residents. Residents are protected by the Social Services robust recruitment practices. EVIDENCE: Although the duty rotas indicated that there were sufficient staff available to meet the needs of the residents during the day, there should be ongoing monitoring, to make sure that there are enough staff at all times to meet any changes in the care needs of residents. Residents and relatives said at times there is not enough staff. During the night any residents needing two staff to assist or an emergency occurring needing two staff, leaves the other residents without a member of staff to assist them. During the day the care staff are supported by a team of ancillary staff carrying out domestic, laundry and catering duties. A risk assessment must be carried out to justify night staffing levels, taking into consideration the layout of the building and the dependency levels of residents. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 21 From discussion with residents and from survey information a large number of residents indicated that staff are usually not available when you need them and they are busy. Relatives said they felt there could be more staff. There has been very good progress in staff achievement of National Vocational Qualifications (NVQ) in Care. 89 of the care staff have achieved NVQ level 2. The home has a stable staff team; many have been there for several years, which mean there is continuity and familiarity for the residents. In the last nine months there has been two new care staff starting work at the home. The recruitment records of these two people were sampled. Photocopies of the recruitment and selection records are held at the home with the originals kept at the head office. There was evidence that the required checks had been carried out before the staff commenced work at the home. All new staff complete induction training and all staff have formal supervision sessions and appraisal where training needs are identified. There is also a variety of other training on such topics as dementia and palliative care made available to staff. Despite there being a clear commitment towards training and making sure that all staff are equipped to carry out their roles and to care effectively for the residents, training records showed that moving and handling training does not always take place as required. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33,35, and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this home. The home is well managed and able to provide good leadership to the staff and ensure that the residents are protected and cared for appropriately. The lack of updated moving and handling training could compromise both residents and staff health and safety. EVIDENCE: The manager is experienced and capable to manage the home and has completed the Management Charter Initiative, and has completed the NVQ in care at level 4 and various training courses, to provide her with knowledge to work with residents and manage staff. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 23 All residents, relatives, staff and visiting healthcare professionals were surveyed in 2006. Overall the results provided positive feedback about the service provided. The results have been made available to all interested parties. The large notice board in the entrance area provide residents and visitors where a range of useful information about the service. Discussions with residents and relatives are carried out informally with the manager operating an ‘open door’ policy. Regular in house care reviews are also held providing the opportunity for residents and their representatives to share any ideas and concerns they might have about care or the facilities. Staff meetings for different grades are held approximately every other month a general staff meeting is also held three monthly. Notes are kept of these meetings, and made available to staff who did not attend. The manager do not act as appointees for any resident and do not handle their monies other than their personal allowance for personal day to day use. Clear records are kept of money kept with receipts of all transactions. These procedures are subject to regular in-house checks and external audit. Residents have a lockable draw in their rooms for the safe keeping of their valuables. From discussion with staff and inspection of training records there was a clear indication that staff who have been working at the home for some time have not had up dated moving and handling training for some time, in most cases well over the recommended twelve month period. Since the last inspection the door to the room storing resident’s files has been fitted with a lock. However, the key is kept hung on the door, the manager was advised that this key must be removed and kept safely, or some consideration should be given to replace this type of lock with a key code lock, which would still give staff who need to know have access to residents information. Which would not compromise and confidentiality and data protection. Although it was seen that some staff had undertaken a first aid course thus ensuring that there was a member of staff on duty at all time who had undertaken a first aid course, the record showed that many had expired and needed renewing. Records are kept of accidents involving residents and staff copies of reports are held on the individual files. Fire safety training has been provided for staff. The home is fitted with a sprinkler system for fire protection providing a high level of protection in the event of a fire. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 24 Regular health and safety checks are carried out of equipments within the recommended timescales records and certificate were seen, all potential risk with regards to the use of equipments in the home has been assessed and regular review to make sure they are safe at all times. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 25 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 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 4 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 3 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 X 3 X X 2 Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Timescale for action 19/04/07 2. 3. OP38 OP27 13 (2) 18 4. OP38 18 and 13.5 The manager must make sure that clear and detailed care plans are in place for all the residents to provide clear instructions for staff and evidence that care needs are met. The trolley must be kept fasten 30/03/07 to an outside wall when not in use. The risk assessment must be 26/04/07 carried out, to make sure there is enough staff available to residents over 24hours taking into consideration the size and layout of the building and during the night. All staff must have moving and 31/03/07 handling training to make sure that residents, staff health, safety, and welfare is not compromised. All staff must have up to date First aid training. The key for the room where resident’s files are stored must be kept safely and not hung on the door. 19/04/07 31/03/07 5. 6. OP38 OP37 18 & 13 17 Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 27 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 OP37 Good Practice Recommendations Some consideration should be given to have a key code door lock attach to the “care planning room”. Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Manorfield House DS0000033211.V312271.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!